2024-11-15T11:02:07-06:00 2023-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2023-01-01 232499121 WHITE HORSE VILLAGE INC WHIT 6105585000 535 GRADYVILLE RD NEWTOWN SQUARE PA 19073 TACI DAMSTEDT SR. DIRECTOR OF FINANCE 6105585000 2024-11-15 1 0 X KERRI N BOGDA CPA P00760402 7177404863 2024-11-15 2023 2024-10-15 13:58:12Z MICHAEL SHAW 535 GRADYVILLE RD NEWTOWN SQUARE PA 19073 48049404 0 X WWW.WHITEHORSEVILLAGE.ORG X 1989 PA CONTINUING CARE RETIREMENT COMMUNITY WITH A CONTINUUM OF CARE 12 12 577 275 5738 0 322866 201099 39672397 40616804 487560 538040 682178 505309 41165001 41861252 0 0 0 0 16864588 17841035 0 0 144749 20168676 20698959 37033264 38539994 4131737 3321258 143575217 151054814 114635993 115874775 28939224 35180039 X WE INTENTIONALLY CREATE OPPORTUNITIES FOR EXTRAORDINARY LIVING IN A VIBRANT, DIVERSE COMMUNITY THROUGH PERSONAL GROWTH, CONNECTEDNESS, AND RELATIONSHIPS. 0 0 30347976 0 40616804 LOCATED ON NEARLY ONE HUNDRED ACRES IN NEWTOWN SQUARE, PA, WHITE HORSE VILLAGE OFFERS A BEAUTIFUL, TRANQUIL SETTING SURROUNDED BY URBAN CENTERS AND NEARBY ATTRACTIONS, INCLUDING NEIGHBORING RIDLEY CREEK STATE PARK, LONGWOOD GARDENS, VALLEY FORGE NATIONAL HISTORICAL PARK, KING OF PRUSSIA MALL, AND CENTER CITY PHILADELPHIA. RESIDENTS ENJOY AN ABUNDANCE OF RECREATIONAL OPPORTUNITIES WITH THE CONVENIENCE OF MANY ON-SITE SERVICES, FROM BANKING TO SALON, AT THEIR FINGERTIPS.WHITE HORSE VILLAGE IS AN ACTIVE SENIOR LIVING COMMUNITY OFFERING 331 INDEPENDENT RESIDENCE OPTIONS, AND A TWO-STORY HEALTHCARE CENTER FEATURING 55 PRIVATE SKILLED NURSING ROOMS, 48 PERSONAL CARE SUITES, AND 20 PRIVATE ROOMS IN A MEMORY SUPPORT NEIGHBORHOOD. WE ARE PROGRESSIVE IN OUR THOUGHTS AND ACTIONS AND PASSIONATE ABOUT LEADING THE WAY IN OUR APPROACH TO INNOVATIVE AND SUSTAINABLE LIVING. AS A NONPROFIT ORGANIZATION, WHITE HORSE VILLAGE REINVESTS EARNINGS BACK INTO THE ORGANIZATION TO FURTHER OUR MISSION AND VISION.WHITE HORSE VILLAGE INC. PROVIDES CARE UNDER LIFE CARE CONTRACTS TO APPROXIMATELY 500 ADULTS, ALL OVER THE AGE OF 62. UNDER THESE CONTRACTS, WHITE HORSE VILLAGE INC. PROVIDES HOUSING, MEALS, UTILITIES, MAINTENANCE, AND CERTAIN MEDICAL SERVICES TO THESE RESIDENTS. AS PART OF ITS EFFORTS TO SUPPORT THE SURROUNDING COMMUNITY, WHV HAS INVITED THE RESIDENTS OF A NEIGHBORING 55 AND OVER COMMUNITY TO PARTICIPATE IN WHV'S LIFESTYLE AND EVENTS. WHV COLLECTS A MODEST MONTHLY FEE FROM THE 55 AND OVER COMMUNITY AND IN EXCHANGE, ITS RESIDENTS GAIN ACCESS TO WHV'S WELLNESS PROGRAMS AND OUTPATIENT CLINIC WHERE THEY CAN RECEIVE MEDICAL TREATMENT INCLUDING VACCINATIONS FOR COVID19 AND THE FLU. 30347976 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 64 0 577 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X TACI DAMSTEDT SR DIRECTOR OF FINA 6105585000 535 GRADYVILLE RD NEWTOWN SQUARE PA 19073 