2015-11-23T15:26:02-06:00 2015-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2014-07-01 231413689 THE MENNONITE HOME MENN 7173931301 1520 HARRISBURG PIKE LANCASTER PA 17601 J NELSON KLING PRESIDENT 7173931301 2015-11-23 1 JULIUS GREEN CPA JD P00350393 2159720701 2014 2016-03-07 17:11:31Z J NELSON KLING 1520 HARRISBURG PIKE LANCASTER PA 17601 44231857 0 X WWW.MENNONITEHOME.ORG X 1903 PA OPERATE A RETIREMENT COMMUNITY PROVIDING HOUSING, HEALTHCARE, & RELATED SERVICES TO THE ELDERLY. 12 10 753 439 269 0 567015 490664 38148091 38563200 1313780 1624297 501987 693711 40530873 41371872 0 14306 0 0 20936216 21166647 0 0 135518 17050506 17443445 37986722 38624398 2544151 2747474 133798224 150684598 79378995 93496222 54419229 57188376 X THE FAITH-BASED MISSION OF MENNONITE HOME COMMUNITIES IS TO ENRICH THE LIVES OF RESIDENTS, STAFF, AND THE COMMUNITY. MENNONITE HOME COMMUNITIES FOLLOWS SEVERAL GUIDING PRINCIPLES TO ACCOMPLISH OUR MISSION. WE CARE FOR INDIVIDUALS IN AN ATMOSPHERE OF CHRIST-LIKE LOVE WHILE ACTIVELY PRESERVING RESIDENTS' DIGNITY, RIGHTS AND INDEPENDENCE. WE PROVIDE A HOME-LIKE, SAFE AND SECURE ENVIRONMENT FOR RESIDENTS AND EMPLOYEES. FINALLY, AS A FAITH-BASED NOT-FOR-PROFIT ENTITY, WE PROVIDE BENEVOLENT CARE FOR THOSE WHO CANNOT AFFORD THE FULL COST OF THEIR CARE. 0 0 34021050 14306 38563200 MENNONITE HOME IS A LARGE FAITH-BASED NON-PROFIT 501(C)(3) CONTINUING CARE RETIREMENT COMMUNITY IN LANCASTER COUNTY, PA, PROVIDING A CONTINUUM OF COMPREHENSIVE SERVICES AND CARE APPROPRIATE FOR RESIDENTIAL LIVING, PERSONAL CARE AND SKILLED NURSING RESIDENTS. THE CAMPUS SERVES RESIDENTS WITH EXCELLENCE AND COMPASSION, PROVIDING BOTH PERSONAL CARE AND SKILLED NURSING HEALTHCARE OPTIONS. SECURE DEMENTIA CARE UNITS ARE AVAILABLE IN BOTH LEVELS OF SERVICE. A COMPREHENSIVE THERAPY DEPARTMENT PROVIDES PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES AS DETERMINED BY A PHYSICIAN, ENSURING THAT RESIDENTS CAN RETURN TO THEIR HIGHEST LEVEL OF FUNCTION AND INDEPENDENCE. WE PROVIDE SKILLED NURSING SERVICES IN HOME-LIKE HOUSEHOLDS OF 18 TO 21 RESIDENTS. WE EMPHASIZE INDIVIDUAL DIGNITY, SELF-DIRECTION AND PRIVACY THROUGH OUR PERSON-CENTERED CARE PHILOSOPHY. THE WISSLER RUN HOUSEHOLD FOCUSES ON THE UNIQUE NEEDS OF SHORT-TERM RESIDENTS REQUIRING THERAPY.WOODCREST VILLA IS OUR RESIDENTIAL LIVING CAMPUS, PROVIDING APARTMENT AND VILLA ACCOMMODATIONS AND A RANGE OF SERVICES TO APPROXIMATELY 500 RESIDENTS. VOLUNTEERS ARE CRUCIAL TO PROVIDING THE COMPREHENSIVE SERVICES OUR RESIDENTS NEED. IN THE CURRENT YEAR, 439 VOLUNTEERS PROVIDED 22,628 HOURS OF SERVICE TO OUR RESIDENTS, REPRESENTING APPROXIMATELY $339,420 OF DONATED SERVICES.OUR