2022-03-15T12:06:43-05:00 2021-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2020-07-01 232039189 TEL HAI RETIREMENT COMMUNITY TELH 6102733149 PO BOX 190 HONEY BROOK PA 193440190 SHARON A CANULL CHIEF FINANCIAL OFFICER 6102733149 2022-03-11 1 SHARON CANULL 999009999 KERRI N BOGDA CPA P00760402 7177404863 X 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DAVE SHENK PO BOX 190 HONEY BROOK PA 193440190 40701298 0 X WWW.TELHAI.ORG X 1978 PA TO PROVIDE HIGH QUALITY CARE AND SERVICES TO OLDER ADULTS. 5 4 627 327 0 0 930611 4197218 37213354 34026176 426024 729598 357691 400846 38927680 39353838 12350 12350 0 0 18055110 18232705 0 0 0 20323460 19190247 38390920 37435302 536760 1918536 130131891 125496038 134728809 125585633 -4596918 -89595 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 12243589 0 12902057 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 FOR 129 RESIDENTS WHICH PROVIDES CARE AND SOCIAL ACTIVITIES FOR THE RESIDENTS. TEL HAI PROVIDED 35,621 DAYS OF SKILLED NURSING. IN JANUARY 2021, A WING WAS CLOSED WHICH REDUCED THE NUMBER OF BEDS TO 110. 4862311 0 5123809 TEL HAI LAKEVIEW PERSONAL CARE IS A PERSONAL CARE FACILITY FOR 92 RESIDENTS WHICH PROVIDES SUPERVISED DAILY ACTIVITIES. TEL HAI PROVIDED 27,412 PERSONAL CARE DAYS TO ITS RESIDENTS. LAKEVIEW ALSO PROVIDES ADULT AND CHILD DAY CARE SERVICES WITH SUPERVISED DAILY ACTIVITIES TO THE COMMUNITY. CONSTRUCTION BEGAN DURING THE FISCAL YEAR FOR A 35 MEMORY SUPPORT UNIT ON THE 3RD FLOOR, WHICH WILL OPEN IN JANUARY 2022. 15183719 12350 16000310 TEL HAI OPERATES 404 INDEPENDENT LIVING UNITS FOR UP TO 613 ELDERLY RESIDENTS PROVIDING HOUSING, SOCIAL SERVICE SUPPORT, SOCIAL AND PHYSICAL ACTIVITIES. 32289619 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 11 0 627 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 4 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 KAREN HORNING SR VP, RESIDENT SERVICES 20.00 20.00 X 0 142937 13311 WILLIAM COLBY CHAIR 1.00 1.00 X X 0 0 0 GARY R MCEWEN TREASURER (TERM EXP. DEC. '20) 1.00 2.00 X X 0 0 0 JOANNE BELSON SECRETARY 1.00 1.00 X X 0 0 0 WENDEL KING TREASURER 1.00 1.00 X X 0 0 0 ANDREW BRUBAKER DIRECTOR 1.00 1.00 X 0 0 0 DAVID SHENK PRESIDENT/CEO 4.00 36.00 X 0 229277 35678 SHARON CANULL ASSISTANT SECRETARY/CFO 4.00 36.00 X 0 147369 18481 BRUCE HARTSHORNE EXECUTIVE VP OF OPERATIONS 15.00 25.00 X 0 139590 19688 JANICE WILLIAMS NURSING CENTER ADMINISTRATOR 40.00 X 121912 0 15117 BRENDA HUFFORD MDS COORDINATOR 40.00 X 109209 0 22486 HEIDI STOLTZFUS VP OF MISSION ADVANCEMENT 25.00 15.00 X 0 112826 3865 231121 771999 128626 2 0 1 0 PAUL RISK ASSOCIATES 11 WEST STATE STREET QUARRYVILLE PA 17566 CONSTRUCTION 1479567 CURA HOSPITALITY LLC PO BOX 743676 ATLANTA GA 30374 DINING MANAGEMENT 1251328 SYMBRIA REHAB CARE 28100 TORCH PARKWAY WARRENVILLE IL 60555 THERAPY 1052022 DESCO DESIGN & CONSTRUCTION 1 WILLOW STREET INDUSTRIAL PARK FLEETWOOD PA 19522 RENOVATIONS 776205 RUPPERT LANDSCAPE 1243 E LISBURN RD MECHANICSBURG PA 17055 LANDSCAPING 333622 25 24575 4172643 4197218 NET RESIDENT REVENUE 623000 34026176 34026176 34026176 444757 444757 28454 121436 -92982 -92982 -92982 1510865 1226024 284841 284841 284841 RESIDENT UPGRADES 900099 257316 257316 INSURANCE CLAIMS 900099 82857 82857 CHILD CARE INCOME 900099 64540 64540 89115 89115 493828 39353838 34026176 0 1130444 X 12350 12350 14200985 12292507 1908478 254552 220343 34209 2242865 1941445 301420 1534303 1328107 206196 8043 8043 29401 29401 4059526 3577320 482206 255614 221262 34352 892715 772742 119973 418377 418377 2689582 2357340 332242 69055 59775 9280 6978 6040 938 1451519 1451519 8010603 6934054 1076549 400 400 MEDICAL SUPPLIES 595291 595291 RESIDENT COSTS 334095 277156 56939 RECRUITING AND ENTERT. 