2025-10-08T06:05:57-05:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2024-01-01 237404857 LEBANON VALLEY BRETHREN HOME LEBA 7178385406 LONDONDERRY VILLAGE 1200 GRUBB ROA PALMYRA PA 17078 HENRY BRUBAKER VP FINANCE/CFO 7178385406 2025-10-07 1 0 X KERRI N BOGDA CPA P00760402 7177404863 2025-10-07 2024 2025-03-06 01:10:19Z LONDONDERRY VILLAGE ALICIA TITUS LONDONDERRY VILLAGE 1200 GRUBB ROAD PALMYRA PA 17078 32989689 0 X WWW.LONDONDERRYVILLAGE.ORG X 1974 PA CONTINUING CARE RETIREMENT COMMUNITY PROVIDING HOUSING, HEALTH CARE, AND RELATED SERVICES. 15 15 312 183 0 0 619075 1728097 25386691 26674850 763967 1519063 390713 472439 27160446 30394449 189509 326490 0 0 13547499 14296912 0 0 252295 13764080 14525913 27501088 29149315 -340642 1245134 91755717 110244674 71597982 87973819 20157735 22270855 X THE LEBANON VALLEY BRETHREN HOME, AN OUTREACH MINISTRY OF THE CHURCH OF THE BRETHREN, IS COMMITTED TO PROVIDING INDEPENDENT LIVING HOUSING, HIGH-QUALITY HEALTH CARE, AND SUPPORTIVE SERVICES FOR ELDERLY PERSONS IN AN ATTITUDE OF LOVE AND SERVANTHOOD. 0 0 25101815 326490 26674850 LEBANON VALLEY BRETHREN HOME, DBA LONDONDERRY VILLAGE, IS A NON-PROFIT 501(C)(3) LIFE PLAN COMMUNITY LOCATED IN PALMYRA, PA. AS AN OUTREACH MINISTRY OF THE CHURCH OF THE BRETHREN, WE ARE COMMITTED TO PROVIDING HOUSING, HIGH-QUALITY HEALTHCARE AND SUPPORTIVE SERVICES FOR ELDERLY PERSONS WITH AN ATTITUDE OF LOVE AND SERVANTHOOD. LONDONDERRY VILLAGE PROVIDES SERVICES AND CARE IN INDEPENDENT LIVING, PERSONAL CARE AND SKILLED NURSING TO 590 RESIDENTS. LONDONDERRY VILLAGE OFFERS PROGRAMS AND AMENITIES FOR RESIDENTS TO PARTICIPATE IN RECREATIONAL, EDUCATIONAL, SPIRITUAL OR CULTURAL ACTIVITIES. THESE OFFERINGS INCLUDE CONCERTS OR EDUCATIONAL PRESENTATIONS, WELLNESS CLASSES AND EXERCISE FACILITIES, DINING VENUES, OFF-CAMPUS EXCURSIONS AND WEEKLY CHURCH SERVICES. SEE SCHEDULE OIN 2024, SKILLED NURSING CARE HAD AN AVERAGE CENSUS OF 64 BEDS OCCUPIED WITH 34% OF THE RESIDENTS RECEIVING GOVERNMENT ASSISTANCE FOR CARE. IN 2024 SKILLED NURSING SERVICES WERE PROVIDED IN FOUR GREEN HOUSE HOMES AND A TRADITIONAL 33-BED NURSING FACILITY. THE GREEN HOUSE HOMES, EACH WITH 10 PRIVATE ROOMS, PROVIDE CARE IN A HOME-LIKE SETTING THAT PROMOTES RESIDENT CHOICES AND PREFERENCES. LIFE ENRICHMENT ACTIVITIES AND SOCIAL SERVICES ARE PROVIDED TO SKILLED NURSING RESIDENTS IN BOTH CARE SETTINGS. THERAPY SERVICES ARE PROVIDED FOR INPATIENT REHAB NURSING RESIDENTS.LONDONDERRY VILLAGE PERSONAL CARE OFFERS A SUPPORTIVE LIVING ENVIRONMENT FOR RESIDENTS WHO NEED ASSISTANCE WITH ACTIVITIES OF DAILY LIVING. PERSONAL CARE HAD AN AVERAGE CENSUS OF 36 THROUGHOUT 2024 DURING WHICH 6 RESIDENTS RECEIVED BENEVOLENT ASSISTANCE FROM LONDONDERRY VILLAGE. CONSTRUCTION OF A16-BED MEMORY CARE, PERSONAL CARE FACILITY COMMENCED IN 2024 TO BEGIN OPERATING IN 2025.THE 2024 AVERAGE CENSUS IN INDEPENDENT LIVING WAS 490 RESIDENTS OCCUPYING 354 OF THE COMMUNITY'S 375 RESIDENCES. BENEVOLENT SUBSIDY WAS PROVIDED TO FOUR INDIVIDUALS IN 2024. RESIDENTS HAVE A VARIETY OF HOUSING OPTIONS INCLUDING APARTMENTS, COTTAGES, DUPLEXES AND SINGLE-FAMILY CARRIAGE HOMES. THE FIRST PHASE OF A NEW COMMUNITY KNOWN AS FOX RUN AT LONDONDERRY VILLAGE OPENED IN SUMMER 2024 WITH 11 NEW HOMES COMPLETED AND OCCUPIED. VOLUNTEERISM AND SERVICE ARE AN INTEGRAL PART OF THE LONDONDERRY VILLAGE CULTURE WITH MANY HOURS OF SERVICE GIVEN BY RESIDENTS AND OTHERS FOR THE ENRICHMENT AND BETTERMENT OF THE COMMUNITY. 