2018-11-13T13:07:57-06:00 2017-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 191037341 990 2017-01-01 236276101 MENNO-HAVEN INC MENN 7172621000 2011 SCOTLAND AVENUE CHAMBERSBURG PA 17201 DAVID GENTRY CFO 7172621000 2018-11-05 1 JULIUS C GREEN CPA P00350393 2159720701 X 174.59.42.130 2018-11-05 10:20:46 ES P F2402B78FC355C8D5AEB106FC1FA7B3FDC501D48 41D52B76DFE0CA0C5E5ED141E25DBC48D8427C36 2017 2019-02-21 02:37:17Z DAVID GENTRY 2011 SCOTLAND AVENUE CHAMBERSBURG PA 17201 56455760 0 X WWW.MENNOHAVEN.ORG X 1964 PA 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. 12 12 878 449 381070 -6721 754959 1595802 44017804 45862179 1561665 3224675 127416 1136912 46461844 51819568 0 0 0 0 24043179 25053020 0 0 348259 19909185 23482735 43952364 48535755 2509480 3283813 124097689 131120162 91651324 92780221 32446365 38339941 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 22901525 0 24527993 MENNO HAVEN INC. OPERATES TWO CONTINUING CARE RETIREMENT COMMUNITIES IN CHAMBERSBURG, PA. EACH CAMPUS OPERATES A LICENSED SKILLED NURSING FACILITY. THE BROOKVIEW HEALTH CARE CENTER PROVIDES ROOM AND BOARD, NURSING CARE, MEDICAL AND REHABILITATION SERVICES, SOCIAL SERVICES, AND ACTIVITY PROGRAMS FOR 152 DUALLY LICENSED BEDS (52 IN PRIVATE ROOMS AND 100 SEMI-PRIVATE ROOMS). THE CHAMBERS POINTE HEALTH CARE CENTER PROVIDES ROOM AND BOARD, NURSING CARE, MEDICAL AND REHABILITATION SERVICES, SOCIAL SERVICES, AND ACTIVITY PROGRAMS FOR 60 DUALLY LICENSED BEDS (12 IN PRIVATE ROOMS AND 48 IN SEMI-PRIVATE ROOMS). 9605829 0 10300532 MENNO HAVEN INC. OPERATES TWO CONTINUING CARE RETIREMENT COMMUNITIES IN CHAMBERSBURG, PA. EACH CAMPUS OPERATES LICENSED PERSONAL CARE AND RESIDENTIAL LIVING FACILITIES. THE BROOKVIEW CAMPUS OPERATES THE VILLAGE SQUARE PERSONAL CARE WHICH IS LICENSED FOR 84 UNITS THAT PROVIDE ROOM AND BOARD, LIMITED NURSING CARE, MEDICAL AND REHABILITATION SERVICES, AS WELL AS SOCIAL, WELLNESS, AND ACTIVITY PROGRAMS. THE CHAMBERS POINTE CAMPUS OPERATES THE MANOR PERSONAL CARE WHICH IS LICENSED FOR 94 UNITS THAT PROVIDE ROOM AND BOARD, LIMITED NURSING CARE, MEDICAL AND REHABILITATION SERVICES, AS WELL AS SOCIAL, WELLNESS, AND ACTIVITY PROGRAMS. 9639187 0 10336302 MENNO HAVEN INC. OPERATES TWO CONTINUING CARE RETIREMENT COMMUNITIES IN CHAMBERSBURG, PA. EACH CAMPUS OPERATES A VARIETY OF INDEPENDENT LIVING 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 81 IL VILLA HOMES, 112 IL COTTAGES, AND 74 IL APARTMENTS. THE CHAMBERS POINTE CAMPUS HAS 112 IL COTTAGES, AND 47 IL APARTMENTS. 650515 0 697352 MENNO HAVEN, INC. OPERATES HOME AND COMMUNITY BASED SERVICES, WHEREBY THE ORGANIZATION PROVIDE HOME CARE SERVICES TO INDEPENDENT LIVING RESIDENTS AND THOSE SENIORS WHO ARE LOCAL TO THE COMMUNITY WHERE THEY CAN ACCESS THE SERVICES. 650515 0 697352 42797056 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 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 172 0 1 878 1 1 1 0 0 0 0 1 1 0 0 0 1 0 X 12 12 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA MD X DAVID A GENTRY CFO 7172621000 2011 SCOTLAND AVENUE CHAMBERSBURG PA 17201 WAYNE YEAGER CHAIR 2.60 X X 0 0 0 DALE CLUGSTON VICE-CHAIR 1.40 X X 0 0 0 LIN ACE HOSKINSON SECRETARY 1.60 X X 0 0 0 CAROLYN GEORGE ASST. SECREATARY/TREASURER 0.80 X X 0 0 0 RONALD G GIPE TREASURER 