PAMELA L HANSEN CHAIR 1.00 1.00 X X 0 0 0 HELENA I CIECHANOWSKI JD VICE CHAIR & SECRETARY 1.00 1.00 X X 0 0 0 MICHAEL B MAGNAVITA CPA TREASURER 1.00 1.00 X X 0 0 0 ROBERT J BRUCE DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL HAMMOND DIRECTOR 1.00 1.00 X 0 0 0 URSULA SIEBENEICH DIRECTOR 1.00 1.00 X 0 0 0 GREGORY NOWELL AIAM CCM DIRECTOR 1.00 1.00 X 0 0 0 DIKRAN KASSABIAN DIRECTOR 1.00 1.00 X 0 0 0 JOAN DEMING-MURPHY DIRECTOR 1.00 1.00 X 0 0 0 MARY LOU MCLAUGHLIN DIRECTOR 1.00 1.00 X 0 0 0 GEORGE HUANG DIRECTOR 1.00 1.00 X 0 0 0 ANGELA DAVENPORT DIRECTOR (AS OF 10/23) 1.00 1.00 X 0 0 0 SARAH OWENS DIRECTOR (TO 06/23) 1.00 1.00 X 0 0 0 WILLIAM KENNEDY JD DIRECTOR (TO 06/23) 1.00 1.00 X 0 0 0 MICHAEL JOSEPH SHAW PRESIDENT & CEO (AS OF 12/23) 38.00 2.00 X 16155 0 0 SUSAN ABTOUCHE VP MISSION ENHANCEMENT 24.00 16.00 X 76661 57831 57800 TACI DAMSTEDT SENIOR DIRECTOR OF FINANCE 40.00 0.00 X 105107 0 22698 LEONARD WEISER PRESIDENT & CEO (TO 06/23) 38.00 2.00 X 336349 21470 34269 MARK WASSERMAN VP OF FINANCE & CFO (TO 04/23) 36.00 4.00 X 100937 1020 16750 KATHLEEN AFKHAMI-ARDEKANI PRESIDENT & CEO (FROM 7/23 TO 11/23) 38.00 2.00 X 93279 11529 0 TINA BOUKALIS VP RESIDENT SERVICES (TO 7/23) 40.00 0.00 X 173559 0 17440 JENNIFER FERGUSON DIRECTOR OF NURSING SERVICES 40.00 0.00 X 114814 0 8319 WENDY PATTON DIRECTOR OF SALES 40.00 0.00 X 105812 0 22592 CRYSTAL WYDLER SR. DIRECTOR OF HR/COMPLIANCE 40.00 0.00 X 102087 0 18148 JANICE SULLIVAN RN 40.00 0.00 X 100374 0 4101 CATHERINE O'NEILL RN SUPERVISOR 40.00 0.00 X 100017 0 11533 1425151 91850 213650 13 0 1 0 UNIDINE CORPORATION PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 3163441 R TITTER ROOFING LLC 3250 CONCORD RD ASTON PA 19014 RENOVATION CONTRACTOR 3055351 ADVANCED ELECTRICAL SERVICE GROUP 1612 WENDY WAY GARNET VALLEY PA 19060 ELECTRICAL CONTRACTOR 1170536 SFCS INC 305 SOUTH JEFFERSON ST ROANOAKE VA 24011 ARCHITECTURAL SERVICES 1079693 JOHN MCALLISTER 129 BEECHWOOD ROAD NEWTOWN SQUARE PA 19073 RENOVATION CONTRACTOR 775115 22 176000 25099 201099 RESIDENT CARE FEES 623000 23664159 23664159 MEDICAL CARE FEES 623000 9007043 9007043 AMORT OF DEFERRED ENTRY FEES 623000 7945602 7945602 40616804 807548 807548 22675 389 22286 22286 22286 5846551 1000 6115059 2000 -268508 -1000 -269508 -269508 326194 70704 255490 255490 INSURANCE & VENDOR REIMBURSEMENTS 900099 96333 96333 CATERING 722515 56374 56374 WELLNESS CENTER 900099 34436 34436 40390 5738 34652 227533 41861252 40616804 5738 1037611 1238447 1238447 12177478 10243934 1933544 219803 205004 14799 3126931 2242845 884086 1078376 760284 318092 156042 156042 44888 44888 4466 4466 141681 141681 3765635 2563997 1201638 278934 12651 266283 1081888 1066747 15141 891443 846871 44572 2384754 2116023 123982 144749 24090 19494 4596 1552362 1397126 155236 6282233 5654010 628223 456606 