25101815 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 46 0 312 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X HENRY BRUBAKER VP OF FINANCE CFO 7178385406 1200 GRUBB ROAD PALMYRA PA 17078 STEVEN TILLEY CHAIR 2.00 0.00 X X 0 0 0 SANDRA PINTARCH VICE CHAIR 2.00 0.00 X X 0 0 0 DR DENNIS GINGRICH SECRETARY 2.00 0.00 X X 0 0 0 ROY MEYER TREASURER 2.00 0.00 X X 0 0 0 RAYMOND FLAGG DIRECTOR 1.00 0.00 X 0 0 0 ROBERT FORTNA DIRECTOR 1.00 0.00 X 0 0 0 RICHARD HANN SR DIRECTOR 1.00 0.00 X 0 0 0 BONNIE WAMPLER DIRECTOR 1.00 0.00 X 0 0 0 CRAIG MOYER DIRECTOR 1.00 0.00 X 0 0 0 WENDIE DIMATTEO HOLSINGER DIRECTOR 1.00 0.00 X 0 0 0 CHESTER ROSE DIRECTOR 1.00 0.00 X 0 0 0 THOMAS SHENK DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL SWANK DIRECTOR 1.00 0.00 X 0 0 0 KEITH WAGNER DIRECTOR 1.00 0.00 X 0 0 0 JAMES E WILLIAMS JR DIRECTOR 1.00 0.00 X 0 0 0 JEFFREY SHIREMAN PRESIDENT/CEO 37.50 0.00 X 268191 0 50644 HENRY BRUBAKER VP FINANCE/CFO 37.50 0.00 X 165969 0 39371 JENNIFER GINDER VP HEALTH SERVICES 37.50 0.00 X 165944 0 17116 NICHOLE REICHARD CNA 40.00 0.00 X 121699 0 18628 JUDY MOLTER RN NURSE MANAGER 40.00 0.00 X 119462 0 5320 STEPHANIE FEGLEY DIRECTOR OF NURSING 37.50 0.00 X 118802 0 11450 LISA MORGANTHALL HR DIRECTOR 37.50 0.00 X 115123 0 33946 DEBRA O'DONNELL RN NURSE MANAGER 37.50 0.00 X 112461 0 24139 1187651 0 200614 12 0 1 0 ARTHUR FUNK & SONS 1405 BIRCH RD LEBANON PA 17042 CONSTRUCTION SERVICES 13440621 SHOPE'S GARDENS CONST INC 53 NORTH CHARLOTTE ST MANHEIM PA 17545 CONSTRUCTION SERVICES 1406328 MORRISON LIVING 400 NORTH RIDGE ROAD ATLANTA GA 30350 MANAGEMENT CONTRACT/DINING SERVICES 1202948 SYMBRIA REHAB 7125 JANES AVENUE SUITE 300 WOODRIDGE IL 60517 THERAPY SERVICES 789236 BN EXCAVATING 100 FURNANCE ROAD MARIETTA PA 17547 CONSTRUCTION SERVICES 621684 23 52282 1675815 1728097 NET RESIDENT SVC REV 623000 26607409 26607409 PA NURSING HOME ASSESSMT 623000 67441 67441 26674850 1207062 1207062 23170 19389 3781 3781 3781 2786332 9117 2483448 0 302884 9117 312001 312001 25498 52282 39665 -14167 -14167 63984 52738 11246 11246 FOOD SERVICES 722210 216066 216066 BARBER SHOP 900099 90320 90320 SOLAR CREDIT REVENUE 900099 81661 81661 83532 83532 471579 30394449 26674850 0 1991502 326490 326490 707235 183060 524175 10305427 9143275 1029242 132910 496261 471619 17687 6955 1969129 1573271 371461 24397 818860 698998 109882 9980 32261 32261 23077 23077 112454 112454 2147 2147 78563 78563 1921971 1729334 192637 171978 171978 108055 20527 87528 381818 66060 315758 2835671 2781667 54004 58998 54358 4640 1608 1608 856910 856910 5372941 5260616 