Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | 3,158,400 | 3,392,400 | 3,528,000 | 3,783,600 | 3,805,682 | 17,668,082 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | 3,158,400 | 3,392,400 | 3,528,000 | 3,783,600 | 3,805,682 | 17,668,082 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | 17,668,082 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 3,158,400 | 3,392,400 | 3,528,000 | 3,783,600 | 3,805,682 | 17,668,082 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 67,903 | 58,165 | 52,090 | 64,200 | 44,399 | 286,757 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 67,903 | 58,165 | 52,090 | 64,200 | 44,399 | 286,757 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 697 | 805 | 773 | 624 | 482 | 3,381 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 3,227,000 | 3,451,370 | 3,580,863 | 3,848,424 | 3,850,563 | 17,958,220 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART III, LINE 12 | OTHER RELATED INCOME 3,381 |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990 | REGARDING CORPORATE STRUCTURE - SEE PDF ATTACHMENT |
| FORM 990, PAGE 1, PART I, LINE 6 | SUMMARY FROM 2014 SOCIAL ACCOUNTABILITY REPORT: "ENHANCING THE QUALITY OF LIFE" HOMEWOOD RETIREMENT CENTERS 2014 SOCIAL ACCOUNTABILITY REPORT HOMEWOOD RETIREMENT CENTERS OF THE UNITED CHURCH OF CHRIST, INC. IS A FAITH-BASED, NOT-FOR-PROFIT 501(C)(3) ORGANIZATION ESTABLISHED TO "PROVIDE COMPASSIONATE, PROFESSIONAL, AND CARING SERVICE; AND ENHANCE THE QUALITY OF LIFE FOR RESIDENTS, CLIENTS, AND CO-WORKERS (MISSION STATEMENT)." HOMEWOOD RETIREMENT CENTERS HAS CONSISTENTLY PARTICIPATED IN AND HAS HELPED TO DEVELOP PROGRAMS THAT SERVE THE BROADER COMMUNITY, THOSE WITH LIMITED RESOURCES, AS WELL AS ITS OWN RESIDENTS. WE ARE PLEASED TO PROVIDE THIS SUMMARY FROM OUR ANNUAL SOCIAL ACCOUNTABILITY REPORT. AS A NOT-FOR-PROFIT, TAX-EXEMPT ORGANIZATION, HOMEWOOD RETIREMENT CENTERS FROM ITS VERY BEGINNINGS HAS PROVIDED RESOURCES TO HELP SERVE OUR COMMUNITY WHILE ALSO PROVIDING OPPORTUNITIES FOR COMMUNITY MEMBERS TO LEARN FROM AND INTERACT WITH SENIOR CITIZENS. THE COMPLETE ANNUAL REPORT ON SOCIAL ACCOUNTABILITY IS AVAILABLE TO THE PUBLIC ON REQUEST. THE FOLLOWING REFLECTS ACTIVITIES IN 2014, AND INCLUDES THE ACTIVITIES FOR THE CORPORATE CENTER IN WILLIAMSPORT, MARYLAND, AND FOR HOMEWOOD'S SUBSIDIARY OPERATIONS IN WILLIAMSPORT AND FREDERICK, MARYLAND; HANOVER, MARTINSBURG, AND EVERETT, PENNSYLVANIA. EXECUTIVE SUMMARY HOMEWOOD RETIREMENT CENTERS HAS CONSISTENTLY PARTICIPATED IN AND HAS HELPED TO DEVELOP PROGRAMS THAT SERVE THE BROADER COMMUNITY, THOSE WITH LIMITED RESOURCES, AS WELL AS ITS OWN RESIDENTS. VOLUNTEER HOURS DONATED RESIDENTS, CO-WORKERS AND COMMUNITY MEMBERS CONTRIBUTED THE FOLLOWING IN 2014 AND 2013 (VALUES ARE BASED ON ACCEPTABLE RATES ESTABLISHED BY MARYLAND AND PENNSYLVANIA): HOMEWOOD AT WILLIAMSPORT, WILLIAMSPORT, MARYLAND