2017-11-10T09:30:20-06:00 2016-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET 45TH FLOOR PHILADELPHIA PA 19103 990 2016-01-01 582420862 PARK POINTE VILLAGE INC PARK 2156618330 375 MORRIS ROAD PO BOX 90 WEST POINT PA 19486 RICHARD A WINTER SVP, FINANCIAL SERVICES 2156618330 2017-11-10 1 P00350393 2159720701 98.114.135.210 2017-11-10 10:21:55 ES P 6BBD15B1F8DEBCAF9057D78F78326171A5054853 6BBD15B1F8DEBCAF9057D78F78326171A5054853 2016 2017-02-10 21:41:12Z GERALD T GRANT 375 MORRIS ROAD PO BOX 90 WEST POINT PA 19486 15904129 0 X WWW.ACTSRETIREMENT.ORG X 2005 SC PARK POINTE VILLAGE'S PURPOSE IS TO SERVE OLDER ADULTS SIXTY-TWO YEARS OF AGE AND OLDER, PROVIDING RETIREMENT-LIFE SERVICES INCLUDING INDEPENDENT LIVING, ASSISTED LIVING, SKILLED NURSING CARE AND COMPLEMENTARY SERVICES; MEETING RESIDENT NEEDS IN A CHRISTIAN MANNER WITHOUT PREJUDICE OR PREFERENCE TO ANY FAITH, IN AN EXPRESSION OF LOVING KINDNESS. 7 6 239 18 0 0 9828 45039 11841143 11743195 234480 281224 37652 54431 12123103 12123889 3400 900 0 0 4359086 4596670 0 0 3411 6767985 6795296 11130471 11392866 992632 731023 59287618 59884882 46033094 45829903 13254524 14054979 X AS AN ACTS RETIREMENT-LIFE COMMUNITY, PARK POINTE VILLAGE, INC. IS COMMITTED TO PROVIDING SECURITY AND PEACE OF MIND TO ALL SENIORS BY BEING THE PRE-EMINENT PROVIDER OF RETIREMENT-LIFE SERVICES, MEETING SENIORS' SOCIAL, PERSONAL, HEALTH AND SPIRITUAL NEEDS IN A CHRISTIAN ATMOSPHERE GRACED WITH LOVING-KINDNESS, DIGNITY, SENSITIVITY, HONESTY, AND RESPECT WITHOUT PREJUDICE TO ANY INDIVIDUAL OR PREFERENCE TO ANY PARTICULAR FAITH OR CREED. 0 0 9855583 900 11743195 PARK POINTE VILLAGE PROVIDES COMPREHENSIVE LIFE CARE SERVICES TO SENIOR ADULTS AGED 62 AND OLDER THAT INCLUDE INDEPENDENT LIVING HOUSING, DINING AND NUTRITIONAL SERVICES, PASTORAL SERVICES, SECURITY, HOUSEKEEPING, MAINTENANCE SERVICES AND SOCIAL, CULTURAL, EDUCATIONAL, SPIRITUAL AND RECREATIONAL ACTIVITIES. IN ADDITION, WHEN A RESIDENT'S HEALTH CARE NEEDS CHANGE, HOME HEALTH, ASSISTED LIVING, SKILLED NURSING CARE AND HOSPICE SERVICES ARE AVAILABLE. SINCE 2005, PHYSICAL ACCOMMODATIONS AND SERVICES ARE PROVIDED UNDER THE TERMS OF A FORMAL LIFECARE AGREEMENT WHICH ASSURES THAT ASSISTED LIVING AND SKILLED NURSING CARE WILL BE PROVIDED TO RESIDENTS WHEN THEY NEED IT, WITHOUT A CHANGE IN THEIR MONTHLY FEE, THEREBY OFFERING FURTHER SECURITY AND PEACE OF MIND.IN 2016, PARK POINTE VILLAGE SERVED, ON AVERAGE, 231 RESIDENTS IN INDEPENDENT LIVING, 14 RESIDENTS IN ASSISTED LIVING AND 34 RESIDENTS IN SKILLED CARE. 9855583 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 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 0 1 0 0 0 1 21 0 1 239 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 SC PA X RICHARD A WINTER 2156618330 375 MORRIS ROAD PO BOX 90 WEST POINT PA 19486 MARVIN MASHNER DIRECTOR 0.40 3.50 X 0 0 0 DONALD L DAVIS DIRECTOR 1.00 19.00 X 0 0 0 J MARK VANDERBECK CHAIRMAN 2.00 53.00 X X 0 543211 544309 THOMAS A DUNN III DIRECTOR 0.20 1.90 X 0 0 0 ROBERT B EVANS DIRECTOR 1.00 3.00 X 0 0 0 