2023-02-10T11:37:24-06:00 2022-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2021-07-01 232039189 TEL HAI RETIREMENT COMMUNITY TELH 6102733149 PO BOX 190 HONEY BROOK PA 193440190 SHARON A CANULL CHIEF FINANCIAL OFFICER 6102733149 2023-02-08 1 SHARON CANULL 999009999 KERRI N BOGDA CPA P00760402 7177404863 X 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z DAVID SHENK PO BOX 190 HONEY BROOK PA 193440190 40102720 0 X WWW.TELHAI.ORG X 1978 PA TO PROVIDE HIGH QUALITY CARE AND SERVICES TO OLDER ADULTS. 6 6 575 332 0 0 4197218 766734 34026176 35517404 729598 944285 400846 548552 39353838 37776975 12350 12550 0 0 18232705 18296578 0 0 0 19190247 19595389 37435302 37904517 1918536 -127542 125496038 119373790 125585633 121693875 -89595 -2320085 X TEL HAI RETIREMENT COMMUNITY PROVIDES HIGH QUALITY CARE AND SERVICES TO ENHANCE PERSONAL DIGNITY, AUTONOMY AND LIFELONG ENRICHMENT AS A DEMONSTRATION OF CHRIST'S LOVE FOR ALL PERSONS. 0 0 12560646 0 13627774 TEL HAI RETIREMENT COMMUNITY PROVIDES SERVICES THROUGH MEADOWS, A SKILLED CARE NURSING CENTER, LAKEVIEW PERSONAL CARE, AND VARIOUS TYPES OF SENIOR HOUSING. IN ADDITION TO THE SPECIFIC SERVICES, TEL HAI INVITES THE COMMUNITY TO PARTICIPATE IN COMMUNITY EVENTS SUCH AS EXERCISE AND POOL CLASSES FOR SENIORS, CONCERTS, AND GUEST LECTURES. TEL HAI ALSO PARTNERS WITH THE COMMUNITY TO IDENTIFY SERVICES THAT COMMUNITY MEMBERS MAY BE INTERESTED IN PROVIDING TO THE COMMUNITY SUCH AS HELP WITH FIRE COMPANY MAILINGS, FOOD BANK SERVERS AND OTHER COMMUNITY SERVICES. THE TEL HAI MEADOWS IS A SKILLED NURSING CENTER LICENSED FOR 129 BEDS, CURRENTLY SERVING UP TO 110 RESIDENTS, WHICH PROVIDES CARE AND SOCIAL ACTIVITIES FOR THE RESIDENTS. TEL HAI PROVIDED 32,884 DAYS OF SKILLED NURSING. 4932398 0 5351446 TEL HAI LAKEVIEW PERSONAL CARE IS A PERSONAL CARE FACILITY LICENSED FOR 100 BEDS, SERVING UP TO 95 RESIDENTS, WHICH PROVIDES SUPERVISED DAILY ACTIVITIES. TEL HAI PROVIDED 26,398 PERSONAL CARE DAYS TO ITS RESIDENTS. LAKEVIEW ALSO PROVIDES ADULT AND CHILD DAY CARE SERVICES WITH SUPERVISED DAILY ACTIVITIES TO THE COMMUNITY. DURING THE YEAR CONSTRUCTION WAS COMPLETED FOR A 25 BED MEMORY SUPPORT UNIT ON THE THIRD FLOOR, WHICH OPENED IN JANUARY 2022. 15243155 12550 16538184 TEL HAI OPERATES 406 INDEPENDENT LIVING UNITS FOR UP TO 581 ELDERLY RESIDENTS PROVIDING HOUSING, SOCIAL SERVICE SUPPORT, SOCIAL AND PHYSICAL ACTIVITIES. 