2020-06-03T11:54:00-05:00 2019-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2018-07-01 222717623 MORNINGSTAR SENIOR LIVING INC MORN 6107461000 175 WEST NORTH STREET NAZARETH PA 180641410 CHRISTOPHER T HUNT CHIEF FINANCIAL OFFICER 6107461000 2020-06-01 1 KERRI N BOGDA CPA P00760402 7177404863 73.187.220.225 2020-06-01 12:02:33 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 BF90B4BE16E9AE312C0D8383967EBAED4A365E8B 2018 2021-01-29 14:40:06Z SUSAN C DRABIC 175 WEST NORTH STREET NAZARETH PA 180641410 32287405 0 X WWW.MORNINGSTARSENIORLIVING.ORG X 1984 PA MORNINGSTAR SENIOR LIVING PROVIDES HOUSING AND SUPPORTIVE SERVICES TO OLDER ADULTS. 17 15 518 236 33653 0 194832 244119 20729985 21927622 761416 488776 447925 425390 22134158 23085907 0 0 0 0 13323412 13821257 0 0 107021 9509475 10393291 22832887 24214548 -698729 -1128641 69741501 76510510 62569051 72724250 7172450 3786260 X MORNINGSTAR SENIOR LIVING HONORS THE UNIQUE VALUE OF OLDER ADULTS BY PROVIDING LIFESTYLE CHOICES, SUPPORTIVE SERVICES AND SECURITY TO ENRICH THE JOURNEY OF AGING. 0 0 6870803 0 7833589 THE MORAVIAN HALL SQUARE HEALTH AND WELLNESS CENTER IS A 61 BED LICENSED NURSING CARE FACILITY. TWENTY-FIVE ROOMS ARE PRIVATE AND EIGHTEEN ROOMS ARE SHARED, TWO PERSON SUITES. ALL BEDS ARE DUALLY CERTIFIED TO PARTICIPATE IN MEDICARE AND MEDICAID PROGRAMS. FOR SERVICES RENDERED, THE NURSING CARE CENTER ACCEPTS PRIVATE FUNDS AS WELL AS REIMBURSEMENT FROM LONG-TERM CARE INSURANCE PLANS AND PRE-CONTRACTED HEALTH MAINTENANCE ORGANIZATIONS. THE STAFF IS COMPRISED OF SKILLED PROFESSIONALS WHO PROVIDE A FULL RANGE OF RESIDENT SUPPORT SERVICES INCLUDING NURSING ACTIVITIES, PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES, SOCIAL SERVICES, SPIRITUAL COUNSELING, AND DINING SERVICES. MEALS AND SNACKS ARE PLANNED TO ASSURE NUTRITIONAL BALANCE AND DIVERSITY. ALL MENUS ARE PUBLISHED IN ADVANCE, ALLOWING RESIDENTS TO MAKE SELECTIONS FROM A VARIETY OF MENU CHOICES. A REGISTERED DIETICIAN IS AVAILABLE TO ADDRESS THE SPECIFIC NEEDS OF INDIVIDUALS WHO REQUIRE SPECIAL DIETS OR OTHER SPECIAL DIETARY ACCOMMODATIONS.RECREATIONAL AND THERAPEUTIC PROGRAMS HELP TO ENRICH THE LIVES OF NURSING CARE RESIDENTS. A VARIED CALENDAR OF ACTIVITIES INCLUDES: LECTURES, FILMS, TRAVELOGUES, EXERCISE CLASSES, ARTS AND CRAFTS, WORD AND BOARD GAMES, MEMORY IMPAIRED ACTIVITIES, MUSICAL PERFORMANCES, HOLIDAY CELEBRATIONS, AND CHAPEL SERVICES. A CHAPLAIN IS AVAILABLE FULL TIME TO MEET RESIDENTS' SPIRITUAL NEEDS THROUGH INDIVIDUAL COUNSELING AND SPIRITUAL PROGRAMMING. SOCIAL WORKERS ARE AVAILABLE TO ASSIST EACH RESIDENT AND HIS/HER FAMILY OR RESPONSIBLE PARTY IN ALL ASPECTS OF ADMISSION, MEDICAL CARE ARRANGEMENTS, FINANCIAL PLANNING AND REFERRALS TO EXTERNAL PROFESSIONALS AND PRACTITIONERS. AN INDIVIDUALIZED CARE PLAN FOR EACH RESIDENT IS DEVELOPED WITH INPUT FROM ALL MEMBERS OF THE CARE GIVING TEAM, INCLUDING THE RESIDENT AND FAMILY MEMBERS. THE ATTENDING PHYSICIAN, PROFESSIONAL NURSES, NURSING ASSISTANTS, SOCIAL WORKERS, THERAPISTS, DIETICIANS, FAMILY MEMBERS, AND RESIDENTS ALL WORK TOGETHER TO CREATE SHORT AND LONG TERM GOALS TO HELP EACH RESIDENT ACHIEVE MAXIMUM POTENTIAL AND QUALITY OF LIFE.MORNINGSTAR SENIOR LIVING PROVIDED NURSING CARE AND SUPPORT SERVICES (INCLUDING THERAPEUTIC SERVICES) FOR AN AVERAGE OF 56 RESIDENTS PER MONTH.THE CENTERS FOR MEDICARE AND MEDICAID (CMS) RATE THE QUALITY OF EVERY LICENSED NURSING HOME IN THE COUNTRY AND HAVE GIVEN THE HEALTH & WELLNESS CENTER AT MORAVIAN HALL SQUARE THE HIGHEST POSSIBLE