REV J MICHAEL LOWERY DIRECTOR 1.00 0.00 X 0 0 0 WALTER M PAULUS DIRECTOR 2.00 0.00 X 0 0 0 GERALD T GRANT SECRETARY 2.00 53.00 X 0 480349 197180 KAREN I CHRISTIANSEN TREASURER 1.50 49.50 X 0 359519 108900 JAMES PETTY ASSISTANT SECRETARY 1.00 45.00 X 0 212626 26310 RICHARD A WINTER ASSISTANT TREASURER 1.00 47.00 X 0 186149 21436 MARIE DESAMARATTES ADMINISTRATOR 40.00 5.00 X 0 103140 10341 STEVEN ROBISON EXECUTIVE DIRECTOR 40.00 5.00 X 0 131442 5203 0 2016436 913679 0 0 1 0 PERKINS EASTMAN ARCHITECTS PC 115 FIFTH AVENUE NEW YORK NY 10003 ARCHITECTS 740277 BLUEWATER DESIGN-BUILD LLC PO BOX 955 DAVIDSON NC 28036 GENERAL CONTRACTOR 576904 AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 72903 THERAPY SERVICES 284475 SMITH GROUNDS MANAGEMENT PO BOX 2134 MATTHEWS NC 28106 LANDSCAPING SERVICES 272217 ANDREW ROBY INC PO BOX 221416 CHARLOTTE NC 28222 GENERAL CONTRACTOR 250937 6 41036 4003 45039 MONTHLY FEES 623000 6858587 6858587 ENTRANCE FEE AMORT. 623000 2155643 2155643 MEDICARE 623000 1346945 1346945 MEDICAL SERVICES REVENUE 623000 1206356 1206356 RESIDENT ANCILLARY REVENUE 623000 95194 95194 80470 80470 11743195 262854 262854 22290 19169 3121 3121 3121 3779006 435 3761071 0 17935 435 18370 18370 APARTMENT MODIFICATION INCOME 623000 31429 31429 CAFE & CATERING INCOME 722210 12445 12445 DISCOUNTS EARNED 623000 5690 5690 1746 1746 51310 12123889 11743195 0 335655 900 900 3577104 3315180 261924 55076 46223 8853 703573 669758 33815 260917 243130 17787 3867 3867 28950 28950 40606 40606 695792 672024 23768 17560 17560 292861 243072 49789 31196 31196 820424 820424 35728 31464 4264 647915 647915 2196805 2178659 18146 94843 94843 MANAGEMENT SERVICES 935998 935998 FOOD EXPENSE 604179 601649 2530 MEDICAL SUPPLIES 144714 144714 SALES TAX 49959 48268 1691 153899 97360 53128 3411 11392866 9855583 1533872 3411 1731 1354 1017586 146145 390858 753653 161685 98193 64868308 16301934 47457686 48566374 9642494 9947085 323863 361649 291715 10429 59287618 59884882 707865 1566068 21336747 20130114 23270000 22189458 718482 1944263 46033094 45829903 X 12930661 13693331 323863 361648 13254524 14054979 59287618 59884882 X 731023 31647 37785 X X 0 1 X 1 0 X 53396 12039 21817 9828 45039 142119 11262263 12079187 11548950 11875207 11743195 58508802 11315659 12091226 11570767 11885035 11788234 58650921 0 0 0 58650921 298229 300589 289975 267329 285144 1441266 298229 300589 289975 267329 285144 1441266 11613888 12391815 11860742 12152364 12073378 60092187 0.97600 0.97680 0.02400 0.02320 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 561477 561477 56807049 12005118 44801931 4453212 2364602 2088610 3046570 1932214 1114356 48566374 ENTRANCE FEE DEPOSITS 259540 DUE TO AFFILIATE 1684723 1944263 12212490 31647 37785 69432 12143058 -19169 -19169 12123889 11412035 19169 19169 11392866 0 11392866 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN ACTS LEGACY FOUNDATION, INC. 37,785. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS RENTAL EXPENSES TO PART VIII, LINE 6B -19,169. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASS RENTAL EXPENSES TO PART VIII, LINE 6B 19,169. X 1 1 0 1 0 0 0 0 0 0 0 J MARK VANDERBECK CHAIRMAN 0 436595 0 106616 0 0 0 536928 0 7381 0 1087520 0 0 GERALD T GRANT SECRETARY 0 388606 0 91743 0 0 0 179536 0 17644 0 677529 0 0 KAREN I CHRISTIANSEN TREASURER 0 294546 0 64973 0 0 0 91256 0 17644 0 468419 0 0 JAMES PETTY ASSISTANT SECRETARY 0 187381 0 25245 0 0 0 8808 0 17502 0 238936 0 0 RICHARD A WINTER ASSISTANT TREASURER 0 164069 0 22080 0 0 0 7616 0 13820 0 207585 0 0 PART I, LINE 1A PARK POINTE VILLAGE'S BOARD MEMBERS ARE INVITED TO PARTICIPATE IN AN EDUCATIONAL RETREAT WITH THE BOARD OF DIRECTORS FROM ITS PARENT ORGANIZATION, ACTS RETIREMENT-LIFE COMMUNITIES, NEAR ONE OR MORE OF ACTS' COMMUNITIES, WHICH MAY REQUIRE SOME OR ALL BOARD MEMBERS TO TRAVEL. SPOUSES OF BOARD MEMBERS ARE ALSO INVITED TO ATTEND AT THE COMPANY'S EXPENSE. THESE SPOUSES PARTICIPATE IN EDUCATIONAL SESSIONS, SINCE THEY TOO HAVE AN INTEREST IN THE MISSION OF THE ORGANIZATION, FREQUENTLY BECOME INVOLVED IN DISCUSSION OF THEIR SPOUSE'S ROLE AND HOW THE ORGANIZATION FUNCTIONS, AND ALSO MUST PROVIDE ENABLING SUPPORT TO THE BOARD MEMBER. IN ADDITION, SPOUSES ALSO PROVIDE INSIGHT INTO THE EFFECTS OF ORGANIZATIONAL PLANS AND STRATEGIES. AS SUCH, THIS BENEFIT WAS NOT TREATED AS TAXABLE COMPENSATION. PART I, LINE 3 IT HAS BEEN THE PRACTICE OF THE MANAGEMENT COMPANY, ACTS MANAGEMENT SERVICES, INC., TO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT ON AN APPROXIMATELY BIENNIAL BASIS FOR THE PURPOSE OF REVIEWING THE COMPENSATION PROGRAM FOR THE ORGANIZATION'S TOP MANAGEMENT POSITIONS, RANGING FROM COMMUNITY MANAGERS UP TO THE CEO. THE STUDY, THE LATEST VERSION OF WHICH WAS COMPLETED IN 2016, INCLUDES COMPARISON OF NOT-FOR PROFIT AND FOR-PROFIT COMPETITORS, OPERATING EFFECTIVENESS, IDENTIFICATION OF INDUSTRY SPECIFIC TRENDS OR PRACTICES IN COMPENSATION OR RECRUITMENT/EMPLOYMENT. MEASUREMENT AND ACTION ARE GENERALLY FOCUSED AT THE MEDIAN AND SLIGHTLY ABOVE IN ACCORDANCE WITH LEVELS IDENTIFIED IN THE STUDY. THE REPORTS' FINDINGS ARE REVIEWED WITH THE PARENT BOARD OFFICERS. COMPENSATION ADJUSTMENTS FOR THE PRESIDENT & CEO ARE DETERMINED BY A COMMITTEE OF INDEPENDENT BOARD MEMBERS APPOINTED BY THE CHAIRMAN AND ARE BASED ON THE FINDINGS OF THE MOST RECENT STUDY AND A REVIEW OF PERFORMANCE COMPARED AGAINST OBJECTIVE CRITERIA. THIS DETERMINATION IS REPORTED TO AND APPROVED BY THE BOARD OF DIRECTORS AND IS DOCUMENTED IN WRITING BY THE BOARD CHAIR. SIMILARLY, COMPENSATION ADJUSTMENTS FOR THE MOST SENIOR MEMBERS OF MANAGEMENT REFLECT STUDY FINDINGS AND PERFORMANCE MEASUREMENT AGAINST SPECIFIED CRITERIA AND ARE DETERMINED BY THE CEO AND REVIEWED WITH THE BOARD CHAIR. PART I, LINE 4B OTHER COMPENSATION FOR KAREN I. CHRISTIANSEN, GERALD T. GRANT AND J. MARK VANDERBECK INCLUDES ACCRUALS FOR A DEFERRED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE AMOUNT OF THE CURRENT YEAR ACCRUAL IS $80,656 FOR KAREN I. CHRISTIANSEN (NON-VESTED), $168,936 FOR GERALD T. GRANT (NON-VESTED) AND $526,328 FOR