BENEVOLENT CARE FUND ALLOWS US TO HONOR OUR 111 YEAR TRADITION OF CARING FOR FINANCIALLY CHALLENGED RESIDENTS. LAST YEAR WE PROVIDED $4.44 MILLION DOLLARS OF UNCOMPENSATED CARE TO 102 RESIDENTS. APPROXIMATELY 40% OF OUR RESIDENTS NEED THIS FINANCIAL ASSISTANCE EVERY YEAR. 34021050 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 191 0 1 753 1 0 0 0 0 0 1 1 0 0 0 0 X 12 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X JOHN I MILLER JR CPA CGMA VP OF FINANCE 7173931301 1520 HARRISBURG PIKE LANCASTER PA 17601 GLENN WEBER VICE CHAIRMAN 1.30 X X 0 0 0 CONNIE STICHTER DIRECTOR 1.30 X 0 0 0 JAMES H THOMAS DIRECTOR 1.30 X 0 0 0 PATRICIA LEAMAN CHAIRPERSON 1.30 X X 0 0 0 ROY BOMBERGER JR DIRECTOR 1.30 X 0 0 0 PHILIP B LEHMAN DIRECTOR (RES. 3/15) 1.30 X 0 0 0 DR JAMES SPICHER SECRETARY 1.30 X X 0 0 0 ANDREW STECKBECK TREASURER 1.30 X X 0 0 0 JOAN NICHOLSON DIRECTOR 1.30 X 0 0 0 MERVIN HESS DIRECTOR 1.30 X 0 0 0 VIRGINIA BADGER ASST. TREASURER 1.30 X 0 0 0 MATTHEW HARTZLER ASST. SECRETARY 1.30 X 0 0 0 DAVID THOMPSON DIRECTOR 1.30 X 0 0 0 J NELSON KLING CHIEF EXECUTIVE OFFICER 45.00 X 185223 0 23532 JOHN I MILLER JR VP OF FINANCE 45.00 X 129579 0 19844 JOHN SAUDER VP OF OPERATIONS 45.00 X 128353 0 23723 J DAVID SHENK VP OF HUMAN RESOURCES 45.00 X 115786 0 22773 NANCY RUSH VP OF INDEPENDENT LIVING 45.00 X 104309 0 14015 GINNETTE JOHNSON NHA 45.00 X 117401 0 14741 780651 0 118628 6 0 1 0 E G STOLTZFUS 2127 NEW HOLLAND PIKE LANCASTER PA 17601 CONSTRUCTION 1667591 WARFEL CONSTRUCTION 1110 ENTERPRISE RD EAST PETERSBURG PA 17520 CONSTRUCTION PLANNING 1126950 REESE LOWER PATRICK & SCOTT 250 VALLEY BROOK DRIVE LANCASTER PA 17601 ARCHITECTURAL SVC. 847079 DH FUNK & SONS LLC 3995 CONTINENTAL DRIVE COLUMBIA PA 17601 EXCAVATION 843792 BENCHMARK CONSTRUCTION 4121 OREGON PIKE BROWNSTOWN PA 17508 CONSTRUCTION 399724 8 52893 437771 490664 NET RESIDENT SERVICE REV 623000 34249158 34249158 AMORT OF ADVANCE FEES 623000 3712873 3712873 PA NURSING HOME ASSESSMENT 623000 601169 601169 38563200 529242 529242 146636 44706 101930 101930 101930 3754333 14124 2668144 5258 1086189 8866 1095055 1095055 18190 52893 11578 6612 6612 160605 130299 30306 30306 CAFETERIA / VENDING REV 722210 342607 342607 BEAUTICIAN REVENUE 900099 163686 163686 REFUNDS / DISCOUNTS 900099 27231 27231 21339 269 21070 554863 41371872 38563200 269 2317739 14306 14306 808365 288618 519747 15953632 14346854 1514907 91871 547272 452458 86603 8211 2647932 2453895 179169 14868 1209446 1065399 135498 8549 46420 13350 33070 54000 54000 737 737 128181 128181 1319625 1013578 299598 6449 241699 241699 3142754 2871680 271074 445909 58781 387128 2720718 2720718 88789 71168 17134 