RATING: 5 STARS. MORAVIAN HALL SQUARE IS ALSO THE ONLY CONTINUING CARE RETIREMENT COMMUNITY IN THE LEHIGH VALLEY REGION THAT HAS BEEN ACCREDITED BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF). ACCREDITATION FROM CARF IS THE GOLDEN SEAL SIGNIFYING THE HIGHEST STANDARDS FOR QUALITY CARE AND SERVICE HAVE BEEN ACHIEVED. THERE ARE THOUSANDS OF CONTINUING CARE RETIREMENT COMMUNITIES IN THE UNITED STATES BUT ONLY ONE IN LEHIGH VALLEY, PA HAS BEEN ACCREDITED BY CARF. 6231033 0 7104170 MORNINGSTAR SENIOR LIVING PROVIDES THREE DIFFERENT STYLES OF PERSONAL CARE ON ITS CAMPUS. LICENSED AS PERSONAL CARE BY THE COMMONWEALTH OF PENNSYLVANIA, MORNINGSTAR SENIOR LIVING OFFERS 28 PERSONAL CARE APARTMENTS; 33 PERSONAL CARE SUITES; AND 25 PERSONAL CARE PRIVATE ROOMS LICENSED FOR SPECIALIZED DEMENTIA CARE. ALL THREE AREAS ARE HOUSED IN THREE INTER-CONNECTED BUILDINGS.IN ALL THREE PERSONAL CARE AREAS, TRAINED PERSONAL CARE ASSISTANTS AND LICENSED NURSES ARE ON DUTY 24 HOURS PER DAY, 7 DAYS PER WEEK. ADDITIONALLY, IN ALL PERSONAL CARE LIVING AREAS, RESIDENTS, FAMILIES, AND RESPONSIBLE PARTIES ARE ENCOURAGED TO PARTICIPATE IN THE DEVELOPMENT OF A COMPREHENSIVE PLAN OF CARE. THIS PLAN IS ALSO REVIEWED BY THE RESIDENT'S ATTENDING PHYSICIAN AND PRIMARILY CONSISTS OF MEDICAL, FUNCTIONAL, REHABILITATIVE, NUTRITIONAL, AND PSYCHO-SOCIAL GOALS WHICH THE RESIDENT, FAMILY AND STAFF AGREE TO PURSUE TOGETHER WITH THE INTENT OF PROMOTING INDEPENDENCE AND BENEFITING QUALITY OF LIFE.MORNINGSTAR HALL PERSONAL CARE APARTMENTS ARE COMPRISED OF 24 ONE-BEDROOM UNITS, 2 STUDIOS AND 2 TWO BEDROOM UNITS. THE MORNINGSTAR HALL PERSONAL CARE APARTMENT FEATURES INCLUDE: BATH (FULL SIZE WITH WALK-IN SHOWER) CLOSET (LARGE WALK IN); ADDITIONAL COAT AND LINEN CLOSETS DRAPERIES (SHEER DRAPERIES WITH DOUBLE TRAVERSE RODS) EMERGENCY NURSE CALL SYSTEM INDIVIDUALLY-CONTROLLED HEATING AND AIR CONDITIONING KITCHEN (TEA) WITH MICROWAVE OVEN AND REFRIGERATORBETHANY HOUSE, WHICH IS COMPRISED OF 33 SUITES, PROVIDES A "TRADITIONAL" PERSONAL CARE ROOM WHERE ASSISTANCE IS AVAILABLE FROM LICENSED NURSES AND PERSONAL CARE ASSISTANTS FOR ACTIVITIES OF DAILY LIVING SUCH AS MEDICATION ADMINISTRATION, BATHING, DRESSING AND ALL MEALS. RESIDENTS MAY COME AND GO AS THEY PLEASE AND ARE ENCOURAGED TO CONTINUE PARTICIPATING IN OUTSIDE ACTIVITIES AS HEALTH ALLOWS. WITHIN BETHANY HOUSE THERE IS A MULTITUDE OF DAILY, WEEKLY AND MONTHLY PROGRAMS AND EVENTS WHICH MAY INTEREST RESIDENTS FROM COMPUTER CLASSES TO MASSAGE THERAPY. THE MORAVIAN HALL SQUARE CAMPUS PROVIDES MANY AMENITIES INCLUDING: LIBRARY/READING ROOM, CAFE, GIFT SHOP, COMPUTER ROOM, FITNESS AND EXERCISE FACILITIES, HOBBY AND WOODWORKING SHOPS, OUTDOOR PATIOS FOR RELAXING AND DINING, AND A HANDICAPPED ACCESSIBLE NATURE TRAIL. GALILEE HOUSE PROVIDES A HOMELIKE, SECURE RESIDENTIAL ENVIRONMENT DESIGNED FOR INDIVIDUALS WITH EARLY TO MIDDLE STAGE ALZHEIMER'S DISEASE OR RELATED DEMENTIAS. THE LIVING AREAS AND PROGRAMS SUPPORT EACH RESIDENT'S CURRENT CAPABILITIES WHILE ADDING ADVANTAGES SUCH AS PERSONALIZED ASSISTANCE FROM EXPERIENCED CAREGIVERS, AROUND-THE-CLOCK MEDICAL SUPPORT AND EMERGENCY RESPONSE, AND THE REASSURANCE OF SAFE COMMUNITY LIVING. A MONTESSORI-LIKE APPROACH TO PROVIDING LIFE-REFLECTING AND FAMILIAR ACTIVITIES AND TASKS DESIGNED TO PROMOTE STIMULATION AND SELF-WORTH HAS SERVED AS THE DRIVING FORCE IN THE UNIQUE BUILDING DESIGN AND THE CORE ELEMENTS OF THE GALILEE HOUSE "REFLECTIONS PROGRAM". THE PROGRAM IS DESIGNED TO ESTABLISH NURTURING RELATIONSHIPS