2023-03-22T16:33:15-05:00 2022-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2021-07-01 221717575 HEATH VILLAGE INC HEAT 9088524801 430 SCHOOLEYS MOUNTAIN ROAD HACKETTSTOWN NJ 078404099 MARY ELLEN BOVE CEO 9088524801 2023-03-21 1 MARY ELLEN BOVE XXX-XX-XXXX KERRI N BOGDA CPA P00760402 7177404863 X 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MARY ELLEN BOVE 430 SCHOOLEYS MOUNTAIN ROAD HACKETTSTOWN NJ 078404099 29088435 0 X WWW.HEATHVILLAGE.COM X 1962 NJ RETIREMENT COMMUNITY OFFERING INDEPENDENT LIVING, RESIDENTIAL HEALTHCARE, & SKILLED NURSING CARE. 12 11 380 58 41086 0 3510219 1468730 24237753 25395233 1085229 660266 140438 171228 28973639 27695457 0 0 0 0 16727240 15090503 0 0 7189 13836887 15092912 30564127 30183415 -1590488 -2487958 101050879 93905009 52116951 45899112 48933928 48005897 X HEATH VILLAGE WAS FORMED FOR THE PURPOSE OF PLANNING, BUILDING AND OPERATING A RETIREMENT COMMUNITY. HEATH VILLAGE IS A MULTI-DENOMINATIONAL CHRISTIAN COMMUNITY FOR ALL PEOPLE, REGARDLESS OF RACE, CREED OR ETHNIC ORIGIN. HEATH VILLAGE BELIEVES IT IS IMPORTANT THAT RETIRED PERSONS HAVE A LIVING ENVIRONMENT THAT FOSTERS A MEANINGFUL LIFE WITH SECURITY, DIGNITY, FELLOWSHIP AND PERSONAL AND SPIRITUAL WELL-BEING. TO ACHIEVE THESE OBJECTIVES AND PURPOSE, HEATH VILLAGE PROVIDES RETIRED PERSONS WITH APPROPRIATE LIVING ACCOMMODATIONS, AS WELL AS SOCIAL, RECREATIONAL, EDUCATIONAL, RELIGIOUS AND OTHER PROGRAMS AND SERVICES THAT PROMOTE INDIVIDUAL INDEPENDENCE IN LIVING WITH THE AVAILABILITY OF SUPPORTIVE SERVICES WHEN NEEDED. HEATH VILLAGE ENCOURAGES INTERACTION BETWEEN HEATH VILLAGE EMPLOYEES, ITS RESIDENTS AND THE COMMUNITY AT LARGE. 0 0 25446631 25395233 HEATH VILLAGE IS A FULL-SERVICE RETIREMENT COMMUNITY WHICH ALSO INCLUDES A COMPREHENSIVE HEALTH CARE FACILITY. THERE ARE NO LIFE CARE FEES AND OPTIONAL ENTRANCE FEES, MAKING IT AN AFFORDABLE CHOICE FOR TODAY'S RETIREE WHO WANTS TO REMAIN ACTIVE, INVOLVED AND INDEPENDENT. THE 100+ ACRE COMMUNITY OFFERS A VARIETY OF LIVING ACCOMMODATIONS INCLUDING: 151 INDEPENDENT APARTMENTS RANGING IN SIZE FROM STUDIO TO TWO-BEDROOMS; 10 COTTAGE STYLE APARTMENTS WHICH INCLUDE TWO BEDROOMS, A SINGLE CAR GARAGE, UTILITY ROOM, TWO BATHS, AN EAT-IN KITCHEN AND A THREE-SEASON PORCH; 36 HOTEL-STYLE APARTMENTS WHICH INCLUDE HOUSEKEEPING SERVICES AND THREE MEALS PER DAY; 40 RESIDENTIAL HEALTHCARE BEDS AND 108 SKILLED NURSING BEDS, BOTH LICENSED BY THE NEW JERSEY STATE DEPARTMENT OF HEALTH. FOR THE FISCAL YEAR ENDED JUNE 30, 2022, THE INDEPENDENT APARTMENTS SERVED 250 RESIDENTS, THE RESIDENTIAL HEALTH CARE UNIT SERVED 48 RESIDENTS, AND THE SKILLED NURSING UNIT SERVED 391 SHORT-TERM AND LONG-TERM PATIENTS. THE FACILITY PROVIDES FINANCIAL ASSISTANCE THROUGH ITS BENEVOLENT CARE FUND, THE FRIENDSHIP FUND, TO RESIDENTS WHO HAVE EXHAUSTED THEIR RESOURCES. DURING THE FISCAL YEAR, THE FRIENDSHIP FUND PROVIDED $604,636 IN BENEVOLENT CARE ACROSS ALL LEVELS OF CARE.ALL RESIDENTS AND PATIENTS OF THE COMMUNITY ENJOY AROUND THE CLOCK SECURITY, A WIRELESS EMERGENCY/NURSE CALL ALERT SYSTEM, WIFI, MAINTENANCE SERVICES, TRANSPORTATION SERVICES, PASTORAL SERVICES, AND SOCIAL ACTIVITIES BOTH ON CAMPUS AND OFF CAMPUS IN ADDITION TO A SWIMMING POOL AND JACUZZI, COMMUNITY GARDEN, SHUFFLE BOARD COURT, BOCCE COURT, NATURE/WALKING TRAIL, LIBRARY, FITNESS CENTER, GIFT SHOP, BEAUTY SALON, CRAFT SHOP, CHAPEL, ART STUDIO, AND NUMEROUS OTHER AMENITIES. REGULAR IN-PERSON ACTIVITIES RESUMED AT PRE-PANDEMIC LEVELS DURING THIS FISCAL YEAR INCLUDING YOGA, FITNESS CLASSES, TAI CHI, MOVIE NIGHTS, WORSHIP SERVICES, LIVE ENTERTAINMENT, POOL PARTIES AND MUCH MORE. OFF-CAMPUS TRIPS INCLUDED MINIATURE GOLF, THE NJ PERFORMING ARTS CENTER TO SEE THE NJ SYMPHONY ORCHESTRA, THE ZOO, HUNTERDON HILLS PLAYHOUSE, THE SHOPPING MALL, PAPERMILL PLAYHOUSE, AND NUMEROUS LUNCH TRIPS TO LOCAL RESTAURANTS. SHOPPING BUS ROUTES CONTINUED TO RUN 3 DAYS PER WEEK FOR RESIDENTS WHO NEED A RIDE TO LOCAL STORES, BANKS, AND THE FARMER'S MARKET. SHUTTLE SERVICES TO LOCAL CHURCHES ALSO RETURNED IN NOVEMBER. THEY ALSO RESUMED PARTICIPATION IN OVER 40 RESIDENT GROUPS AND