487 975516 975516 6492565 6492565 358514 12669 345845 NURSING HOME ASSESSMENT 476253 476253 MEDICAL SUPPLIES 342207 342207 PHARMACY 305655 305655 EMPLOYEE EXPENSES 123711 123711 180192 45380 129729 5083 38624398 34021050 4467830 135518 3862653 5714103 197358 278992 2717458 3966809 59532 59035 774278 832189 162591694 62020688 90054541 100571006 30375102 33614434 5757302 5648030 133798224 150684598 3115313 4619837 24186434 27246461 40235000 41834746 7806 7513 4950510 11834442 14837155 79378995 93496222 X 47481850 50310378 487198 539520 6450181 6338478 54419229 57188376 133798224 150684598 X 2747474 49228 -27555 X 0 1 X 1 0 X 343027 257875 389820 567015 490664 2048401 35404797 36187442 37174142 38148091 38563200 185477672 35747824 36445317 37563962 38715106 39053864 187526073 25000 69500 94500 0 25000 69500 94500 187431573 574973 581214 645393 620533 675878 3097991 574973 581214 645393 620533 675878 3097991 1919 6905 8824 369390 395599 645163 593020 733389 2736561 36694106 37422130 38861423 39928659 40463131 193369449 0.96930 0.96830 0.01600 0.01880 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REV - 2010 AMOUNT: $ 11,617. 2011 AMOUNT: $ 24,327. 2012 AMOUNT: $ 13,157. 2013 AMOUNT: $ 21,064. 2014 AMOUNT: $ 6,691. CAFETERIA/VENDING REV - 2010 AMOUNT: $ 262,600. 2011 AMOUNT: $ 282,955. 2012 AMOUNT: $ 394,191. 2013 AMOUNT: $ 324,336. 2014 AMOUNT: $ 342,607. POSTAGE REV - 2010 AMOUNT: $ 13,664. 2011 AMOUNT: $ 12,101. 2012 AMOUNT: $ 11,411. 2013 AMOUNT: $ 12,909. 2014 AMOUNT: $ 13,329. REFUNDS - 2010 AMOUNT: $ 30,174. 2011 AMOUNT: $ 30,573. 2012 AMOUNT: $ 30,526. 2013 AMOUNT: $ 29,612. 2014 AMOUNT: $ 27,231. ROOM USE FOR PARTIES - 2010 AMOUNT: $ 1,173. 2011 AMOUNT: $ 968. 2012 AMOUNT: $ 907. 2013 AMOUNT: $ 891. 2014 AMOUNT: $ 1,050. GROSS SALES OF INVENTORY - 2010 AMOUNT: $ 40,757. 2011 AMOUNT: $ 34,775. 2012 AMOUNT: $ 186,047. 2013 AMOUNT: $ 195,295. 2014 AMOUNT: $ 160,605. FUNDRAISING RECEIPTS - 2010 AMOUNT: $ 9,405. 2011 AMOUNT: $ 9,900. 2012 AMOUNT: $ 8,924. 2013 AMOUNT: $ 8,913. 2014 AMOUNT: $ 18,190. BEAUTICIAN REVENUE - 2014 AMOUNT: $ 163,686. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 737 737 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO NATIONAL AND STATE SENIOR CITIZEN ADVOCACY ASSOCIATIONS. A PORTION OF DUES IS ALLOCATED TO LOBBYING EXPENSES. 