2024-11-05T14:00:37-06:00 2023-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2023-01-01 236276101 MENNO-HAVEN INC MENN 7172621000 2011 SCOTLAND AVENUE CHAMBERSBURG PA 17201 RYAN FRITZ CFO 7172621000 2024-11-05 1 1 X KERRI N BOGDA CPA P00760402 7177404863 2024-11-05 2023 2024-10-15 13:58:12Z TIFFANY RIFE 2011 SCOTLAND AVENUE CHAMBERSBURG PA 17201 63339545 0 X WWW.MENNOHAVEN.ORG X 1964 PA OUR MISSION IS TO BE AN INNOVATIVE ORGANIZATION THAT NURTURES THE HUMAN SPIRIT. 11 10 819 249 177422 0 1419260 1952189 51754663 55373638 2870680 2685206 1358364 1797527 57402967 61808560 16776 24774 0 0 28235942 30948091 0 0 122818 35406600 37924957 63659318 68897822 -6256351 -7089262 216100333 211148938 186178219 185995489 29922114 25153449 X OUR MISSION IS TO BE AN INNOVATIVE ORGANIZATION THAT NURTURES THE HUMAN SPIRIT, IS PASSIONATE ABOUT SERVICE, AND DEMONSTRATES GOD'S LOVE, ONE PERSON AT A TIME. 0 0 21829272 24774 20687487 MENNO HAVEN INC. OPERATES TWO LIFE PLAN COMMUNITIES IN CHAMBERSBURG, PA. THE BROOKVIEW CAMPUS HOUSES THE MENNO HAVEN REHABILITATION CENTER, A 44-BED, EXCLUSIVELY SHORT-TERM REHABILITATION CENTER. IT IS A MEDICARE LICENSED SKILLED NURSING FACILITY THAT PROVIDES STATE-OF-THE-ART REHABILITATION. IN ADDITION, THE BROOKVIEW COMMUNITY ALSO HAS A 56-BED BROOKVIEW HEALTH CARE CENTER. THE CHAMBERS POINTE CAMPUS OPERATES THE 60-BED CHAMBERS POINTE HEALTH CARE CENTER. EACH OF THESE FACILITIES OFFERS ROOM AND BOARD, NURSING CARE, MEDICAL AND REHABILITATION SERVICES, SOCIAL SERVICES, AND ACTIVITY PROGRAMS. 14460890 0 13704510 MENNO HAVEN INC. OPERATES TWO LIFE PLAN COMMUNITIES IN CHAMBERSBURG, PA. EACH CAMPUS OPERATES LICENSED PERSONAL CARE AND RESIDENTIAL LIVING FACILITIES. THE BROOKVIEW CAMPUS OPERATES THE VILLAGE SQUARE PERSONAL CARE, WHICH HAS 108 UNITS IN SERVICE, AND PROVIDES ROOM AND BOARD, LIMITED NURSING CARE, AND MEDICAL AND REHABILITATION SERVICES ALONG WITH SOCIAL, WELLNESS, AND ACTIVITY PROGRAMS. THE CHAMBERS POINTE CAMPUS OPERATES TWO PERSONAL CARE FACILITIES. THE MANOR PERSONAL CARE, WHICH HAS 73 UNITS IN SERVICE, PROVIDES ROOM AND BOARD, LIMITED NURSING CARE, AND MEDICAL AND REHABILITATION SERVICES ALONG WITH SOCIAL, WELLNESS, AND ACTIVITY PROGRAMS. ADDITIONALLY, MENNO HAVEN'S TWO 12-BED MEMORY CARE HOMES OPERATE AT THE PERSONAL CARE LEVEL OF CARE IN THE HOUSEHOLD MODEL. 18959153 0 17967490 MENNO HAVEN INC. OPERATES TWO LIFE PLAN COMMUNITIES IN CHAMBERSBURG, PA. EACH CAMPUS OPERATES A VARIETY OF INDEPENDENT LIVING ("IL") UNITS FOR INDIVIDUALS AND COUPLES WHO WISH TO MAINTAIN MORE INDEPENDENCE BUT DESIRE THE ACCESS TO THE FOLLOWING CONTINUING CARE SERVICES: EMERGENCY NURSE CALL, WELLNESS CHECKS, WELLNESS PROGRAMS, CULINARY SERVICES, GROUNDS, MAINTENANCE, AND TRANSPORTATION SERVICES AS WELL AS ACCESS TO THE OTHER LEVELS OF SERVICES PROVIDED AT MENNO HAVEN. THE BROOKVIEW CAMPUS HAS 85 IL VILLAS, 202 IL COTTAGES, AND 53 IL APARTMENTS. THE CHAMBERS POINTE CAMPUS HAS 112 IL COTTAGES AND 45 IL APARTMENTS. 