2019-05-21T10:16:05-05:00 2018-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 191037341 990 2017-07-01 231429826 HATFIELD MENNONITE HOME INC HATF 2155652416 ROUTE 309 HATFIELD PA 19440 STEVEN D MYERS CHIEF FINANCIAL & TECH OFFICER 2155652416 2019-05-20 1 KERRI N BOGDA CPA P00760402 2159720701 96.89.178.186 2019-05-20 11:10:19 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F58787FA80410BAE38B710EAF9FCC5760AD3BCDF 2017 2019-02-21 02:37:17Z EDWARD D BRUBAKER 275 DOCK DRIVE LANSDALE PA 19446 20525595 0 X WWW.LIVINGBRANCHES.ORG X 1942 PA HEALTH CARE AND HOUSING FOR THE ELDERLY 11 11 406 139 0 0 517160 500466 15983571 16915450 324651 574517 500279 501983 17325661 18492416 135440 34169 0 0 9947967 10466482 0 0 0 6498930 6294963 16582337 16795614 743324 1696802 23707694 24928601 1710295 1331628 21997399 23596973 X TOGETHER WE EMPOWER OLDER ADULTS AND FAMILIES TO LEAD LIVES OF PURPOSE AND JOY, GUIDED BY THE MENNONITE TRADITION OF CARE AND SERVICE TO OTHERS. 0 0 13915073 34169 16915450 HATFIELD MENNONITE HOME OPERATES AND MAINTAINS HOUSING FOR SENIOR ADULTS AND PROVIDES, ON A NONPROFIT BASIS, HOUSING FACILITIES AND SERVICES SPECIALLY DESIGNED TO MEET THE SPIRITUAL, PHYSICAL, EMOTIONAL, SOCIAL, AND PSYCHOLOGICAL NEEDS OF AGING. HATFIELD MENNONITE HOME CONTRIBUTES TO RESIDENTS' HEALTH, SECURITY, HAPPINESS, AND USEFULNESS IN LONGER LIVING AND ENGAGES THEM IN PROGRAMS DESIGNED TO PROMOTE AND ENCOURAGE THEIR WELL-BEING.THE ORGANIZATION ACCOMPLISHES THIS PURPOSE BY PROVIDING HOUSING, NURSING, REHABILITATION, AND OTHER RELATED SERVICES TO COMMUNITY MEMBERS THROUGH THE OPERATION OF A 72-BED SKILLED NURSING FACILITY (DOCK TERRACE), A 64-UNIT PERSONAL CARE FACILITY (THE WILLOWS OF LIVING BRANCHES), A 47-UNIT PERSONAL CARE FACILITY (OAKWOOD COURT), AND A 26-BED PERSONAL CARE FACILITY FOR PERSONS WITH DEMENTIA (HARMONY HOUSE). DURING THE REPORT PERIOD 66,630 DAYS OF MEDICAL CARE WERE PROVIDED COVERING 334 PEOPLE. OF THAT GROUP; 56 PEOPLE RECEIVED FINANCIAL ASSISTANCE FROM EITHER MEDICAID OR FACILITY FUNDED BENEVOLENT CARE. THE TOTAL COST OF UNFUNDED AND BENEVOLENT CARE WAS $1,619,873. THE FACILITIES PROVIDE BENEVOLENT CARE TO RESIDENTS WHO CAN NO LONGER AFFORD THE FULL COST OF THEIR CARE.THE ORGANIZATION ALSO SERVES THE BROADER COMMUNITY IN PROVIDING EDUCATIONAL AND SERVICE OPPORTUNITIES FOR LOCAL SCHOOLS. THE FACILITY SERVES AS A CLINICAL TRAINING SITE FOR A LOCAL COLLEGE NURSING PROGRAM AND A TRAINING SITE FOR THE PUBLIC VOCATIONAL SCHOOL HEALTHCARE PROGRAM AS A PUBLIC SERVICE. 