CONTRIBUTED 16,539 HOURS VALUED AT 420,587 IN 2014, AND 14,721 HOURS VALUED AT 339,319 IN 2013; HOMEWOOD AT CRUMLAND FARMS, FREDERICK, MARYLAND, CONTRIBUTED 51,984 HOURS VALUED AT 1,321,953 IN 2014, AND 50,176 HOURS VALUED AT 1,156,557 IN 2013; HOMEWOOD AT PLUM CREEK, HANOVER, PENNSYLVANIA, CONTRIBUTED 48,000 HOURS VALUED AT 1,053,120 IN 2014, AND 40,000 HOURS VALUED AT 850,000 IN 2013; HOMEWOOD AT MARTINSBURG, MARTINSBURG, PENNSYLVANIA, CONTRIBUTED 37,000 HOURS VALUED AT 811,780 IN 2014, AND 33,040 HOURS VALUED AT 702,100 IN 2013; HOMEWOOD AT SPRING HOUSE ESTATES, EVERETT, PENNSYLVANIA, WHICH IS A RELATIVELY NEW SITE WITH A SMALL STAFF, CONTRIBUTED 1,830 HOURS VALUED AT 40,150 IN 2014, AND 1,043 HOURS VALUED AT 22,164 IN 2013; A TOTAL OF 155,353 HOURS WERE CONTRIBUTED IN 2014 VALUED AT 3,647,590 VS. 2013 TOTALS OF 138,980 HOURS VALUED AT 3,070,140. THAT IS AN INCREASE OF 18.8 PERCENT. MONETARY CONTRIBUTIONS REPORTED BY THE SITES TOTAL CONTRIBUTIONS IN DOLLARS REPORTED BY THE HOMEWOOD FOUNDATION WERE 1,462,952. THIS INCLUDES ALL SITE CONTRIBUTIONS, BEQUESTS, APPEALS AND OTHER FUNDRAISING EFFORTS. SUBSIDIES THE HOMEWOOD FAMILY PRIDES ITSELF ON ITS ABILITY TO PROVIDE BENEVOLENT CARE TO RESIDENTS WHO HAVE DEPLETED THEIR ASSETS THROUGH NO FAULT OF THEIR OWN AND FOR SHORTFALLS NOT REIMBURSED UNDER MEDICAID AND MEDICARE. FOR 2014, SUBSIDIZED ALLOWANCES TO RESIDENTS UNABLE TO PAY FULLY ESTABLISHED RATES AND PAYMENTS FOR ITEMS NOT REIMBURSED TOTALED 9,616,515. NOTE THE FOLLOWING: HOMEWOOD AT WILLIAMSPORT 1,798,342 HOMEWOOD AT CRUMLAND FARMS 2,596,527 HOMEWOOD AT PLUM CREEK 2,742,487 HOMEWOOD AT MARTINSBURG 2,479,158 HOMEWOOD AT SPRING HOUSE ESTATES HAD NO REIMBURSEMENT ACTIVITY IN 2014 BECAUSE OF THE NATURE OF ITS FACILITIES. 2014 SOCIAL ACCOUNTABILITY SNAPSHOTS FOLLOWING ARE SOME HIGHLIGHTS OF EACH HOMEWOOD SITE'S ENGAGEMENT IN SOCIAL ACCOUNTABILITY FOR 2014. IT'S INTERESTING TO OBSERVE HOW DIVERSE EACH HOMEWOOD OPERATING SITE IS. AT WILLIAMSPORT, MARYLAND, MORE THAN 100 STUDENTS IN NURSING PROGRAMS, PHYSICAL THERAPY, SOCIAL WORK AND THERAPEUTIC RECREATION GAINED VALUABLE EXPERIENCE AND TRAINING COMPLETING CLINICAL ROTATIONS, INTERNSHIPS AND OBSERVATIONS WITH OUR PROFESSIONAL STAFF. RESIDENTS PUT THEIR KNITTING AND SEWING SKILLS TO WORK CREATING BLANKETS, BABY ITEMS TO DONATE TO LOCAL HOSPITALS, WOMEN'S SHELTERS AND LOCAL DAY CARE PROGRAMS. DEVELOPMENTALLY DISABLED STUDENTS FROM WILLIAMSPORT HIGH SCHOOL WORKED WITH HOUSEKEEPING STAFF AND INTERACTED WITH RESIDENTS. HEALTH CARE RESIDENTS RECEIVED CHRISTMAS GIFTS THROUGH THE TRADITIONAL "OPERATION SANTA" THANKS TO THE LOCAL CHURCHES, AREA RESIDENTS, HOMEWOOD RESIDENTS AND CO-WORKERS. HOMEWOOD CO- WORKERS PARTICIPATED IN COMMUNITY SERVICE THROUGH MEMBERSHIP IN CIVIC ORGANIZATIONS SUCH AS ROTARY AND SERVE OUR YOUTH AS GIRL SCOUT LEADERS. NUMEROUS ORGANIZATIONS