97627 14698 320872 320872 FOOD SERVICE COSTS 800311 800233 78 EQUIPMENT REPAIRS/RENTA 248594 232465 16129 COMMUNICATIONS 183846 80758 103088 RECRUITMENT 181983 113395 68588 831855 676518 91982 63355 29149315 25101815 3795205 252295 1698 1698 7640127 10719242 92202 545009 1309233 1531456 1409473 628859 128273600 62666467 51885312 65607133 21483995 23102867 7933677 8108410 91755717 110244674 3029282 2679227 26509201 31391135 23245103 31218048 2349752 18814396 20335657 71597982 87973819 X 14871100 15917894 5286635 6352961 20157735 22270855 91755717 110244674 X 1245134 588186 279800 X 0 1 X 1 0 X 2117871 1710965 620000 619075 1728097 6796008 21825903 22556774 22857813 25386691 26674850 119302031 307271 280138 273752 312460 370549 1544170 24251045 24547877 23751565 26318226 28773496 127642209 101937 11235 15532 29411 11027 169142 0 101937 11235 15532 29411 11027 169142 127473067 978527 1389389 282790 817372 1230232 4698310 978527 1389389 282790 817372 1230232 4698310 22449 72573 90613 193229 190512 569376 25252021 26009839 24124968 27328827 30194240 132909895 0.95910 0.95980 0.03530 0.03490 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2020 AMOUNT: $ 5,669. 2021 AMOUNT: $ 4,217. 2022 AMOUNT: $ 2,667. 2023 AMOUNT: $ 2,813. 2024 AMOUNT: $ 2,724. PR EVENT FEES - 2020 AMOUNT: $ 365. 2023 AMOUNT: $ 2,845. 2024 AMOUNT: $ 3,112. FUNDRAISING REVENUE - 2020 AMOUNT: $ 16,415. 2021 AMOUNT: $ 25,505. 2022 AMOUNT: $ 27,625. 2023 AMOUNT: $ 33,380. 2024 AMOUNT: $ 25,498. RESIDENT FACILITIES - 2021 AMOUNT: $ 19,415. 2022 AMOUNT: $ 56,741. 2023 AMOUNT: $ 67,704. 2024 AMOUNT: $ 77,517. MANAGED CARE PARTICIPATION FEE - 2021 AMOUNT: $ 23,436. 2022 AMOUNT: $ 3,580. SOLAR CREDIT REVENUE - 2023 AMOUNT: $ 86,487. 2024 AMOUNT: $ 81,661. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2147 2147 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO NATIONAL (LEADINGAGE) AND STATE (LEADINGAGE PA) ASSOCIATIONS. A PORTION OF THE STATE AND NATIONAL ORGANIZATION'S DUES ARE USED FOR LOBBYING PURPOSES. THE $2,147 REPORTED AS LOBBYING EXPENDITURES IS THE TOTAL OF LEADINGAGE'S DUES THAT WERE USED FOR LOBBYING PURPOSES BY NATIONAL LEADINGAGE AND LEADINGAGE PA. 2625292 21238 185471 8374 2823627 2322054 74734 305545 69845 7196 2625292 2787934 91515 -461116 88984 7295 2322054 2398435 247106 255089 105103 7593 2787934 2084901 136820 280602 97554 6334 2398435 1.00000 0.00000 0.00000 0 0 777519 777519 95583930 41501970 54081960 30150565 20654861 9495704 1761586 509636 1251950 65607133 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 2829617 RIGHT OF USE ASSET 4376876 OTHER ASSETS 901917 8108410 REFUNDABLE FEES AND DEPOSITS 15310784 CHARITABLE GIFT ANNUITY OBLIGATIONS 14298 RESIDENT SECURITY DEPOSITS 408400 FINANCING LEASE LIABILITIES 4602175 20335657 31045256 588186 -49171 539015 30506241 -111792 -111792 30394449 28932136 111792 111792 28820344 328971 328971 29149315 PART V, LINE 4: THE ENDOWMENT FUND IS INTENDED TO ASSIST NURSING AND PERSONAL CARE RESIDENTS WHO ARE NO LONGER ABLE TO AFFORD THEIR OWN CARE. IT IS ALSO USED TO COVER THE DIFFERENCE BETWEEN GOVERNMENT PAYMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BENEVOLENT CARE -326,490. CHANGE IN VALUE OF SPLIT INTEREST 265,205. CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENT 14,595. INTEREST EXPENSE FOR DONOR RESTRICTED ASSETS -2,481. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -19,389. CONVENIENCE STORE PURCHASES -52,738. FUNDRAISING EXPENSES -39,665. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 19,389. CONVENIENCE STORE PURCHASES 52,738. FUNDRAISING EXPENSES 39,665. PART XII, LINE 4B - OTHER ADJUSTMENTS: BENEVOLENT CARE NETTED AGAINST REVENUE 326,490. INTEREST EXPENSE FOR DONOR RESTRICTED ASSETS 2,481. BBQ BASH 26072 12228 13844 2127 10365 2467 3022 GOOD SAMARITAN DINNER 20905 17895 3010 801 2000 2325 3 30803 22159 8644 1025 4706 4760 108 5959 77780 52282 25498 1025 6833 15926 4575 11306 39665 -14167 1 BENEVOLENT CARE - PERSONAL CARE 6 254988 BENEVOLENT CARE - INDEPENDENT LIVING 4 71502 PART I, LINE 2: RESIDENTS WHO NEED FINANCIAL ASSISTANCE SUBMIT AN APPLICATION TO THE FINANCE OFFICE. FINANCIAL INFORMATION OF THE RESIDENT IS REVIEWED AND CONFIRMED. BASED UPON THE INFORMATION SUBMITTED, THE ADMINISTRATOR THEN MAKES A DECISION AS TO WHETHER FINANCIAL ASSISTANCE WILL BE PROVIDED. THE ADMINISTRATOR PROVIDES INFORMATION TO THE FINANCE COMMITTEE OF THE BOARD WITH RESPECT TO THE TOTAL ASSISTANCE THAT HAS BEEN AWARDED. THE RESIDENTS WHO RECEIVE THE BENEVOLENT CARE REMAIN ANONYMOUS TO THE FINANCE COMMITTEE. X X X X 0 0 0 0 0 0 0 1 0 JEFFREY SHIREMAN PRESIDENT/CEO 241148 0 27043 0 0 0 35119 0 15525 0 318835 0 0 0 HENRY BRUBAKER VP FINANCE/CFO 155969 0 10000 0 0 0 23774 0 15597 0 205340 0 0 0 JENNIFER GINDER VP HEALTH SERVICES 155944 0 10000 0 0 0 15535 0 1581 0 183060 0 0 0 PART I, LINE 7 THE BOARD OF DIRECTORS HAS INSTITUTED A SHORT-TERM INCENTIVE PLAN FOR THE CORPORATE OFFICERS. THE STI PLAN WILL PAY A PERCENTAGE OF BASE BAY BASED ON THE EVALUATION OF THE OFFICERS' PERFORMANCE IN MEETING THE METRICS AND GOALS FOR THE YEAR. THE STI PLAN DEFINES ORGANIZATIONAL AND INDIVIDUAL GOALS TO BE ACHIEVED AND ASSIGNS WEIGHTINGS TO THESE GOALS, RELATIVE TO THE IMPORTANCE TO THE ORGANIZATION. THE PERCENTAGES FOR THE INCENTIVE VARY BY POSITION, BUT THE MAXIMUM FOR ANY OFFICER IS 15% OF BASE PAY. A WEST CORNWALL TWP MUNICIPAL AUTHORITY 251640412 95235TAT0 2021-03-30 41260503 SEE PART VI 0 0 0 A 1305000 41260503 495063 16920318 19202492 4642630 1 0 0 1 A 0 0 1 1 1 1 0.02400 0.02400 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 SCHEDULE K, PART I, LINE A, COLUMN F (A) THE CURRENT REFUNDING OF (1) THE AUTHORITY'S SENIOR LIVING FACILITY REVENUE BONDS (LEBANON VALLEY BRETHREN HOME PROJECT), SERIES OF 2006; (2) THE AUTHORITY'S REVENUE NOTE, (LEBANON VALLEY BRETHREN HOME PROJECT) SERIES B OF 2015, AS AMENDED AND SUPPLEMENTED; (3) THE AUTHORITY'S REVENUE NOTE, (LEBANON VALLEY BRETHREN HOME PROJECT) SERIES OF 2016, AS AMENDED AND SUPPLEMENTED AND (4) AN OUTSTANDING CONSTRUCTION LOAN