2.10 X X 0 0 0 DARRELL BAER BOARD MEMBER 0.60 X 0 0 0 DALE HORST BOARD MEMBER 0.90 X 0 0 0 ARNOLD BARBOUR BOARD MEMBER 1.10 X 0 0 0 MARTHA WALKER BOARD MEMBER 1.20 X 0 0 0 PAMELA GAUDIOSE BOARD MEMBER 1.00 X 0 0 0 THOMAS GILBERT BOARD MEMBER 1.00 X 0 0 0 MATTHEW NOLT BOARD MEMBER 0.50 X 0 0 0 HUGH DAVIS CEO 40.00 X 278099 0 27133 TIMOTHY JOHNSON COO 40.00 X 185166 0 23062 CHARLES NELSON EXECUTIVE DIRECTOR 40.00 X 155121 0 7496 JONATHAN BAKER CAO 40.00 X 153304 0 8127 DAVID GENTRY CFO 40.00 X 167123 0 12134 ROGER BEINS VP OF CLINICAL SERVICES 40.00 X 114639 0 12951 TRACEY ECHELBERGER EXEC. DIR., BROOKVIEW 40.00 X 107731 0 4838 1161183 0 95741 7 0 1 0 WARFEL CONSTRUCTION COMPANY 1110 ENTERPRISE RD EAST PETERSBURG PA 17520 CONSTRUCTION 2249674 RDG PLANNING & DESIGN 900 FARMNAM ON THE MAILL 100 OMAHA NE 68102 ARCHITECTURAL/ENG. 1781552 SELECT REHABILITATION LLC PO BOX 71985 CHICAGO IL 60694 THERAPY 1562920 SYMBRIA REHAB 28100 TORCH PARYWAY STE 600 WARRENVILLE IL 60555 THERAPY 910182 WAYNESBORO CONSTRUCTION CO 7101 GUILFORD DR STE 203 FREDERICK MD 21704 CONSTRUCTION 622247 25 1595802 560263 1595802 NURSING & PERSONAL CARE 623000 45862179 45862179 45862179 851962 851962 140285 72199 68086 68086 68086 6932281 4425 4328224 235769 2604057 -231344 2372713 2372713 MEALS 900099 747940 341688 406252 HAIR CARE 900099 227581 227581 GUEST ROOMS 900099 39382 39382 53923 53923 1068826 51819568 45862179 381070 3980517 1016765 1016765 19314505 17394602 1919903 363100 305989 57111 2885115 2608572 276543 1473535 1268431 205104 67879 67879 123373 123373 1518 1518 1381503 1160215 221288 838055 833319 4736 2989879 2787116 123631 79132 615660 184022 431638 3546147 3546147 176085 149665 26420 199907 135199 64708 2013128 2013128 4672569 4672569 404633 176912 227721 MEDICAL EXPENSES 4138572 4138572 MEDICAID NF ASSESSMENT 510109 510109 BAD DEBT EXPENSE 438508 422820 15688 CAMPAIGN COSTS 269127 269127 1096083 489669 606414 48535755 42797056 5390440 348259 1450 2152 4214187 3899522 52657 348597 3842185 4591370 212570 251196 1091817 1068873 143994471 68535246 70008576 75459225 42223021 43297127 2451226 2202100 124097689 131120162 3604158 4139048 27396411 28705759 38203098 39619488 723558 117502 211500 211500 21512599 19986924 91651324 92780221 X 24583001 28920369 5930892 7347488 1932472 2072084 32446365 38339941 124097689 131120162 X 3283813 1675161 934602 X 0 1 X 1 0 X 1072972 669662 660847 754959 1595802 4754242 41764636 42336245 44125400 44017804 45862179 218106264 42837608 43005907 44786247 44772763 47457981 222860506 3565 5485 4320 52000 28500 93870 0 3565 5485 4320 52000 28500 93870 222766636 1804426 1170613 984956 1022093 992247 5974335 1804426 1170613 984956 1022093 992247 5974335 687756 687756 44642034 44176520 45771203 45794856 49137984 229522597 0.97060 0.97420 0.02600 0.03000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: HAIR CARE - 2017 AMOUNT: $ 227,581. MEALS - 2017 AMOUNT: $ 406,252. MISCELLANEOUS - 2017 AMOUNT: $ 33,923. ENTRANCE FEES - 2017 AMOUNT: $ 15,000. INSTALLMENT REVENUE - 2017 AMOUNT: $ 5,000. 