BENEFITED FROM THE GENEROSITY OF HOMEWOOD RESIDENTS AND CO- WORKERS INCLUDING THE RED CROSS, THE ALZHEIMER'S ASSOCIATION, HOSPICE, THE LIONS CLUB, AND THE HUMANE SOCIETY WHERE NURSING HOME RESIDENTS MADE HOMEMADE DOG TREATS. AT CRUMLAND FARMS, FREDERICK, MARYLAND, THE ARC OF FREDERICK COUNTY BENEFITTED FROM OUR SITE PROVIDING A LEARNING ENVIRONMENT AND SUPPORT SERVICES FOR LOCAL CITIZENS WITH DISABILITIES. STUDENTS FROM THE "CHALLENGES IV PROGRAM," A SCHOOL-BASED PROGRAM FOR STUDENTS DEVELOPING THEIR COMMUNICATION AND WORK FORCE SKILLS, SPEND CONSIDERABLE TIME HELPING RESIDENTS. GUIDING EYES FOR THE BLIND USED HOMEWOOD AS A TRAINING SITE FOR ITS LEADER DOGS. HOMEWOOD REACHED OUT TO THE "WAY STATION" BY PROVIDING A WORK OPPORTUNITY FOR ADULTS WHO HAVE MENTAL ILLNESS AND DEVELOPMENTAL DISABILITIES. PERHAPS THE MOST POPULAR ACTIVITY FOR OUR RESIDENTS WAS THEIR PARTICIPATION AS VOLUNTEERS FOR THE "SUNSHINE READERS" PROGRAM AT LOCAL ELEMENTARY SCHOOLS. THE RESIDENTS SPEND TIME EACH WEEK WITH STUDENTS TO ENHANCE READING AND MATH SKILLS. BOTH CAREER TECH AND SHEPHERD UNIVERSITY UTILIZED CRUMLAND FARMS FOR A RN AND LPN CLINICAL TRAINING SITE. THE RELIGIOUS LIFE COMMITTEE DIRECTED WEEKLY CHAPEL OFFERINGS TO A VARIETY OF LOCAL AND GLOBAL CAUSES. AT PLUM CREEK, HANOVER, PENNSYLVANIA, THE GETTYSBURG ASSOCIATION OF MINISTERS WAS A FREQUENT VISITOR TO HOMEWOOD HOSTING DINNERS AND PROGRAMS AT OUR FACILITY. NUMEROUS PERFORMANCE OPPORTUNITIES WERE MADE AVAILABLE DURING THE YEAR TO PROMISING AREA MUSICIANS AND VOCALISTS. RESIDENTS KNITTED BEANIES FOR PREMATURE BABIES HERE IN THE US AND AFRICA. HAPPY TRAILS THERAPY DOGS VISITED HOMEWOOD RESIDENTS WEEKLY. BOOKS WERE DONATED TO PRISON MINISTRIES AND AMVETS. HOMEWOOD'S CHAPLAINS PROVIDED PASTORAL CARE TO LOCAL STATE POLICE UNITS AND FIRE DEPARTMENTS. HOMEWOOD PROVIDED MORE THAN 1,000 HOURS TO RN, LPN, AND NA CANDIDATES FOR CLINICAL TRAINING. AT MARTINSBURG, PENNSYLVANIA, THE CO-WORKERS AND RESIDENTS PUT TOGETHER CHRISTMAS CARE PACKAGES FOR THE "OPERATION S.O.S." PROGRAM FOR THE LOCAL SOLDIERS SERVING OVERSEAS. AT HALLOWEEN, LITTLE GHOSTS AND GOBLINS FROM THE COMMUNITY CAME TO HOMEWOOD TO ENJOY A SAFE PLACE TO TRICK OR TREAT. A RED CROSS BLOOD DRIVE TALLIED 120 PINTS OF LIFE- SAVING BLOOD DONATED FOR HOSPITALS TO USE. THE RESIDENTS AND CO-WORKERS PROVIDED A SIGNIFICANT MONETARY CONTRIBUTION TO THE UCC RELIEF FUND FOR U.S. DISASTER RELIEF. HEIFER INTERNATIONAL, LOCAL ORGANIZATIONS AND AREA SCHOOLS WERE AMONG THE NUMEROUS PROJECTS SUPPORTED. PENN STATE RN AND CNA STUDENTS BENEFITTED FROM HOMEWOOD AS A CLINICAL SITE ALL YEAR LONG. AT SPRING HOUSE ESTATES, EVERETT, PENNSYLVANIA, HOMEWOOD LENT ITS FACILITIES AND CO-WORKERS TO HELP OUT AT THE ANNUAL UPMC HEALTH FAIR. BEDFORD AND EVERETT AREA RESIDENTS GET FREE HEALTH SCREENINGS, IMPORTANT HEALTH INFORMATION, PHYSICIAN REFERRAL, AND MULTIPHASIC BLOOD SCREENINGS. MORE THAN 35 VENDORS ATTEND THIS FAIR. RESIDENTS PARTICIPATED IN THE PRAYER SHAWL MINISTRY AND LENT SUPPORT TO THE BREEZEWOOD TRUCK TRAVELERS MINISTRY. THE AMERICAN CANCER SOCIETY USED THE HOMEWOOD SITE AS A PLANNING VENUE FOR ITS ANNUAL "RELAY FOR LIFE" EVENT. |