AMONG RESIDENTS, FAMILIES, CAREGIVERS, PHYSICIANS AND THE COMMUNITY IN A SYMBIOTIC, CALM ENVIRONMENT. THE BUILDING IS DESIGNED TO PROMOTE A LIFE ENRICHING ENVIRONMENT IN TWO NEIGHBORHOODS WITH A TOTAL OF 25 PRIVATE SUITES. SOME OF THESE FEATURES ARE: ENCLOSED LANDSCAPED COURTYARD WITH WALKING PATH FOR ENJOYING FRESH AIR AND NATURAL SURROUNDINGS ENRICHMENT ALCOVES FOR SELF-DIRECTED ACTIVITIES LARGE WINDOWS AND SKYLIGHTS FOR ABUNDANT NATURAL LIGHT PERSONAL MEMORY BOXES FOR REMINISCING WITH STAFF, FAMILY AND FRIENDS SOOTHING COLORS, TACTILE DECORATIONS AND FURNISHINGS FOR VISUAL CUEING AND ORIENTATIONMORNINGSTAR SENIOR LIVING PROVIDED PERSONAL CARE SUPPORTIVE SERVICES, INCLUDING SPECIALIZED DEMENTIA ACCOMMODATIONS, IN A SAFE AND SUPERVISED LIVING ENVIRONMENT FOR AN AVERAGE OF 75 RESIDENTS PER MONTH. 6130776 0 6989863 RESIDENTIAL LIVING ACCOMMODATIONS ON THE MORAVIAN HALL SQUARE CAMPUS INCLUDE 127 APARTMENTS, 4 TOWNHOMES AND 2 COTTAGES. THE RESIDENTIAL LIVING APARTMENTS ARE LOCATED IN THREE CONNECTED BUILDINGS, EACH FOUR STORIES HIGH. THERE ARE THREE BASIC SIZES OF RESIDENTIAL LIVING APARTMENTS: STUDIO, ONE-BEDROOM, AND TWO-BEDROOM. THE 128 APARTMENTS ARE COMPRISED OF 44 ONE-BEDROOM UNITS, 56 TWO-BEDROOM UNITS, 12 STUDIOS, AND 16 CUSTOM APARTMENTS. THESE APARTMENTS RANGE IN SIZE FROM 430 SQUARE FEET TO OVER 1,200 SQUARE FEET. THE RESIDENTIAL APARTMENTS AND THE HEALTH CARE AREAS ARE HOUSED IN INTER-CONNECTED BUILDINGS WHERE MANY COMFORTABLE COMMON SPACES AND RECREATIONAL SPACES ARE LOCATED. SEVERAL FLOORS HAVE LAUNDRY ROOMS WITH FULL-SIZE WASHERS AND DRYERS ALTHOUGH EACH INDIVIDUAL APARTMENT UNIT MAY ALSO HAVE ITS OWN WASHER/DRYER UNIT. THE RESIDENTIAL ENTRANCES HAVE ELECTRONICALLY-SECURED FRONT DOORS WHICH ARE ACCESSIBLE BY CODE OR ELECTRONIC KEY FOBS. THE MORAVIAN TOWNSTONE RESIDENTIAL BUILDING AT 117 WEST NORTH STREET IS A CONTIGUOUS PROPERTY TO THE MORAVIAN HALL SQUARE CAMPUS. THE MORAVIAN TOWNSTONE BUILDING HOUSES FOUR, TWO-BEDROOM RESIDENCES. THREE OF THE FOUR UNITS ARE CURRENTLY OCCUPIED; THE FOURTH IS BEING USED AS A MODEL. THE TOWNSTONE BUILDING INCLUDES TWO STORIES ABOVE GROUND OF RESIDENTIAL LIVING SPACE ALONG WITH A BASEMENT LEVEL BELOW GRADE FOR GARAGES AND STORAGE. THERE ARE TWO RESIDENCES PER FLOOR, WITH EACH UNIT CONSISTING OF APPROXIMATELY 1500 SQUARE FEET OF LIVABLE SPACE. EACH UNIT INCLUDES TWO BEDROOMS, TWO BATHS, KITCHEN, LIVING ROOM, LAUNDRY/STORAGE ROOM, AND EITHER A COVERED PATIO OR BALCONY ALL ON THE SAME LEVEL. THE BASEMENT LEVEL BELOW THE TWO RESIDENTIAL FLOORS INCLUDES A SINGLE CAR GARAGE FOR EACH UNIT AS WELL AS ADDITIONAL STORAGE SPACE FOR EACH DWELLING.TWO TWIN COTTAGE UNITS LOCATED ON THE MORAVIAN HALL SQUARE CAMPUS, CALLED THE CANTERBURY AND THE WARWICK, WERE COMPLETED IN SEPTEMBER 2014. FLOOR PLANS FOR BOTH TWIN COTTAGES INCLUDE 2 BEDROOMS, 2 FULL BATHROOMS, LIVING ROOM, DINING AREA, KITCHEN, COVERED PATIO, COVERED DECK AND GARAGE. ALL APPLIANCES FOR THE KITCHEN AND LAUNDRY ARE PROVIDED. THE WARWICK COTTAGE AT MORAVIAN HALL SQUARE HAS APPROXIMATELY 2,093 SQUARE FEET OF LIVING SPACE ON ITS MAIN LEVEL, AND A WALK-OUT BASEMENT SPACE OF 1,600 SQUARE FEET THAT CAN BE FINISHED FOR ADDITIONAL LIVING SPACE, OR USED FOR STORAGE SPACE. THE WARWICK TWIN COTTAGE ALSO HAS A FINISHED SECOND FLOOR LOFT AREA OF 900 SQUARE FEET. THE WARWICK TWIN COTTAGE, LOCATED AT 303 WEST NORTH STREET, IS OCCUPIED BY RESIDENTS.THE CANTERBURY COTTAGE HAS APPROXIMATELY 1,900 SQUARE FEET OF LIVING SPACE ON ITS MAIN FLOOR AND A WALK-OUT BASEMENT OF 1,600 