J. MARK VANDERBECK (NON-VESTED). A SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY SERIES 2012 570960018 NONEAVAIL 2012-02-22 25800000 REFUND THE SERIES 2000, FUND CAPITAL IMPROVEMENTS, PAYOFF CONSTRUCTION LOAN 0 0 0 A 3360000 25800000 295000 14700000 10805000 2012 0 1 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO TRANSACT SUCH BUSINESS AS SHALL BE NECESSARY FOR THE ADMINISTRATION AND OPERATION OF THE CORPORATION BETWEEN BOARD OF DIRECTORS MEETINGS SUBJECT TO CERTAIN LIMITS SPECIFIED IN THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 3 ACTS MANAGEMENT SERVICES, INC., AN AFFILIATED ENTITY, PROVIDES MANAGEMENT SERVICES TO PARK POINTE VILLAGE, INC. FORM 990, PART VI, SECTION A, LINE 6 PARK POINTE VILLAGE, INC. IS A SOUTH CAROLINA TAX-EXEMPT ORGANIZATION OF WHICH ACTS RETIREMENT-LIFE COMMUNITIES, INC., A RELATED PENNSYLVANIA TAX-EXEMPT ORGANIZATION (THROUGH ITS WHOLLY-OWNED SUBSIDIARY ACTS ACQUISITION COMPANY, LLC), IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A ACTS RETIREMENT-LIFE COMMUNITIES, INC., A RELATED PENNSYLVANIA TAX-EXEMPT ORGANIZATION (THROUGH ITS WHOLLY OWNED SUBSIDIARY ACTS ACQUISITION COMPANY, LLC), IS THE SOLE MEMBER OF PARK POINTE VILLAGE, INC. AS SOLE MEMBER, IT HAS THE RIGHT TO ELECT THE MEMBERS OF THE ORGANIZATION'S BOARD. FORM 990, PART VI, SECTION A, LINE 7B ACTS RETIREMENT-LIFE COMMUNITIES, INC., A RELATED PENNSYLVANIA TAX-EXEMPT ORGANIZATION (THROUGH ITS WHOLLY OWNED SUBSIDIARY ACTS ACQUISITION COMPANY, LLC), IS THE SOLE MEMBER OF PARK POINTE VILLAGE, INC. AS SOLE MEMBER, IT HAS THE RIGHT TO AMEND THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B AFTER REVIEW BY ACTS' CFO AND CEO, THE FORM 990 IS REVIEWED, BEFORE FILING, BY THE ACTS BOARD OF DIRECTORS' AUDIT COMMITTEE, WHICH INCLUDES THREE CERTIFIED PUBLIC ACCOUNTANTS. THE FORM 990 IS THEN PROVIDED TO THE OTHER MEMBERS OF PARK POINTE VILLAGE'S GOVERNING BODY BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST QUESTIONNAIRE IS COMPLETED ON AN ANNUAL BASIS BY THE ORGANIZATION'S OFFICERS, DIRECTORS AND TRUSTEES. THE RESPONSES ARE REVIEWED BY THE PRESIDENT & CEO, AND CHAIRMAN OF THE BOARD OF DIRECTORS TO DETERMINE IF CONFLICTS ARE PRESENT AND THE EXTENT OF THE CONFLICT. FOR CONFLICTS THAT ARISE, THE OFFICER, DIRECTOR OR TRUSTEE MUST RECUSE THEMSELVES FROM PARTICIPATING IN DELIBERATIONS AND DECISIONS THAT INVOLVE THE DETERMINED CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 IT HAS BEEN THE PRACTICE OF THE MANAGEMENT COMPANY, ACTS MANAGEMENT SERVICES, INC., TO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT ON AN APPROXIMATELY BIENNIAL BASIS FOR THE PURPOSE OF REVIEWING THE COMPENSATION PROGRAM FOR THE ORGANIZATION'S TOP MANAGEMENT POSITIONS, RANGING FROM COMMUNITY MANAGERS UP TO THE CEO. THE STUDY, THE LATEST VERSION OF WHICH WAS COMPLETED IN 2016, INCLUDES COMPARISON OF NOT-FOR PROFIT AND FOR-PROFIT COMPETITORS, OPERATING EFFECTIVENESS, AND IDENTIFICATION OF INDUSTRY SPECIFIC TRENDS OR PRACTICES IN COMPENSATION OR RECRUITMENT/EMPLOYMENT. MEASUREMENT AND