3180508 0 3014151 MENNO HAVEN, INC. OPERATES HOME AND COMMUNITY BASED SERVICES, WHEREBY THE ORGANIZATION PROVIDES HOME CARE SERVICES TO INDEPENDENT LIVING RESIDENTS AND THOSE SENIORS WHO ARE LOCAL TO THE COMMUNITY WHERE THEY CAN ACCESS THE SERVICES. 3180508 0 3014151 58429823 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 24 0 819 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA MD X RYAN FRITZ CFO 7172621002 300 RIDGEVIEW LN CHAMBERSBURG PA 17201 WAYNE YEAGER CHAIR 1.60 0.00 X X 0 0 0 SUZANNE TRINH VICE-CHAIR 1.20 0.00 X X 0 0 0 LYNN ROTZ TREASURER 1.00 0.00 X X 0 0 0 MATTHEW NOLT ASST. SECRETARY/TREASURER 0.80 0.00 X X 0 0 0 DARRELL BAER SECRETARY 0.90 0.00 X X 0 0 0 CAROLYN GEORGE BOARD MEMBER 0.90 0.00 X 0 0 0 CHARLENE GINGRICH BOARD MEMBER 0.60 0.00 X 0 0 0 RONALD GIPE BOARD MEMBER 0.90 0.00 X 0 0 0 LYNN MACBRIDE BOARD MEMBER 0.40 0.00 X 0 0 0 PATRICK O'DONNELL BOARD MEMBER 0.70 0.00 X 0 0 0 PAULA WARNER RESIDENT BOARD MEMBER 0.80 0.00 X 0 0 0 HUGH DAVIS CEO 40.00 0.00 X 419172 0 48102 CHARLES NELSON CHIEF DEVELOPMENT OFFICER 40.00 0.00 X 192525 0 20026 ROGER BEINS COO 40.00 0.00 X 179036 0 27145 TIFFANY RIFE COMMUNITY LIFE OFFICER 40.00 0.00 X 186281 0 20751 RYAN FRITZ CFO 40.00 0.00 X 128644 0 9059 LARRY LUGARO DIRECTOR FACILITIES DEVELOPMENT 40.00 0.00 X 173930 0 26760 ROSALYN BURKE ADMINISTRATOR BVHC 40.00 0.00 X 146376 0 26307 ANDREW DIEHL ADMINISTRATOR REHAB 40.00 0.00 X 127658 0 14364 JENNIFER GELWICKS DIRECTOR OF NURSING REHAB 40.00 0.00 X 121443 0 268 CHRISTINA COOVER RN REHAB 40.00 0.00 X 117092 0 14029 1792157 0 206811 21 0 1 0 SELECT REHABILITATION LLC PO BOX 71985 CHICAGO IL 606941985 THERAPY SERVICES 2710061 ECI SERVICES LLC 124 WEST CHURCH ST DILLSBURG PA 17019 CONSTRUCTION SERVICES 1757163 AYA HEALTHCARE INC PO BOX 674907 DALLAS TX 75267 STAFFING SERVICES 1533780 DAVID H MARTIN EXCAVATING 4961 CUMBERLAND HWY CHAMBERSBURG PA 17202 CONSTRUCTION SERVICES 1458366 WAYNESBORO CONSTRUCTION CO INC PO BOX 229 WAYNESBORO PA 17268 CONSTRUCTION SERVICES 852228 21 288122 1664067 23833 1952189 NURSING & PERSONAL CARE 623000 55373638 55373638 55373638 1977666 1977666 204672 86282 118390 118390 118390 2083672 9024 1385156 0 698516 9024 707540 707540 66837 59547 7290 7290 MEALS 900099 1102676 156537 946139 HAIR CARE 900099 92472 92472 RESIDENT SERVICES 900099 87133 87133 389566 20885 368681 1671847 61808560 55373638 177422 4305311 24774 24774 1230738 1230738 23943076 20331997 3554506 56573 470321 350608 116931 2782 3476478 2911219 564243 1016 1827478 1505473 317665 4340 11586 11586 264823 264823 620 620 225767 225767 4211807 3423569 786813 1425 336405 267 336138 3788969 3442251 329229 17489 1354443 60278 1277276 16889 4216886 4211777 5109 259273 231953 25893 1427 172677 18444 152796 1437 6118894 6118894 10191926 10191926 503147 