410945 45661 FOOD 1810133 1485861 324272 REPAIRS AND MAINTENANCE 898705 696136 202569 DRUGS 221342 221342 MEDICAL SUPPLIES 217299 217299 486458 187407 299051 38539994 30347976 8047269 144749 4020 15742593 15425797 939899 908817 77263 67514 768726 771838 189604038 92902307 91649741 96701731 33095721 36329537 121875 130879 1175379 718701 143575217 151054814 3620204 4432622 55205552 83106894 27931729 25930181 27878508 2405078 114635993 115874775 X 28939224 35180039 28939224 35180039 143575217 151054814 X 3321258 2817783 101774 X 0 1 X 1 0 X 1362423 934466 177143 322866 201099 2997997 37793558 38509160 39288058 39672397 40616804 195879977 39155981 39443626 39465201 39995263 40817903 198877974 1300 15550 16850 0 1300 15550 16850 198861124 499518 426138 721824 1160234 830223 3637937 499518 426138 721824 1160234 830223 3637937 7279 7279 97651 659183 511088 678784 547989 2494695 39753150 40528947 40705392 41834281 42196115 205017885 0.97000 0.97380 0.01770 0.01610 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: TERMINATIONS - 2020 AMOUNT: $ 23,854. 2021 AMOUNT: $ 39,600. BEAUTY - 2020 AMOUNT: $ 10,052. 2021 AMOUNT: $ 16,610. 2022 AMOUNT: $ 18,341. 2023 AMOUNT: $ 19,496. NOTARY/JEWELRY REPAIR/MED RECORDS - 2019 AMOUNT: $ 4,803. 2020 AMOUNT: $ 25,599. 2021 AMOUNT: $ 22,860. CATERING - 2019 AMOUNT: $ 68,443. 2020 AMOUNT: $ 14,028. 2021 AMOUNT: $ 31,215. 2022 AMOUNT: $ 50,939. 2023 AMOUNT: $ 56,374. CAFE - 2020 AMOUNT: $ 100,949. 2021 AMOUNT: $ 166,516. 2022 AMOUNT: $ 225,304. 2023 AMOUNT: $ 326,194. MISCELLANEOUS - 2019 AMOUNT: $ 9,209. 2020 AMOUNT: $ 4,224. 2021 AMOUNT: $ 18,845. 2022 AMOUNT: $ 604. 2023 AMOUNT: $ 2,682. LAUNDRY - 2020 AMOUNT: $ 11,287. 2021 AMOUNT: $ 9,495. 2022 AMOUNT: $ 17,522. 2023 AMOUNT: $ 10,828. TRANSPORTATION - 2020 AMOUNT: $ 3,212. 2021 AMOUNT: $ 479. 2022 AMOUNT: $ 798. 2023 AMOUNT: $ 1,607. REIMBURSEMENTS - 2019 AMOUNT: $ 15,196. INSURANCE PROCEEDS - 2020 AMOUNT: $ 465,978. RENOVATION REVENUE - 2021 AMOUNT: $ 37,559. TRAINING PARTICIPATION - 2021 AMOUNT: $ 6,000. PAYROLL TAX REFUNDS - 2021 AMOUNT: $ 161,909. REFUND OF UTILITIES - 2022 AMOUNT: $ 90,764. 2023 AMOUNT: $ 39. WELLNESS CENTER - 2022 AMOUNT: $ 17,802. 2023 AMOUNT: $ 34,436. INSURANCE VENDOR REIMBURSEMENTS - 2022 AMOUNT: $ 256,710. 2023 AMOUNT: $ 96,333. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 4466 4466 0 PART II-B, LINE 1: ON BEHALF OF WHITE HORSE VILLAGE, LEADINGAGE LOBBIED FOR THE FOLLOWING ISSUES: SKILLED NURSING FACILITIES, INDEPENDENT LIVING, PERSONAL CARE HOMES (PCH)/ASSISTED LIVING (AL), HOUSING, HOME AND COMMUNITY-BASED SERVICES (HCBS), LIVING INDEPENDENCE FOR THE ELDERLY (LIFE), AND MULTIPLE SETTINGS. 