| FORM 990, PAGE 2, PART III, LINE 4A | BEDS. THE NURSING HOME BEDS ARE PROVIDED FOR SKILLED AND SPECIAL MEMORY CARE. |
| FORM 990, PART V | LINE 1(A): REGARDING NUMBER OF U.S. INFORMATION RETURNS-SEE PDF ATTACHMENT LINE 2(A): REGARDING NUMBER OF EMPLOYEES - SEE PDF ATTACHMENT |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS PROVIDED TO THE CHIEF FINANCIAL OFFICER FOR SIGNATURE AND AT THAT TIME A CURSORY REVIEW TAKES PLACE. THE FORM 990 IS NOT PRESENTED TO THE BOARD OF TRUSTEES. THE TRUSTEES ARE TOLD THE FORM 990 HAS BEEN FILED AND IS AVAILABLE UPON REQUEST. |
| FORM 990, PAGE 6, PART VI, LINE 15A | EXECUTIVE COMPENSATION PHILOSOPHY THE INDEPENDENT EXECUTIVE COMPENSATION COMMITTEE OF THE HOMEWOOD RETIREMENT CENTERS BOARD OF TRUSTEES WILL DETERMINE THE TOTAL COMPENSATION PHILOSOPHY AND COMPENSATION PACKAGES FOR SENIOR MANAGEMENT (PRESIDENT/CEO AND VICE PRESIDENTS). THE EXECUTIVE COMPENSATION COMMITTEE WILL BE STRUCTURED, AND WILL OPERATE, IN A MANNER INTENDED TO SATISFY THE REQUIREMENTS OF THE IRS "INTERMEDIATE SANCTIONS" RULES. HOMEWOOD'S GOAL FOR SALARY RANGES AND INCENTIVE PLANS ARE LINKED TO THE 60TH PERCENTILE MARKET LEVELS FOR CCRCS AND SENIOR HOUSING/SERVICES ORGANIZATIONS REFLECTING REGIONAL AND NATIONAL BENCHMARKS. DEFERRED OR SUPPLEMENTAL BENEFITS/COMPENSATION PLANS WILL BE USED TO SUPPORT RETENTION AND SMOOTH SUCCESSION PLANNING FOR SENIOR MANAGEMENT WITH BENEFIT LEVELS TARGETED AT 60TH PERCENTILE MARKET LEVELS FOR THE CEO AND FOR THE VICE PRESIDENTS. BENEFITS AND PERQUISITES FOR SENIOR MANAGEMENT WILL REFLECT 60TH PERCENTILE MARKET PRACTICES. THE EXECUTIVE PAY PLAN ARCHITECTURE USED FOR IMPLEMENTATION OF THIS PHILOSOPHY WILL BE APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE FROM TIME TO TIME. THE CEO WILL BE RESPONSIBLE FOR MAKING RECOMMENDATIONS TO THE COMMITTEE CONCERNING SUBORDINATE PAY, ENSURING THAT THOSE RECOMMENDATIONS REFLECT HOMEWOOD'S OVERALL PHILOSOPHY. THE EXECUTIVE COMPENSATION COMMITTEE WILL KEEP THE FULL BOARD INFORMED OF KEY DECISIONS, AND WILL CONSIST OF INDEPENDENT DECISION MAKERS WHO DO NOT PERFORM PAID SERVICES FOR HOMEWOOD AND WHO OTHERWISE MEET THE "NO CONFLICT-OF-INTEREST" RULES OF THE IRS INTERMEDIATE SANCTIONS RULES. TRUSTEES APPROVED: SEPTEMBER 2006, DECEMBER 2012, APRIL 9, 2015 EXECUTIVE COMPENSATION PLAN ARCHITECTURE HOMEWOOD'S EXECUTIVE REWARD PLAN IS DESIGNED TO SUPPORT A "BEST PRACTICES" APPROACH TO THE GOVERNANCE OF EXECUTIVE PAY UTILIZING THE FOLLOWING COMPONENTS: 1. TOTAL COMPENSATION PRACTICES WILL BE BENCHMARKED TO COMPARABLE CCRCS AND SENIOR HOUSING/SERVICE ORGANIZATIONS REFLECTING REGIONAL AND NATIONAL RESULTS AT THE 60TH PERCENTILE MARKET LEVELS FOR TOTAL ANNUAL CASH COMPENSATION, WITH EARNINGS OPPORTUNITIES TIED TO MISSION, PERFORMANCE, AND GROWTH GOALS. MULTIPLE SURVEYS WILL BE USED TO IDENTIFY THEMES AND TRENDS. TOTAL COMPENSATION CONSISTS OF BASE COMPENSATION, INCENTIVE COMPENSATION, RETIREMENT COMPENSATION AND PERQUISITES/BENEFITS. 