ORGANIZATIONS THAT ARE AVAILABLE ON CAMPUS SUCH AS THE ART CLUB, MUTUAL SUPPORT GROUP, NEEDLEWORKERS GROUP, PICKLEBALL, BRIDGE PLAYERS, CHOIR, AND BOOK DISCUSSION GROUP, TO NAME A FEW. A NEW CHIP AND PUTT GOLF GROUP AND CORNHOLE GROUP WERE FORMED DURING THE YEAR. THE EVER-POPULAR BOCCE LEAGUE RETURNED IN FULL SWING WITH AN INCREASE IN PARTICIPATION, SATURDAY MORNING LESSONS, AND AN END-OF-SEASON GAME AGAINST THE ADMINISTRATION. VOLUNTEERS WHO RESIDE ON-CAMPUS CONTINUED THE EFFORTS OF THE FACILITY'S THRIFT STORE KNOWN AS THE FRIENDSHIP STORE, WHICH GENERATED PROCEEDS OF $5,802 TO SUPPORT THE BENEVOLENT CARE FUND. AN ADDITIONAL $4,578 NET PROCEEDS WERE GENERATED FROM THE VOLUNTEER-RUN GIFT SHOP. OTHER RESIDENT VOLUNTEERS ALSO RAISED $598 FROM A BAKE SALE FOR THE FUND AS WELL AS $1,804 BY HOLDING A FARMER'S MARKET THROUGHOUT THE GROWING SEASON AS VEGETABLES WERE HARVESTED FROM THE COMMUNITY GARDEN.WHILE THE RESIDENTIAL HEALTHCARE AND SKILLED NURSING UNITS HAVE THEIR OWN DINING ROOM FACILITIES, ALL RESIDENTS AND GUESTS OF THE COMMUNITY HAVE THE OPTION OF DINING IN THE MAIN DINING ROOM FOR A RESTAURANT STYLE DINING OPTION, THE GRILL ROOM FOR A FINE DINING EXPERIENCE, THE PUB, OR IN THE CAFE FOR A LESS FORMAL SETTING. RESIDENTS ALSO ENJOYED VARIOUS SPECIAL EVENTS IN THE MAIN DINING FACILITIES SUCH AS A CHRISTMAS TEA, HOLIDAY LUNCHEONS, ICE CREAM SOCIALS, OUTDOOR BBQS, HAPPY HOUR, AN OKTOBERFEST CELEBRATION, VETERAN'S APPRECIATION LUNCHEON, COFFEE HOUR, AND A JOURNEY TO SOUTHEAST ASIA LUNCHEON. DURING THE FISCAL YEAR ENDING JUNE 30, 2022 THE DINING SERVICES DEPARTMENT CONTINUED THEIR FARM TO TABLE PROGRAM THROUGH A LOCAL FARM, WHICH IMPLEMENTS SEASONAL FRESH FRUITS AND VEGETABLES INTO THE MENUS. BY USING A LOCAL FARM, THE PRODUCE IS ALLOWED TO RIPEN MUCH LONGER THAN PRODUCE PURCHASED FROM OTHER VENDORS, WHICH PROVIDES FOR BETTER QUALITY AND PEAK FRESHNESS. THE NEWLY BUILT, STATE-OF-THE-ART SKILLED NURSING UNIT PROVIDES A SPACIOUS, HOMELIKE ATMOSPHERE AND BOASTS A SUB-ACUTE CARE AND REHABILITATION FACILITY WHICH PROVIDES FIRST-RATE IN-PATIENT CARE FOR ADULT PATIENTS FIFTY-FIVE AND OLDER WHO ARE RECOVERING FROM AN ACUTE ILLNESS OR INJURY. THE SMALL HOUSEHOLD DESIGN ALLOWS FOR MORE PERSONALIZED AND FLEXIBLE RESIDENT CARE. THERE ARE FOUR LONG-TERM AND TWO SHORT-TERM/SUB-ACUTE CARE HOUSEHOLDS. TO HELP MAKE THE SPACE FEEL MORE HOMELIKE, EVERY LONG AND SHORT-TERM CARE RESIDENT HAS THEIR OWN PRIVATE BEDROOM. THIS POPULAR AMENITY NOT ONLY OFFERS IMPROVED QUALITY OF LIFE BUT ENHANCES HEATH VILLAGE'S ALREADY STRINGENT INFECTION CONTROL MEASURES IT HAS IN PLACE TO HELP PREVENT THE SPREAD OF VIRUSES SUCH AS COVID-19. THE REHABILITATION CENTER IS EQUIPPED WITH THE LATEST TECHNOLOGY AND INCLUDES AN ACTIVITIES OF DAILY LIVING (ADL) SUITE WHERE PATIENTS CAN PRACTICE A VARIETY OF LIFE SKILLS SUCH AS COOKING, SHOWERING, AND GETTING IN AND OUT OF BED. THERE IS ALSO AN OUTDOOR COURTYARD DESIGNED TO HELP PATIENTS MANEUVER DIFFERENT TERRAINS AND INCLINES. THE FACILITY PROVIDES THE FOLLOWING COMPREHENSIVE SERVICES: MEDICAL AND SURGICAL RECOVERY, CARDIAC CARE, WOUND CARE, PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH THERAPY, IV THERAPY, VESTIBULAR THERAPY, ASSISTIVE DEVICE TRAINING, MEDICATION MANAGEMENT AND HOSPICE CARE. THEY SPECIALIZE IN BALANCE, GAIT ASSESSMENT, FALL PREVENTION AND IMPROVING OVERALL MOBILITY. INDEPENDENT RESIDENTS OF THE COMMUNITY ALSO BENEFIT FROM THE OUT-PATIENT THERAPY SERVICES PROVIDED BY THIS FACILITY. DURING THE FISCAL YEAR ENDING JUNE 30, 2022, THE REHAB FACILITY SERVED 20 OUT-PATIENTS IN ADDITION TO SERVING THE IN-PATIENT POPULATION. RESIDENTS WHO LIVE INDEPENDENTLY OUTSIDE OF THE NURSING FACILITY ALSO BENEFIT FROM HOME HEALTH SERVICES AND OUT-PATIENT NURSING CARE MADE AVAILABLE THROUGH THE SKILLED NURSING UNIT 29 RESIDENTS RECEIVED THIS TYPE OF ASSISTANCE DURING THE FISCAL YEAR.THE SKILLED NURSING FACILITY HAS A SOCIAL SERVICES DEPARTMENT WHICH IS DEDICATED TO THE PSYCHOSOCIAL WELL-BEING OF ALL PATIENTS AND RESIDENTS WITHIN THE COMMUNITY. THIS DEPARTMENT SERVES AS AN INTERDEPARTMENTAL LIAISON FOR THE PATIENTS