SQUARE FEET THAT CAN BE IMPROVED AS ADDITIONAL LIVING SPACE, OR USED FOR STORAGE. THIS COTTAGE, LOCATED AT 301 WEST NORTH STREET, IS CURRENTLY BEING USED AS THE SALES CENTER FOR HERITAGE VILLAGE.DINING VENUES AVAILABLE TO THOSE WHO LIVE IN THESE COTTAGES OR IN THE TOWNSTONES INCLUDE THE ROSE INN RESTAURANT, THE TERRACE LOUNGE, AND THE GOOD SPIRIT CAFE. THE ROSE INN RESTAURANT SERVES DINNER SUNDAY THROUGH SATURDAY. THE TERRACE LOUNGE PROVIDES A RELAXED UPSCALE LUNCH DURING THE WEEK. THE GOOD SPIRIT CAFE IS ALSO AVAILABLE WHERE BREAKFAST, LUNCH AND DINNER ARE OFFERED THROUGH A CHOICE OF MEAL PLANS OR ITEMS CHARGED A LA CARTE.TWO TYPES OF RESIDENTIAL LIVING PLANS ARE OFFERED FOR RESIDENTIAL LIVING IN APARTMENT, TOWNHOME AND COTTAGE ACCOMMODATIONS ON THE MORAVIAN HALL SQUARE CAMPUS: FEE-FOR-SERVICE AND LIFE CARE (ALSO KNOWN AS TYPE C AND TYPE A CONTRACTS). THE FINANCIAL COMPONENTS FOR BOTH PLANS INCLUDE AN ENTRANCE FEE AND A MONTHLY FEE. THE FEE-FOR-SERVICE PLAN IS IDEAL FOR RESIDENTS WHO HAVE A LONG-TERM CARE INSURANCE POLICY, OR FOR RESIDENTS WHO CAN SELF-INSURE AND ARE WILLING TO PAY THE GOING RATES ASSOCIATED WITH HEALTH CARE ACCOMMODATIONS, IF AND WHEN THEY NEED THEM. THE LIFE CARE PLAN PROVIDES FULL COVERAGE FOR NURSING CARE AND PERSONAL CARE SERVICES AND ACCOMMODATIONS WITHOUT INCREASE TO THE MONTHLY RATE THE RESIDENT IS PAYING FOR HIS/HER RESIDENTIAL LIVING ACCOMMODATION. BOTH PLANS OFFER TWO (2) REFUND OPTIONS: DECLINING REFUND OPTION (AMORTIZATION OF ENTRANCE FEE OVER FIFTY (50) MONTHS); AND 75% REFUND OPTION (GUARANTEED REFUND UPON DEATH OR MOVE-OUT). ALL UTILITIES ARE BUNDLED IN THE MONTHLY FEE FOR BOTH FEE-FOR-SERVICE AND LIFE CARE PLANS.MORNINGSTAR SENIOR LIVING'S APARTMENT AND HERITAGE VILLAGE RESIDENTS ARE PROVIDED WITH A CONTINUING CARE CONTRACT AGREEMENT GIVING THEM THE FINANCIAL SECURITY THAT THEIR FUTURE HEALTHCARE NEEDS WILL BE MET. THE COMMUNITY PROVIDED ACCOMMODATIONS AND SUPPORTIVE SERVICES FOR AN AVERAGE OF 178 RESIDENTS PER MONTH. 0 0 0 THE CORPORATION PROVIDES CARE TO RESIDENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE CORPORATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUES. THE LEVEL OF BENEVOLENT CARE PROVIDED BY THE CORPORATION, WHICH REPRESENTS THE DIFFERENCE BETWEEN THE ESTIMATED COST OF PROVIDING CARE AND THE PAYMENTS RECEIVED FOR SERVICES RENDERED, WAS APPROXIMATELY $356,000 IN 2019 AND $269,000 IN 2018. 0 0 0 19232612 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 83 0 518 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 15 0 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X CHRISTOPHER T HUNT CFO 6107461000 175 WEST NORTH STREET NAZARETH PA 180641410 BARBARA SEIFERT-SIGMON CHAIR 1.00 0.10 X X 0 0 0 VICTOR D LESKY EDD TREASURER 1.00 X X 0 0 0 JAMES CHRIN MEMBER(UNTIL NOV 2018) 1.00 X 0 0 0 REV DAVID BENNETT MEMBER 1.00 X 0 0 0 CHRISTIAN J BROWN RLA CLA ASLA MEMBER 1.00 X 0 0 0 RT REV C HOPETON CLENNON CHAIR-ELECT 1.00 X X 0 0 0 REV CHRISTIAN EICHORN MEMBER 1.00 X 0 0 0 THOMAS J ELY MEMBER 1.00 X 0 0 0 DEBORAH ESPOSITO MEMBER 1.00 X 0 0 0 SHIRLEY FLAGLER MEMBER 1.00 X 0 0 0 CASEY H HOCH CPA MEMBER 1.00 X 0 0 0 MARGARET KRAWIEC SECRETARY 1.00 X X 0 0 0 EDWARD NAWROCKI MEMBER 1.00 X 0 0 0 RALPH WANAMAKER JR MEMBER 1.00 X 0 0 0 CAROLYN KNAUSS MEMBER 1.00 X 0 0 0 REV JEFFREY VAN ORDEN MEMBER 1.00 X 0 0 0 TED LEWIS MEMBER 1.00 X 0 0 0 DONNA SABOL MEMBER 1.00 X 0 0 0 SUSAN C DRABIC PRESIDENT & CHIEF EXECUTIVE OFFICER 50.00 2.10 X 295826 0 37874 CHRISTOPHER T HUNT CHIEF FINANCIAL OFFICER 