2020-09-24T14:51:42-05:00 2020-03-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2019-04-01 232021541 PENNSWOOD VILLAGE PENN 2159689110 1382 NEWTOWN-LANGHORNE RD NEWTOWN PA 18940 MICHAEL GRIFFIN CFO 2159689110 2020-09-24 1 KERRI N BOGDA CPA P00760402 7177404863 73.101.37.214 2020-09-24 07:03:23 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F58787FA80410BAE38B710EAF9FCC5760AD3BCDF 2019 2021-01-29 14:40:06Z DANIEL MURRAY 1382 NEWTOWN-LANGHORNE RD NEWTOWN PA 18940 40132746 0 X WWW.PENNSWOOD.ORG X 1976 PA PROVIDES RESIDENTIAL, HEALTH, AND COMMUNITY SERVICES FOR INDIVIDUALS AGE 65 AND OLDER. 14 14 563 15 0 0 570209 546636 32879118 33216989 1678546 1355844 236875 783699 35364748 35903168 1002559 1046155 0 0 17488704 17941082 0 0 0 15805744 15013981 34297007 34001218 1067741 1901950 104011703 103572683 93335079 94243914 10676624 9328769 X PENNSWOOD VILLAGE, A CARING COMMUNITY GUIDED BY QUAKER PRINCIPLES AND TRADITIONS, LEADS THE WAY IN THE PROVISION OF RESIDENTIAL AND HEALTHCARE SERVICES TO THOSE AGE 65 AND OLDER. 0 0 28634646 1046155 33216989 PENNSWOOD VILLAGE BEGAN OPERATIONS IN JUNE 1980 WITH THE PURPOSE OF PROVIDING A CONTINUUM OF RESIDENTIAL, HEALTH CARE, WELLNESS, SOCIAL, AND COMMUNITY-BASED SERVICES AND PROGRAMS FOR THOSE PERSONS AGE 65 AND OLDER. PENNSWOOD VILLAGE OFFERS ACCOMMODATIONS OF 301 RESIDENTIAL LIVING APARTMENTS OF VARYING SIZES, 37 PERSONAL CARE APARTMENTS WITH 41 LICENSES AND 53 MEDICARE SKILLED NURSING BEDS THAT MEET THE PHYSICAL, SOCIAL, AND SPIRITUAL NEEDS OF RESIDENTS REQUIRING THESE HIGHER LEVELS OF CARE.RESIDENT CENTERED CARE IS PARAMOUNT TO PENNSWOOD VILLAGE'S MISSION. SERVICES INCLUDE AN ON-SITE PHYSICIAN'S OFFICE STAFFED BY CONTRACTED PHYSICIANS, STAFF NURSE PRACTITIONERS, AND NURSING STAFF. ANNUALLY 13,000 VISITS ARE SEEN BY THIS OFFICE. OTHER OUT-PATIENT SERVICES INCLUDE PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES, MEDICATION MANAGEMENT, SOCIAL WORK SERVICES, HEALTH AND WELLNESS PROGRAMS INCLUDING LAND FITNESS AND AQUATICS PROGRAMS AS WELL AS DIETARY COUNSELING AND MATTERS OF PUBLIC HEALTH CONCERN. STAFF ALSO PROVIDES AT HOME CARE TO PENNSWOOD RESIDENTS WHO MAY REQUIRE OR BENEFIT FROM SUCH SERVICES, YET NOT REQUIRE A HIGHER LEVEL OF INPATIENT SERVICES. HOME VISITS BY REGISTERED NURSES AND LICENSED PRACTICAL NURSES ARE APPROXIMATE 26,000. PENNSWOOD VILLAGE DOES NOT BILL THE RESIDENT OR MEDICARE FOR THIS SERVICE. THE STAFF PROVIDES A MYRIAD OF SERVICES SUCH AS DRESSING CHANGES, MEDICATION ADMINISTRATION, AND ASSESSMENT WHEN DISCHARGED FROM THE NURSING HOME, ASSISTED LIVING FACILITY OR HOSPITAL AND PAIN MANAGEMENT. RESIDENTS WHO REQUIRE MANAGEMENT AND OBSERVATION BECAUSE THEY ARE DETERIORATING MENTALLY AND PHYSICALLY ARE ALSO SEEN ON A REGULAR