AND FAMILY MEMBERS TO MAKE SURE ALL THEIR NEEDS ARE MET MEDICALLY, PHYSICALLY, AND EMOTIONALLY, AND IS RESPONSIBLE FOR IN-SERVICING STAFF MEMBERS ON MOOD BEHAVIOR, TRAUMA-INFORMED CARE, CUSTOMER SERVICE AND COMMUNICATION, LGBTQ IN LTC SETTING AND DEMENTIA. THE SOCIAL SERVICE DEPARTMENT SCHEDULES AND FACILITATES ALL THE INTERDISCIPLINARY TEAM MEETINGS WHICH ARE HELD TWICE A WEEK WITH THE RESIDENTS AND THEIR FAMILY MEMBERS. THESE MEETINGS ARE DESIGNED TO UPDATE THE RESIDENTS AND FAMILY MEMBERS ON MEDICAL ISSUES, THEIR REHAB PROGRESS, ETC. THE SOCIAL WORKERS ASSIST WITH DISCHARGE PLANNING FOR THOSE PATIENTS THAT ARE RECEIVING SUBACUTE REHAB AND ASSIST WITH SETTING UP SERVICES IN THE COMMUNITY FOR THE PATIENTS TO ENABLE THEM TO RESUME THEIR LIVES AFTER REHAB (I.E., PRIVATE DUTY HOME HEALTH AIDE, NURSING, PT, OT, MEALS ON WHEELS, ETC.), OR IF THE PATIENT IS NOT ABLE TO RETURN HOME, THEY ASSIST WITH FACILITY PLACEMENT. THE DEPARTMENT ALSO WORKS TOGETHER WITH PSYCHIATRISTS, THERAPISTS, AND THE INTERDISCIPLINARY TEAM TO REDUCE THE SIGNS AND SYMPTOMS OF DEPRESSION IN BOTH LONG-TERM CARE AND SUB-ACUTE PATIENTS. THIS SOCIAL SERVICES DEPARTMENT CONTINUES TO EDUCATE PATIENTS AND RESIDENTS ABOUT THE POLST (PRACTITIONER ORDERS FOR LIFE-SUSTAINING TREATMENT), ADVANCE DIRECTIVE AND MEDICAL AND FINANCIAL POA. THE SOCIAL SERVICE OFFICE CAN ASSIST RESIDENTS AND PATIENTS WITH PREPARING THESE DOCUMENTS. THIS ALLOWS THE INDIVIDUAL TO BE THEIR OWN MEDICAL ADVOCATE, IDENTIFIES MEDICAL TREATMENTS THAT THEY APPROVE OR DISAPPROVE OF IF THEY ARE UNABLE TO SPEAK FOR THEMSELVES, AND REDUCES THE BURDEN ON FAMILY AND CAREGIVERS. IN ADDITION, THE SOCIAL SERVICE DEPARTMENT IS AVAILABLE TO ASSIST PATIENTS WITH COMPLETING LIVING WILLS AND DESIGNATING A MEDICAL POWER OF ATTORNEY. THEY ALSO ASSIST RESIDENTS WITH THE MEDICAID APPLICATION AND ASSESSMENT, AND COMPLETE BIOPSYCHOSOCIAL ASSESSMENTS FOR MEDICARE. 25446631 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 0 1 0 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 0 1 0 0 0 1 301 0 380 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 11 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 0 0 NJ X ANTHONY PUCCIO 9086845018 422 SCHOOLEYS MOUNTAIN ROAD HACKETTSTOWN NJ 078404099 PATRICK E BRADY CEO/EXECUTIVE DIRECTOR TO 1/3/22 40.00 0.50 X X 655583 0 38938 CAROL MCKINNEY CHAIR 0.30 0.30 X X 0 0 0 L ALLISON GARDE VICE CHAIR 0.30 0.30 X X 0 0 0 HAROLD S LAPPIN SECRETARY/TREASURER 0.30 0.30 X X 0 0 0 MICHAEL ARON TRUSTEE RESIDENT REPRESENTATIVE 0.30 0.00 X 0 0 0 ROBERT GALLAGHER TRUSTEE 0.30 0.30 X 0 0 0 MARY ALICE HORN TRUSTEE 0.30 0.30 X 0 0 0 HERBERT KORTE TRUSTEE 0.30 0.30 X 0 0 0 MICHELE MCCARTHY TRUSTEE 0.30 0.00 X 0 0 0 ARTHUR SHENINGER TRUSTEE 0.30 0.00 X 0 0 0 TIMOTHY STEWART TRUSTEE 0.30 0.30 X 0 0 0 PETER R VAN BRUNT TRUSTEE 0.30 0.30 X 0 0 0 MARY ELLEN BOVE CEO/EXECUTIVE DIRECTOR AS OF 1/3/22 40.00 0.50 X 394360 0 153808 ANTHONY PUCCIO CHIEF FINANCIAL OFFICER 40.00 0.50 X 182502 0 35218 JANICE CIPRIANI DIRECTOR OF MARKETING 40.00 0.00 X 212552 0 7207 VIVIAN BLANDURA ADMINISTRATOR 40.00 0.00 X 149476 0 32317 DESIREE NEMETH ASSISTANT MDS COORDINATOR 40.00 0.00 X 131565 0 17699 MARIE IGOT OCCUPATIONAL THERAPIST 40.00 0.00 X 107737 0 30180 KELLY STILES DIRECTOR OF HR 40.00 0.00 X 107727 0 19890 1941502 0 335257 13 0 1 0 SODEXO INC AND AFFILIATES PO BOX 360170 PITTSBURGH PA 15251 FOOD SERVICE 511519 CHRIS BRANDS CONSTRUCTION CO 710 LAUREL HILL ROAD BANGOR PA 18013 CARPENTRY 357583 EXIGENT TECHNOLOGIES LLC 55 MADISON AVENUE SUITE 400 MORRISTOWN NJ 07960 INFORMATION TECHNOLOGY 301195 HOWARD BURD & SONS 300 LAFAYETTE STREET HACKETTSTOWN NJ 07840 EXCAVATING/SNOW REMOVAL 279035 LECESSE CONSTRUCTION SERVICES LLC 15 CIRCLE STREET ROCHESTER NY 14607 CONSTRUCTION 250268 8 1211871 256859 1468730 NET RESIDENT SERVICE REV 623000 25395233 25395233 25395233 309451 309451 1733266 1382451 350815 350815 350815 598 0 598 598 15511 10527 4984 4984 NON-RESIDENT REVENUE 721000 51254 39254 12000 MEALS 900099 40389 40389 LATE FEE INCOME 900099 31321 31321 42682 1832 40850 165646 27695457 25395233 41086 790408 