2017-07-07T08:10:30-05:00 2016-12-31 390859910 Baker Tilly Virchow Krause LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2016-01-01 140810461 MORAVIAN MANORS INC MORA 7176260214 300 west lemon street lititz PA 175432311 J DAVID SWARTLEY CEO 7176260214 2017-07-06 1 JULIUS C GREEN CPA P00350393 2159720701 73.230.170.56 2017-07-06 12:59:17 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 41D52B76DFE0CA0C5E5ED141E25DBC48D8427C36 2016 2021-01-29 14:40:06Z j david swartley 300 west lemon street lititz PA 175432311 24430671 0 X www.moravianmanor.org X 1975 PA PROVIDE SERVICES AND FACILITIES FOR THE AGING 18 18 475 170 0 0 983077 523422 19851312 19935378 813357 341748 667406 727021 22315152 21527569 0 0 0 0 12564360 12648450 51327 24221 189402 8213020 8422886 20828707 21095557 1486445 432012 61414349 82718597 39229905 59878453 22184444 22840144 X TO PROVIDE HIGH QUALITY SERVICES AND FACILITIES FOR THE AGING, BASED UPON CHRISTIAN VALUES, WHICH ENCOURAGE INDEPENDENCE, PRESERVE WELLNESS, AND PROMOTE HUMAN DIGNITY. 0 0 13475004 0 14344372 NURSING HOME AND BENEVOLENT CARE: OUR COMMUNITY INCLUDES NURSING CARE FOR THOSE RESIDENTS WHO ARE UNABLE TO HELP THEMSELVES. OF THE CARE PROVIDED, TOTAL SKILLED NURSING DAYS WERE 43,353 OF WHICH 12,501 DAYS WERE MEDICAID AND 4,843 WERE MEDICARE. PERSONAL CARE DAYS WERE 17,493.THE MANOR MAINTAINS RECORDS TO IDENTIFY THE COST OF PROVIDING BENEVOLENT CARE BASED UPON THE DIRECT AND INDIRECT COSTS IDENTIFIED WITH THE SPECIFIC BENEVOLENT CARE PROVIDED. THE COSTS ASSOCIATED WITH BENEVOLENT CARE ARE ESTIMATED BASED ON THE DIFFERENCE IN DAILY RESIDENT COST, AS CALCULATED IN THE ANNUAL COST REPORT, AND THE AMOUNT OF REIMBURSEMENT RECEIVED FOR BENEVOLENT CARE PROVIDED. THE LEVEL OF BENEVOLENT CARE PROVIDED AMOUNTED WAS APPROXIMATELY $1,687,000 IN 2016, INCLUDING COSTS RELATED TO THE MEDICAID PROGRAM. THE MANOR UTILIZED $212,649 DURING 2016 FROM ITS BENEVOLENT CARE FUNDS.Our Community Within A Community involvement includes various partnerships with local businesses and civic organizations as well as Manor-sponsored events. Moravian Manor sponsored events include the summer film festival in Lititz Springs Park which is free and open to the public. Furthermore the community is invited to enjoy our free summer gazebo concert that occurs on-site. Other sponsored Moravian Manor family-oriented community events include the Artisans' Porch Walk, the Fire and Ice Festival, the Pretzel Walk and the Taste of Lititz. We maintain a strong connectivity to the Lititz Rec Center and participate in multiple intergenerational programs with the Warwick School district which include internship programs that connect students to careers in which they are interested. The Manor also welcomes public use of our on-site meeting spaces at a minimal charge. We also support our local fire department through monetary donations. We are fortunate to be located in the Borough of Lititz and will continue to support our hometown through monetary donations and community involvement. 2178165 0 2318693 MEAL DISTRIBUTION PROGRAMS: MORAVIAN MANOR PROVIDES 3 MEALS DAILY WITH PERSONALIZED DIET PLANS FOR SKILLED NURSING AND ASSISTED LIVING RESIDENTS. In addition, the manor provides 1 weekday meal for the Garden Court Apartments. 