32736199 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 4 0 575 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X SHARON A CANULL CHIEF FINANCIAL OFFICER 6102739333 PO BOX 190 HONEY BROOK PA 19377 DAVID SHENK PRESIDENT/CEO 4.00 36.00 X 0 233662 36594 KAREN HORNING SR VP, RESIDENT SERVICES 20.00 20.00 X 0 147318 11890 SHARON CANULL ASSISTANT SECRETARY/CFO 4.00 36.00 X 0 141622 15051 BRUCE HARTSHORNE EXEC. VP OF OPER. (RET. JAN. '22) 15.00 25.00 X 0 138142 17271 HEIDI STOLTZFUS VP OF MISSION ADVANCEMENT 20.00 20.00 X 0 139344 8406 JANICE WILLIAMS NURSING CENTER ADMINISTRATOR 40.00 X 129315 0 14684 KATHERINE CLOWNEY DIRECTOR OF NURSING 40.00 X 119872 0 15142 WILLIAM COLBY CHAIR 1.00 1.00 X X 0 0 0 ANDREW BRUBAKER SECRETARY (AS OF JAN. '22) 1.00 1.00 X X 0 0 0 JOANNE BELSON SECRETARY (TERM EXP. DEC. '21) 1.00 2.00 X X 0 0 0 WENDEL KING TREASURER 1.00 2.00 X X 0 0 0 JACK LEAR DIRECTOR (AS OF JAN. '22) 1.00 2.00 X 0 0 0 MARLIN HERSHEY DIRECTOR (AS OF JAN. '22) 1.00 2.00 X 0 0 0 EVA BERING DIRECTOR (AS OF JAN. '22) 1.00 2.00 X 0 0 0 249187 800088 119038 2 0 1 0 CURA HOSPITALITY LLC PO BOX 743676 ATLANTA GA 30374 DINING MANAGEMENT 1225743 SYMBRIA REHAB CARE 28100 TORCH PARKWAY WARRENVILLE IL 60555 THERAPY 1086868 PAUL RISK ASSOCIATES 11 WEST STATE STREET QUARRYVILLE PA 17566 CONSTRUCTION 611175 CLOISTER'S FLOORING INC 100 DURLACH RD EPHRATA PA 17522 FLOORING 604736 DESCO DESIGN & CONSTRUCTION 1 WILLOW STREET INDUSTRIAL PARK FLEETWOOD PA 19522 RENOVATIONS 313762 28 343800 422934 766734 NET RESIDENT REVENUE 623000 35517404 35517404 35517404 771110 771110 54249 113237 -58988 -58988 -58988 2385683 2212508 173175 173175 173175 RESIDENT UPGRADES 900099 246592 246592 RESIDENT FUNCTIONS 900099 144592 144592 CHILD CARE INCOME 900099 130427 130427 85929 85929 607540 37776975 35517404 0 1492837 X 12550 12550 14607837 12651520 1956317 316199 273853 42346 1781679 1543072 238607 1590863 1377811 213052 25326 25326 21625 21625 4144397 3669024 475373 290883 251927 38956 818307 708717 109590 428598 428598 3240883 2806856 434027 183891 159264 24627 10086 8735 1351 1438067 1438067 7643252 6619649 1023603 400 400 MEDICAL SUPPLIES 522829 522829 RESIDENT COSTS 392141 392141 RECRUITING AND ENTERT. 217112 188036 29076 ACTIVITIES 115255 99820 15435 102337 12328 90009 37904517 32736199 5168318 0 2331720 4253952 82408 69777 990254 825505 102451 69216 204778 227318 656237 307445 179812546 86298005 97356874 93514541 23547186 19698120 224130 407916 125496038 119373790 2869370 2545260 71926704 70615006 49242293 47697882 1547266 835727 125585633 121693875 X -207136 -2439026 117541 118941 -89595 -2320085 125496038 119373790 X -127542 -2794449 691501 X 0 1 X 1 0 X 265327 51649 930611 4197218 766734 6211539 35218963 36858779 37213354 34026176 35517404 178834676 678512 129164 311430 360726 553571 2033403 36162802 37039592 38455395 38584120 36837709 187079618 0 0 0 187079618 530728 472829 435212 473211 825359 2737339 530728 472829 435212 473211 825359 2737339 334460 603644 114111 133102 53969 1239286 37027990 38116065 39004718 39190433 37717037 191056243 0.97920 0.98060 0.01430 0.01270 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: APPLICATION FEES/MISC INCOME - 2017 AMOUNT: $ 60,271. 