0 1 X 1821727 71707 128439 32136 8129 1981608 1607700 260806 38997 7782 1821727 1483847 157495 28156 5486 1607700 1470805 450 48009 28436 6981 1483847 1252171 950 217684 1470805 0.34000 0.66000 0.00000 0 0 4343487 4343487 124925502 54029863 70895639 4701127 1857471 2843656 28621578 6133354 22488224 100571006 REFUNDABLE FEES AND DEPOSITS 14323922 SPLIT-INTEREST OBLIGATIONS 177986 WORKERS COMP LIABILITY 15467 CHANGE IN VALUE SWAP 319780 14837155 X 41451947 49228 -27555 21673 41430274 128181 -186583 -58402 41371872 38682800 186583 186583 38496217 128181 128181 38624398 PART IV, LINE 2B: THE ORGANIZATION MAINTAINS CUSTODIAL ACCOUNTS FOR RESIDENTS WHO MAY NO LONGER BE ABLE TO MANAGE THEIR OWN FINANCES. RESIDENTS GIVE FUNDS TO THE CASHIER WHO DEPOSITS THE FUNDS IN A SEPARATE INTEREST-BEARING ACCOUNT. ALL FUNDS ARE ACCOUNTED FOR INDIVIDUALLY, BY RESIDENT. THE RESIDENT MUST COMPLETE A WITHDRAWAL SLIP TO OBTAIN FUNDS AND RECEIVES THE BALANCE OF THE ACCOUNT WHENEVER DEPOSITING OR WITHDRAWING FUNDS. THE ORGANIZATION ALSO HOLDS ESCROW ACCOUNTS FOR RESIDENTS WHO PUT DOWN DEPOSITS ON APARTMENTS AND VILLAS. PART V, LINE 4: EARNINGS OF THE FUND ARE USED FOR THE BENEFIT OF THOSE RESIDENTS WHO HAVE DEPLETED THEIR ASSETS. PART X, LINE 2: THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2015 OR 2014. THE CORPORATION'S FEDERAL RETURNS OF ORGANIZATION EXEMPT FROM INCOME TAX FOR THE YEARS PRIOR TO 2012 ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SWAP AGREEMENTS 75,981. VALUATION GAIN/LOSS ON BENEFICIAL INT IN PERPETUAL TRUST -111,703. CHANGE IN VALUE OF SPLIT INT AGREEMENT 8,167. PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -130,299. RENTAL EXPENSE -44,706. SPECIAL EVENTS -11,578. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 44,706. COST OF GOODS SOLD 130,299. SPECIAL EVENTS 11,578. GOLF OUTING 71083 52893 18190 290 9979 1098 211 71083 52893 18190 290 9979 1098 211 11578 6612 0 ROHRERSTOWN FIRE COMPANY 500 ELIZABETH STREET LANCASTER PA 17603 501(C)(3) 6671 GENERAL OPERATIONS SOUTHERN MANHEIM TOWNSHIP FIRE COMPANY 1396 ORCHARD STREET LANCASTER PA 17601 501(C)(3) 6671 GENERAL OPERATIONS 2 0 PART I, LINE 2: THE ORGANIZATION DONATES TO LOCAL FIRE DEPARTMENTS AS A GESTURE OF GOODWILL AND DOES NOT MONITOR THE USE OF THE PAYMENTS NOR DOES IT HAVE SPECIFIC CRITERIA TO AWARD ASSISTANCE OTHER THAN VERIFYING THAT THE ORGANIZATIONS ARE TAX EXEMPT. X X 0 0 0 0 0 0 0 0 0 J NELSON KLING CHIEF EXECUTIVE OFFICER 185223 0 0 0 0 0 13232 0 10300 0 208755 0 0 0 JOHN SAUDER VP OF OPERATIONS 128353 0 0 0 0 0 9537 0 14186 0 152076 0 0 0 A LANCASTER INDUSTRIAL DEVELOPMENT AUTHORITY 514349BY4 2007-12-12 26615000 TO FINANCE RENOVATIONS AND PAY OFF S/T NOTE; PAY ISSUE COSTS 0 0 0 B LANCASTER MUNICIPAL AUTHORITY 237334160 2014-09-19 10000000 CONSTRUCTION OF WELLNESS CENTER 0 0 0 A 25000 26615000 1464191 295842 13355978 11498989 2008 0 0 1 1 B 10000000 124096 3199746 6676158 2016 0 0 0 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 A 0 0 0 1 1 1 M&T BANK 2.000000000000 