2. THE EXECUTIVE REWARD PLAN WILL GENERALLY USE NON-QUALIFIED DEFERRED COMPENSATION PLANS AS A RETENTION METHOD FOR THE CEO AND VPS WITH BENEFIT LEVELS TARGETED AT 60TH PERCENTILE MARKET LEVELS FOR THE CEO AND VPS. THE EXECUTIVE REWARD PLAN SHOULD SUPPORT RECRUITMENT AND RETENTION AS WELL AS SMOOTH SUCCESSION OF THE CEO AND VPS. THE EXECUTIVE REWARD PLAN WILL GENERALLY USE A MODERATE LEVEL OF INCENTIVE OR "AT RISK" COMPENSATION TO MOTIVATE AND REWARD THE EXECUTIVE TEAM'S PERFORMANCE. 3. THE EXECUTIVE COMPENSATION COMMITTEE WILL BE RESPONSIBLE FOR MANAGING THE PARTICIPANTS' REWARD PACKAGE, WITH THE CEO BEING RESPONSIBLE FOR MAKING RECOMMENDATIONS TO THE COMMITTEE CONCERNING SUBORDINATE REWARD PACKAGES, REFLECTING HOMEWOOD'S OVERALL PHILOSOPHY. 4. THE COMMITTEE WILL MEET SEMI-ANNUALLY OR MORE OFTEN AS NEEDED AND KEEP THE FULL BOARD INFORMED; ENSURING THAT THE BOARD KNOWS THE PROCESSES USED BY THE COMMITTEE AND ALL KEY DECISIONS RELATED TO THE CEO'S AND VPS' PAY. THE COMMITTEE WILL PROTECT THE CONFIDENTIALITY OF INCUMBENT EXECUTIVE DATA IN ALL REPORTS TO THE FULL BOARD. 5. THE EXECUTIVE COMPENSATION COMMITTEE SHALL CONSIST OF INDEPENDENT DECISION MAKERS WHO DO NOT PERFORM PAID SERVICES FOR HOMEWOOD AND WHO OTHERWISE SATISFY THE "NO CONFLICT-OF-INTEREST" RULES OF THE IRS INTERMEDIATE SANCTIONS RULES. THE CHAIR OF THE COMMITTEE IS APPOINTED BY THE COMMITTEE. THE COMMITTEE WILL CONSIST OF FIVE TO SEVEN MEMBERS FROM THE TRUSTEES. THE COMMITTEE WILL SELECT AND APPROVE COMMITTEE MEMBERS. DETAILED MINUTES OF THE MEETINGS ARE KEPT AND APPROVED AT THE NEXT FOLLOWING COMMITTEE MEETING. 6. AFFIRM ANNUALLY COMPLIANCE WITH THE VARIOUS REQUIREMENTS OF THE IRS INTERMEDIATE SANCTIONS RULES IN ORDER TO ENSURE ENJOYMENT OF THE "REBUTTABLE PRESUMPTION" OF REASONABLENESS OF HOMEWOOD'S EXECUTIVE COMPENSATION PACKAGES. 7. WORK DIRECTLY WITH INDEPENDENT ADVISORS AND/OR RECEIVE SALARY SURVEYS FROM THIRD PARTIES. 8. A COPY OF THE EXECUTIVE COMPENSATION PORTIONS OF HOMEWOOD'S ANNUAL FORM 990, AS PROFESSIONALLY PREPARED BY HOMEWOOD'S AUDITORS AND REVIEWED BY HOMEWOOD'S EXECUTIVE COMPENSATION COUNSEL, WILL BE REVIEWED BY THE COMMITTEE. ECC APPROVED NOVEMBER 21, 2006, REVISED 11/6/08, 6/4/10 EXECUTIVE COMPENSATION PLAN FRAMEWORK THE EXECUTIVE COMPENSATION FRAMEWORK PROVIDES THE DETAILS AND PROCESS IN MEETING THE OBJECTIVES OF THE COMPENSATION PHILOSOPHY AND ARCHITECTURE. THE REFERENCE TO EXECUTIVES IN THIS DOCUMENT INCLUDES THE PRESIDENT/CEO AND THE VICE PRESIDENTS. 