2024-03-07T05:46:00-06:00 2023-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-07-01 232640814 GARDEN SPOT VILLAGE GARD 7173556000 433 SOUTH KINZER AVENUE NEW HOLLAND PA 17557 NATHANIEL WEBER CFO 7173556000 2024-03-05 1 NATHANIEL WEBER XXX-XX-XXXX 0 KERRI N BOGDA CPA P00760402 7177404863 2024-03-05 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z STEPHEN D LINDSEY CEO 433 SOUTH KINZER AVENUE NEW HOLLAND PA 17557 66681201 0 X WWW.GARDENSPOTVILLAGE.ORG X 1996 PA OPERATE A SKILLED NURSING, INDEPENDENT & ASSISTED LIVING FACILITY. PROVIDE AT-HOME HEALTH SVCS. 10 10 571 480 40160 0 2498469 756289 42373310 44645629 2026388 725284 1273038 1386027 48171205 47513229 1011513 920992 0 0 16025056 17217252 0 0 199402 26142006 27460910 43178575 45599154 4992630 1914075 177768625 179779413 151434377 148573403 26334248 31206010 X TO ENRICH THE LIVES OF OLDER ADULTS AS AN EXPRESSION OF CHRIST'S LOVE. GARDEN SPOT VILLAGE IS A LIFEPLAN COMMUNITY THAT PROVIDES SERVICES TO INDEPENDENT LIVING, SKILLED NURSING, PERSONAL CARE (ASSISTED LIVING) RESIDENTS AND AT HOME RESIDENT SERVICES. OUR VALUE PROPOSITION STATES "WE PROVIDE ABUNDANT OPPORTUNITIES TO LIVE WITH PURPOSE IN COMMUNITY". 0 0 39005481 920992 44645629 PROVIDED RESIDENTIAL COTTAGE AND APARTMENT LIVING FACILITIES FOR AN AVERAGE DAILY CENSUS OF OVER 900 INDIVIDUALS. PROVIDED SKILLED NURSING CARE IN 4 HOUSEHOLDS THAT ARE DUALLY CERTIFIED FOR MEDICARE AND MEDICAID, WITH A TOTAL OF 73 BEDS. OVER $975,000 OF CHARITY CARE WAS PROVIDED. THE PERSONAL CARE AND MEMORY SUPPORT UNITS OPERATED WITH AN AVERAGE DAILY CENSUS OF 95 AND PROVIDED UNCOMPENSATED CARE TO 6 INDIVIDUALS AT A COST EXCEEDING $325,000. 39005481 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 82 0 571 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 10 10 0 0 0 0 1 0 0 1 1 0 1 1 1 1 1 1 1 1 0 0 0 PA X NATHANIEL WEBER CFO 7173556049 433 SOUTH KINZER AVENUE NEW HOLLAND PA 17557 JEFF GOSS CHAIR 1.00 4.00 X X 0 0 0 JOYCE HOOVER VICE CHAIR 1.00 4.00 X X 0 0 0 KAREN MUSSER SECRETARY 1.00 4.00 X X 0 0 0 TIMOTHY BENDER TREASURER 1.00 4.00 X X 0 0 0 ALPHAUS STOLTZFUS DIRECTOR 1.00 4.00 X 0 0 0 DONALD ALDRICH DIRECTOR 1.00 4.00 X 0 0 0 EJ RITTERSPACH DIRECTOR 1.00 4.00 X 0 0 0 DAVID VEGA DIRECTOR 1.00 4.00 X 0 0 0 PHIL HESS DIRECTOR 1.00 4.00 X 0 0 0 CARL EDWARDS DIRECTOR 1.00 4.00 X 0 0 0 STEPHEN LINDSEY CEO 5.00 50.00 X 0 275421 44753 NATHANIEL WEBER CFO 5.00 50.00 X 0 135742 33786 STEPHEN MULLER COO 5.00 50.00 X 0 166329 32255 BRYAN GROFF DIRECTOR OF HR 5.00 45.00 X 0 109504 29346 CHRISTINA ROUVRE HAEUSLER NURSING HOME ADMINISTRATOR 55.00 0.00 X 113089 0 23133 D SCOTT MILLER CMO 5.00 45.00 X 0 138654 14750 LORA GOMBOC DIR. OF HEALTHCARE SERVICES 5.00 50.00 X 0 142104 29584 LOIS DOSTALK TRANSFORMATIONAL ARCHITECT 5.00 45.00 X 0 119460 9122 DALE BEILER FORMER TREASURER TO 6/11/22 5.00 50.00 X 0 100741 21308 113089 1187955 238037 1 1 1 0 COVENANT ALLIANCE REHAB EAST 28100 TORCH PARKWAY SUITE 600 WARRENVILLE IL 60555 PHYS, OCCU & SPEECH THERAPY 641568 D SMITH PAINTING 3219 OREGON PIKE LEOLA PA 17540 PAINTING 121399 2 80271 114966 561052 756289 NET RESIDENT SERVICE REVENUE 623000 44645629 44645629 44645629 1129255 1129255 1508921 599866 909055 909055 909055 18028543 16250 18424924 23840 -396381 -7590 -403971 -403971 91430 80271 91430 0 163101 27912 135189 135189 MEALS 900099 230518 230518 ADVERTISING 900099 40160 40160 