13915073 1 1 0 1 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 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 14 0 406 1 0 0 0 0 0 0 0 0 0 0 X 11 11 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X STEVEN D MYERS CHIEF FINANCIAL & TECH OFFICER 2153684438 275 DOCK DRIVE LANSDALE PA 19446 JAMES L RITTENHOUSE TREASURER 0.10 0.50 X X 0 0 0 J TODD ALDERFER MD DIRECTOR 0.10 0.50 X 0 0 0 KENNETH R BURKHOLDER DIRECTOR 0.10 0.60 X 0 0 0 KENNETH J CLEMMER CHAIR 0.10 0.50 X X 0 0 0 BRYAN K HUNSBERGER DIRECTOR 0.10 0.60 X 0 0 0 L BRENT KOLB SECRETARY 0.10 0.60 X X 0 0 0 JOHN W DUERKSEN VICE CHAIR 0.10 0.50 X X 0 0 0 SYLVIA F SHELLY DIRECTOR 0.10 0.60 X 0 0 0 ANGELA S HACKMAN DIRECTOR 0.10 0.50 X 0 0 0 AMY KOLB DIRECTOR 0.10 0.50 X 0 0 0 JANE L RUTH DIRECTOR 0.10 0.50 X 0 0 0 EDWARD D BRUBAKER PRESIDENT & CEO 5.00 35.00 X 0 306684 45049 STEVEN D MYERS CHIEF FINANCIAL & TECH OFFICER 5.00 35.00 X 0 181448 32143 NANCY DONNELLY EXECUTIVE DIRECTOR-DW 15.00 25.00 X 0 158278 15958 0 646410 93150 0 0 1 0 SELECT REHABILITATION LLC PO BOX 71985 CHICAGO IL 60694 THERAPY 488723 UNIDINE LIFESTYLES PO BOX 102289 ATLANTA GA 303682289 DINING SERVICES 235834 BERGEY'S ELECTRIC INC 2880 PENN STREET HATFIELD PA 194402348 ELECTRICAL REPAIRS 110466 3 500466 500466 ROOM, BOARD & ENTRANCE FEES 623000 16915450 16915450 16915450 327418 327418 10870 0 10870 10870 10870 2217439 1962193 8147 255246 -8147 247099 247099 138002 62839 75163 75163 EMPLOYEE & GUEST MEALS 900099 341482 341482 CHILDCARE INCOME 624410 27918 27918 SECURITY AND MAINTENANCE 900099 24535 24535 22015 22015 415950 18492416 16915450 0 1076500 34169 34169 8247228 7259913 987315 379739 358836 20903 1219887 1059539 160348 619628 546579 73049 965031 10530 954501 51826 51826 48890 48890 765 765 56862 56862 1320609 1142301 178308 62378 62378 586406 498470 87936 114098 14251 99847 1070571 1070571 5691 5691 23157 6375 16782 759685 759685 90047 90047 DIETARY EXPENSE 571757 571757 NURSING HOME ASSESSMENT 188892 188892 BED DAYS TERRACE 116191 116191 MAINTENANCE & REPAIRS 102951 102951 159156 78325 80831 16795614 13915073 2880541 0 976 1052 698183 821608 892267 721 0 52676 89050 25905223 15507274 10494672 10397949 5008436 12850100 7328605 0 23707694 24928601 975010 1301645 21871 15068 713414 14915 1710295 1331628 X 21997399 23596973 21997399 23596973 23707694 24928601 1696802 -97228 0 X 0 1 X 1 0 X 308872 350792 415743 517160 500466 2093033 14815471 15137039 15847046 15983571 16915450 78698577 499598 529242 481294 477321 490002 2477457 15623941 16017073 16744083 16978052 17905918 83269067 0 0 0 83269067 220354 227049 245834 281845 341482 1316564 220354 227049 245834 281845 341482 1316564 51228 41399 66287 87541 63951 310406 15895523 16285521 17056204 17347438 18311351 84896037 0.98080 0.98190 0.01550 0.01440 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2013 AMOUNT: $ 946. 2014 AMOUNT: $ 831. 2015 AMOUNT: $ 1,252. 