1. HOMEWOOD WILL PRIMARILY USE THE MOST RECENT CEMO (AAHSA), ERI SENIOR CARE AND THE HCS SURVEYS TO BENCHMARK BASE SALARIES AS WELL AS INCENTIVE COMPENSATION. THE AVERAGE OF THE THREE MID POINTS WILL BE USED AS THE METHOD TO DETERMINE THE 60TH PERCENTILE RANGE. THE VPHR WILL PROVIDE SUMMARY DATA OF THE SURVEYS AND A TALLY SHEET OF CURRENT TOTAL COMPENSATION FOR THE CEO AND VPS'. THE SURVEYS WILL ALSO BE AVAILABLE FOR REVIEW. ANALYSIS AND SUMMARY OF SURVEY DATA WILL GENERALLY BE ADMINISTERED BY AN INDEPENDENT THIRD PARTY CONSULTANT. 2. HOMEWOOD'S GOAL IS TO FIRST HAVE THE BASE WAGE, AT A MINIMUM, AT THE MID POINT. HOMEWOOD'S GOAL WILL ALSO BE TO HAVE THE INCENTIVE PLAN AND RETENTION PLAN AT THE 60TH PERCENTILE RANGE. WHEN COMBINED, THE TOTAL COMPENSATION SHOULD BE AT THE 60TH PERCENTILE RANGE AS WELL. 3. HOMEWOOD'S EXECUTIVE COMPENSATION WILL HAVE FOUR COMPONENTS. ALL COMPONENTS WILL SUPPORT THE RETENTION, REWARD AND SMOOTH SUCCESSION PLANNING OF EACH POSITION. A) BASE COMPENSATION: SALARY. B) INCENTIVE COMPENSATION: THIS WILL BE IN THE FORM OF TAXABLE COMPENSATION OR ADDITIONAL EMPLOYER CONTRIBUTION TO THE 401A PLAN AS DETERMINED BY HOMEWOOD. THIS MAY ALSO BE AN EMPLOYER CONTRIBUTION TO THE 457(B) PLAN. THIS IS VARIABLE PAY BASED ON HOMEWOOD'S PERFORMANCE. AN INDIVIDUAL MAY REQUEST THAT A PORTION (UP TO APPLICABLE IRS LIMITS AND SUBJECT TO APPLICABLE IRS DEADLINES) OF THE PORTION PAID IN TAXABLE COMPENSATION BE MADE AS A SALARY REDUCTION TO THEIR 403(B) PLAN ACCOUNT OR 457(B) PLAN ACCOUNT. THIS AMOUNT IS IN ADDITION TO THE NORMAL HOMEWOOD RETIREMENT BENEFIT CONTRIBUTION TO THE 401(A) PLAN. C) RETIREMENT COMPENSATION: EXECUTIVES' HOMEWOOD-PROVIDED RETIREMENT BENEFITS INCLUDE THE OF SOCIAL SECURITY PAID FOR BY THE EMPLOYER, BENEFITS UNDER HOMEWOOD'S TAX-QUALIFIED 401(A) PLAN, AND BENEFITS UNDER A NONQUALIFIED DEFERRED COMPENSATION PLAN THAT WILL SUPPLEMENT THE SOCIAL SECURITY AND 401(A) RETIREMENT BENEFITS WITH AN EMPHASIS TO SUPPORT RETENTION. EMPLOYER CONTRIBUTIONS TO THE NONQUALIFIED 457(F) PLAN ARE VARIABLE PAY BASED ON HOMEWOOD'S PERFORMANCE. D) PERQUISITES AND BENEFITS: IN ADDITION TO HOMEWOOD'S BASE BENEFIT PACKAGE. 4. THE COMMITTEE WILL REVIEW BEST PRACTICE BENCHMARK INFORMATION INCLUDING FINANCIAL RATIOS AND TREND ANALYSIS WITH COMPARABLE MULTI-FACILITY CCRC'S. PERFORMANCE BENCHMARKS USED: A) MISSION B) OPERATING MARGIN RATIO C) BUDGET COMPARED TO ACTUAL (EXCESS INCOME OVER BUDGET MUST BE 200,000) D) DAYS IN ACCOUNTS RECEIVABLE E) RESIDENT/CO-WORKER SATISFACTION SURVEYS F) CENSUS G) DEBT SERVICE RATIO 5. THE COMMITTEE WILL APPROVE THE CEO AND VICE PRESIDENTS BASE COMPENSATION, INCENTIVE COMPENSATION, RETIREMENT COMPENSATION AND PERQUISITES AND BENEFITS AT THE EXECUTIVE COMPENSATION COMMITTEE MEETING. A COMPENSATION FORM WILL BE SIGNED BY THE CHAIR AND WILL BE INCLUDED AS PART OF THE MINUTES FOR THE MEETING. THE VPHR WILL IMPLEMENT THE NECESSARY CHANGES. THE COMMITTEE WILL MEET PERIODICALLY THROUGHOUT THE YEAR TO REVIEW WAGE INFORMATION AND PERFORMANCE BENCHMARK STATISTICS. ECC APPROVED NOVEMBER 21, 2006, REVISED 6/4/10 |