1020339 1020339 11162474 10095109 1062739 4626 413124 385444 27507 173 1583078 1400771 181231 1076 911488 775500 135608 380 181548 169548 12000 19425 19425 101792 101792 804 804 134344 134344 1417104 1239169 177935 85060 85060 215508 101284 113290 934 469955 70537 399418 1716306 1716306 25390 22876 2514 34972 28986 5986 1281232 1281232 5130510 5130510 742919 11304 731615 SUPPLIES & MINOR EQUIPM 1044880 1044880 FOOD 1004773 994982 9791 PHARMACY & OTHER ANCILI 537781 537781 BAD DEBT EXPENSE 306292 306292 642317 440412 201905 30183415 25446631 4729595 7189 2435 2535 6291932 6335375 1466957 1452214 312053 254601 282145 201437 120357290 55205405 69147128 65151885 22456111 19262170 31163 31163 282626 275836 778329 937793 101050879 93905009 5073695 4186799 3261724 3292926 37352364 36627646 763698 933608 5665470 858133 52116951 45899112 X 45477949 45257371 3455979 2748526 48933928 48005897 101050879 93905009 X -2487958 -3184232 4744159 X 0 1 X 1 0 X 974536 224696 1108277 3510219 1468729 7286457 25804985 26196536 25517212 24237753 25395233 127151719 26779521 26421232 26625489 27747972 26863962 134438176 0 0 0 134438176 348742 436913 504971 321236 309451 1921313 1832 1832 348742 436913 504971 321236 311283 1923145 6280 821 1789 1483 4984 15357 171344 130029 153531 105122 125158 685184 27305887 26988995 27285780 28175813 27305387 137061862 0.98090 0.97940 0.01400 0.01490 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MEALS - 2017 AMOUNT: $ 55,566. 2018 AMOUNT: $ 54,305. 2019 AMOUNT: $ 41,298. 2020 AMOUNT: $ 33,707. 2021 AMOUNT: $ 40,389. LATE FEE INCOME - 2017 AMOUNT: $ 10,417. 2018 AMOUNT: $ 7,544. 2019 AMOUNT: $ 10,425. 2020 AMOUNT: $ 33,076. 2021 AMOUNT: $ 31,321. GUEST ROOMS - 2017 AMOUNT: $ 24,840. 2018 AMOUNT: $ 28,505. 2019 AMOUNT: $ 20,260. 2020 AMOUNT: $ 8,690. 2021 AMOUNT: $ 22,680. FIREWOOD SALES - 2017 AMOUNT: $ 3,819. 2019 AMOUNT: $ 9,365. 2020 AMOUNT: $ 1,270. 2021 AMOUNT: $ 3,620. RESIDENT MAINTENANCE SERVICES - 2017 AMOUNT: $ 9,152. 2019 AMOUNT: $ 7,931. 2020 AMOUNT: $ 8,261. 2021 AMOUNT: $ 8,715. GIFT SHOP - 2018 AMOUNT: $ 8,311. THRIFT STORE REVENUE - 2017 AMOUNT: $ 7,853. 2019 AMOUNT: $ 8,797. 2020 AMOUNT: $ 5,103. 2021 AMOUNT: $ 5,802. MISCELLANEOUS INCOME - 2017 AMOUNT: $ 49,578. 2018 AMOUNT: $ 18,933. 2019 AMOUNT: $ 161. 2020 AMOUNT: $ 46. 2021 AMOUNT: $ 33. PARTNERSHIP GAIN/LOSS - 2017 AMOUNT: $ -1,881. NON-RESIDENT REVENUE - 2017 AMOUNT: $ 12,000. 2018 AMOUNT: $ 12,431. 2019 AMOUNT: $ 12,481. 2020 AMOUNT: $ 12,000. 2021 AMOUNT: $ 12,000. INSURANCE RECOVERY - 2019 AMOUNT: $ 40,863. RELATED NONRESIDENT REVENUE - 2019 AMOUNT: $ 1,950. 2020 AMOUNT: $ 2,550. FUNDRAISING INCOME - 2020 AMOUNT: $ 419. 2021 AMOUNT: $ 598. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 804 804 0 PART II-B, LINE 1: HEATH VILLAGE PAID MEMBERSHIP DUES TO LEADING AGE OF NJ OF $11,630, OF WHICH AN ESTIMATED 4.9% OR $570 WENT TOWARDS LOBBYING ACTIVITY. HEATH VILLAGE PAID MEMBERSHIP DUES TO LEADING AGE NATIONAL OF $8,000, OF WHICH AN ESTIMATED 2.93% OR $234 WENT TOWARDS LOBBYING ACTIVITY. 0 1 X 4592220 4592220 86507757 43111606 43396151 19950231 9250677 10699554 9307082 2843122 6463960 65151885 ANNUITIES PAYABLE 285807 DERIVATIVE FINANCIAL INSTRUMENT 572326 858133 29122054 -3184232 4745173 1560941 27561113 134344 134344 27695457 30050085 1014 1014 30049071 134344 134344 30183415 PART IV, LINE 2B: SECURITY DEPOSITS AND PNA (PERSONAL NEEDS ALLOWANCE) FUNDS HELD IN TRUST FOR PATIENTS AND RESIDENTS. FUNDS ARE SEGREGATED AND HELD IN AN INTEREST-BEARING BANK ACCOUNT. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 4,744,159. CHANGE IN THE SEGREGATED GIFT ANNUITY RESERVE -9,513. GIFT SHOP EXP 10,527. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN THE SEGREGATED GIFT ANNUITY RESERVE -9,513. GIFT SHOP EXPENSES 10,527. X X X 0 1 0 0 0 0 0 1 0 PATRICK E BRADY CEO/EXECUTIVE DIRECTOR TO 1/3/22 314799 0 340784 0 0 0 14500 0 24438 0 694521 0 0 0 MARY ELLEN BOVE CEO/EXECUTIVE DIRECTOR AS OF 1/3/22 284360 0 110000 0 0 0 129500 0 24308 0 548168 0 75000 0 JANICE CIPRIANI DIRECTOR OF MARKETING 212552 0 0 0 0 0 0 0 7207 0 219759 0 0 0 ANTHONY PUCCIO CHIEF FINANCIAL OFFICER 181902 0 600 0 0 0 10910 0 24308 0 217720 0 0 0 VIVIAN BLANDURA ADMINISTRATOR 136376 0 13100 0 0 0 8009 0 24308 0 181793 0 0 0 PART I, LINE 4B THE CEO HAS A DEFERRED COMPENSATION ARRANGEMENT. THE ORGANIZATION PAID THE CEO $75,000 ON 4/19/22 FOR THE DEFERRED COMPENSATION THAT WAS AWARDED ON 3/25/19. THE CEO WAS AWARDED $100,000 ON 6/30/22, WHICH WILL BE VESTED ON 6/30/25. THE TOTAL DEFERRED COMPENSATION BALANCE AT 6/30/22 WAS $310,000. PART I, LINE 7 THE CEO'S BONUS IS DETERMINED IN ACCORDANCE WITH AN EMPLOYMENT AGREEMENT. THE NOMINATING AND CORPORATE GOVERNANCE COMMITTEE HAS DISCRETION TO AWARD AN ANNUAL BONUS TO THE CEO, SUBJECT TO APPROVAL BY THE HEATH ALLIANCE FOR CARE BOARD. IN AWARDING THE BONUS, THE COMMITTEE MAY CONSIDER INCENTIVE BONUS DATA FOR EMPLOYEES PERFORMING SERVICES COMPARABLE TO THE CEO'S SERVICES. COMPENSATION DATA FOR THIS PURPOSE IS OBTAINED VIA GUIDESTAR FOR LIKE ORGANIZATIONS IN THE NORTHERN NEW JERSEY AREA, AND SUCH OTHER RELEVANT SALARY SURVEYS THAT MAY BE AVAILABLE FROM OTHER INDEPENDENT INDUSTRY AND PROFESSIONAL ORGANIZATIONS. THE CEO DETERMINES THE CFO'S AND ADMINISTRATOR'S BONUSES AT THE CEO'S DISCRETION. A PUBLIC FINANCE AUTHORITY 273866124 2018-08-10 38500000 TO FINANCE THE CONSTRUCTION OF A SKILLED NURSING FACILITY. 0 0 0 A 1453934 38554176 38554176 2020 0 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 1 BRANCH BANKING AND TRUST COMPANY 15.000000000000 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: PUBLIC FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/23/2021 PART II, LINE 3 TOTAL PROCEEDS OF ISSUE ARE GREATER THAN ISSUANCE PRICE DUE TO INTEREST EARNED ON PROCEEDS HELD IN PROJECT FUND ACCOUNT OF $54,176. PART IV LINE 2C THE ARBITRAGE REBATE CALCULATION WAS COMPLETED ON 9/23/21 FOR THE PERIOD 8/10/18-3/21/21, WHICH RESULTED IN NO REBATE DUE. FORM 990, PART III, LINE 4A THE SOCIAL SERVICE DEPARTMENT CONTINUES TO ASSIST RESIDENTS AND THEIR FAMILY MEMBERS WITH STAYING CONNECTED BY WAY OF PHONE, VIDEO CHAT, OR IN-PERSON VISITS. IN-PERSON VISITS ARE PERMITTED, AND THE SOCIAL SERVICE OFFICE SENDS OUT A DAILY VISITOR LIST TO ALL STAFF AT THE MEADOWS. THE FACILITY PROVIDED IPADS AS A MEANS FOR RESIDENTS IN THE SKILLED NURSING AND RESIDENTIAL HEALTHCARE UNITS TO VIDEO CHAT WITH FAMILY MEMBERS AS REQUESTED AS WELL. DURING THE FISCAL YEAR ENDING JUNE 30, 2022, THE SOCIAL SERVICES DEPARTMENT SECURED A THREE-YEAR GRANT FROM IN2L WHICH PROVIDED THREE LARGE SCREEN DEVICES FOR THE RESIDENTS TO USE IN ORDER TO VIDEO CHAT WITH THEIR FAMILY MEMBERS, PARTICIPATE IN ACTIVITIES, AND TO USE FOR VIRTUAL TOURS OF COUNTRIES, MUSIC PROGRAMS, GAMES AND MORE. THIS GRANT PROGRAM WAS DESIGNED TO HELP THE LONG-TERM CARE POPULATION TO STAY CONNECTED WITH THEIR LOVED ONES AND THE OUTSIDE WORLD, ESPECIALLY WHEN COVID RESTRICTIONS ARE IN PLACE. DUE TO COVID, MANY DOCTORS AND OTHER MEDICAL PROFESSIONALS WERE OPTING TO DO TELEMEDICINE WITH THE RESIDENTS, SO THE SOCIAL SERVICE DEPARTMENT SCHEDULES AND FACILITATES THOSE APPOINTMENTS AS WELL. THE SOCIAL SERVICE DEPARTMENT ALSO CONTINUED TO PROVIDE ONE-ON-ONE EMOTIONAL SUPPORT TO RESIDENTS, PATIENTS, FAMILY MEMBERS AND STAFF. THE HEALTH CARE CENTER HAS EMBRACED A WONDERFUL ENRICHMENT PROGRAM THAT INCORPORATES BRINGING THE "OUT OF DOORS" INSIDE. A DEDICATED STAFF OF ACTIVITY PROFESSIONALS ENHANCES NURSING CARE WITH A PROGRAM DESIGNED TO PROMOTE INTEREST AND ENJOYMENT. DURING THE SUMMER MONTHS, RESIDENTS ENJOYED THE BEAUTIFUL COURTYARDS - PLANTING TOMATO PLANTS AND FLOWERS IN THE GARDEN BOXES. PUPPY PARADES WERE ALSO POPULAR DURING THE NICE WEATHER - STAFF BROUGHT THEIR DOGS IN AND WALKED THEM AROUND THE BUILDING WHILE RESIDENTS WATCHED FROM THE PORCHES OF EACH HOUSEHOLD. RESIDENTS ESPECIALLY LOVED THESE EVENTS SINCE PET THERAPY WAS HALTED DURING THE PRIOR TWO YEARS DUE TO COVID RESTRICTIONS. LIVE OUTDOOR ENTERTAINMENT CONTINUED TO BE VERY POPULAR, WHICH INCLUDED A VARIETY OF PROFESSIONAL SINGERS, MUSICIANS, AND DANCERS. GROUP ACTIVITIES MADE A COME-BACK AS COVID RESTRICTIONS WERE ALLEVIATED. EACH HOUSEHOLD GATHERED TO PLAY