5101003 915157 618476 265198 191556 6177882 5534913 350712 -271944 287012 225666 5101003 4969123 139451 729993 249913 53741 5534913 3818778 699075 791947 285248 55429 4969123 4043870 79050 1058281 1359523 2900 3818778 0.89690 0.00000 0.10310 1 1 1 6656012 6656012 162268805 87289045 74979760 9915328 5613262 4302066 10763893 10763893 96701731 REFUNDABLE DEPOSITS 920000 FV OF INTEREST RATE SWAP AGREEMENT 1485078 2405078 44710221 2817783 -39907 2777876 41932345 -71093 -71093 41861252 38469406 71093 71093 38398313 141681 141681 38539994 PART V, LINE 4: THE FOUNDATION FUND HAS THREE PRINCIPAL USES: (1) RESIDENT RESERVE FUND - TO PROVIDE FINANCIAL ASSISTANCE TO RESIDENTS IN NEED, (2) CAMPUS IMPROVEMENT FUND - TO PROVIDE FACILITY IMPROVEMENTS, FURNISHINGS, AND EQUIPMENT FOR THE BENEFIT OF RESIDENTS OF THE COMMUNITY, AND 3) TO PROVIDE ASSISTANCE TO TEAM MEMBERS TO FURTHER THEIR EDUCATION AND TO THANK DEDICATED TEAM MEMBERS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FV OF INTEREST RATE SWAP 101,774. INVESTMENT MANAGEMENT FEES -141,681. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -389. CAFE COST OF GOODS SOLD -70,704. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 389. CAFE COST OF GOODS SOLD 70,704. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES 141,681. X X X X X 1 0 0 0 0 0 0 1 0 LEONARD WEISER PRESIDENT & CEO (TO 06/23) 131159 8372 43467 2775 161723 10323 22416 0 11853 0 370618 21470 0 0 SUSAN ABTOUCHE VP MISSION ENHANCEMENT 64696 48805 11965 9026 0 0 17443 13159 15503 11695 109607 82685 0 0 TINA BOUKALIS VP RESIDENT SERVICES (TO 7/23) 104309 0 16897 0 52353 0 9823 0 7617 0 190999 0 0 0 PART I, LINE 4A LEONARD WEISER RECEIVED SEVERANCE OF $172,046. TINA BOUKALIS RECEIVED SEVERANCE OF $52,353. PART I, LINE 7 THE INCENTIVE AWARD FITS THE IRS DEFINITION OF NON-FIXED PAYMENT. THE INCENTIVE AWARD IS INCLUDED IN EACH EMPLOYEE'S W-2 COMPENSATION. INCENTIVE AWARD PARAMETERS ARE APPROVED BY THE GOVERNANCE COMMITTEE ANNUALLY. FOR ALL PERFORMANCE INCENTIVES OTHER THAN THE PRESIDENT/CEO'S, THE PRESIDENT/CEO WILL BE CONSULTED AS PART OF THE EVALUATION PROCESS. INCENTIVE AWARDS WILL BE GRANTED WHEN PERFORMANCE MEETS ESTABLISHED GOALS. NO AWARDS WILL BE PAID IF BASE THRESHOLD PERFORMANCE LEVELS ARE NOT ACHIEVED. THE FOLLOWING EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A RECEIVED AN INCENTIVE AWARD IN 2023. LEONARD WEISER, PRESIDENT/CEO - $46,242 MARK WASSERMAN, VP, FINANCE & CFO - $19,956 TINA BOUKALIS, VP, RESIDENT SERVICES - $16,897 SUSAN ABTOUCHE, VP, MISSION ENHANCEMENT - $20,991 A DELAWARE COUNTY AUTHORITY 231973437 245913HH4 2006-05-17 4865000 REFUND OF PRIOR ISSUE 0 0 0 B DELAWARE COUNTY AUTHORITY 231973437 245913HJ0 2006-05-17 35795000 FUND EXPANSION, RENOVATION 0 0 0 C DELAWARE COUNTY AUTHORITY 231973437 245913JD1 2008-05-09 11000000 FUND EXPANSION, RENOVATION 0 0 0 A 4865000 40554 4190 4143 4816113 2006 0 1 1 1 B 25442083 35795000 295819 30826 6893094 28575261 2006 1 0 1 1 C 11000000 188620 48669 10762711 