503147 MEDICAL EXPENSES 3935575 3935346 229 UNIT REFURBISHMENTS 776649 776649 MEDICAID NF ASSESSMENT 310449 310449 EMPLOYEE RECOGNITION 225142 223551 1591 1019919 583949 418121 17849 68897822 58429823 10345181 122818 3950 3710 3014693 2698287 447650 340057 2450267 2324476 279014 270831 1215607 1355629 247417386 105135793 144841660 142281593 60863902 58798023 2983590 3076332 216100333 211148938 5882964 5829172 46648910 48374766 123310101 121609090 413767 733634 1701500 1671500 8220977 7777327 186178219 185995489 X 21829830 17097582 8092284 8055867 29922114 25153449 216100333 211148938 X -7089262 2227855 92742 X 0 1 X 1 0 X 4390939 4273486 9972470 1419260 1952189 22008344 47084441 45113093 46499116 51754663 55373638 245824951 51475380 49386579 56471586 53173923 57325827 267833295 15474 28782 18318 5000 18953 86527 0 15474 28782 18318 5000 18953 86527 267746768 1229670 1219247 1549138 1674961 2182338 7855354 1229670 1219247 1549138 1674961 2182338 7855354 815090 722183 999220 1050663 1561262 5148418 53520140 51328009 59019944 55899547 61069427 280837067 0.95340 0.95830 0.02800 0.02530 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: BINGO REVENUE - 2023 AMOUNT: $ 66,837. DRY CLEANING - 2021 AMOUNT: $ 159. 2023 AMOUNT: $ 169. HAIR CARE - 2019 AMOUNT: $ 206,906. 2020 AMOUNT: $ 83,303. 2021 AMOUNT: $ 114,342. 2022 AMOUNT: $ 103,669. 2023 AMOUNT: $ 92,472. INSURANCE CLAIMS - 2019 AMOUNT: $ 19,672. 2020 AMOUNT: $ 7,520. 2021 AMOUNT: $ 30,979. 2022 AMOUNT: $ 5,658. 2023 AMOUNT: $ 58,735. MAINTENANCE SERVICES - 2021 AMOUNT: $ 57,742. 2022 AMOUNT: $ 29,669. 2023 AMOUNT: $ 44,172. MEALS - 2019 AMOUNT: $ 515,748. 2020 AMOUNT: $ 578,922. 2021 AMOUNT: $ 653,801. 2022 AMOUNT: $ 712,161. 2023 AMOUNT: $ 946,139. MISCELLANEOUS - 2019 AMOUNT: $ 31,874. 2020 AMOUNT: $ 13,273. 2021 AMOUNT: $ 51,833. 2022 AMOUNT: $ 36,313. 2023 AMOUNT: $ 130,491. ONBOARDING PAYMENT - 2020 AMOUNT: $ 6,500. PET CARE - 2019 AMOUNT: $ 25,721. 2020 AMOUNT: $ 17,564. 2021 AMOUNT: $ 11,336. 2022 AMOUNT: $ 17,088. 2023 AMOUNT: $ 15,118. QUALITY ENHANCEMENT - 2021 AMOUNT: $ 47,427. REBATES - 2020 AMOUNT: $ 14,400. 2021 AMOUNT: $ 31,171. 2022 AMOUNT: $ 18,699. REIMBURSEMENTS - 2022 AMOUNT: $ 100,978. 2023 AMOUNT: $ 52,083. RESIDENT SERVICES - 2023 AMOUNT: $ 87,133. RESIDENT TRIPS/EVENTS - 2022 AMOUNT: $ 26,312. 2023 AMOUNT: $ 30,467. SPECIAL EVENT INCOME - 2019 AMOUNT: $ 2,304. 2023 AMOUNT: $ 37,235. TEC BAR - 2020 AMOUNT: $ 701. 2021 AMOUNT: $ 430. 2022 AMOUNT: $ 116. 2023 AMOUNT: $ 211. TRANSPORTATION ASSISTANCE - 2019 AMOUNT: $ 12,865. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 620 620 0 PART II-B, LINE 1: MENNO-HAVEN INC PAYS DUES TO LEADINGAGE AND LEADINGAGE PA WHICH ADVOCATE FOR NURSING HOMES AND OTHER CARE FACILITIES FOR THE AGED. SMALL PORTIONS OF THE DUES TO LEADINGAGE AND LEADINGAGE PA ARE USED FOR LOBBYING EXPENSES. 