GAMES, EXERCISE, AND PARTICIPATE IN PARTIES AND SPECIAL EVENTS. RESIDENTS ALSO GATHERED FOR SPECIAL LUNCHES HELD OUTDOORS, IN THE CAFE, AND AT TWO LOCAL RESTAURANTS. THE FACILITY CLOSELY MONITORED THE GUIDELINES AND RECOMMENDATIONS PROVIDED BY THE CDC AND NJ DEPARTMENT OF HEALTH THROUGHOUT THE COVID-19 PANDEMIC, MAKING ADJUSTMENTS TO CONGREGATE DINING, ACTIVITIES, AND VISITATION AS NECESSARY AS THE POSITIVITY RATE FOR THE FACILITY AND SURROUNDING AREAS FLUCTUATED. SEVERAL VACCINATION CLINICS WERE HELD AT THE FACILITY FOR RESIDENTS AND EMPLOYEES IN ORDER TO KEEP EVERYONE UP-TO-DATE ON THEIR BOOSTERS FOR COVID-19. A CLINIC WAS ALSO HELD FOR THE FLU VACCINE WHICH WAS OPEN TO ALL STAFF AND RESIDENTS. HEATH VILLAGE ALSO SERVES THE LOCAL COMMUNITY BY HOSTING MONTHLY SENIOR SEMINARS, ALL OF WHICH ARE FREE AND OPEN TO THE PUBLIC. THIS FISCAL YEAR THE SENIOR SEMINARS INCLUDED A GARDEN TOUR, PODIATRIC CARE SEMINAR, MEDICARE INFORMATION SESSION, REAL ESTATE PROGRAM, DOWNSIZING SEMINAR, AND MORE. FORM 990, PART VI, SECTION A, LINE 1A THE HEATH ALLIANCE FOR CARE, INC. EXECUTIVE COMMITTEE SHALL CONSIST OF SEVEN (7) MEMBERS, INCLUDING THE PRESIDENT, VICE-PRESIDENT, SECRETARY, TREASURER, ASSISTANT SECRETARY, ASSISTANT TREASURER, AND IMMEDIATE PAST PRESIDENT. FIVE (5) MEMBERS SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF ALL BUSINESS. THE EXECUTIVE COMMITTEE SHALL MEET, AS NECESSARY, TO TRANSACT EMERGENCY BUSINESS BETWEEN BOARD MEETINGS. THE EXECUTIVE COMMITTEE MEETS AT THE CALL OF THE PRESIDENT OR UPON WRITTEN REQUEST OF ANY OTHER TWO MEMBERS THEREOF. THE EXECUTIVE COMMITTEE SHALL HAVE ALL POWERS AND DUTIES OF THE BOARD EXCEPT IT SHALL NOT HAVE THE POWER TO REMOVE OR ELECT A TRUSTEE OR THE CEO OR TO APPROVE OR DISAPPROVE THE OPERATING OR CAPITAL EXPENSE BUDGETS. HOWEVER, IN TIMES DEEMED BY THEM TO BE OF EMERGENCY, THE EXECUTIVE COMMITTEE MAY APPROVE EXPENDITURES NOT IN THE BUDGETS BUT NOT TO EXCEED SUCH AMOUNTS AS CURRENTLY ESTABLISHED BY THE BOARD. THE SECRETARY OF THE BOARD SHALL KEEP MINUTES OF ALL MEETINGS OF THE EXECUTIVE COMMITTEE AND SEND COPIES OF SAID MINUTES TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 2 MARY ALICE HORN, TRUSTEE ON THE HEATH VILLAGE BOARD OF TRUSTEES, IS MARRIED TO NORRIS HORN, TRUSTEE ON THE HEATH ALLIANCE FOR CARE BOARD OF TRUSTEES. HEATH ALLIANCE FOR CARE IS THE NON-PROFIT PARENT CORP OF HEATH VILLAGE. THIS WAS IDENTIFIED ON THE CONFLICT OF INTEREST FORM COMPLETED BY MARY ALICE HORN ON 5/10/22. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF HEATH VILLAGE IS HEATH ALLIANCE FOR CARE, INC., A RELATED NOT-FOR-PROFIT ORGANIZATION THAT IS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF HEATH VILLAGE IS HEATH ALLIANCE FOR CARE, INC. AS THE SOLE MEMBER OF HEATH VILLAGE, HEATH ALLIANCE FOR CARE, INC. HAS ALL THE RIGHTS OF VOTING MEMBERS. IN ADDITION, HEATH ALLIANCE HAS THE FOLLOWING MANAGEMENT POWERS: ELECTION OF THE CORPORATION'S TRUSTEES, APPROVAL OF REMOVAL OF THE CORPORATION'S TRUSTEES AND/OR OFFICERS BY THE CORPORATION'S BOARD OF TRUSTEES, AND REMOVAL OF THE CORPORATION'S TRUSTEES AND/OR OFFICERS WITH OR WITHOUT CAUSE. ALL OF THE TRUSTEES OF HEATH VILLAGE SHALL BE APPOINTED BY THE BOARD OF TRUSTEES OF HEATH ALLIANCE (THE NON-PROFIT PARENT CORPORATION). THE HEATH VILLAGE RESIDENT COUNCIL MAY NOMINATE ONE RESIDENT VOTING MEMBER TO THE BOARD OF TRUSTEES FOR A THREE YEAR TERM. A MAJORITY VOTE OF THE CURRENT TRUSTEES OF THE HEATH ALLIANCE SHALL BE REQUIRED FOR THE APPOINTMENT OF SAID RESIDENT MEMBER. THE PRESIDENT OF THE BOARD OF TRUSTEES OF HEATH ALLIANCE SHALL APPOINT BOTH THE CHAIRPERSON ("CHAIR") AND THE VICE-CHAIRPERSON ("VICE CHAIR") OF THE BOARD OF TRUSTEES OF HEATH VILLAGE FOR A ONE YEAR RENEWABLE TERM FROM AMONG THE TRUSTEES OF HEATH VILLAGE. BOTH POSITIONS SHALL BE INCLUDED IN ALL COUNTS OF TRUSTEES. VACANCIES IN THE BOARD OCCURRING BETWEEN TERMS SHALL BE FILLED FOR THE UNEXPIRED PORTION OF THE TERM BY A MAJORITY VOTE OF THE TRUSTEES OF THE HEATH ALLIANCE FOR CARE BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF TRUSTEES OF HEATH ALLIANCE FOR CARE HAS AUTHORITY