ACTION ARE GENERALLY FOCUSED AT THE MEDIAN AND SLIGHTLY ABOVE IN ACCORDANCE WITH LEVELS IDENTIFIED IN THE STUDY. THE REPORTS' FINDINGS ARE REVIEWED WITH THE PARENT BOARD OFFICERS. COMPENSATION ADJUSTMENTS FOR THE PRESIDENT & CEO ARE DETERMINED BY A COMMITTEE OF INDEPENDENT BOARD MEMBERS APPOINTED BY THE CHAIRMAN AND ARE BASED ON THE FINDINGS OF THE MOST RECENT STUDY AND A REVIEW OF PERFORMANCE COMPARED AGAINST OBJECTIVE CRITERIA. THIS DETERMINATION IS REPORTED TO AND APPROVED BY THE BOARD OF DIRECTORS AND IS DOCUMENTED IN WRITING BY THE BOARD CHAIR. SIMILARLY, COMPENSATION ADJUSTMENTS FOR THE MOST SENIOR MEMBERS OF MANAGEMENT REFLECT STUDY FINDINGS AND PERFORMANCE MEASUREMENT AGAINST SPECIFIED CRITERIA AND ARE DETERMINED BY THE CEO AND REVIEWED WITH THE BOARD CHAIR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE FILED WITH NUMEROUS REGULATORY AUTHORITIES AND THEREFORE, ARE AVAILABLE TO THE PUBLIC. IN ADDITION, UPON RECEIPT OF A REQUEST AND ITS REVIEW, THE ORGANIZATION WILL MAKE AVAILABLE SUCH DOCUMENTS, AS DEEMED APPROPRIATE. AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC. CERTAIN FINANCIAL STATEMENTS, SUCH AS ANNUAL REPORTS AND QUARTERLY REPORTS, ARE ALSO AVAILABLE AT THE COMMUNITY. IN ADDITION, FINANCIAL INFORMATION IS INCLUDED IN DISCLOSURE PACKAGES THAT ARE PROVIDED TO PROSPECTIVE RESIDENTS AND MADE AVAILABLE TO THE PUBLIC. CERTAIN OTHER FINANCIAL STATEMENTS ARE ALSO PROVIDED UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN ACTS MISSION FOUNDATION 37,785. FORM 990, PART XII, FINANCIAL STATEMENTS AND REPORTING THE PROCESS FOR THE ORGANIZATION'S AUDIT COMMITTEE OVERSIGHT OF THE ANNUAL AUDIT OF ITS FINANCIAL STATEMENTS AND THOSE OF AFFILIATES HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VII, COMPENSATION OF OFFICERS* OTHER COMPENSATION INCLUDES ACCRUALS FOR A DEFERRED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR KAREN I. CHRISTIANSEN (NON-VESTED), GERALD T. GRANT (NON-VESTED) AND J. MARK VANDERBECK (NON-VESTED). ACTS RETIREMENT-LIFE COMMUNITIES INC 375 MORRIS ROAD WEST POINT PA 19486 231900132 OWNER AND OPERATOR OF CONTINUING CARE RETIREMENT COMMUNITIES PA 501(C)(3) 10 ACTS RETIREMENT SERVICES INC 0 ACTS RETIREMENT SERVICES INC 375 MORRIS ROAD WEST POINT PA 19486 264573260 SUPPORTING ORGANIZATION PA 501(C)(3) LINE 12B, II N/A 0 ACTS SIGNATURE COMMUNITY SERVICES INC 375 MORRIS ROAD WEST POINT PA 19486 264573131 HOSPICE AND HOME HEALTH SERVICES PA 501(C)(3) 10 ACTS RETIREMENT SERVICES INC 0 ACTS MANAGEMENT SERVICES INC 375 MORRIS ROAD WEST POINT PA 19486 264573412 CENTRALIZED MANAGEMENT AND DEVELOPMENT SERVICES PA 501(C)(3) LINE 12B, II ACTS RETIREMENT SERVICES INC 0 HERON POINT OF CHESTERTOWN INC 375 MORRIS ROAD WEST POINT PA 19486 521530598 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 10 ACTS ACQUISITION COMPANY LLC 0 ACTS LEGACY FOUNDATION INC FKA PUMH FOUNDATION INC 375 MORRIS ROAD WEST POINT PA 19486 912161987 FUNDRAISING DE 501(C)(3) LINE 12A, I ACTS RETIREMENT SERVICES INC 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0