INCURRED BY THE CORPORATION ; (B) THE DESIGN, ACQUISITION, CONSTRUCTION, INSTALLATION AND EQUIPPING OF (1) ELEVEN TOWNHOMES AND COTTAGES; (2) TWENTY-FOUR HYBRID APARTMENTS; AND (3) A CLUBHOUSE CONTAINING SOCIAL ACTIVITIES SPACE AND A KITCHEN TO SERVE THE NEW RESIDENTIAL UNITS;AND (4) AN OUTSTANDING CONSTRUCTION LOAN; AND (C) THE PAYMENT OF CERTAIN OF THE COSTS AND EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS. FORM 990, PART VI, SECTION B, LINE 11B BEFORE IT IS FILED WITH THE IRS, FORM 990 IS REVIEWED BY THE ORGANIZATION'S FINANCE COMMITTEE. THE CFO PRESENTS AND DISCUSSES THE RELEVANT SECTIONS AND LINE ITEMS WITH THE COMMITTEE. FOLLOWING ACCEPTANCE BY THE FINANCE COMMITTEE, THE ENTIRE BOARD OF DIRECTORS RECEIVES A COPY OF THE 990 TO REVIEW AND ASK ANY QUESTIONS. THE FORM IS FILED WITH THE IRS AFTER THESE GOVERNING BODIES HAVE REVIEWED THE 990. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS, REQUIRED ANNUALLY OF GOVERNING BODY MEMBERS, OFFICERS AND KEY EMPLOYEES, ARE REVIEWED BY THE CHIEF FINANCIAL OFFICER. GOVERNING BODY MEMBERS AND KEY EMPLOYEES ARE EXPECTED TO DIVULGE ANY POTENTIAL CONFLICT OF INTEREST THEY MIGHT HAVE IN A GIVEN TRANSACTION, NOTIFY THE DECISION-MAKERS INVOLVED IN THAT TRANSACTION, AND REMOVE THEMSELVES FROM ANY DECISION-MAKING ROLE IN THE TRANSACTION. DETERMINATION OF CONFLICTS ON THE LEVEL OF THE GOVERNING BODY WILL BE MADE BY THE GOVERNING BODY. DETERMINATION OF CONFLICTS ON THE LEVEL OF KEY EMPLOYEE WILL BE DETERMINED BY THE CEO, OR IF THE CEO IS INVOLVED IN THE CONFLICT, THROUGH AN ANONYMOUS HOTLINE TO THE CORPORATE COMPLIANCE OFFICER, WHO HAS DIRECT REPORTING ACCESS TO THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS USES A CEO EVALUATION TOOL THAT IS COMPLETED BY BOARD MEMBERS AND GATHERS OTHER FEEDBACK RELATIVE TO THE PERFORMANCE OF THE CEO. THE COLLECTED INFORMATION IS CONSIDERED BY THE BOARD'S EXECUTIVE COMMITTEE. REPRESENTATIVES FROM THE EXECUTIVE COMMITTEE REVIEW THE RESULTS WITH THE CEO. INDUSTRY DATA IS USED TO DETERMINE COMPARABLE SALARIES FOR EXECUTIVE MANAGEMENT. THE ENTIRE PROCESS ALONG WITH ANY COMPARABLE DATA USED IN SETTING COMPENSATION LEVELS IS RECORDED IN THE MINUTES OF THE EXECUTIVE COMMITTEE. SALARIES OF SIMILAR POSITIONS LOCATED IN CENTRAL PENNSYLVANIA ARE USED AS A FAIR VALUE COMPARISON. THE ENTIRE PROCESS ALONG WITH ANY COMPARABLE DATA USED IN SETTING COMPENSATION LEVELS IS RECORDED IN THE MINUTES OF THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. ADDITIONALLY, AUDITED FINANCIAL STATEMENTS ARE AVAILABLE WITH THE ANNUAL DISCLOSURE STATEMENT REQUIRED BY THE PENNSYLVANIA DEPARTMENT OF INSURANCE, ALSO AVAILABLE UPON REQUEST BY ANY MEMBER OF THE PUBLIC. THE DISCLOSURE STATEMENT IS ALSO MADE AVAILABLE TO ALL CURRENT LVBH COMMUNITY RESIDENTS IN THE COMMUNITY CENTER READING ROOM, AND TO ALL INCOMING RESIDENTIAL LIVING RESIDENTS AS THEY ARE MOVING INTO THE COMMUNITY. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 265,205. CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENT 14,595.