50.00 2.10 X 193328 0 48143 SUSAN CAPOBIANCO CHIEF MARKETING OFFICER 50.00 X 136504 0 25538 MONICA BUSTAMANTE CHIEF INFORMATION OFFICER 50.00 X 136370 0 37808 SANDRA MASSETTI CHIEF HEALTH OFFICER 50.00 X 136369 0 39872 MARICEL GLOVA NURSING HOME ADMINISTRATOR 50.00 X 130196 0 11809 ALICE DONLAN DIRECTOR OF REHAB SERVICES 50.00 X 124540 0 27515 1153133 0 228559 8 0 1 0 BLUE VALLEY BUILDERS INC 3220 VALLEY VIEW DRIVE BATH PA 18014 CONSTRUCTION SVCS 4239638 PENNSYLVANIA SITE CONTRACTORS INC 201 LLOYD STREET ALLENTOWN PA 18109 EXCAVATING SERVICES 1732785 BENCHMARK CONSTRUCTION 4121 OREGON PIKE EPHRATA PA 17522 CONSTRUCTION SVCS 362450 SFCS INC 1777 SENTRY PARKWAY WEST SUITE 220 BLUE BELL PA 19422 ENG. & ARCHITECT SVCS 274135 RLPS INC 250 VALLEYBROOK DRIVE LANCASTER PA 17601 ARCHITECTURAL SVCS. 265272 13 243619 500 244119 NET SERVICE REVENUE 623000 21927622 21927622 21927622 408080 408080 40250 40250 64032 37129 26903 26903 26903 9170655 4700 9134909 0 35746 4700 40446 40446 33078 29460 3618 3618 CAFE SALES 900099 144293 144293 BEAUTY SHOP INCOME 900099 98297 98297 TRANSPORTATION INCOME 900099 56024 56024 96255 33653 62602 394869 23085907 21927622 33653 880513 569705 569705 10247877 8243136 1920860 83881 315710 256809 52985 5916 1414932 1125108 284183 5641 1273033 975049 289377 8607 146541 146541 83913 83913 89764 89764 667 667 46407 46407 849492 632640 216852 616363 616063 300 705644 481902 223235 507 261921 8123 253798 1448312 1448312 104490 73251 31164 75 13077 2309 10768 1156725 1156725 3146095 3146095 130388 119503 10885 UBIT 123 123 FOOD COSTS 952349 952349 MEDICAL SUPPLIES 254476 254476 OTHER EMPLOYEE EXPENSES 218499 115136 103253 110 168045 95148 70913 1984 24214548 19232612 4874915 107021 631533 550623 812567 801440 640733 565336 61032 73631 303682 556896 104244989 45847734 45923604 58397255 19079953 11191801 100000 100000 2188397 4273528 69741501 76510510 4172303 7308308 18284047 19125214 35015034 39493167 5097667 6797561 62569051 72724250 X 7172450 3786260 0 0 7172450 3786260 69741501 76510510 X -1128641 -40822 -2216727 X 0 1 X 1 0 X 315028 153996 178925 109306 244119 1001374 19578159 19664614 20926941 20729985 21927622 102827321 19893187 19818610 21105866 20839291 22171741 103828695 16050 22612 38662 0 16050 22612 38662 103790033 557090 466146 360811 518958 512362 2415367 557090 466146 360811 518958 512362 2415367 3836 7911 10891 22638 437195 451421 492667 419907 394294 2195484 20891308 20744088 21970235 21778156 23078397 108462184 0.95690 0.95490 0.02230 0.02300 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: NON-CHARITABLE FUNDRAISING RECEIPTS - 2014 AMOUNT: $ 14,710. 2015 AMOUNT: $ 8,690. 2016 AMOUNT: $ 11,183. CAFE SALES - 2014 AMOUNT: $ 149,784. 2015 AMOUNT: $ 152,460. 2016 AMOUNT: $ 169,077. 2017 AMOUNT: $ 141,284. 2018 AMOUNT: $ 144,293. GIFT SHOP INCOME - 2014 AMOUNT: $ 39,791. 2015 AMOUNT: $ 58,221. 2016 AMOUNT: $ 61,970. 2017 AMOUNT: $ 41,412. 2018 AMOUNT: $ 33,078. BEAUTY SHOP INCOME - 2014 AMOUNT: $ 92,012. 2015 AMOUNT: $ 101,737. 2016 AMOUNT: $ 103,843. 2017 AMOUNT: $ 94,848. 2018 AMOUNT: $ 98,297. TRANSPORTATION - 2014 AMOUNT: $ 39,103. 2015 AMOUNT: $ 46,293. 2016 AMOUNT: $ 50,689. 2017 AMOUNT: $ 58,021. 2018 AMOUNT: $ 56,024. OTHER - 2014 AMOUNT: $ 101,795. 2015 AMOUNT: $ 84,020. 2016 AMOUNT: $ 95,905. 2017 AMOUNT: $ 84,342. 2018 AMOUNT: $ 62,602. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 667 667 0 PART II-B, LINE 1: MORNINGSTAR SENIOR LIVING PAYS DUES TO THE ORGANIZATION LEADING AGE. A PORTION OF THE DUES PAID TO THIS ORGANIZATION IS ALLOCABLE TO LOBBYING EXPENSES. THE TOTAL AMOUNT OF DUES PAID BY MORNINGSTAR SENIOR LIVING THAT IS ALLOCABLE TO LOBBYING IS $667. 