2018 AMOUNT: $ 68,957. 2019 AMOUNT: $ 61,682. 2020 AMOUNT: $ 48,697. 2021 AMOUNT: $ 52,960. OPTIUM CAPITATION PAYMENTS - 2017 AMOUNT: $ 87,638. 2018 AMOUNT: $ 24,754. 2019 AMOUNT: $ 40,640. DINING SUPPLEMENTS - 2017 AMOUNT: $ 39,062. VENDING - 2017 AMOUNT: $ 7,855. 2018 AMOUNT: $ 7,602. 2019 AMOUNT: $ 7,231. RESIDENT FUNCTIONS - 2017 AMOUNT: $ 139,634. 2018 AMOUNT: $ 284,109. CULINARY INCOME - 2018 AMOUNT: $ 6,169. 2019 AMOUNT: $ 4,558. 2020 AMOUNT: $ 1,548. 2021 AMOUNT: $ 1,009. LINE OF CREDIT REPAYMENT - 2018 AMOUNT: $ 162,058. BAYADA - 2018 AMOUNT: $ 49,995. INSURANCE CLAIMS - 2020 AMOUNT: $ 82,857. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1266187 1266187 113390977 55889426 57501551 57452486 30408579 27043907 7702896 7702896 93514541 INTEREST RATE SWAP AGREEMENT 812504 SECURITY DEPOSITS 23223 835727 35318075 -2794449 691501 -2102948 37421023 355952 355952 37776975 37548565 -230563 -230563 37779128 125389 125389 37904517 PART XI, LINE 2D - OTHER ADJUSTMENTS: GAIN ON INTEREST RATE SWAP AGREEMENT 691,501. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS NETTED WITH EXPENSES PER THE FINANCIAL STATEMENTS 343,800. INCOME NETTED WITH EXPENSES PER FINANCIAL STATEMENTS 125,389. RENTAL EXPENSES -113,237. PART XII, LINE 2D - OTHER ADJUSTMENTS: CONTRIBUTIONS NETTED WITH EXPENSES PER THE FINANCIAL STATEMENTS -343,800. RENTAL EXPENSES 113,237. PART XII, LINE 4B - OTHER ADJUSTMENTS: INCOME NETTED WITH EXPENSES PER FINANCIAL STATEMENTS 125,389. 1 HONEY BROOK FIRE COMPANY 679 FIREHOUSE LANE HONEY BROOK PA 19344 231364975 501(C)(3) 6275 0 GENERAL OPERATIONS 1 PART I, LINE 2: TEL HAI RETIREMENT COMMUNITY MAKES DONATIONS TO THE LOCAL FIRE AND AMBULANCE COMPANY AS WELL AS TO THE LOCAL LIBRARY. THEY HAVE AN ORAL AGREEMENT TO CONTRIBUTE TO THESE ORGANIZATIONS. TEL HAI RETIREMENT COMMUNITY DOES NOT MONITOR THE FUNDS AS ALL RECIPIENTS ARE NON-PROFIT ORGANIZATIONS TO WHICH TEL HAI DONATES TO SHOW THEIR SUPPORT FOR THE COMMUNITY. 0 1 0 0 0 0 0 0 0 DAVID SHENK PRESIDENT/CEO 0 233662 0 0 0 0 0 27800 0 8794 0 270256 0 0 KAREN HORNING SR VP, RESIDENT SERVICES 0 147318 0 0 0 0 0 6001 0 5889 0 159208 0 0 SHARON CANULL ASSISTANT SECRETARY/CFO 0 141622 0 0 0 0 0 5905 0 9146 0 156673 0 0 BRUCE HARTSHORNE EXEC. VP OF OPER. (RET. JAN. '22) 0 138142 0 0 0 0 0 5751 0 11520 0 155413 0 0 PART I, LINE 3 COMPENSATION FOR OFFICERS WHO MANAGE THIS ENTITY IS DETERMINED BY A RELATED ENTITY (TEL HAI SERVICES, INC.). METHODS USED TO DETERMINE COMPENSATION INCLUDE: FORMS 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B DAVID SHENK, PRESIDENT, PARTICIPATES IN A 457(F) PLAN. QUARTERLY CONTRIBUTIONS ARE MADE AT A RATE OF 8% OF GROSS EARNINGS. TOTAL CONTRIBUTIONS FOR THE YEAR WERE $18,211.67. A CHESTER CTY HEALTH