| FORM 990, PAGE 6, PART VI, LINE 15B | WAGE ADMINISTRATION GUIDELINES FOR THE CALENDAR BUDGET YEAR 2014 HOMEWOOD'S WAGE ADMINISTRATION PROGRAM LOOKS AT BASE PAY RATES THAT TAKE INTO CONSIDERATION IF IT IS: O INTERNALLY EQUITABLE. O EXTERNALLY COMPETITIVE. O AFFORDABLE/COST EFFECTIVE. O LEGAL/DEFENSIBLE. O UNDERSTANDABLE. O APPROPRIATE FOR THE ORGANIZATION. O APPROPRIATE FOR THE WORKFORCE. HOMEWOOD'S WAGE ADMINISTRATION PROGRAM APPLIES PRINCIPLES TO ASSIST IN THE RETENTION AND RECRUITMENT OF CO-WORKERS. HOMEWOOD'S GOAL IS TO PAY WAGES IN THE 60TH PERCENTILE IN THE LONG TERM CARE INDUSTRY FOR MOST POSITIONS TAKING INTO CONSIDERATION THE GEOGRAPHIC AREA. SOME POSITIONS REQUIRE A HIGHER PERCENTAGE DUE TO MARKET CONDITIONS. HOMEWOOD WILL USE THE PA LEADINGAGE STATE WAGE SURVEY TO BENCHMARK STARTING WAGES, IMPLEMENT MARKET WAGE ADJUSTMENTS AND REVIEW WAGE CEILINGS. OTHER WAGE SURVEYS WILL ALSO BE USED TO COMPARE DATA IN OUR INDUSTRY AS WELL AS OTHER INDUSTRIES. HOMEWOOD'S GOAL FOR THE STARTING WAGE AND AVERAGE WAGE WILL BE THE 60TH PERCENTILE. WHEN EITHER THE AVERAGE WAGE OR STARTING WAGE DOES NOT MEET THIS STANDARD A MARKET WAGE ADJUSTMENT WILL BE CONSIDERED. IT IS AT HOMEWOOD'S DISCRETION TO HAVE A HIGHER PERCENTILE THAN THE 60TH FOR SOME POSITIONS. A MARKET ADJUSTMENT IS CONSIDERED WHEN A SPECIFIC POSITION IS DETERMINED TO BE BELOW THE 60TH PERCENTILE FOR THAT GEOGRAPHIC AREA. THE MARKET ADJUSTMENT IS DETERMINED BY THE DOLLARS NEEDED TO REACH THE 60TH PERCENTILE. A FIXED DOLLAR AMOUNT IS GIVEN TO CO-WORKERS IN THAT JOB CATEGORY. HOMEWOOD DOES NOT WANT TO HAVE A PRACTICE WHERE POSITIONS ARE IN THE 95TH OR ABOVE PERCENTILE OF THE PA LEADINGAGE STATE WAGE SURVEY. WAGE INCREASES FOR CO-WORKERS AT OR ABOVE THE 95TH PERCENTILE WILL RECEIVE 50% OF THEIR PERFORMANCE WAGE INCREASE. HOMEWOOD'S UNDERLYING PHILOSOPHY FOR WAGE INCREASES WILL BE BASED ON PERFORMANCE, ON THE POSITION, ON THE CURRENT PAY RATE AND MARKET COMPARISONS. HOMEWOOD EVALUATES AND CONSIDERS HOW SOMEONE IS CURRENTLY PAID BEFORE DETERMINING THE APPROPRIATE WAGE ADJUSTMENT. THE WAGE ADMINISTRATION PROGRAM IS PROVIDED TO SERVE AS A GUIDELINE IN A SYSTEMATIC APPROACH TO WAGE INCREASES. WAGE INCREASES FOR THE CALENDAR YEAR 2014 ARE SEPARATED INTO THE FOLLOWING THREE COMPONENTS: 1. THE AVERAGE WAGE OF EACH JOB CATEGORY (OR ANOTHER DETERMINED WAGE BASED ON WAGE SURVEYS) WILL BE USED AS THE BASIS TO ESTABLISH THE WAGE INCREASE. A PAY GRID IS ESTABLISHED FOR EACH POSITION WHICH HAS A DOLLAR/CENTS AMOUNT LINKED TO THE EVALUATION POINTS. WAGE ADJUSTMENTS ARE ADMINISTERED BASED ON THE CO-WORKER'S PERFORMANCE AND DOES NOT TAKE INTO CONSIDERATION LONGEVITY. EXAMPLE: IF ALL CO-WORKERS IN A JOB CATEGORY HAVE THE SAME TOTAL POINTS FROM THE EVALUATION THEY ALL WILL RECEIVE THE SAME DOLLAR/CENTS PER HOUR INCREASE. 