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: LANCASTER INDUSTRIAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2013 SCHEDULE K, WRITTEN PROCEDURES ROY BOMBERGER JR DIRECTOR 406965 ROY BOMBERGER, JR. IS PART OWNER OF BOMBERGERS, INC. IN LITITZ, PA, WHICH IS A HARDWARE, SMALL LAWN EQUIPMENT AND FLOORING COMPANY. SERVICES ARE PROVIDED AT MARKET RATES AND ALL OTHER TRANSACTIONS ARE CONDUCTED AT ARM'S LENGTH. 0 MATTHEW HARTZLER DIRECTOR 3521530 MATTHEW HARTZLER IS THE PRESIDENT OF WARFEL CONSTRUCTION COMPANY, WHICH IS ENGAGED TO CONSTRUCT MENNONITE HOME'S NEW WELLNESS CENTER. ALL TRANSACTIONS, BIDS, ETC., WERE PERFORMED AT ARM'S LENGTH. 0 FORM 990, PART VI, SECTION A, LINE 1 THE BOARD OF DIRECTORS DELEGATES CERTAIN RESPONSIBILITIES AND DECISION-MAKING CAPABILITIES TO THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11 THE INITIAL REVIEW OF THE 990 IS COMPLETED BY THE CHIEF FINANCIAL OFFICER, WHO THEN REPORTS TO THE CHIEF EXECUTIVE OFFICER. THE 990 IS THEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS BEFORE THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE EXECUTIVE COMMITTEE OF THE BOARD MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY. CONFLICT OF INTEREST STATEMENTS ARE REQUIRED TO BE SIGNED ANNUALLY BY ALL BOARD MEMBERS. IF A CONFLICT OF INTEREST EXISTS, THE BOARD MEMBER WOULD BE REQUIRED TO ABSTAIN FROM VOTING ON THE MATTER. THE POLICY EXPLICITLY STATES THAT FAMILY AND BUSINESS RELATIONSHIPS MAY CREATE A CONFLICT AND ASKS FOR INFORMATION SHOULD ANY RELATIONSHIPS EXIST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD DOES AN EVALUATION OF THE CHIEF EXECUTIVE OFFICER (CEO) AND REVIEWS AND VOTES ON THE SALARY OF THE CEO. IN ADDITION, THE BOARD ALSO USES THE LEADINGAGE PA SALARY AND BENEFITS SURVEY TO VERIFY THAT THE CEO SALARY IS WITHIN A 50% RANGE OF OTHER CCRC CEO'S IN THE STATE OF PENNSYLVANIA. DISCUSSIONS ON COMPENSATION ARE HELD IN CLOSED MEETINGS AND ARE NOT RECORDED IN BOARD MINUTES. THE EXECUTIVE LEADERSHIP TEAM COMPENSATION IS REVIEWED ANNUALLY USING COMPARATIVE ANALYSIS OF SIMILAR POSITIONS FROM THE LEADINGAGE PA SALARY AND BENEFITS SURVEY. ANNUAL RAISES CUSTOMARILY REPRESENT A COMBINATION OF MARKET RATE ANALYSIS AND COST OF LIVING ADJUSTMENTS AND ARE REVIEWED BY THE CHIEF EXECUTIVE OFFICER. 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 UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 75,981. VALUATION (LOSS), BENEFICIAL INTEREST IN PERPETUAL TRUSTS -111,703. CHANGE IN VALUE OF SPLIT-INTERST AGREEMENTS 8,167. PERPETUAL TRUST (1) INVESTMENTS PA FULTON FINANCIAL ADVISORSPNC INSTITUTIONAL ASSET MGT T 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0