3149255 149003 155435 3453693 2968117 110858 70280 3149255 2106024 646736 215357 2968117 2070018 46546 -10540 2106024 1973618 77463 18937 2070018 0.85890 0.08550 0.05560 0 0 3154749 3154749 66991727 36435615 30556112 8552444 6868641 1683803 25546069 2543478 23002591 58397255 DUE FROM RELATED PARTY 2115014 DEPOSITS 41255 STATUTORY LIQUID RESERVE 2117259 4273528 ENTRANCE FEE DEPOSITS 1483156 ESTATE BENEFITS PAYABLE 4634943 INTEREST RATE SWAP LIABILITY 679462 6797561 22257551 -40822 -854123 -894945 23152496 -66589 -66589 23085907 24234730 66589 66589 24168141 46407 46407 24214548 PART V, LINE 4: THE GENERAL ENDOWMENT IS A PERPETUAL FUND THAT ENABLES THE BOARD OF DIRECTORS OF MORNINGSTAR SENIOR LIVING, INC. TO ADDRESS CAMPUS PRESERVATION NEEDS AND TO MEET THE EVER-INCREASING COSTS OF FACILITY UPKEEP. THE GOOD SAMARITAN ENDOWMENT WAS ESTABLISHED IN 1989 TO PROVIDE ONGOING FINANCIAL SUPPORT TO RESIDENTS WHO SPENT DOWN THEIR FINANCIAL RESOURCES IN PAYMENT FOR HEALTHCARE. FUNDS ARE RELEASED FROM THESE ENDOWMENTS ANNUALLY. THE AMOUNT OF THE RELEASE IS BASED ON THE ANNUAL EARNINGS OF THE INVESTMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT EXPENSES -46,407. CHANGE IN VALUE OF INTEREST RATE SWAP -807,716. PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -29,460. RENTAL EXPENSES -37,129. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 29,460. RENTAL EXPENSES 37,129. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES 46,407. X X 0 1 0 0 0 0 0 1 0 SUSAN C DRABIC PRESIDENT & CHIEF EXECUTIVE OFFICER 257714 0 27456 0 10656 0 24750 0 13124 0 333700 0 0 0 CHRISTOPHER T HUNT CHIEF FINANCIAL OFFICER 173890 0 19168 0 270 0 17935 0 30208 0 241471 0 0 0 SUSAN CAPOBIANCO CHIEF MARKETING OFFICER 122593 0 13209 0 702 0 12368 0 13170 0 162042 0 0 0 MONICA BUSTAMANTE CHIEF INFORMATION OFFICER 126864 0 9506 0 0 0 13086 0 24722 0 174178 0 0 0 SANDRA MASSETTI CHIEF HEALTH OFFICER 129744 0 5437 0 1188 0 13036 0 26836 0 176241 0 0 0 ALICE DONLAN DIRECTOR OF REHAB SERVICES 124044 0 100 0 396 0 9357 0 18158 0 152055 0 0 0 PART I, LINE 4B MORNINGSTAR SENIOR LIVING, INC. SPONSORS THE MORNINGSTAR SENIOR LIVING 457(B) PLAN WHICH IS A NONQUALIFIED, NON-ERISA, ELIGIBLE DEFERRED COMPENSATION PLAN WITHIN THE MEANING OF CODE SECTION 457(B). THE PLAN PROVIDES FOR ELECTIVE EMPLOYEE CONTRIBUTIONS THROUGH SALARY DEFERRALS, COMPANY CONTRIBUTIONS, AND ROLLOVER CONTRIBUTIONS. ELIGIBLE PARTICIPANTS IN THE PLAN INCLUDE THE PRESIDENT & CEO, CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER, AND CHIEF INFORMATION OFFICER. THERE WERE NO COMPANY CONTRIBUTIONS MADE TO THE PLAN DURING FISCAL YEAR ENDED JUNE 30, 2019. PART I, LINE 7 AS PART OF THE ANNUAL PERFORMANCE REVIEW PROCESS OF THE PRESIDENT AND CEO, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, AT ITS DISCRETION, MAY APPROVE THE PAYMENT OF AN ANNUAL BONUS BASED ON THE OVERALL PERFORMANCE OF THE PRESIDENT AND CEO COMPARED TO THE STRATEGIC AND OPERATING GOALS OF THE COMMUNITY. THE PRESIDENT AND CEO, AT HER DISCRETION, MAY APPROVE THE PAYMENT OF AN ANNUAL BONUS FOR CERTAIN MEMBERS OF THE COMMUNITY'S MANAGEMENT TEAM BASED ON THE PERFORMANCE OF THOSE PERSONS COMPARED TO INDIVIDUAL GOALS. CERTAIN EXECUTIVES ARE PARTICIPANTS IN THE ORGANIZATION'S DEFINED CONTRIBUTION RETIREMENT PLAN. IF THE EMPLOYER CONTRIBUTIONS EXCEED THE LIMIT OF THE NONDISCRIMATORY RULES OF THE