GUEST ROOM 900099 39733 39733 31372 31372 341783 47513229 44645629 40160 2071151 920992 920992 13987866 13779819 60341 147706 380298 373968 2555 3775 1818722 1792211 6949 19562 1030366 1018479 1368 10519 3207796 4015 3203781 22208 682 21526 6750 6750 30464 30464 85647 85647 3167795 3107522 60273 373116 372796 320 369889 202022 162623 5244 1390442 180796 1203089 6557 2718186 2669676 48510 107844 51753 56091 2041806 2041806 7859401 7859401 553478 553478 FOOD 1976513 1962645 13613 255 MEDICAL SUPPLIES 1434721 1428444 6277 MAINTENANCE & REPAIRS 530351 528254 2097 EMPLOYEE EXPENSES 401940 26181 375759 1182563 684019 492760 5784 45599154 39005481 6394271 199402 1478911 2792525 4447322 5625635 947822 1122123 119750 125361 1554436 1217305 226214765 99868479 128509560 126346286 33138656 32752087 7572168 9798091 177768625 179779413 3362835 3944928 80378050 78476982 2623826 2044846 60701009 58044445 4368657 6062202 151434377 148573403 X 25816840 30908540 517408 297470 26334248 31206010 177768625 179779413 X 1914075 804344 2153343 X 0 1 X 1 0 X 396378 803418 1105730 2498469 756289 5560284 35699570 36404367 38646875 42373310 44645629 197769751 150766 121854 152145 230518 655283 36095948 37358551 39874459 45023924 45632436 203985318 2614 3908 2713 2713 2989 14937 0 2614 3908 2713 2713 2989 14937 203970381 2363860 2338301 2304881 2519534 2638176 12164752 17371 13303 612 7031 38317 2381231 2351604 2304881 2520146 2645207 12203069 701387 339225 291918 309168 325636 1967334 39178566 40049380 42471258 47853238 48603279 218155721 0.93500 0.93360 0.05590 0.05570 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: CFH PASS THROUGH - 2018 AMOUNT: $ 53,097. 2019 AMOUNT: $ 1,431. 2020 AMOUNT: $ 1,392. 2021 AMOUNT: $ 5,479. 2022 AMOUNT: $ -3,317. EQUIPMENT LENDING FEES - 2018 AMOUNT: $ 6,331. 2019 AMOUNT: $ 4,791. 2020 AMOUNT: $ 406. 2021 AMOUNT: $ 3,724. 2022 AMOUNT: $ 5,316. GREENHOUSE - 2021 AMOUNT: $ 76. 2022 AMOUNT: $ 5,741. GROSS INCOME FROM FUNDRAISING EVENTS - 2018 AMOUNT: $ 180,074. 2019 AMOUNT: $ 133,442. 2020 AMOUNT: $ 156,543. 2021 AMOUNT: $ 98,003. 2022 AMOUNT: $ 91,430. GROSS INCOME FROM SALES OF INVENTORY - 2018 AMOUNT: $ 129,028. 2019 AMOUNT: $ 158,122. 2020 AMOUNT: $ 119,235. 2021 AMOUNT: $ 157,377. 2022 AMOUNT: $ 163,101. GUEST ROOM - 2018 AMOUNT: $ 35,489. 2019 AMOUNT: $ 28,142. 2020 AMOUNT: $ 12,022. 2021 AMOUNT: $ 39,805. 2022 AMOUNT: $ 39,733. INSURANCE REFUND - 2018 AMOUNT: $ 60,854. MANAGEMENT FEES - 2018 AMOUNT: $ 234,341. OTHER REVENUE - 2018 AMOUNT: $ 2,173. 2019 AMOUNT: $ 10,286. 2020 AMOUNT: $ -634. 2021 AMOUNT: $ 1,821. 2022 AMOUNT: $ 14,728. STORAGE RENTAL - 2019 AMOUNT: $ 3,011. 2020 AMOUNT: $ 2,954. 2021 AMOUNT: $ 2,883. 2022 AMOUNT: $ 3,166. WELLNESS CENTER - 2022 AMOUNT: $ 5,738. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 30464 30464 0 PART II-B, LINE 1: GARDEN SPOT VILLAGE PAID $30,464 IN DUES TO LEADING AGE PA AND LEADING AGE NATIONAL DUES. 0 1 X 7689135 7689135 177365836 76156011 101209825 24219021 10087463 14131558 16940773 13625005 3315768 126346286 DUE FROM AFFILIATE 6757590 DERIVATIVE FINANCIAL INSTRUMENTS 3040501 9798091 DEPOSITS FROM PROSPECTIVE RESIDENTS 5814491 DUE TO AFFILIATES 247711 6062202 51084443 804344 2852517 3656861 47427582 85647 85647 47513229 46212681 699174 699174 45513507 85647 85647 45599154 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 599,866. FUNDRAISING EVENT EXPENSES 91,430. CHANGE IN VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 2,153,343. MANAGEMENT FEE 7,878. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES 85,647. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 599,866. FUNDRAISING EVENT EXPENSES 91,430. MANAGEMENT FEE 7,878. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES 85,647. GSV MARATHON 93047 37735 55312 8424 11282 3598 0 32008 GOLF OUTING 38310 21479 16831 1449 14208 0 0 1174 3 40344 21057 19287 6678 4450 8159 171701 80271 91430 9873 25490 10276 4450 41341 91430 0 1 GARDEN SPOT FIRE COMPANY 339 E MAIN ST NEW HOLLAND PA 17557 236281983 501(C) 3 22500 0 N/A PROVIDE FUNDS FOR FIRE PROTECTION. GARDEN SPOT VILLAGE OF AKRON 433 SOUTH KINZER AVE NEW HOLLAND PA 17557 270280268 501(C) 3 898492 0 N/A PROVIDE FUNDS FOR GENERAL USE 2 0 PART I, LINE 2: ASSISTANCE IS PROVIDED TO RELATED ENTITIES FOR FINANCIAL SUPPORT. MANAGEMENT OF THE ORGANIZATION OVERSEES THE USE OF FUNDS AT THE AFFILIATED ENTITIES. THE ORGANIZATION WAS IN CORRESPONDENCE WITH THE FIRE COMPANY TO ENSURE FUNDS WERE SPENT APPROPRIATELY. X X X 0 0 0 0 0 0 0 0 0 STEPHEN LINDSEY CEO 0 275421 0 0 0 0 0 27000 0 17753 0 320174 0 0 STEPHEN MULLER COO 0 166329 0 0 0 0 0 8722 0 23533 0 198584 0 0 LORA GOMBOC DIR. OF HEALTHCARE SERVICES 0 142104 0 0 0 0 0 9200 0 20384 0 171688 0 0 NATHANIEL WEBER CFO 0 135742 0 0 0 0 0 10339 0 23447 0 169528 0 0 D SCOTT MILLER CMO 0 138654 0 0 0 0 0 7075 0 7675 0 153404 0 0 DALE BEILER FORMER TREASURER TO 6/11/22 0 100741 0 0 0 0 0 13000 0 8308 0 122049 0 0 FORM 990, PART V, LINE 2 GARDEN SPOT VILLAGE ("GSV") IS OPERATIONALLY AFFILIATED WITH GARDEN SPOT COMMUNITIES (EIN: 81-1141253). GSV IS A COMMON PAY AGENT FOR W-2 REPORTING OF BOTH ENTITIES. GSV REPORTS ALL EMPLOYEES ON ITS FORM W-3. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS GARDEN SPOT COMMUNITIES ("GSC"). FORM 990, PART VI, SECTION B, LINE 11B THE CFO WILL REVIEW THE RETURN FOR CONSISTENCY WITH THE INFORMATION PROVIDED TO BAKER TILLY US, LLP AND THEIR AUDIT REPORT. COPIES WILL BE E-MAILED TO ALL BOARD MEMBERS PRIOR TO FILING FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY. BOARD MEMBERS ARE EACH REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST STATEMENT EACH YEAR THAT IS MAINTAINED BY MANAGEMENT. ANY CONFLICTS ARE DEALT WITH ON AN AS-NEEDED BASIS. CONFLICTS WOULD BE DOCUMENTED AND THE BOARD MEMBER WOULD REFRAIN FROM ANY VOTE FOR WHICH THERE IS A CONFLICT OF INTEREST. COMPLIANCE WITH THE POLICY IS MONITORED BY THE BOARD CHAIR AND CEO. NO CONFLICTS WERE NOTED FOR THE CURRENT YEAR. FORM 990, PART VI, SECTION B, LINE 15 THE 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. REVIEW AND APPROVAL PROCESS ARE DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE THROUGH AN ANNUAL DISCLOSURE STATEMENT FILING WITH STATE AND ON THE WEBSITE. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 2,153,343. GSV LLC 433 SOUTH KINZER AVENUE NEW HOLLAND PA 17557 232640814 LEASE A BUILDING FOR USE AS MEDICAL OFFICES PA 1466935 15550085 GARDEN SPOT VILLAGE GARDEN SPOT VILLAGE OF AKRON 433 SOUTH KINZER AVENUE NEW HOLLAND PA 17557 270280268 NURSING HOME FACILITY PA 501(C)(3) LINE 10 GARDEN SPOT COMMUNITIES 0 GARDEN SPOT COMMUNITIES 433 SOUTH KINZER AVENUE NEW HOLLAND PA 17557 811141253 MANAGEMENT SERVICES PA 501(C)(3) LINE 12C, III-FI N/A 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0