BASIS. THE PROGRAM IS A VALUABLE PART OF THE HEALTH CARE SYSTEM AS IT ASSISTS THE RESIDENT TO REMAIN INDEPENDENT AS LONG AS POSSIBLE. RESIDENTS ARE ADMITTED TO THE COMMUNITY WITH CONSIDERATION GIVEN TO THEIR ABILITY TO PAY THE ESTABLISHED FEES THAT ARE BASED ON THE TYPE OF ACCOMMODATION OCCUPIED. HOWEVER, NO RESIDENT WILL BE ASKED TO LEAVE THE COMMUNITY FOR REASONS OF INABILITY TO PAY THE ESTABLISHED FEES WHEN THE INABILITY TO PAY IS NOT THEIR OWN FAULT. FINANCIAL ASSISTANCE TO THOSE IN NEED IS AVAILABLE AND FOR THE YEAR THAT ENDED MARCH 31, 2020, $474,706 WAS AWARDED TO 18 INDIVIDUALS. OVER THE LAST TEN YEARS ASSISTANCE TO RESIDENTS AMOUNTED TO APPROXIMATELY $4 MILLION. PENNSWOOD VILLAGE ALSO PROVIDES FINANCIAL ASSISTANCE TO THOSE REQUEST SUPPORT TO PAY THE INITIAL ENTRY FEE. SINCE 2002, $516,656 HAS BEEN AWARDED FOR THIS PURPOSE. RESIDENTS OF PENNSWOOD VILLAGE ARE GENEROUS IN THEIR VOLUNTEER ACTIVITIES WITHIN THE COMMUNITY AND ALSO IN THE BROADER COMMUNITY AWAY FROM PENNSWOOD VILLAGE. THE HOURS OF VOLUNTARY SERVICE TYPICALLY EXCEEDS 5,000 ANNUALLY WITH OVER 200 RESIDENTS PARTICIPATING.PENNSWOOD VILLAGE HAS ACTIVELY SOUGHT TO SIGNIFICANTLY REDUCE OR ELIMINATE THE NEGATIVE IMPACT OF THE BUILDINGS ON THE ENVIRONMENT AND IMPROVE THE QUALITY OF LIFE OF OUR RESIDENTS. THE ENVIRONMENTAL BENEFIT INCLUDES A REDUCTION OF NATURAL RESOURCES CONSUMED; ECONOMIC BENEFITS IMPROVE THE BOTTOM LINE AND REDUCE OPERATING COSTS TO ALLOW MORE DOLLARS TO BE REDIRECTED TO PROGRAMS AND SERVICES BENEFITING SENIORS; THE HEALTH AND SAFETY BENEFIT ENHANCES RESIDENT COMFORT, HEALTH, AND QUALITY OF LIFE; AND THE COMMUNITY BENEFIT MINIMIZES THE STRAIN AND DEMANDS ON OUR LOCAL INFRASTRUCTURE.DINING SERVICES AT PENNSWOOD VILLAGE PROVIDES HOT AND COLD FOOD AND PACKAGING SUPPLIES FOR THE WOODSIDE MEALS PROGRAM. HIGHLY NUTRITIOUS HOT MEALS ARE PRODUCED DAILY FOR THIS PROGRAM AND PROVIDED AT COST TO WOODSIDE MEALS ON WHEELS. ALL THE PACKAGING SUPPLIES USED AND LABOR COST ASSOCIATED WITH THE MEALS ARE PROVIDED COMPLIMENTS OF PENNSWOOD VILLAGE. THERE ARE NEARLY 16,600 MEALS PREPARED PER YEAR, WHICH EQUATES TO OVER 1,700 STAFF HRS. TO SUPPORT THE SURROUNDING COMMUNITY PENNSWOOD VILLAGE ALSO MAKES PAYMENTS IN LIEU OF TAXES (PILOT) TO THE LOCAL GOVERNMENT AND CONTRIBUTIONS TO LOCAL ORGANIZATIONS SUCH AS POLICE, FIRE AND EMS. THESE VOLUNTEER PAYMENTS AND CONTRIBUTIONS AMOUNT TO APPROXIMATELY $550,000 ANNUALLY. 