PLAN, THE OVERAGE IS PAID AS A BONUS IN THE FOLLOWING YEAR. A NORTHAMPTON COUNTRY INDUSTRIAL DEVELOPMENT AUTHORITY 231971754 663549NS8 2012-12-27 30753053 REFINANCING AND CONSTRUCTION IMPROVEMENT OF MORAVIAN HALL SQUARE 0 0 0 B NORTHAMPTON COUNTRY INDUSTRIAL DEVELOPMENT AUTHORITY 233007498 2017-07-17 32000000 CAPITAL IMPROVEMENTS 0 0 0 A 4625000 30776456 2186496 675066 7142677 20808745 2015 1 0 1 1 B 5563192 32000000 498315 612807 19943388 10945490 2020 0 0 0 1 A 0 1 1 1 0 0.00000 0.00300 0.00300 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 1 1 CITIZENS BANK 9.000000000000 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: NORTHAMPTON COUNTRY INDUSTRIAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/27/2017 SCHEDULE K, PART 1, COLUMN F-A THE PURPOSE OF THE ISSUANCE INCLUDED (A) THE CURRENT REFUNDING OF THE AUTHORITY'S MORTGAGE REVENUE BONDS (MORAVIAN HALL SQUARE PROJECT) SERIES OF 1996 AND THE AUTHORITY'S MORTGAGE REVENUE BONDS (MORAVIAN HALL SQUARE PROJECT), SERIES OF 2002, THE PROCEEDS OF WHICH WERE USED TO FINANCE OR REFINANCE THE ACQUISITION, CONSTRUCTION, IMPROVEMENT, AND EQUIPPING OF THE ORGANIZATION'S CONTINUING CARE RETIREMENT COMMUNITY KNOWN AS MORAVIAN HALL SQUARE LOCATED ON THE CURRENT CAMPUS AND CURRENTLY CONSISTING OF 129 INDEPENDENT LIVING APARTMENTS, 86 PERSONAL CARE UNITS, 61 NURSING BEDS AND COMMON AREAS (THE "COMMUNITY"), (B) FINANCING THE RENOVATION OF PERSONAL CARE AREAS OF THE COMMUNITY AND OTHER MISCELLANEOUS CAPITAL EXPENDITURES WITH RESPECT TO THE COMMUNITY LOCATED ON THE CURRENT CAMPUS, (C) FINANCING THE ACQUISITION OF APPROXIMATELY 45 ACRES OF LAND AT THE FUTURE CAMPUS AND THE PAYMENT OR REIMBURSEMENT OF CERTAIN PRELIMINARY EXPENDITURES WITH RESPECT TO PLANNED NEW FACILITIES TO BE LOCATED ON SUCH FUTURE CAMPUS, (D) THE FUNDING OF A DEPOSIT TO A DEBT SERVICE RESERVE FUND, AND (E) THE PAYMENT OF CERTAIN COSTS OF ISSUANCE RELATED TO THE AUTHORITY'S BONDS. SCHEDULE K, PART II, LINE 3: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN(E) DUE TO INVESTMENT EARNINGS. CHRISTIAN J BROWN RLA CLA ASLA BOARD MEMBER AND OWNER OF VENDOR 171400 THE ORGANIZATION PURCHASED LANDSCAPING DESIGN SERVICES FROM BOARD MEMBER CHRISTIAN BROWN THROUGH HIS COMPANY BROWN DESIGN CORPORATION. ALL TRANSACTIONS WERE AT ARM'S LENGTH. 0 TED LEWIS ESQ BOARD MEMBER AND PARTNER OF VENDOR 220352 LEWIS & WALTERS PROVIDED LEGAL SERVICES TO THE ORGANIZATION WHICH BOARD MEMBER TED LEWIS HAS 50% OWNERSHIP. ALL TRANSACTIONS WERE AT ARM'S LENGTH. 0 FORM 990, PART VI, SECTION A, LINE 1 (1) THE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIRPERSON, CHAIRPERSON ELECT, TREASURER, SECRETARY, EASTERN DISTRICT EXECUTIVE BOARD PRESIDENT, ONE MEMBER OF THE CURRENT BOARD OF DIRECTORS, AND FOR AT LEAST ONE YEAR THE IMMEDIATE PAST PRESIDENT OF THE BOARD OF DIRECTORS IF HE OR SHE IS STILL A MEMBER OF THE BOARD OF DIRECTORS. (2) THE EXECUTIVE COMMITTEE ACTS FOR THE FULL BOARD OF DIRECTORS IN THE INTERIM BETWEEN REGULAR BOARD MEETINGS. IT MAY EXERCISE ANY AND ALL POWERS GRANTED TO ALL OTHER STANDING COMMITTEES. THE EXECUTIVE COMMITTEE DOES NOT HAVE THE POWER AND AUTHORITY TO ELECT OFFICERS, AMEND BYLAWS, FILL VACANCIES ON THE BOARD OR CREATE COMMITTEES AND APPOINT MEMBERS. FORM 990, PART VI, SECTION A, LINE 3 MORNINGSTAR SENIOR LIVING, INC. USES A MANAGEMENT COMPANY TO MANAGE THE COMMUNITY'S DINING SERVICE FUNCTIONS. DINING SERVICE MANAGERS ARE EMPLOYED BY THE MANAGEMENT COMPANY AND REPORT DIRECTLY TO THE PRESIDENT. ALL OTHER DINING STAFF ARE EMPLOYED BY