0 0 0 0 0 0 0 0 1 1518 1518 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 6760278 127061 767664 748638 6906365 7202117 175282 297863 914984 6760278 8183932 164311 -83643 1061483 7203117 8379452 406731 429002 1031253 8183932 7406728 711667 1316291 1055234 8379452 0.00000 0.30000 0.70000 1 0 3536809 3536809 100280460 48645922 51634538 34288004 19889324 14398680 5889198 5889198 75459225 OBLIGATION UNDER INTEREST RATE SWAP 8488489 GIFT ANNUITIES 217885 RESIDENT AND EMPLOYEE FUNDS 244463 REFUNDABLE ENTRANCE FEES 11036087 19986924 54732874 1675161 934602 2609763 52123111 -303543 -303543 51819568 48839298 303543 303543 48535755 0 48535755 PART IV, LINE 1B: THE ORGANIZATION IS THE REP PAYEE FOR TWO RESIDENTS WHO RECEIVE THEIR SOCIAL SECURITY FUNDS INTO THE ACCOUNT. THE ORGANIZATION ALSO HOLDS SMALL GUEST FUNDS, WHERE FAMILIES CAN PUT SMALL ALLOWANCES IN 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 INTEREST -6,030. CHANGE IN VALUE OF PERPETUAL TRUSTS 139,612. CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS 801,020. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON SALE OF FIXED ASSETS -231,344. RENTAL EXPENSES -72,199. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF FIXED ASSETS 231,344. RENTAL EXPENSES 72,199. X 0 1 X X X 0 0 0 0 0 0 0 0 0 HUGH DAVIS CEO 250982 0 26217 0 900 0 12404 0 14729 0 305232 0 0 0 TIMOTHY JOHNSON COO 179598 0 1608 0 3960 0 9256 0 13806 0 208228 0 0 0 CHARLES NELSON EXECUTIVE DIRECTOR 145553 0 1948 0 7620 0 7278 0 218 0 162617 0 0 0 JONATHAN BAKER CAO 146530 0 6234 0 540 0 7328 0 799 0 161431 0 0 0 DAVID GENTRY CFO 146482 0 8711 0 11930 0 0 0 12134 0 179257 0 0 0 PART I, LINE 1A MENNO HAVEN PROVIDED TEMPORARY HOUSING FOR THE CHIEF FINANCIAL OFFICER THROUGH MID 2017 IN THE AMOUNT OF $9,350. PART I, LINE 1B THE TEMPORARY HOUSING WAS PART OF THE CFO'S EMPLOYMENT CONTRACT. NO ADDITIONAL DOCUMENTATION WAS CONSIDERED NECESSARY. A FRANKLIN COUNTY INDUSTRIAL DEVELOPMENT 232261213 353273AG0 2006-08-15 29250000 CONSTRUCTION FURNISHING AND EQUIPMENT 0 0 0 B FRANKLIN COUNTY INDUSTRIAL DEVELOPMENT 232261213 353273AH8 2008-11-10 18850000 PAY OFF 2001 BONDS, REFINANCE A PORTION OF 2006 BONDS, AND CAPITAL IMPROV. 0 0 0 C FRANKLIN COUNTY INDUSTRIAL DEVELOPMENT 232261213 2017-09-12 21000000 CONSTRUCTION OF THE REHABILITATION CENTER 0 0 0 A 6465000 29250000 578675 28671325 2008 0 0 1 1 B 3775000 18850000 245470 4500000 14104530 2011 1 0 1 1 C 21000000 185854 2381099 18618901 0 0 0 1 A 0 1 1 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 1 1 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 1 1 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 1 1 WELLS FARGO 18.000000000000 0 0 0 0 0 B 0 0 0 1 1 1 WELLS FARGO 20.000000000000 0 0 0 0 0 C 0 1 0 0 0 0 0 0 0 A 0 B 0 X 1 6499 APPRAISAL X 5 545914 NYSE X COIN COLLECTIONS & ORNAMENTS 1 7850 APPRAISAL 0 1 0 PART I, COLUMN (B): THE NUMBER OF CONTRIBUTORS IS REPORTED FOR ALL GIFTS. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION'S BYLAWS WERE CHANGED TO ENABLE A CURRENT BOARD MEMBER WHO BECOMES A RESIDENT IN THE COMMUNITY TO REMAIN ON THE BOARD FOR THE DURATION OF THAT TERM IF APPROVED BY THE EXECUTIVE COMMITTEE. PREVIOUSLY THE BOARD MEMBER WOULD HAVE HAD TO RESIGN IMMEDIATELY. FORM 990, PART VI, SECTION B, LINE 11B INTERNAL FINANCE PERSONNAL 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 INTEREST -6,030. CHANGE IN VALUE OF PERPETUAL TRUSTS 139,612. CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS 801,020.