28634646 1 1 0 1 0 0 0 1 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 74 0 563 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X MICHAEL GRIFFIN CFO 2159689110 1382 NEWTOWN-LANGHORNE ROAD NEWTOWN PA 189402401 DANIEL MURRAY CHIEF EXECUTIVE OFFICER 40.00 X 214252 0 40625 MICHAEL GRIFFIN CHIEF FINANCIAL OFFICER 40.00 1.00 X 184317 0 38996 THOMAS ATKINS CHIEF OPERATING OFFICER 40.00 X 183540 0 38932 MARY COOLEY DIRECTOR OF DINING SERVICE 40.00 X 132358 0 35917 CHARLES WHITLOCK DIRECTOR OF HEALTH SERVICE 40.00 X 119530 0 35398 BRYANT POWELL FACILITIES DIRECTOR 40.00 X 120289 0 28288 RAGHAN ABOUASALEH COMMUNITY PHYSICIAN 18.00 X 144578 0 0 KIMBERLY HENDRICK DIRECTOR OF NURSING 40.00 X 118130 0 18055 DAVID SATTERHWAITE CHAIR 1.50 X X 0 0 0 PAUL KEENAN VICE-CHAIR 1.50 X X 0 0 0 DON MARSHALL SECRETARY 1.50 X X 0 0 0 LANCE MERVINE TREASURER 1.50 1.50 X X 0 0 0 JACLYN PARRY BOGERT DIRECTOR 1.50 X 0 0 0 DEWEY CLARK DIRECTOR 1.50 X 0 0 0 DELIA BASS DANDRIDGE DIRECTOR 1.50 X 0 0 0 JOSEPH HULIHAN DIRECTOR (RESIGNED DEC. '19) 1.50 1.50 X 0 0 0 WENDY NIERENBERG DIRECTOR (TERM EXP. MAY '19) 1.50 1.50 X 0 0 0 SANDRA REED DIRECTOR 1.50 X 0 0 0 RONALD T SLIVKA DIRECTOR 1.50 1.50 X 0 0 0 DAVID SWAIN DIRECTOR (TERM EXP. MAY '19) 1.50 X 0 0 0 LINDA HLAVACEK SILVER DIRECTOR 1.50 X 0 0 0 ELLIOT STROM DIRECTOR 1.50 X 0 0 0 ELAINE DANIELS DIRECTOR 1.50 X 0 0 0 ELIZABETH FRITSCH DIRECTOR 1.50 X 0 0 0 JEFF COGSHALL DIRECTOR 1.50 X 0 0 0 1216994 0 236211 11 0 1 0 KEYSTONE FIRE PROTECTION CO 433 INDUSTRIAL DRIVE NORTH WALES PA 19454 FIRE SAFETY INSPECTIONS 697309 BYRNE CONSTRUCTION 447 STANFIELD ROAD SPRINGFIELD PA 19064 CONSTRUCTION 627861 ACSS LLC 831 LINCOLN AVENUE UNIT D2 WEST CHESTER PA 18390 HVAC SERVICES 400912 SYMBRIA REHAB 28100 TORCH PARKWAY SUITE 600 WARRENVILLE IL 60555 THERAPY SERVICES 348598 DR FIRAS SAIDI 26 PRIMROSE LANE HUNTINGDON PA 19006 MEDICAL DIRECTOR SERVICES 258025 19 546636 9200 546636 MONTHLY FEES 623000 19462819 19462819 AMORTIZATION OF ADVANCE FEES 623000 7128708 7128708 HEALTH SERVICES 623000 6625462 6625462 33216989 1071417 1071417 204514 23025 181489 181489 181489 4469807 4172448 12932 297359 -12932 284427 284427 79660 21173 58487 58487 REBATES 900099 200743 200743 BEAUTY SHOP 900099 193732 193732 LAUNDRY 900099 53250 53250 95998 95998 543723 35903168 33216989 0 2139543 535000 535000 511155 511155 739187 110878 628309 13100818 11468787 1632031 402183 320959 81224 2700799 1946860 753939 998095 861514 136581 45661 45661 45828 45828 1465 1465 70211 70211 2007563 1274685 732878 286160 286160 876377 551963 324414 125471 46200 79271 1380088 1368373 11715 64111 60743 3368 68109 16132 51977 1723341 1723341 6026316 6026316 311501 2686 308815 DIETARY 1155796 1155796 MEDICAL SUPPLIES 543866 540766 3100 DUES AND SUBSCRIPTIONS 74143 12178 61965 RESIDENT ACTIVITIES 59546 43489 16057 148428 56825 91603 34001218 28634646 5366572 0 1472 16110 4965223 5823855 1013881 429707 26767 32225 392540 637975 131570538 79416553 53233685 52153985 44102740 44159246 2163 0 273232 319580 104011703 103572683 3118512 3816532 47941906 49999325 