2011-11-15T08:11:47-06:00 2011-06-30 PARENTEBEARD LLC 400 MARKET STREET WILLIAMSPORT PA 17701 990 2010-07-01 232640814 GARDEN SPOT VILLAGE GARD 7173556000 433 SOUTH KINZER AVENUE NEW HOLLAND PA 17557 DALE L BEILER 7173556000 2011-11-14 1 JAIME KUNTZ 5703236023 2010 2016-03-07 17:11:31Z STEVE LINDSEY 433 SOUTH KINZER AVENUE NEW HOLLAND PA 17557 32453745 0 X WWW.GARDENSPOTVILLAGE.ORG X 1996 PA OPERATE A SKILLED NURSING, INDEPENDENT & ASSISTED LIVING FACILITY. PROVIDE AT-HOME HEALTH SVCS. 9 9 587 470 26480 -33664 292647 243076 23578322 24760804 319056 935467 1638075 1808084 25828100 27747431 25750 25281 0 0 10377347 11675890 0 0 129485 13333561 13518535 23736658 25219706 2091442 2527725 136609490 139159660 127867362 126511777 8742128 12647883 TO ENRICH THE LIVES OF OLDER ADULTS AS AN EXPRESSION OF CHRIST'S LOVE. GARDEN SPOT VILLAGE IS A CCRC WHICH PROVIDES SERVICES TO INDEPENDENT LIVING, SKILLED NURSING, ASSISTED LIVING RESIDENTS AND AT HOME RESIDENT SERVICES. 0 0 22385070 25281 24760804 PROVIDED RESIDENTIAL COTTAGE AND APARTMENT LIVING FACILITIES FOR AN AVERAGE POPULATION OF 770 INDIVIDUALS. PROVIDED SKILLED NURSING CARE IN 4 HOUSEHOLDS THAT ARE MEDICARE CERTIFIED WITH A TOTAL OF 73 BEDS. GARDEN SPOT VILLAGE IS NOT CERTIFIED FOR MEDICAID AND PROVIDED CARE FOR 18 INDIVIDUALS WHO HAD EXHAUSTED ALL OTHER RESOURCES. THE COST FOR THIS CARE EXCEEDED $1.2 MILLION.THE PERSONAL CARE UNIT OPERATED WITH AN AVERAGE DAILY CENSUS OF 61 AND PROVIDED UNCOMPENSATED CARE TO 4 INDIVIDUALS AT A COST EXCEEDING $150,000. 22385070 1 1 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 34 0 1 587 1 1 1 0 0 0 0 1 1 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 PA X X DALE BEILER CFO 7173556165 433 SOUTH KINZER AVENUE NEW HOLLAND PA 17557 STEPHEN D LINDSEY 40.00 X X 163609 0 43732 PHILIP HESS 5.00 X X 0 0 0 MARLIN GROFF 5.00 X X 0 0 0 JUDY WEAVER 5.00 X X 0 0 0 JOHN E SMUCKER II 5.00 X 0 0 0 AMY WEAVER 5.00 X 0 0 0 HOPE WITMER 5.00 X 0 0 0 BRIAN MARTIN 5.00 X 0 0 0 JEFF GOSS 5.00 X 0 0 0 MIKE CORMANY 5.00 X 0 0 0 DALE BEILER 40.00 X 108621 0 31207 JOHN W FARBER 40.00 X 99808 0 28674 372038 0 103613 2 0 1 0 REHABCARE PO BOX 503534 ST LOUIS MO 63150 PHYSICAL, OCCUPATIONAL AND SPEECH THERAP 533471 1 3750 239326 243076 NET RESIDENT SERVICE R 623000 24760804 24760804 24760804 647736 647736 1209445 674410 535035 535035 535035 4183566 3895835 287731 287731 287731 140262 3750 64087 76175 76175 67492 71982 -4490 -4490 MEALS 722210 393901 393901 ADULT DAYCARE 624100 149932 149932 CABLE TV 900099 130259 130259 527272 26480 500792 1201364 27747431 24760804 26480 2717071 25281 25281 475651 475651 8756118 8158435 502229 95454 242486 214901 25070 2515 1541033 1321087 206108 13838 660602 584026 68126 8450 8447 8447 38545 38545 851627 691595 160032 271809 271809 2710353 2584249 121609 4495 145953 16989 128920 44 2656963 2566305 90658 78326 43626 33397 1303 4806 3935 871 1632675 1632675 4243065 4243065 229580 229580 SOCIAL ACCOUNTABILITY 125034 125034 BAD DEBT EXPENSE 106399 106399 NURSING FACILITY ASSESS 94118 94118 DEFERRED FINANCING 91737 91737 EVENTS 82553 79754 153 2646 146545 33292 112513 740 25219706 22385070 2705151 129485 6563 900 1651026 2258156 449477 645748 2288178 3642211 81507 96337 379843 348075 136809282 35815420 103943122 100993862 22101298 24229200 5708476 6945171 136609490 139159660 2360050 3397816 64311655 63475077 56887304 55587193 3693323 3927303 615030 124388 127867362 126511777 X 8729382 12642054 12746 5829 8742128 12647883 136609490 139159660 X 2527725 1378030 X 0 1 1 X 0 X 576726 433589 298178 241023 243076 1792592 17377121 19513038 21068097 23578322 24760804 106297382 17953847 19946627 21366275 23819345 25003880 108089974 50000 50000 0 50000 50000 108039974 1829622 1971697 1738067 1750432 1857181 9146999 1829622 1971697 1738067 1750432 1857181 9146999 1945406 1120858 1047408 1173632 1268856 6556160 21728875 23039182 24151750 26743409 28129917 123793133 0.87270 0.86250 0.07390 0.07040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 