2010 0 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 1 0 0 0 0 1 B 0 0 1 0 1 1 0 0 0 0 1 C 0 0 1 0 1 1 VARIOUS 0 0 0 0 1 A 1 B 1 C 1 FORM 990, PART VI, SECTION A, LINE 3 THE CEO WILL DIRECT THE SPECIFIC NEEDS OF THE ORGANIZATION AND RESPONSIBILITIES OF THE CONSULTANT. SPECIFIC TASKS AND PROJECTS WILL BE ASSIGNED AS NEEDED BY THE CEO OR OTHER WHV LEADERSHIP. THE COMPENSATION FOR ALISA MILLER AS INTERIM CFO WAS $95,819 FOR 2023. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE RETURN IS THEN REVIEWED BY THE MANAGEMENT AND THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL WHITE HORSE VILLAGE TEAM MEMBERS, INCLUDING BUT NOT LIMITED TO OFFICERS, KEY EMPLOYEES, AND MEMBERS OF THE BOARD OF DIRECTORS, HAVE AN OBLIGATION TO CONDUCT BUSINESS WITHIN GUIDELINES THAT PROHIBIT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THIS POLICY IS ESTABLISHED TO ENSURE THAT RESIDENT CARE/SERVICES AND BUSINESS ACTIVITIES ARE CONDUCTED IN AN OBJECTIVE MANNER AND ARE NOT MOTIVATED BY DESIRE FOR PERSONAL OR FINANCIAL GAIN. ACTUAL OR POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO APPROPRIATE MANAGEMENT PERSONNEL, HUMAN RESOURCES AND/OR THE COMPLIANCE OFFICER OR DESIGNEE. TEAM MEMBERS MUST SEEK GUIDANCE AND APPROVAL FROM COMPLIANCE OFFICER AND/OR PRESIDENT/CEO BEFORE PURSUING ANY BUSINESS OR PERSONAL ACTIVITY THAT MAY CONSTITUTE A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS AND MEMBERS OF MANAGEMENT WILL SIGN THE CONFLICT OF INTEREST SIGNATURE PAGE ANNUALLY. THE POLICY EXPRESSLY MENTIONS FAMILY AND BUSINESS RELATIONSHIPS AS POTENTIAL SOURCES OF CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 ALL OFFICER AND KEY EMPLOYEE COMPENSATION REVIEWS ARE COMPLETED USING THREE DIFFERENT WAGE SURVEYS, OTHER FORM 990'S OF SIMILAR ORGANIZATIONS AND INDEPENDENT CONSULTANT REPORTS. THE BOARD'S GOVERNANCE COMMITTEE REVIEWS COMPENSATION OF THE PRESIDENT/CEO. THE PRESIDENT/CEO REVIEWS COMPENSATION FOR OTHER PAID OFFICERS AND KEY EMPLOYEES AND SHARES THAT INFORMATION WITH THE BOARD GOVERNANCE COMMITTEE FOR ITS REVIEW AND APPROVAL. ALL OFFICER AND KEY EMPLOYEE COMPENSATION REVIEW DELIBERATIONS AND FINAL DETERMINATIONS ARE TIMELY DOCUMENTED AS PART OF COMMITTEE MINUTES AND RESPECTIVE EMPLOYEE FILES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FV OF INTEREST RATE SWAP 101,774. WHITE HORSE VILLAGE REALTY SUPPORT SERVICES LLC 535 GRADYVILLE RD NEWTOWN SQUARE PA 19073 852738522 REALTY SUPPORT SERVICES PA 0 0 WHITE HORSE VILLAGE INC WHITE HORSE VILLAGE FOUNDATION INC 535 GRADYVILLE RD NEWTOWN SQUARE PA 19073 232738045 SUPPORT WHITE HORSE VILLAGE, INC. AND ITS RESIDENTS PA 501(C)(3) LINE 12A, I WHITE HORSE VILLAGE INC 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 WHITE HORSE VILLAGE FOUNDATION INC C 176000 CASH WHITE HORSE VILLAGE FOUNDATION INC Q 191556 CASH