41258706 39829670 1015955 598387 93335079 94243914 X 9033330 7764515 1643294 1564254 10676624 9328769 104011703 103572683 X 1901950 -2986368 -263437 X 0 1 X 1 0 X 702565 522437 524979 570209 546636 2866826 28580244 29036670 30315823 32968065 33216989 154117791 29282809 29559107 30840802 33538274 33763625 156984617 9547 9547 0 9547 9547 156975070 623361 681077 763484 898852 1275931 4242705 623361 681077 763484 898852 1275931 4242705 27162 52220 210359 185011 623383 1098135 29933332 30292404 31814645 34622137 35662939 162325457 0.96700 0.94460 0.02610 0.02230 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: VENDOR REBATES - 2015 AMOUNT: $ 19,284. 2016 AMOUNT: $ 30,064. 2017 AMOUNT: $ 169,704. 2018 AMOUNT: $ 153,554. 2019 AMOUNT: $ 200,743. POSTAGE - 2015 AMOUNT: $ 6,144. 2016 AMOUNT: $ 15,759. 2017 AMOUNT: $ 29,668. 2018 AMOUNT: $ 30,572. 2019 AMOUNT: $ 28,215. MISCELLANEOUS INCOME - 2015 AMOUNT: $ 1,734. 2016 AMOUNT: $ 6,397. 2017 AMOUNT: $ 1,747. 2018 AMOUNT: $ 885. 2019 AMOUNT: $ 19,670. INSURANCE RECOVERY - 2017 AMOUNT: $ 9,240. DINING SERVICES - 2019 AMOUNT: $ 1,081. BAD DEBT - 2019 AMOUNT: $ 4,007. BEAUTY SHOP - 2019 AMOUNT: $ 193,732. LAUNDRY - 2019 AMOUNT: $ 53,250. REPAIRS - 2019 AMOUNT: $ 43,025. VILLAGE STORE - 2019 AMOUNT: $ 79,660. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1465 1465 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO NATIONAL (LEADINGAGE) AND STATE (LEADINGAGE PA) ASSOCIATIONS OF HOMES AND SERVICES FOR THE AGING. A PORTION OF THE ORGANIZATION'S DUES ARE USED FOR LOBBYING PURPOSES. THE $1,465 REPORTED AS LOBBYING EXPENDITURES IS THE PORTION OF DUES THAT WERE USED FOR LOBBYING PURPOSES. 106345 X 0 15354443 35521 -11199 15378765 14644947 530035 674483 484255 10767 15354443 13916680 479206 741263 482576 9626 14644947 13421401 424797 546654 458082 7966 10124 13916680 12608666 609956 583695 341311 25973 13632 13421401 0.98410 0.01590 0.00000 0 0 1289566 1289566 48580703 34417169 14163534 62040671 32226626 29814045 16802596 12344112 4458484 2857002 428646 2428356 52153985 DEPOSITS FROM PROSPECTIVE RESIDENTS 598387 598387 X 32140396 -2986368 -808354 -3794722 35935118 -31950 -31950 35903168 33488251 31950 31950 33456301 544917 544917 34001218 PART III, LINE 4: ARTWORK IS DISPLAYED IN PUBLIC SPACES WITHIN THE COMMUNITY. THESE ITEMS FURTHER PENNSWOOD'S MISSION BY PROVIDING OPPORTUNITIES FOR CONTINUING GROWTH AND WELL-BEING IN MIND, BODY, AND SPIRIT AND TO MAKE USE OF THE CULTURAL AND EDUCATIONAL ADVANTAGES OF ITS LOCATION. PART V, LINE 4: THE USES OF THE ENDOWED FUNDS ARE: A) SUPPORT OF GENERAL OPERATING EXPENSES OF THE COMMUNITY, B) FINANCIAL ASSISTANCE TO RESIDENTS, C) STAFF EDUCATIONAL ASSISTANCE, D) MAINTENANCE OF THE AQUATIC FACILITY. PART X, LINE 2: THE COMMUNITY IS COMPRISED OF NONPROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE COMMUNITY ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2020 OR 2019. PART XI, LINE 2D - OTHER ADJUSTMENTS: ENTRY FEE ASSISTANCE -474,706. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -76,691. TRANSFER TO AFFILIATE -186,746. INVESTMENT FEES -70,211. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -23,025. LOSS ON DISPOSAL OF FIXED ASSETS -12,932. NEGATIVE EXPENSES RECLASSED TO REVENUE 4,007. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT RENTAL EXPENSE 23,025. LOSS ON DISPOSAL OF FIXED ASSETS 12,932. NEGATIVE EXPENSES RECLASSED TO REVENUE -4,007. PART XII, LINE 4B - OTHER ADJUSTMENTS: ENTRY FEE ASSISTANCE 474,706. INVESTMENT FEES 70,211. 1 COUNTY OF BUCKS 55 EAST COURT STREET DOYLESTOWN PA 18901 STATE OF PA 80000 SUPPORT COUNTY INITIATIVES MIDDLETOWN TOWNSHIP 3 MUNICIPAL WAY LANGHORNE PA 19047 STATE OF PA 55000 SUPPORT TOWNSHIP INITIATIVES NESHAMINY SCHOOL DISTRICT 2001 OLD LINCOLN HIGHWAY LANGHORNE PA 19047 STATE OF PA 400000 SUPPORT DISTRICT INITIATIVES 3 ENTRY FEE ASSISTANCE AND SUBSIDIES FOR MONTHLY RESIDENT FEES BASED UPON FINANCIAL NEED 18 474706 SCHOLARSHIP ASSISTANCE FOR ELIGIBLE EMPLOYEES 8 36449 PART I, LINE 2: ASSISTANCE TO ENTITIES: GRANTS TO LOCAL GOVERNMENT UNITS ARE PAYMENTS IN LIEU OF TAXES WHICH ARE VOLUNTARY PAYMENTS MADE BY THE ORGANIZATION TO LOCAL GOVERNMENTS IN SUPPORT OF THEIR PROGRAMS. THE ORGANIZATION ALSO CONTRIBUTES TO LOCAL ORGANIZATIONS AS A MEASURE OF COMMUNITY GOOD WILL. ALL ORGANIZATIONS ARE REVIEWED BY THE CHIEF FINANCIAL OFFICER TO ENSURE THEY ARE NON-PROFITS IN GOOD STANDING. AS THE DONATIONS ARE SMALL, NO ADDITIONAL MONITORING IS CONSIDERED NECESSARY. ASSISTANCE TO INDIVIDUALS: RESIDENTS OR THEIR POWER OF ATTORNEY MAY APPROACH THE CHIEF EXECUTIVE OFFICER OR THE CHIEF FINANCIAL OFFICER ABOUT THE NEED FOR FINANCIAL ASSISTANCE. THE INTERESTED PARTY IS ASKED TO PROVIDE FINANCIAL SUPPORTING DOCUMENTS WHICH MAY INCLUDE THREE YEARS OF TAX RETURNS, CURRENT BANK STATEMENTS, CURRENT INVESTMENT STATEMENTS, AND OTHER DOCUMENTATION WHICH MAY BE NECESSARY TO DETERMINE A RESIDENT'S FINANCIAL NEED. THE CHIEF FINANCIAL OFFICER WILL THEN ANALYZE THE RESIDENT'S FINANCIAL NEED UTILIZING LIFE EXPECTANCY, SUPPORTING FINANCIAL DOCUMENTS, AND PROJECTED EXPENSES. USING THE ANALYZED DATA THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER WILL MAKE A DETERMINATION ABOUT THE NEED FOR ASSISTANCE AND THE AMOUNT TO BE GIVEN. A LETTER IS THEN PROVIDED TO THE RESIDENT AND/OR POWER OF ATTORNEY WHICH IDENTIFIES THE DECISION MADE FOR THE ASSISTANCE AND, WHEN APPROPRIATE, THE AMOUNT BEING PROVIDED. ON A MONTHLY BASIS THE CHIEF FINANCIAL OFFICER PROVIDES A LIST TO THE BILLING