203291 175971 27320 STAFF DEVELOPMENT 89052 89052 76705 66397 10308 37435302 32289619 5145683 0 3247352 2331720 84687 82408 1233799 990254 34142 102451 176205 204778 567350 656237 176011874 78655000 101141878 97356874 23255917 23547186 390561 224130 130131891 125496038 2557898 2869370 76055120 71926704 53947996 49242293 2167795 1547266 134728809 125585633 X -4714459 -207136 117541 117541 -4596918 -89595 130131891 125496038 X 1918536 1984463 604324 X 0 1 X 1 0 X 229503 265327 51649 930611 4197218 5674308 33601357 35218963 36858779 37213354 34026176 176918629 174872 678512 129164 311430 360726 1654704 34005732 36162802 37039592 38455395 38584120 184247641 0 0 0 184247641 479953 530728 472829 435212 473211 2391933 479953 530728 472829 435212 473211 2391933 64523 334460 603644 114111 133102 1249840 34550208 37027990 38116065 39004718 39190433 187889414 0.98060 0.97980 0.01270 0.01280 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: APPLICATION FEES/MISC INCOME - 2016 AMOUNT: $ 64,523. 2017 AMOUNT: $ 60,271. 2018 AMOUNT: $ 68,957. 2019 AMOUNT: $ 61,682. 2020 AMOUNT: $ 48,697. 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. 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 113220752 51221003 61999749 57089987 27433997 29655990 4434948 4434948 97356874 INTEREST RATE SWAP AGREEMENT 1504006 SECURITY DEPOSITS 43260 1547266 42010467 1984463 604324 2588787 39421680 -67842 -67842 39353838 37503144 67842 67842 37435302 0 37435302 PART XI, LINE 2D - OTHER ADJUSTMENTS: GAIN ON INTEREST RATE SWAP AGREEMENT 604,324. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS NETTED WITH EXPENSES PER THE FINANCIAL STATEMENTS 24,575. INCOME NETTED WITH EXPENSES PER FINANCIAL STATEMENTS 29,019. RENTAL EXPENSES -121,436. PART XII, LINE 2D - OTHER ADJUSTMENTS: CONTRIBUTIONS NETTED WITH EXPENSES PER THE FINANCIAL STATEMENTS -24,575. INCOME NETTED WITH EXPENSES PER FINANCIAL STATEMENTS -29,019. RENTAL EXPENSES 121,436. 1 HONEY BROOK FIRE COMPANY 679 FIREHOUSE LANE HONEY BROOK PA 19344 231364975 501(C)(3) 6175 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. X X 0 0 0 0 0 0 0 0 0 DAVID SHENK PRESIDENT/CEO 0 229277 0 0 0 0 0 23802 0 11876 0 264955 0 0 SHARON CANULL ASSISTANT SECRETARY/CFO 0 147369 0 0 0 0 0 6605 0 11876 0 165850 0 0 BRUCE HARTSHORNE EXECUTIVE VP OF OPERATIONS 0 139590 0 0 0 0 0 5590 0 14098 0 159278 0 0 KAREN HORNING SR VP, RESIDENT SERVICES 0 142937 0 0 0 0 0 6488 0 6823 0 156248 0 0 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 7915000 18000000 309603 65412 3897356 13727629 2010 1 0 1 1 B 1652582 7877329 7877329 2016 1 0 1 1 C 10000000 10000000 2016 1 0 1 1 D 2050439 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 17.330000000000 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: 02/24/2014 A CHESTER COUNTY HEALTH AND EDUCATION FACILITIES AUTHORITY 232265260 165579GR8 2020-06-18 16000000 REFINANCE M&T BANK CONSTRUCTION, ISSUANCE COSTS, ESTABLISH CONSTRUCTION FUND 0 0 0 A 16000000 316320 7424981 8258699 0 1 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 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 127,411. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 127,411. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 695,331. MANAGEMENT AND GENERAL EXPENSES 107,953. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 803,284. MEDICAL FEES: PROGRAM SERVICE EXPENSES 25,487. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,487. TV SERVICE EXPENSE: PROGRAM SERVICE EXPENSES 163,861. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 163,861. INSPECTION/SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 609,990. MANAGEMENT AND GENERAL EXPENSES 94,704. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 704,694. EXTERMINATING SERVICE: PROGRAM SERVICE EXPENSES 18,744. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,744. ASSESSMENTS: PROGRAM SERVICE EXPENSES 135,922. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 135,922. CONSULTANT: PROGRAM SERVICE EXPENSES 1,800,574. MANAGEMENT AND GENERAL EXPENSES 279,549. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,080,123. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT 604,324. 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