2017 AMOUNT: $ 1,402. LAUNDRY INCOME - 2013 AMOUNT: $ 28,343. 2014 AMOUNT: $ 10,608. 2015 AMOUNT: $ 8,464. 2016 AMOUNT: $ 9,768. 2017 AMOUNT: $ 10,096. CHILDCARE INCOME - 2013 AMOUNT: $ 21,939. 2014 AMOUNT: $ 29,960. 2015 AMOUNT: $ 34,191. 2016 AMOUNT: $ 29,348. 2017 AMOUNT: $ 27,918. TELE-ALARM INCOME - 2015 AMOUNT: $ 22,380. 2016 AMOUNT: $ 22,090. 2017 AMOUNT: $ 24,535. REIMBURSEMENTS - 2016 AMOUNT: $ 26,335. 2017 AMOUNT: $ 0. 0 0 0 0 0 0 0 0 1 765 765 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO LEADING AGE AND LEADING AGE PA, ORGANIZATIONS WHICH ADVOCATE FOR SENIOR CITIZENS. A PORTION OF DUES PAID ARE ALLOCATED TO LOBBYING EXPENSES. 354371 354371 20967695 12562371 8405324 4250043 2944903 1305140 333114 333114 10397949 REFUNDABLE FEES AND DEPOSITS 14915 14915 18286261 -97228 -88664 -185892 18472153 20263 20263 18492416 16686687 -20263 -20263 16706950 88664 88664 16795614 PART XI, LINE 2D - OTHER ADJUSTMENTS: GRANTS TO OTHER ORGANIZATIONS AND INDIVIDUALS -33,969. INVESTMENT FEES -54,695. PART XI, LINE 4B - OTHER ADJUSTMENTS: NET RECLASS FROM EXPENSES 91,249. COST OF GOODS SOLD NETTED WITH GROSS RECEIPTS -62,839. LOSS ON DISPOSAL OF ASSETS -8,147. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD NETTED WITH GROSS RECEIPTS 62,839. NET RECLASS TO REVENUE -91,249. LOSS ON DISPOSAL OF ASSETS 8,147. PART XII, LINE 4B - OTHER ADJUSTMENTS: GRANTS TO OTHER ORGANIZATIONS AND INDIVIDUALS 33,969. INVESTMENT FEES 54,695. 1 LIVING BRANCHES FOUNDATION 275 DOCK DRIVE LANSDALE PA 19446 912113430 501(C)(3) 33969 CHARITABLE OPERATIONS 1 PART I, LINE 2: THE ORGANIZATION ONLY PROVIDES GRANTS AND ASSISTANCE TO RELATED TAX-EXEMPT ORGANIZATIONS. ALL FINANCIAL TRANSACTIONS ARE CENTRALIZED AND EXISTING INTERNAL CONTROLS ASSURE THAT ALL FUND TRANSFERS ARE PROPERLY UTILIZED. 0 0 0 0 0 0 0 0 0 EDWARD D BRUBAKER PRESIDENT & CEO 0 265359 0 41325 0 0 0 18898 0 26151 0 351733 0 0 STEVEN D MYERS CHIEF FINANCIAL & TECH OFFICER 0 165237 0 16211 0 0 0 12540 0 19603 0 213591 0 0 NANCY DONNELLY EXECUTIVE DIRECTOR-DW 0 145086 0 13192 0 0 0 10807 0 5151 0 174236 0 0 PART I, LINE 3 OFFICERS AND KEY EMPLOYEES ARE PAID BY A RELATED ORGANIZATION. COMPENSATION IS DETERMINED BY AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS OR STUDIES, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. WILLARD C BERGEY FORMER BOARD MEMBER AND OFFICER OF BERGEY'S ELECTRIC 110466 BERGEY'S ELECTRIC PERFORMS SERVICES FOR HATFIELD MENNONITE HOME, INC. TRANSACTIONS WITH BERGEY'S ELECTRIC ARE AT ARM'S LENGTH. 