AND EDUCATION FACILITIES AUTHORITY 232265260 165579ER0 2009-02-05 18000000 BOND REFINANCE, CAPITAL IMPROVEMENTS 0 0 0 B LEBANON COUNTY HEALTH FACILITIES 232546819 2016-06-16 7877329 BOND REFINANCE 0 0 0 C LEBANON COUNTY HEALTH FACILITIES 232546819 2016-06-01 10000000 BOND REFINANCE 0 0 0 D LEBANON COUNTY HEALTH FACILITIES 232546819 2017-01-31 10000000 BOND REFINANCE 0 0 0 A 8685000 18000000 309603 65412 3897356 13727629 2010 1 0 1 1 B 2006832 7877329 7877329 2016 1 0 1 1 C 10000000 10000000 2016 1 0 1 1 D 2528643 10000000 10000000 2017 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 0 0 1 1 1 M&T BANK 16.330000000000 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CHESTER CTY HEALTH AND EDUCATION FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2014 A CHESTER COUNTY HEALTH AND EDUCATION FACILITIES AUTHORITY 232265260 165579GR8 2020-06-18 16000000 REFI M&T BANK CONSTRUCTION, ISSUANCE COSTS, ESTABLISH CONSTRUCTION FUND 0 0 0 A 16000000 376039 4040582 5013686 6569693 1 0 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART V, LINE 2C: TEL HAI RETIREMENT COMMUNITY IS THE COMMON PAYMASTER FOR ALL RELATED ENTITIES (TEL HAI DEVELOPMENT, TEL HAI SERVICES, AND TEL HAI APARTMENTS). AS A RESULT, THE NUMBER OF EMPLOYEES REPORTED ON W-3 WILL BE GREATER THAN THE NUMBER OF EMPLOYEES LISTED ON PART V, LINE 2A. THE EMPLOYEES NOT LISTED ON THIS RETURN HAVE BEEN ALLOCATED TO THE ABOVE MENTIONED ENTITIES. FORM 990, PART VI, SECTION A, LINE 6 TEL HAI SERVICES, INC. (EIN 23-2630672) IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A QUALIFICATION AND SELECTION: EACH DIRECTOR OF THE CORPORATION SHALL BE A NATURAL PERSON OF MAJORITY AGE, BUT NEED NOT BE A RESIDENT OF PENNSYLVANIA. IN THE CASE OF VACANCIES, NEW DIRECTORS, SUBJECT TO THE APPROVAL OF THE MEMBER, SHALL BE SELECTED BY THE BOARD. IF THE BOARD IS CLASSIFIED WITH RESPECT TO THE TERMS OF OFFICE AND IF, DUE TO A VACANCY OR VACANCIES OR OTHERWISE, DIRECTORS OF MORE THAN ONE CLASS ARE TO BE SELECTED, EACH CLASS OF DIRECTORS TO BE SELECTED SHALL BE NOMINATED AND SELECTED SEPARATELY. FORM 990, PART VI, SECTION A, LINE 7B LIMITATION ON BOARD OF DIRECTORS: WITHOUT THE APPROVAL OF THE MEMBER, THE BOARD MAY NOT: (A) UNLESS PREVIOUSLY APPROVED BY THE MEMBER IN THE ANNUAL BUDGET OF THE CORPORATION, BORROW MORE THAN $25,000 OR A SUM IN EXCESS OF SUCH OTHER AMOUNT AS MAY BE DETERMINED FROM TIME TO TIME BY THE MEMBER; (B) UNLESS PREVIOUSLY APPROVED BY THE MEMBER IN THE ANNUAL BUDGET OF THE CORPORATION, ENTER INTO ANY LEASES WHICH WOULD OBLIGATE THE CORPORATION TO MAKE RENTAL PAYMENTS IN EXCESS OF $10,000 PER YEAR, OR PAYMENTS IN EXCESS OF SUCH OTHER AMOUNT AS MAY BE DETERMINED FROM TIME TO TIME BY THE MEMBER; (C) PURCHASE INSURANCE POLICIES; (D) UNLESS PREVIOUSLY APPROVED BY THE MEMBER