MORNINGSTAR SENIOR LIVING, INC. FORM 990, PART VI, SECTION A, LINE 7A THE MORAVIAN CHURCH AT ITS EASTERN DISTRICT SYNOD DIRECTLY ELECTS FOUR MEMBERS TO THE MORNINGSTAR SENIOR LIVING BOARD AND THE EASTERN DISTRICT EXECUTIVE BOARD ELECTS ANOTHER FOUR MEMBERS. THE REMAINING UP TO 16 ADDITIONAL BOARD MEMBERS ARE ELECTED FROM THE GREATER COMMUNITY AT LARGE, BASED UPON THEIR PROFESSIONAL EXPERTISE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND RELATED SCHEDULES ARE PREPARED BY AN EXTERNAL ACCOUNTING FIRM AND REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THE PRESIDENT & CEO. THE REVIEWED FORM 990 AND RELATED SCHEDULES ARE PRESENTED TO THE FINANCE AND AUDIT REVIEW COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL PRIOR TO FILING. AFTER APPROVAL BY THE FINANCE AND AUDIT REVIEW COMMITTEE AND BEFORE FILING, THE FORM 990 AND RELATED SCHEDULES ARE PROVIDED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, EACH BOARD MEMBER, OFFICER, AND KEY EMPLOYEE IS GIVEN A COPY OF THE MORNINGSTAR SENIOR LIVING, INC. CONFLICT OF INTEREST AND CONFIDENTIALITY STATEMENT AS WELL AS RELATED QUESTIONNAIRE TO BE COMPLETED AND SIGNED. THE QUESTIONNAIRE REQUIRES EACH SIGNER TO LIST BUSINESSES IN WHICH THE SIGNER OR SPOUSE IS A MEMBER, EMPLOYEE, OR OWNER WITH WHICH MORNINGSTAR SENIOR LIVING, INC. MIGHT REASONABLY ENTER INTO A TRANSACTION AS WELL AS ANY OTHER RELATIONSHIP OR ACTIVITY THAT MIGHT GIVE RISE TO A CONFLICT OF INTEREST. IF A BOARD MEMBER HAS A SIGNIFICANT FINANCIAL INTEREST IN A TRANSACTION UPON WHICH ACTION IS TO BE TAKEN OR WITHHELD BY THE BOARD, THE POLICY DOES NOT PERMIT SUCH BOARD MEMBER TO VOTE ON OR USE ANY PERSONAL INFLUENCE REGARDING SUCH MATTER. IF ANY OFFICER OR KEY EMPLOYEE HAS A SIGNIFICANT FINANCIAL OR OTHER INTEREST IN A TRANSACTION, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, IN CONJUNCTION WITH THE BOARD, MUST APPROVE THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER IS DETERMINED ANNUALLY AS A RESULT OF A PERFORMANCE REVIEW PROCESS CHAIRED BY THE CHAIRPERSON OF THE BOARD OF DIRECTORS. THIS PROCESS INVOLVES THE BOARD'S EXECUTIVE COMMITTEE MEMBERS (COMPRISED OF THE OFFICERS OF THE BOARD; ONE ADDITIONAL BOARD MEMBER APPOINTED TO THIS COMMITTEE AS AN "AT LARGE" MEMBER; AND THE PRESIDENT OF THE EASTERN DISTRICT OF THE MORAVIAN CHURCH). THE PERFORMANCE REVIEW PROCESS FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER FOCUSES UPON THE ACHIEVEMENT (OR LACK THEREOF) OF AGREED UPON STRATEGIC AND OPERATING PERFORMANCE GOALS FOR MORNINGSTAR SENIOR LIVING, INC. THE COMPENSATION OF THE CHIEF FINANCIAL OFFICER AND THE OTHER KEY EMPLOYEES IS DETERMINED BY A PERFORMANCE REVIEW/EVALUATION TOOL AND SCORING PROCESS (LEADERSHIP DEVELOPMENT PLAN) COMPLETED BY THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, SECTION C, LINE 19 MORNINGSTAR SENIOR LIVING, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF INTEREST RATE SWAP -807,716. CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE -1,409,011. MORNINGSTAR SENIOR SOLUTIONS INC 175 WEST NORTH STREET NAZARETH PA 18064 461046466 HOME CARE AND CARE MANAGEMENT PA 501(C)(3) LINE 10 MORNINGSTAR SENIOR LIVING INC 1 MORNINGSTAR SENIOR LIVING FOUNDATION 175 WEST NORTH STREET NAZARETH PA 18064 471484857 SUPPORTING ORGANIZATION PA 501(C)(3) LINE 12A, I MORNINGSTAR SENIOR LIVING INC 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 MORNINGSTAR SENIOR SOLUTIONS INC A 26258 COST MORNINGSTAR SENIOR LIVING FOUNDATION INC C 243619 COST MORNINGSTAR SENIOR SOLUTIONS INC D 2104915 COST