COORDINATOR SO THAT THE APPROPRIATE AMOUNT CAN BE CREDITED TO THE RESIDENT'S BILL. ON AN ANNUAL BASIS THE CHIEF FINANCIAL OFFICER REVIEWS THE FINANCIAL POSITION OF THE RESIDENT AND MAY DETERMINE IF AN INCREASE IN SUPPORT IS NECESSARY. MATTERS PERTAINING TO FINANCIAL ASSISTANCE TO RESIDENTS ARE KEPT CONFIDENTIAL. X X X X X 0 0 0 0 0 0 0 0 0 DANIEL MURRAY CHIEF EXECUTIVE OFFICER 214252 0 0 0 0 0 12883 0 27742 0 254877 0 0 0 MICHAEL GRIFFIN CHIEF FINANCIAL OFFICER 184317 0 0 0 0 0 11254 0 27742 0 223313 0 0 0 THOMAS ATKINS CHIEF OPERATING OFFICER 183540 0 0 0 0 0 11190 0 27742 0 222472 0 0 0 MARY COOLEY DIRECTOR OF DINING SERVICE 132358 0 0 0 0 0 8175 0 27742 0 168275 0 0 0 CHARLES WHITLOCK DIRECTOR OF HEALTH SERVICE 119530 0 0 0 0 0 7656 0 27742 0 154928 0 0 0 A BUCKS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 232174016 118612MV9 2018-07-24 38331233 CURRENT REFUNDING OF PENNSWOOD VILLAGE 2013 VARIABLE BOND 0 0 0 A 1276223 38331223 619824 116399 37595000 2018 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 1 THE BOARD ESTABLISHED AN EXECUTIVE COMMITTEE THAT MAY EXERCISE ALL OF THE POWERS AND AUTHORITY OF THE BOARD BETWEEN BOARD MEETINGS, EXCEPT IT SHALL NOT HAVE ANY POWER OR AUTHORITY AS TO THE FOLLOWING: (A) THE FILLING OF VACANCIES ON THE BOARD, (B) THE ADOPTION, AMENDMENT OR REPEAL OF THE BYLAWS, (C) THE AMENDMENT OR REPEAL OF ANY RESOLUTION OF THE BOARD, (D) ACTION ON MATTERS COMMITTED BY THE BYLAWS OR BY RESOLUTION OF THE BOARD TO ANOTHER COMMITTEE OF THE BOARD. THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR, VICE-CHAIR, SECRETARY AND TWO OTHER MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, THEN THE ORGANIZATION'S FINANCE COMMITTEE RECEIVES A DRAFT COPY FOR REVIEW PRIOR TO FILING. THE ORGANIZATION'S FULL BOARD WILL RECEIVE A COPY OF THE FORM 990 BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY ALL BOARD MEMBERS AND MANAGEMENT STAFF RECEIVE COPIES OF THE CONFLICT OF INTEREST POLICY AND ARE REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST THAT MAY EXIST. THIS WOULD INCLUDE CONFLICTS DUE TO FAMILY OR OTHER RELATIONSHIPS. ALL COPIES ARE REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND THE HUMAN RESOURCES DIRECTOR. COPIES OF THE SIGNED ACKNOWLEDGEMENTS FOR STAFF ARE RETAINED IN THE HUMAN RESOURCES OFFICE AND FOR BOARD MEMBERS IN THE CHIEF EXECUTIVE OFFICER'S OFFICE. SHOULD ANY BOARD MEMBER HAVE A CONFLICT, HE OR SHE WOULD RECUSE HIMSELF OR HERSELF FROM ANY DISCUSSIONS AND/OR DECISION RELATED TO THE CONFLICT. MONITORING OF PROPOSED OR ONGOING TRANSACTIONS FOR POTENTIAL CONFLICTS IS UNDERTAKEN THROUGH INTERNAL CONTROLS ESTABLISHED IN THE FINANCE DEPARTMENT. SPENDING AUTHORITY POLICIES EXIST TO CONTROL WHO HAS THE AUTHORITY TO ENCUMBER