OVER THE HEATH VILLAGE BOARD OF TRUSTEES ON VARIOUS DUTIES AS IDENTIFIED IN THE HEATH VILLAGE BYLAWS AND ARTICLES OF INCORPORATION. HEATH ALLIANCE FOR CARE IS THE NON-PROFIT PARENT CORPORATION AND SOLE MEMBER OF HEATH VILLAGE. ALL MEMBERS OF THE BOARD OF TRUSTEES SHALL BE APPOINTED BY THE BOARD OF TRUSTEES OF HEATH ALLIANCE FOR CARE. THE PRESIDENT OF THE BOARD OF HEATH ALLIANCE SHALL APPOINT THE CHAIRPERSON AND VICE-CHAIRPERSON OF THE BOARD OF TRUSTEES OF HEATH VILLAGE. HEATH ALLIANCE SHALL EMPLOY AN EXECUTIVE DIRECTOR OF HEATH VILLAGE. THE EXECUTIVE DIRECTOR SHALL REPORT TO THE CHIEF EXECUTIVE OFFICER OF HEATH ALLIANCE. THE CHIEF EXECUTIVE OFFICER OF HEATH ALLIANCE SHALL BE A TRUSTEE OF HEATH VILLAGE. THE EXECUTIVE DIRECTOR SHALL HAVE FULL POWER AND AUTHORITY TO ADMINISTER THE DAILY OPERATIONS AND BUSINESS OF HEATH VILLAGE IN PERIODS BETWEEN THE REGULAR MEETINGS OF THE BOARD OF TRUSTEES. THE EXECUTIVE DIRECTOR SHALL APPOINT AND REMOVE, EMPLOY AND DISCHARGE AND RECOMMEND THE COMPENSATION OF THE EMPLOYEES OF HEATH VILLAGE, OTHER THAN THE EXECUTIVE DIRECTOR'S OWN. THE HEATH VILLAGE BOARD MAY, BEFORE THE BEGINNING OF EACH FISCAL YEAR RECOMMEND A CAPITAL BUDGET TO THE FINANCE AND CORPORATE DEVELOPMENT COMMITTEE OF HEATH ALLIANCE. SUCH BUDGET, WHEN ADOPTED BY THE BOARD OF TRUSTEES OF HEATH ALLIANCE UNTIL AND AS AMENDED, SHALL LIMIT HEATH VILLAGE'S POWERS OTHERWISE EXISTING TO DISBURSE FUNDS AND TO CONTRACT TO DISBURSE FUNDS. THE BOARD SHALL REVIEW, ON AN ANNUAL BASIS, ALL CONSULTING CONTRACTS OR AGREEMENTS PERTAINING TO THE AFFAIRS OF HEATH VILLAGE AND PRESENT ITS FINDINGS TO THE APPROPRIATE COMMITTEE OF HEATH ALLIANCE WITH RECOMMENDATIONS TO RENEW OR NOT TO RENEW EXISTING CONTRACTS OR AGREEMENTS. ANY NEW CONTRACT OR AGREEMENT ENTERED INTO BY HEATH VILLAGE SHALL BE PRESENTED TO THE PROPER COMMITTEE OF HEATH ALLIANCE FOR RECOMMENDATION FOR APPROVAL OR DISAPPROVAL. HOWEVER, SHOULD HEATH VILLAGE BOARD OF TRUSTEES CONSIDER THE LEGAL ASPECTS OF SUCH A NATURE IN A GIVEN SITUATION THAT INVOLVES MORE THAN ROUTINE MATTERS, THE MATTER SHALL BE REFERRED TO THE BOARD OF TRUSTEES OF HEATH ALLIANCE FOR FURTHER LEGAL ACTION TO BE TAKEN IN CONJUNCTION WITH LEGAL COUNSEL. THE RECOMMENDATION OF HEATH ALLIANCE SHALL BE PRESENTED TO THE BOARD OF TRUSTEES OF HEATH VILLAGE FOR DISCUSSION AND APPROVAL. IF, FOR ANY REASON, THE HEATH VILLAGE BOARD OF TRUSTEES DOES NOT ACT, ITS DUTIES MAY BE PERFORMED BY THE HEATH ALLIANCE BOARD OR BY AN APPROPRIATE COMMITTEE OF HEATH ALLIANCE, AS DETERMINED BY THE HEATH ALLIANCE BOARD. HEATH ALLIANCE HAS AUTHORITY TO APPROVE THE FOLLOWING WITH RESPECT TO RESIDENT SERVICES: POLICY DEVELOPMENT FOR PROGRAMS AND SERVICES, GUIDELINES FOR RECOGNIZING CONTRIBUTIONS OF HEATH VILLAGE, AND ANY MAJOR CHANGES AND/OR NEW POLICY RECOMMENDATIONS INCLUDING RECOMMENDATIONS OF BYLAW CHANGES. ALL AMENDMENTS TO THE HEATH VILLAGE BYLAWS AND/OR CERTIFICATE OF INCORPORATION ARE SUBJECT TO APPROVAL BY THE BOARD OF TRUSTEES OF HEATH ALLIANCE. HEATH ALLIANCE HAS THE AUTHORITY TO APPROVE THE FOLLOWING WITH RESPECT TO FACILITIES: CHANGES, ADDITIONS, ALTERNATIONS AND EXPENDITURES THAT SHOULD BE MADE TO MAINTAIN THE HEATH VILLAGE PROPERTY IN GOOD CONDITION, EXPANSION OF THE FACILITIES, AND THE FINAL FORMULATION OF MASTER PLAN FOR HEATH VILLAGE. AS SOLE MEMBER OF HEATH VILLAGE, HEATH ALLIANCE HAS ALL THE RIGHTS OF VOTING MEMBERS, AS PROVIDED IN THE NEW JERSEY NONPROFIT CORPORATION ACT. IN ADDITION, PURSUANT TO N.J.S.A. 15A:5-19(B) AND NOTWITHSTANDING ANY STATEMENT TO THE CONTRARY CONTAINED IN THE BYLAWS, THE FOLLOWING MANAGEMENT POWERS OF THE BOARD OF TRUSTEES SHALL BE EXERCISED BY HEATH ALLIANCE FOR CARE AS THE SOLE MEMBER OF THE CORPORATION, EXCEPT TO THE EXTENT SUCH MANAGEMENT POWERS ARE FROM TIME TO TIME DELEGATED BY THE MEMBER TO THE BOARD OF TRUSTEES OF HEATH VILLAGE: A. ADOPTION AND AMENDMENT OF THE CORPORATION'S CERTIFICATE OF INCORPORATION AND/OR BYLAWS; B. ELECTION OF THE CORPORATION'S TRUSTEES; APPROVAL OF REMOVAL OF THE CORPORATION'S TRUSTEES AND/OR OFFICERS BY THE CORPORATION'S BOARD OF TRUSTEES; AND REMOVAL OF THE CORPORATION'S