IN THE ANNUAL BUDGET OF THE CORPORATION, UNDERTAKE ANY CAPITAL EXPENDITURES IN EXCESS OF $20,000 OR IN EXCESS OF SUCH OTHER AMOUNT AS MAY BE DETERMINED FROM TIME TO TIME BY THE MEMBER; OR (E) ADOPT ANY ORIGINAL OR REVISED CAPITAL OR OPERATING BUDGETS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS FIRST REVIEWED BY THE CEO AND CFO. ONCE THEY HAVE APPROVED THE INITIAL DRAFT, THE RETURN IS PRESENTED TO THE FINANCE COMMITTEE. THE FINANCE COMMITTEE REVIEWS AND APPROVES THE FORM, THEN REPORTS TO THE BOARD OF DIRECTORS. A FINAL COPY OF THE RETURN IS PROVIDED TO EACH BOARD MEMBER BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS AND THE EXECUTIVE TEAM ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY. THE PRESIDENT REVIEWS ALL STATEMENTS AND ANY POTENTIAL CONFLICT IS BROUGHT TO THE ATTENTION OF THE CHAIRMAN OF THE BOARD. IF A CONFLICT EXISTS FOR A BOARD MEMBER, THE MEMBER IS ASKED TO ABSTAIN FROM ANY VOTE ASSOCIATED WITH THE CONFLICT. FAMILY AND BUSINESS RELATIONSHIPS ARE EXPRESSLY MENTIONED IN THE CONFLICT OF INTEREST POLICY WHEN ADDRESSING WHO IS AN INTERESTED PERSON. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OUTSIDE LABOR: PROGRAM SERVICE EXPENSES 171,985. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 171,985. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 641,025. MANAGEMENT AND GENERAL EXPENSES 99,122. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 740,147. MEDICAL FEES: PROGRAM SERVICE EXPENSES 15,926. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,926. TV SERVICE EXPENSE: PROGRAM SERVICE EXPENSES 173,571. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 173,571. INSPECTION/SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 600,116. MANAGEMENT AND GENERAL EXPENSES 92,797. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 692,913. EXTERMINATING SERVICE: PROGRAM SERVICE EXPENSES 13,092. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,092. ASSESSMENTS: PROGRAM SERVICE EXPENSES 220,209. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 220,209. CONSULTANT: PROGRAM SERVICE EXPENSES 1,833,100. MANAGEMENT AND GENERAL EXPENSES 283,454. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,116,554. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT 691,501. TEL HAI APARTMENTS INC PO BOX 190 HONEY BROOK PA 19344 239118208 TO PROVIDE LOW INCOME HOUSING TO SENIORS AND DISABLED PERSONS PA 501(C)(3) LINE 10 TEL HAI SERVICES INC 0 TEL HAI DEVELOPMENT INC PO BOX 190 HONEY BROOK PA 19344 232436708 TO PROVIDE FUNDING TO RELATED ORGANIZATIONS PA 501(C)(3) LINE 7 TEL HAI SERVICES INC 0 TEL HAI SERVICES INC PO BOX 190 HONEY BROOK PA 19344 232630672 TO OVERSEE MANAGEMENT RESPONSIBILITIES FOR THE RELATED ORGANIZATIONS PA 501(C)(3) LINE 10 N/A 0 0 0 1 1 1 0 0 0 0 0 0 0 1 1 0 1 1 0 0