3073988 0 3272313 HOUSING PROGRAMS, GENERAL/OTHER: HOUSEKEEPING AND MAINTENANCE IS RESPONSIBLE FOR INFECTION CONTROL AND A CLEAN AND HEALTHY ENVIRONMENT FOR 61 APARTMENTS, 16 COTTAGES, 12 TOWNHOUSES, 59-BED PERSONAL CARE FACILITY, AND 127-BED HEALTH CARE FACILITY. MAINTENANCE IS RESPONSIBLE FOR KEEPING THE FACILITY IN GOOD CONDITION (265,460 SQUARE FEET). 18727157 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 59 0 1 475 1 0 0 0 0 0 1 1 0 0 0 0 X 18 18 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA NC VA NY X CINDY MEIER VP OF FINANCE 7176260214 300 west lemon street LITITZ PA 175432311 MR REGINALD K KNOWLTON Treasurer (tERM EXP. Sept. '16) 2.00 X X 0 0 0 MR RICHARD A MINNICH Past chairman 2.00 X 0 0 0 REV DAVID E BENNETT PRESIDENT, EASTERN DIST. 2.00 X 0 0 0 MR BRUCE R BUCHER BOARD MEMBER 2.00 X 0 0 0 MR FRANK A CHRISTOFFEL iii chairman 2.00 X X 0 0 0 MR DANIEL B GARRETT secretary 2.00 X X 0 0 0 MR J ROBERT HESS BOARD MEMBER (Term Exp. Sept '16) 2.00 X 0 0 0 rev dean a easton Vice Chairman 2.00 X X 0 0 0 REV JOHN P SMELTZER BOARD MEMBER (Term Exp. Sept '16) 2.00 X 0 0 0 MR RICHARD G STAUFFER BOARD MEMBER 2.00 X 0 0 0 mrs diane zimmerman board member 2.00 X 0 0 0 mr j timothy roland Treasurer 2.00 X X 0 0 0 Mrs Margaret C Greiner bOARD MEMBER (term Exp. Sept '16) 2.00 X 0 0 0 MR KENNETH G STOUDT board member 2.00 X 0 0 0 MR CHRISTOPHER A STUMP board member 2.00 X 0 0 0 MR DAVID PUSEY BOARD Member 2.00 X 0 0 0 Rev Mark Breland BoaRD MEMBER 2.00 X 0 0 0 Mr Walter Offerman BOARD MEMBER 2.00 X 0 0 0 Deepa Baleur BoARD MEMBER 2.00 X 0 0 0 Stacie Reidenbaugh BOARD MEMBER 2.00 X 0 0 0 Gary Scibal BOARD MEMBER 2.00 X 0 0 0 Joseph McSparran bOARD MEMBER 2.00 X 0 0 0 MR JAMES DAVID SWARTLEY PRESIDENT/CEO 45.00 X 177530 0 20315 Mrs CYNTHIA C MEIER VP OF FINANCE 45.00 X 112101 0 7265 Gary Gaissert vp of operations 45.00 X 111880 0 16644 401511 0 44224 3 0 1 0 EG Stoltzfus Construction 2127 new holland pike lancaster PA 17601 construction 9034148 Wohlsen Construction Company po box 4612 Lancaster PA 17604 Construction 5084846 FLAGSHIP REHABILITATION 157 BALTIMORE STREET SUITE 200 CUMBERLAND MD 21502 Therapy Services 1027435 Sodexo PO Box 533922 ATLANTA GA 30353 Dietary Management 407609 RGS Associates 53 W James StSuite 101 Lancaster PA 17603 Land Planning, Arch. 284640 12 523422 59773 523422 Resident svc Revenue 623000 19935378 19935378 19935378 264167 264167 18425 4319 14106 14106 14106 2970417 2892836 77581 77581 77581 6261 5947 314 314 Day care Facilities 624410 341518 341518 Resident Catering 623000 121229 121229 Beauty/Barber Shop 623000 79480 79480 170374 170374 712601 21527569 19935378 0 1068769 317212 297427 19785 9686416 9078897 512986 94533 459666 427017 27319 5330 1471482 1400191 60275 11016 713674 651958 53409 8307 53611 53611 40360 40360 544 544 24221 24221 73703 73703 1804183 1779741 24442 178114 143989 34125 1355299 1267963 85507 1829 229462 229462 1259711 1083803 175908 16335 16335 43995 43995 1722576 1722576 5512 5512 Medical Supplies 748869 748869 LOSS ON REFINANCING 