0 1 X 6018421 1224290 259300 6983411 8426506 220958 -1629043 1000000 6018421 6459053 120731 2509863 663141 8426506 6979829 254382 560646 1335804 6459053 5462182 2421467 229732 1133552 6979829 0.00000 0.41000 0.59000 1 0 4765900 4765900 174047251 68331062 105716189 68032603 36804731 31227872 571632 571632 142281593 GIFT ANNUITIES 113750 RESIDENT AND EMPLOYEE FUNDS 434428 REFUNDABLE ENTRANCE FEES 7229149 7777327 63977787 2227855 -135886 2091969 61885818 -77258 -77258 61808560 68746452 77258 77258 68669194 228628 228628 68897822 PART IV, LINE 2B: THE ORGANIZATION IS THE REP PAYEE FOR TWO RESIDENTS WHOSE SOCIAL SECURITY FUNDS ARE DEPOSITED INTO THE ACCOUNT. THE ORGANIZATION ALSO HOLDS SMALL GUEST FUNDS, INTO WHICH FAMILIES CAN PUT SMALL ALLOWANCES TO BE HELD FOR FUTURE USE ONCE THE RESIDENT NEEDS MORE RESTRICTIVE LEVELS OF CARE. THE RESIDENTS THEN WITHDRAW THE FUNDS AS NEEDED. THERE ARE ALSO ESCROW ACCOUNT LIABILITIES THAT ARE DEPOSITS WHICH ARE RECEIVED ON INDEPENDENT LIVING CONTRACTS FOR RESIDENTS WHO HAVE NOT YET MOVED IN. PART V, LINE 4: ENDOWMENT FUNDS ARE MAINTAINED FOR THE BENEFIT OF OUR RESIDENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTERESTS IN ANNUITIES -61,086. CHANGE IN VALUE OF PERPETUAL TRUSTS 153,828. INVESTMENT MANAGEMENT FEES -225,767. BAD DEBT ALLOCATED TO REVENUE -2,861. PART XI, LINE 4B - OTHER ADJUSTMENTS: GAIN ON SALE OF FIXED ASSETS 9,024. RENTAL EXPENSES -86,282. PART XII, LINE 2D - OTHER ADJUSTMENTS: GAIN ON SALE OF FIXED ASSETS -9,024. RENTAL EXPENSES 86,282. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES 225,767. BAD DEBT ALLOCATED TO REVENUE 2,861. 66837 53308 6239 1 0.60000 66837 53308 6239 59547 7290 PA 1 0 0 0 1.00000 0.00000 DIANA NAZARIO 115 N FAYETTE STREET SHIPPENSBURG PA 17257 0 DIANA NAZARIO 54653 DIANA NAZARIO, AS MANAGER OF THE SENIOR CENTER AT MENNO-HAVEN, WOULD HAVE MANAGEMENT OF GAMING ACTIVITIES AS PART OF HER JOB DUTIES. HER COMPENSATION ABOVE REFLECTS HER TOTAL COMPENSATION, NOT STRICTLY HER COMPENSATION AS GAMING MANAGER. X 0 X X X 0 0 0 0 0 0 0 1 0 HUGH DAVIS CEO 352111 0 50000 0 17061 0 29598 0 18504 0 467274 0 0 0 CHARLES NELSON CHIEF DEVELOPMENT OFFICER 171505 0 20000 0 1020 0 19834 0 192 0 212551 0 0 0 TIFFANY RIFE COMMUNITY LIFE OFFICER 165386 0 20000 0 895 0 11987 0 8764 0 207032 0 0 0 ROGER BEINS COO 167914 0 10000 0 1122 0 8641 0 18504 0 206181 0 0 0 LARRY LUGARO DIRECTOR FACILITIES DEVELOPMENT 168116 0 497 0 5317 0 8840 0 17920 0 200690 0 0 0 ROSALYN BURKE ADMINISTRATOR BVHC 135182 0 10000 0 1194 0 7281 0 19026 0 172683 0 0 0 PART I, LINE 7 THE ORGANIZATION HAS AN INCENTIVE PLAN AVAILABLE FOR EXECUTIVE MANAGEMENT-LEVEL EMPLOYEES. INCENTIVES ARE BASED ON THE INDIVIDUAL'S OVERALL PERFORMANCE ON SUPERVISED BUSINESS UNITS AND OVERALL PERFORMANCE OF GOALS. THE INCENTIVE PERCENTAGE OF BASE SALARY IS DECIDED BY THE CEO BASED ON OVERALL ORGANIZATIONAL BUDGET AND FINANCIAL PERFORMANCE AS APPROVED BY THE