2. AN ADDITIONAL INCREASE MAY BE APPROVED IF PARTICULAR POSITION(S) ARE DETERMINED TO BE BELOW THE MARKET VALUE FOR THAT AREA. THIS INCREASE IS NOT REFLECTIVE OF THE CO-WORKER'S PERFORMANCE OR LONGEVITY. IT IS SOLELY BASED ON THE NEED TO BECOME MORE COMPETITIVE WITH THE SALARY. THE VICE PRESIDENT-HUMAN RESOURCES WILL MAKE RECOMMENDATIONS FOR SPECIAL CONSIDERATION. SITE EXECUTIVES WILL MAKE FINAL RECOMMENDATIONS TO THE VICE PRESIDENT-HUMAN RESOURCES FOR SENIOR MANAGEMENT FINAL APPROVAL. 3. THE FOLLOWING WILL BE USED FOR THE DEPARTMENT DIRECTOR POSITIONS. AN INCREASE OF UP TO A MAXIMUM OF 3.25% MAY BE AWARDED WHERE PERFORMANCE EXCEEDS THE NORM IN ALL AREAS AND IS DOCUMENTED IN WRITING IN THE PERFORMANCE APPRAISAL PROCESS. THIS INCREASE WOULD BE CONSISTENT WITH OTHER DIRECTOR'S WHOSE PERFORMANCE IS SIMILAR. THE PERFORMANCE WAGE ADJUSTMENT GRID WILL USE THE PARAMETER OF THE AVERAGE WAGE BEING SET AT 2.75% FOR THE 2014 YEAR. CO-WORKERS ACTIVELY EMPLOYED AS OF JANUARY 5, 2014 MAY BE ELIGIBLE FOR THE WAGE INCREASE. GENERALLY, CO-WORKERS WHO HAVE NOT COMPLETED THE INTRODUCTORY PERIOD WOULD RECEIVE A 1.75% ADJUSTMENT. (IN LIEU OF ANY ADJUSTMENT, A CO-WORKER WHO IS HIRED IN DECEMBER MAY BE PAID THE NEW 2014 STARTING RATE.) WAGE INCREASES WILL BE EFFECTIVE THE PAY PERIOD OF JANUARY 5, 2014 TO JANUARY 18, 2014 FOR THE JANUARY 24, 2014 PAY DAY. PERFORMANCE IS THE KEY FACTOR- NOT LENGTH OF SERVICE- FOR WAGE INCREASE CONSIDERATION. THE MERE FACT THAT A CO-WORKER HAS CONTINUED TO BE EMPLOYED BY HOMEWOOD IS NOT JUSTIFICATION FOR A WAGE ADJUSTMENT. WAGE ADJUSTMENTS MUST BE BASED UPON A THOROUGH REVIEW OF A CO-WORKER'S PERFORMANCE. EACH SUPERVISOR WILL CONDUCT A FORMAL PERFORMANCE EVALUATION ANNUALLY. THIS TIME IS USED TO PROVIDE OPPORTUNITY FOR FURTHER DEVELOPMENT TO THE CO-WORKER, SUMMARIZING EVENTS ALREADY DISCUSSED THROUGHOUT THE YEAR. THE EVALUATIONS SHOULD BE DONE DURING THE MONTHS OF NOVEMBER AND DECEMBER. IF A CO-WORKER'S JOB PERFORMANCE DOES NOT JUSTIFY ANY INCREASE, THE CO-WORKER SHOULD BE PLACED ON PROBATION AND IF IMPROVEMENT IS NOT EVIDENT, TERMINATION OF EMPLOYMENT IS APPROPRIATE. STARTING WAGE RATES FOR POSITIONS WILL BE ESTABLISHED THROUGH THE BUDGET PROCESS. HUMAN RESOURCES WILL DISTRIBUTE A WORKSHEET TO INITIATE THE PROCESS. THESE RATES ARE ESTABLISHED FOR EACH FACILITY WITH FINAL HUMAN RESOURCES APPROVAL. STARTING PAY RATES ARE INTENDED TO KEEP EACH POSITION COMPETITIVE WITHIN THE JOB MARKET. TRUSTEE APPROVED 6/6/13 |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. MUCH OF THE INFORMATION IS MADE AVAILABLE TO THE RESIDENTS AS PART OF THE DISCLOSURE STATEMENTS REQUIRED BY THE STATES. |
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