380818 380818 IN-SERVICE/EVENTS 247500 218747 4372 24381 Empl. & public relation 109800 53264 56536 152494 84300 68194 21095557 18727157 2178998 189402 2178 11613 840286 982011 365828 314489 2555280 2636367 138497 118582 193895 211290 81048798 22464543 42199221 58584255 14309364 17522887 100000 100000 709800 2237103 61414349 82718597 1791674 4852487 6547600 7778535 22150273 35631195 14231 10830 846356 8726127 10759050 39229905 59878453 X 15965502 16668561 5222448 5173685 996494 997898 22184444 22840144 61414349 82718597 X 432012 193114 30574 X 0 1 X 1 0 X 393137 273217 575584 983077 523422 2748437 18475052 18805050 20002110 19851312 19935378 97068902 511850 470009 517373 614656 676324 2790212 19380039 19548276 21095067 21449045 21135124 102607551 82361 5300 49298 104107 24897 265963 0 82361 5300 49298 104107 24897 265963 102341588 236782 245099 201295 206286 282592 1172054 236782 245099 201295 206286 282592 1172054 2901 153377 10860 44102 42538 253778 19619722 19946752 21307222 21699433 21460254 104033383 0.98370 0.98410 0.01130 0.01100 X Schedule A, Part III, Line 12, Explanation of Other Income: Other Income - 2012 Amount: $ 2,901. 2013 Amount: $ 153,377. 2014 Amount: $ 10,860. 2015 Amount: $ 44,102. 2016 Amount: $ 42,538. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 544 544 0 Part II-B, Line 1: MORAVIAN MANOR PAYS DUES TO LeadingAge PA. A PORTION OF THE DUES PAID TO THIS ORGANIZATION IS ALLOCABLE TO LOBBYING EXPENSES. THE TOTAL AMOUNT OF DUES PAID THAT ARE ALLOCABLE TO LOBBYING IS $544. 0 1 X 6302602 52962 201214 298586 6258192 6910828 51774 -81573 578427 6302602 6188582 318292 590151 186197 6910828 4956779 52048 1436225 256470 6188582 4358188 147564 550159 99132 4956779 0.70000 0.13500 0.16500 0 0 4714731 4714731 49612731 19305867 30306864 6046520 2991282 3055238 20674816 167394 20507422 58584255 Deposits 3837863 Annuities payable 98932 Refundable entrance Fees 6822255 10759050 X 21293410 193114 -433220 -240106 21533516 -5947 -5947 21527569 20637710 -3326 -3326 20641036 454521 454521 21095557 Part IV, Line 2b: RESIDENTS CAN DEPOSIT FUNDS INTO THE ORGANIZATION'S ACCOUNT SO THE resident CAN HAVE ACCESS TO THE MONEY WHEN funds are needed. WHEN THE RESIDENT DEPOSITS MONEY INTO THE ACCOUNT, he or she is PROVIDED WITH A RECEIPT AND THE ORGANIZATION RECORDS THE DEPOSIT IN its accounting SYSTEM. IF THE RESIDENT WITHDRAWS FUNDS, HE or she NEEDs TO SIGN A FORM SHOWING THE AMOUNT AND DATE OF THE WITHDRAWAL FOR THE ORGANIZATION'S RECORDS. EACH RESIDENT IS PROVIDED WITH A QUARTERLY STATEMENT SHOWING THE BALANCE OF FUNDS IN his or her ACCOUNT. Additionally, the organization has set up a separate account to track an escrow liability. Part V, Line 4: THE ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE RESULTS THAT ALLOW THE MANOR TO FUND THE APPROPRIATE PROGRAMS WHILE ASSUMING A MODERATE LEVEL OF INVESTMENT RISK. ENDOWMENT FUNDS ARE USED FOR CAPITAL PROJECTS AND BENEVOLENT CARE. Part X, Line 2: The Manor accounts for uncertainty in income taxes by prescribing a recognition threshold of more-likely-than-not to be sustained by examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. Management has