TRUSTEES AND/OR OFFICER WITH OR WITHOUT CAUSE; C. APPROVAL AND MONITORING OF THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS; D. APPROVAL OF ANY EXPENDITURE OR INCURRENCE OF INDEBTEDNESS (NOT INCLUDED IN THE CORPORATION'S ANNUAL OPERATING OR CAPITAL BUDGETS) IN EXCESS OF $250,000 (INDIVIDUALLY OR IN THE AGGREGATE); AND E. APPROVAL OF THE CORPORATION'S LONG-RANGE PLANS. HEATH ALLIANCE SHALL DETERMINE THE DATE OF THE ANNUAL MEETING OF HEATH VILLAGE'S BOARD OF TRUSTEES. HEATH ALLIANCE FOR CARE, AS SOLE MEMBER, MUST ALSO APPROVE DISTRIBUTION OF ANY REMAINING ASSETS OF THE CORPORATION IN THE EVENT OF A LIQUIDATION, DISSOLUTION, TERMINATION OR WINDING UP OF HEATH VILLAGE. FORM 990, PART VI, SECTION B, LINE 11B THE SENIOR ACCOUNTANT, CFO, AND CEO REVIEW THE FORM PRIOR TO FILING. THE HEATH ALLIANCE FOR CARE FINANCE AND CORPORATE DEVELOPMENT COMMITTEE REVIEWS THE FORM AND APPROVES IT VIA EMAIL. THEN THE FINAL FORM IS DISTRIBUTED TO ALL MEMBERS OF THE HEATH VILLAGE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE THE DISCLOSURE OF POSSIBLE CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS. THE NOMINATING AND CORPORATE GOVERNANCE COMMITTEE IS RESPONSIBLE FOR DISTRIBUTING, COLLECTING AND REVIEWING ALL DISCLOSURE STATEMENTS ON AN ANNUAL BASIS. BOARD MEMBERS ARE REQUIRED TO REFRAIN FROM DISCUSSING, AS WELL AS VOTING ON, SUCH MATTERS IN WHICH A CONFLICT OF INTEREST EXISTS. IN SOME INSTANCES, THE INDIVIDUAL HAS BEEN RESPECTFULLY ASKED TO RESIGN FROM THEIR POSITION ON THE BOARD AS A RESULT OF A DISCLOSED CONFLICT. IN INSTANCES WHERE A CONFLICT OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE BOARD OF TRUSTEES MUST DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES PRESENT, THAT THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND THAT THE ORGANIZATION CANNOT OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS. THE CEO ALSO REVIEWS THE COMPLETED FORMS AND RETAINS A FILE OF COMPLETED FORMS AFTER THE PROCESS OF COLLECTING AND REVIEWING THEM IS COMPLETED EACH YEAR. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S COMPENSATION IS DETERMINED AS FOLLOWS PER AN EXECUTED EMPLOYMENT AGREEMENT: EMPLOYEE'S BASE SALARY IN EACH SUBSEQUENT YEAR OF THE PERIOD OF EMPLOYMENT SHALL BE REASONABLY ADJUSTED AND THE REASONABILITY OF SUCH ADJUSTMENT SHALL BE MADE BASED UPON THE HEATH ALLIANCE FOR CARE BOARD'S EVALUATION OF THE EMPLOYEE'S PERFORMANCE TOGETHER WITH REFERENCE COMPENSATION DATA OBTAINED VIA GUIDESTAR FOR LIKE ORGANIZATIONS IN THE NORTHERN NEW JERSEY AREA, AND SUCH OTHER RELEVANT SALARY SURVEYS THAT MAY BE AVAILABLE FROM TIME TO TIME FROM OTHER INDEPENDENT INDUSTRY AND PROFESSIONAL ORGANIZATIONS. UPON CONSIDERATION OF RELEVANT SALARY DATA OF EMPLOYEES PERFORMING SERVICES COMMENSURATE WITH THOSE PERFORMED BY THE EMPLOYEE AND THE PERCENTAGE INCREASE GIVEN TO VILLAGE MANAGEMENT, THE NOMINATING AND CORPORATE GOVERNANCE COMMITTEE, OR ANY SUCCESSOR COMMITTEE OF THE HEATH ALLIANCE BOARD, IN ITS SOLE DISCRETION, SUBJECT TO APPROVAL BY THE ALLIANCE BOARD, MAY ADJUST SUCH BASE SALARY INCREASES. IN ADDITION, HER INCENTIVE BONUS IS ALSO COMPARED IN THE SAME MANNER. THE DIRECTOR OF HUMAN RESOURCES PROVIDES THE BOARD WITH INFORMATION FOR SIMILAR FACILITIES FROM GUIDESTAR. THIS WAS LAST PROVIDED TO THE BOARD ON 6/6/22 FOR THE CEO'S LAST ANNUAL REVIEW COMPLETED AT A BOARD MEETING ON 7/12/22. NO OTHER EMPLOYEE'S COMPENSATION IS DETERMINED IN THIS MANNER. THE COMPENSATION FOR THE CFO IS DETERMINED BY THE CEO UPON HIRE BASED ON THE SALARIES FOR THAT POSITION IN THE AREA AND EXPERIENCE IN THE FIELD. RAISES ARE AWARDED AT THE CEO'S DISCRETION UPON COMPLETION OF THE ANNUAL PERFORMANCE REVIEW. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 4,744,159. HEATH ALLIANCE FOR CARE INC 422 SCHOOLEYS MOUNTAIN ROAD HACKETTSTOWN NJ 07840 223395211 SUPPORTING ORGANIZATION NJ 501(C)(3) LINE 12B, II N/A 0 THE HOUSE OF THE HOLY COMFORTER 33 MT PLEASANT AVE WEST ORANGE NJ 07052 221487578 RESIDENTIAL/ASSISTED LIVING HEALTH CARE FACILITY NJ 501(C)(3) LINE 10 HEATH ALLIANCE FOR CARE INC 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0