PENNSWOOD VILLAGE AND THE EXTENT TO WHICH THEY ARE ABLE TO DO SO. STAFF WITH SPENDING AUTHORITY ARE REQUIRED TO ANNUALLY COMPLETE CONFLICT OF INTEREST STATEMENTS AND TO DISCLOSE ANY CONFLICTS THAT MAY EXIST. STAFF MONITOR PROPOSED AND COMPLETED TRANSACTIONS TO DETERMINE IF A CONFLICT MAY EXIST. ANY CONCERNS ARE BROUGHT TO THE ATTENTION OF THE CFO FOR REVIEW AND ACTION, IF NECESSARY. IF A CONFLICT IS DETERMINED TO EXIST, THEN THE CONFLICTING PARTIES WILL BE NOTIFIED AND THE TRANSACTION HALTED. GROSS VIOLATIONS OF THE CONFLICT OF INTEREST MAY RESULT IN DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD CONDUCTS AN ANNUAL REVIEW OF THE CHIEF EXECUTIVE OFFICER (CEO) AND SETS COMPENSATION BASED ON PERFORMANCE THAT IS CONSISTENT WITH COMPETITIVE SALARY DATA. ANNUAL SALARY SURVEYS ARE COMPLETED BY HUMAN RESOURCES, A COMPENSATION CONSULTANT IS UTILIZED AS NEEDED AND THE FORM 990 OF OTHER SIMILAR ORGANIZATIONS ARE ALL USED IN THE SALARY DECISIONS. THE ANNUAL REVIEW PROCESS AND FINAL DECISIONS ARE TIMELY DOCUMENTED AND PUT INTO HUMAN RESOURCE FILES. OTHER OFFICER AND KEY EMPLOYEE COMPENSATION, SUCH AS THE CFO AND COO, ARE APPROVED BY THE CEO DURING THE ANNUAL REVIEW PROCESS, WHICH IS TIMELY DOCUMENTED AND PUT INTO HUMAN RESOURCE FILES. ANNUAL SALARY SURVEYS ARE COMPLETED BY HUMAN RESOURCES WHICH ARE USED IN THE SALARY DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 THE CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS ARE PLACED FOR PUBLIC VIEW IN THE ORGANIZATION'S LIBRARY OR ADMINISTRATIVE OFFICES AND ARE ALSO AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -76,691. TRANSFER FROM AFFILIATE -186,746. FORM 990, PAGE 5, PART V, LINE 2 THE FILING ENTITY IS THE PARENT IN A GROUP OF NON-PROFIT ENTITIES FOR WHICH IT IS CONSIDERED A COMMON PAY AGENT FOR W-2 REPORTING. PENNSWOOD VILLAGE REPORTS ALL EMPLOYEES ON ITS FORM W-3, HOWEVER, EACH AFFILIATE HAS EMPLOYEES ALLOCATED TO THAT ENTITY. PER IRS INSTRUCTIONS, EMPLOYEES LISTED ON PART V, LINE 2A ARE THOSE WHO HAVE BEEN DEEMED TO BE EMPLOYEES OF THIS ORGANIZATION. THE FOLLOWING AFFILIATE HAS W-2 EMPLOYEES LISTED ON THEIR FORM 990 THAT HAVE BEEN REPORTED ON THE FILING ORGANIZATION'S W-3: HOSPICE CARE BY PENNSWOOD 47-1563338 HOSPICE CARE BY PENNSWOOD VILLAGE 1382 NEWTOWN-LANGHORNE ROAD NEWTOWN PA 18940 471563338 PROVIDE HOSPICE CARE TO PATIENTS PA 501(C)(3) LINE 10 PENNSWOOD VILLAGE 1 PENNSWOOD VILLAGE FOUNDATION 1382 NEWTOWN-LANGHORNE ROAD NEWTOWN PA 18940 830575873 FUNDRAISING FOR PENNSWOOD VILLAGE AND AFFILIATES PA 501(C)(3) LINE 7 PENNSWOOD VILLAGE 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 HOSPICE CARE BY PENNSWOOD VILLAGE D 300923 COST HOSPICE CARE BY PENNSWOOD VILLAGE O 244776 COST PENNSWOOD VILLAGE FOUNDATION R 186746 COST