determined that there were no tax uncertainties that met the recognition threshold in 2016 and 2015. Part XI, Line 2d - Other Adjustments: Change in Beneficial Interest in Perpetual Trust 1,404. Equity in Loss of Your Neighborhood Connections, LLC -107,589. Change in Fair Value of Swap 127,486. Loss on Refinancing -380,818. Investment Fees -73,703. Part XI, Line 4b - Other Adjustments: Gift Shop Expenses -5,947. Part XII, Line 2d - Other Adjustments: Change in Value of annuities payable -9,273. Gift Shop expenses 5,947. Part XII, Line 4b - Other Adjustments: Investment Fees 73,703. LOSS ON REFINANCING 380,818. X X X 1 Lindsley Development Consulting 89 Leaman Road Lancaster PA 17603 Fundraising for Renovation project 0 0 24221 -24221 24221 -24221 PA NC VA NY Schedule G, Part I, Line 2b, Column (v) Payment was made for consultation in order to start a feasability study to determine if a campaign could be conducted for funds to renovate Manor West, a sub section of Moravian Manors. X X X X 0 0 0 0 0 0 0 0 0 MR JAMES DAVID SWARTLEY PRESIDENT/CEO 177530 0 0 0 0 0 10735 0 9580 0 197845 0 0 0 A NORTH lebanon township municipal authority 236000452 NONEavail 2015-12-30 10000000 FUNDING FOR WARWICK WOODLANDS PROJECT 0 0 0 B nORTH lebanon township municipal authority 236000452 nONEavail 2016-03-04 5921811 Refinancing for health center expansion and renovation 0 0 0 C nORTH lebanon township municipal authority 236000452 nONEavail 2016-03-04 4440116 Refinancing for health center expansion and renovation 0 0 0 D noRTH lebanon township municipal authority 236000452 nONEavail 2016-03-04 6993148 Refinancing for health center expansion and renovation 0 0 0 A 10000000 114295 9885705 2017 0 0 0 1 B 325800 5921811 44913 5876898 2016 1 0 1 1 C 246600 4440116 33918 4406198 2016 1 0 1 1 D 208799 6993148 53039 6940109 2016 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 0 1 0 1 1 fulton Bank NA 10.000000000000 0 0 0 0 1 C 0 0 1 0 1 1 Fulton Bank NA 10.000000000000 0 0 0 0 1 D 0 0 1 0 1 1 Fulton Bank NA 10.000000000000 0 0 0 0 1 A 1 B 1 C 1 D 1 A nORTH lebanon township municipal authority 236000452 nONEavail 2016-03-04 9644933 Warwick Woodlands expansion and renovations 0 0 0 A 13561 9644933 83159 9561774 2017 0 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 1 Fulton Bank NA 10.000000000000 0 0 0 0 1 A 1 X 3 59773 NYSE Value 0 0 0 0 Part I, Column (b): THE NUMBER IN column B REPRESENTS the NUMBER OF CONTRIBUTORS. Form 990, Part VI, Section A, line 7a THE MORAVIAN CHURCH ELECTS EIGHT MEMBERS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS ELECTS FOUR TO SEVEN MEMBERS THROUGH A NOMINATING COMMITTEE. Form 990, Part VI, Section A, line 7b DECISIONS MADE BY THE GOVERNING BODY TO MAKE BY-LAW REVISIONS ARE SUBJECT TO APPROVAL BY THE EXECUTIVE BOARD OF THE EASTERN DISTRICT OF THE MORAVIAN CHURCH, NORTHERN PROVINCE. ALL OTHER DECISIONS DO NOT REQUIRE APPROVAL. Form 990, Part VI, Section B, line 11b THE INITIAL REVIEW OF FORM 990 IS DONE BY THE MANOR'S VP OF FINANCE. ONCE THIS INITIAL REVIEW IS COMPLETE, THE MANOR'S FORM 990 IS THEN SENT TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW BEFORE the return IS