6246118 6246118 113531481 27258056 86273425 13729455 7184132 6545323 3302228 1373232 1928996 100993862 DEPOSITS FROM PROSPECTIVE RESIDENTS 124388 124388 27747431 25219706 2527725 859029 519001 1378030 3905755 29935940 859029 519001 1378030 28557910 -810479 -810479 27747431 26030185 810479 810479 25219706 0 25219706 PART IV, LINE 2B: RESIDENT ESCROW FUNDS - THIS REPRESENTS ENTRANCE FEE REFUNDS OF THOSE RESIDENTS VACATING THEIR INDEPENDENT UNIT AND ADMITTED TO ONE OF THE CARE AREAS SUCH AS SKILLED CARE OR ASSISTED LIVING. THE MONEY IS HELD IN A JOINT ACCOUNT WITH GSV AND THE RESIDENT AS COSIGNERS AND IS AVAILABLE TO PAY MONTHLY SERVICE CHARGES AFTER ALL OTHER RESIDENT RESOURCES ARE EXHAUSTED. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION 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 IS MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2010 OR 2009. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN UNREALIZED GAIN ON DERIVATIVE FINANCIAL INSTRUMENTS 519,001. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN UNREALIZED GAIN ON DERIVATIVE FINANCIAL INSTRUMENTS 519,001. PART XII, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -71,982. RENTAL EXPENSE -674,410. FUNDRAISING EVENT EXPENSES -64,087. PART XIII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 71,982. RENTAL EXPENSE 674,410. FUNDRAISING EVENT EXPENSES 64,087. GSV MARATHON 79362 3750 75612 2000 2552 39743 FALL FESTIVAL 51488 51488 2975 3654 10738 1 13162 13162 730 1695 144012 3750 140262 2000 2975 6936 52176 64087 76175 0 LIBERTY FIRE COMPANY 339 E MAIN ST NEW HOLLAND PA 17557 236281983 501(C) 3 25281 CASH N/A PURCHASE OF THERMAL IMAGING CAMERA AND TRUCK 1 0 X X X 0 0 0 0 0 0 0 0 0 STEPHEN D LINDSEY 163609 0 0 0 0 0 8180 0 35552 0 207341 0 0 0 LANCASTER MUNICIPAL AUTHORITY (A & B SERIES) 237334160 514351AY1 2006-06-07 37872042 CONSTRUCT RETIREMENT FACILITIES AND REFUND PRIOR BONDS 0 0 0 LANCASTER MUNICIPAL AUTHORITY 237334160 2009-09-16 22820000 REFUNDING OF 2006 SERIES C BOND 0 0 0 3670000 37872742 372194 24099600 572622 1226053 11577763 2008 0 1 1 1 560000 22820000 85070 22734930 2009 1 0 1 1 0 1 0 0 1 0.00400 0.00100 0.00500 1 0 1 0 0 1 0.00400 0.00100 0.00500 1 0 1 0 1 AIG DEBT SERVICE RESERVE FUNDS 1 0 0 0 1 1 MORGAN STANLEY CAPITAL SERVICES 26.400000000000 0 0 0 0 1 FORM 990, PART VI, SECTION B, LINE 11 THE CFO WILL REVIEW THE RETURN FOR CONSISTENCY WITH THE INFORMATION PROVIDED TO PARENTEBEARD AND THEIR AUDIT REPORT. A COPY OF THE RETURN WILL BE E-MAILED TO MEMBERS OF THE FINANCE COMMITTEE FOR THEIR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY. BOARD MEMBERS ARE REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST STATEMENT EACH YEAR WHICH ARE MAINTAINED BY MANAGEMENT. ANY CONFLICTS ARE DEALT WITH ON AN AS-NEEDED BASIS. NO CONFLICTS WERE NOTED FOR THE CURRENT YEAR. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMMITTEE APPROVES ALL SALARIES FOR OFFICERS AND TOP MANAGEMENT. SALARIES ARE DETERMINED BASED ON REVIEW OF AN ANNUAL SURVEY PROVIDED BY TRADE ASSOCIATION TO ENSURE COMPENSATION DOES NOT EXCEED FAIR MARKET VALUE. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, POLICIES AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST AND THROUGH AN ANNUAL DISCLOSURE STATEMENT FILING WITH STATE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 859,029. CHANGE IN UNREALIZED GAIN ON DERIVATIVE FINANCIAL INSTRUMENTS 519,001. TOTAL TO FORM 990, PART XI, LINE 5: 1,378,030. AT HOME SERVICES LLC 433 SOUTH KINZER AVENUE NEW HOLLAND PA 17557 203413595 PROVIDE HOME CARE SERVICES PA -36121 71946 N/A GSV LLC 433 SOUTH KINZER AVENUE NEW HOLLAND PA 17557 232640814 LEASE A BUILDING FOR USE AS MEDICAL OFFICES PA 719120 6911747 N/A GARDEN SPOT VILLAGE OF AKRON 433 S KINZER AVE NEW HOLLAND PA 17557 270280268 NURSING HOME FACILITY PA 501(C)3 9 GARDEN SPOT VILLAGE 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 GARDEN SPOT VILLAGE OF AKRON D 4913143 CASH GARDEN SPOT VILLAGE OF AKRON A 113107 CASH