BOARD. THE INCENTIVE IS THEN CALCULATED BASED ON THE INDIVIDUAL'S PERFORMANCE SCORE FOR THE YEAR. A FRANKLIN COUNTY INDUSTRIAL DEVELOPMENT 232261213 353273B27 2018-09-01 102460808 REFUND PRIOR YEAR BONDS, CONSTRUCTION, FURNISHING & EQUIPMENT 0 0 0 B FRANKLIN COUNTY INDUSTRIAL DEVELOPMENT 232261213 353273CF0 2019-09-04 27462488 CONSTRUCTION, FURNISHING & EQUIPMENT 0 0 0 A 5005000 102460808 6156250 2830342 1644160 48402556 43427500 2020 1 0 1 1 B 520000 27462488 1475000 1516929 536742 23575274 358543 2021 0 0 1 1 A 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 SUZANNE TRINH BOARD MEMBER OF MENNO-HAVEN AND 100% OWNER OF ZULLINGER-DAVIS-TRINH, P.C. 233880 ZULLINGER-DAVIS-TRINH,P.C. WAS USED IN A REAL ESTATE TRANSACTION. ALL TRANSACTIONS ARE AT ARM'S LENGTH. 0 FORM 990, PART VI, SECTION B, LINE 11B INTERNAL FINANCE PERSONNEL PERFORM AN INITIAL REVIEW OF THE FORM 990. ONCE THE DRAFT IS SHARED WITH THE CEO, THE FORM IS PROVIDED TO THE FINANCE COMMITTEE FOR REVIEW. DURING A FINANCE COMMITTEE MEETING, MANAGEMENT RESPONDS TO ANY QUESTIONS FROM THE COMMITTEE. THE 990 DRAFT IS THEN MADE AVAILABLE TO THE FULL BOARD AS AN AGENDA ITEM DURING A FULL BOARD MEETING. NOTE THE BOARD REVIEWS THE FORM 990 RATHER THAN "APPROVES" IT AS THE FILING OF THE FORM 990 IS CONSIDERED A MANAGEMENT RESPONSIBILITY. THE FORM 990 IS THEN FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND CORPORATE OFFICERS ARE AMONG THOSE WHO SIGN AN ANNUAL CONFLICT OF INTEREST FORM. THE FORMS ARE REVIEWED BY THE SECRETARY OF THE BOARD AND ANY DISCLOSED CONFLICTS ARE DISCUSSED WITH THE EXECUTIVE COMMITTEE OR APPROPRIATE OFFICERS OF THE GOVERNING BODY. FAMILY AND BUSINESS RELATIONSHIPS ARE EXPRESSLY MENTIONED IN THE CONFLICT OF INTEREST POLICY AS SOURCES OF POTENTIAL CONFLICTS. IF A CONFLICT IS DISCLOSED, THE INTERESTED PARTY MAY NOT PARTICIPATE IN CONSIDERATION OR DISCUSSION OF THE PROPOSED TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT OFFICIALS IS DETERMINED BY A COMPENSATION SURVEY OR STUDY USING PRIMARILY THE LEADING AGE AGENCY WAGE SURVEY OF SIMILAR SIZE FACILITIES. LEADING AGE IS AN ASSOCIATION OF NONPROFIT SENIOR SERVICES IN THE STATE OF PENNSYLVANIA. THE EXECUTIVE COMMITTEE OF THE BOARD ALSO HAS THE LIBERTY TO UTILIZE OTHER SURVEYS OF SIMILAR OPERATIONS IF THEY CHOOSE TO DO SO. COMPENSATION RANGES FOR OTHER OFFICERS AND KEY EMPLOYEES ARE DETERMINED BY A COMPENSATION SURVEY USING THE LEADING AGE PARENT AGENCY WAGE SURVEY. DISCRETION AS TO WHERE THESE EMPLOYEES FALL IN THE APPROPRIATE RANGE IS DETERMINED BY THE EMPLOYEE'S EXPERIENCE AND KNOWLEDGE AND IS DETERMINED BY EACH EMPLOYEE'S SENIOR MANAGER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT ITS ADMINISTRATIVE OFFICES LOCATED AT 2011 SCOTLAND AVE, CHAMBERSBURG, PA 17201. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTERESTS IN ANNUITIES -61,086. CHANGE IN VALUE OF PERPETUAL TRUSTS 153,828.