FILED. Form 990, Part VI, Section B, line 12c OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES OF MORAVIAN MANORS REVIEW AND SIGN AN ANNUAL conflict of interest AND DISCLOSURE STATEMENT. BOARD MEMBERS AND OFFICERS SHALL DISCLOSE THEIR INTEREST IN MATTERS THAT MAY OR WILL AFFECT THEM OR ANY PERSON CLOSELY ASSOCIATED WITH THEM EITHER DIRECTLY OR INDIRECTLY. the term "closely associated" expressly includes family and business relationships. THE CORPORATE COMPLIANCE OFFICER REVIEWS THE STATEMENTS TO ASSURE THERE ARE NO CONFLICTS OF INTEREST. Any conflicts of interest that occur are reviewed by the President and the Board Chair assuming he/she is not the party involved. MORAVIAN MANOR BOARD MEMBERS SHALL NOT VOTE ON ANY RESOLUTION OR MOTION REGARDING MATTERS WHERE AN ACTUAL OR POTENTIAL FINANCIAL INTEREST OR CONFLICT OF INTEREST EXISTS. Form 990, Part VI, Section B, line 15 MORAVIAN MANORS USES ITS EXECUTIVE COMMITTEE AND A COMPENSATION SURVEY/STUDY TO DETERMINE THE COMPENSATION FOR ITS CEO. THE COMMITTEE USES THE SURVEY TO ENSURE THAT ANY SALARY INCREASES ARE WITHIN FAIR MARKET RANGE FOR THE INDUSTRY. THE FORMAL PROCEDURE IS AS FOLLOWS: THE Executive committee completes an evaluation of the CEO WHICH IS A formal document. The entire Board is THEN invited to make comments and contact any member of the executive committee with any concerns AND/OR comments regarding THE ceo'S annual evaluation. Once comments AND concerns are compIled, the executive committee meets to discuss performance and compensation. Wage survey details are reviewed at this time for similar positions. Once compensation is decided upon it is the responsibility of the Board Chair to meet with the CEO. The Board Chair then gives a formal letter to the controller regarding percentage increase and effective date for THE CEO rate change. The Board is informed of the results of the performance appraisal at the next scheduled meeting. The Executive Committee Chair keeps all documents regarding Compensation. although details on the executive committee are not made public to the board, final decisions are shared with the board and documented. THE CEO SETS THE SALARIES FOR KEY EMPLOYEES USING 990'S FROM OTHER ORGANIZATIONS AND THE LEADINGAGE PA WAGE SURVEY FOR COMPARISON. fair market range is considered when making all decisions. Form 990, Part VI, Section C, line 18 MORAVIAN MANOR'S ANNUAL FILING IS PUBLIC. THE FILING IS PICKED UP BY GUIDESTAR AND MADE AVAILABLE TO THE PUBLIC THROUGH ITS WEB SITE. THE FILING IS ALSO AVAILABLE UPON REQUEST. Form 990, Part VI, Section C, line 19 A COPY OF THE FINANCIAL STATEMENTS MAY BE OBTAINED BY CONTACTING THE PA DEPARTMENT OF STATE. THE STATEMENTS, ALONG WITH THE REGISTRATION STATEMENT WITH WHICH THEY ARE FILED, ARE PUBLIC RECORDS. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part XI, line 9: Change in beneficial interest in perpetual trust 1,404. Change in value of annuities payable 9,273. Change in Fair Value of Swap 127,486. Equity in Loss of Your Neighborhood Connections, LLC -107,589. GGDS LLC 300 LEMON STREET LITITZ PA 17543 813925437 REAL ESTATE HOLDINGS PA 2800 421956 MORAVIAN MANORS INC 1