0 FORM 990, PART VI, SECTION A, LINE 2 BRENT AND AMY KOLB HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 LIVING BRANCHES, A RELATED TAX-EXEMPT ORGANIZATION, PROVIDES MANAGEMENT SERVICES TO THIS ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS LIVING BRANCHES, A RELATED TAX-EXEMPT ENTITY. FORM 990, PART VI, SECTION A, LINE 7A LIVING BRANCHES, AS THE SOLE MEMBER, HAS THE RIGHT TO APPOINT AND REMOVE THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B LIVING BRANCHES, AS THE SOLE MEMBER, HAS THE RIGHT TO AMEND THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WILL BE REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER UPON COMPLETION BY THE TAX PREPARERS. THE 990 IS THEN PRESENTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. A COPY OF THE RETURN IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C LIVING BRANCHES, THE PARENT ORGANIZATION, HAS A WRITTEN CONFLICT OF INTEREST POLICY BY WHICH ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF ITS AFFILIATES MUST ABIDE. THE CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED ANNUALLY BY ALL BOARD MEMBERS AND OFFICERS. THE BOARD CHAIRMAN REVIEWS THE SIGNED STATEMENTS AND OVERSEES THE PROCEDURES FOR ENSURING ANY POTENTIAL CONFLICTS ARE RESOLVED ACCORDING TO THE WRITTEN POLICY. ANY INTERESTED PARTY TO A CONFLICT WILL REMOVE HIM OR HERSELF FROM ANY DISCUSSIONS AND/OR DECISIONS BASED ON THE CONFLICT. THE CONFLICT POLICY SPECIFICALLY STATES THAT FAMILY AND OR BUSINESS RELATIONSHIPS WITH OTHER BOARD MEMBERS MAY CONSTITUTE A POTENTIAL OR ACTUAL CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 LIVING BRANCHES IS A RESPECTED LEADER IN CONTINUING CARE, SERVING CULTURALLY AND ECONOMICALLY DIVERSE OLDER ADULTS AND FAMILIES. TO SUPPORT ACHIEVEMENT OF THE MISSION TO CONTINUE PROVIDING SERVICES TO OLDER ADULTS AND FAMILIES ACROSS A WIDE RANGE OF CIRCUMSTANCES AND TO GROW THE SERVICE PROGRAMS, THE BOARD OF DIRECTORS RECOGNIZES THE CRITICAL IMPORTANCE OF EMPLOYING HIGHLY QUALIFIED SENIOR STAFF TO LEAD AND DIRECT THE ORGANIZATION. IN ORDER TO ATTRACT AND RETAIN THE BEST LEADERSHIP TALENT ESSENTIAL TO FULFILLING THE MISSION AND ACHIEVING FINANCIAL PERFORMANCE NECESSARY TO SUSTAIN AND GROW THE ORGANIZATION, THE LIVING BRANCHES BOARD OF DIRECTORS ADOPTED A COMPENSATION PROGRAM FOR ITS SENIOR EXECUTIVE LEADERS. THE COMPENSATION PROGRAM IS DESIGNED TO: PROVIDE COMPETITIVE BENEFITS AND TOTAL CASH COMPENSATION COMPARED TO SIMILARLY SIZED AND SIMILARLY STRUCTURED CONTINUING CARE RETIREMENT COMMUNITIES; ALIGN EXPECTED EXECUTIVE STAFF PERFORMANCE WITH THE MISSION, STRATEGIC OBJECTIVES AND OPERATIONAL GOALS OF THE ORGANIZATION; MOTIVATE HIGH PERFORMANCE AND RECOGNIZE SHARED CONTRIBUTIONS IN A HIGHLY COMPETITIVE AND REGULATED ENVIRONMENT; RECOGNIZE AND INCENTIVIZE THE STABILITY OF THE EXECUTIVE LEADERSHIP TEAM. THE COMPENSATION PROGRAM IS INTENDED TO COMPLY WITH IRS REGULATIONS AND APPLIES SPECIFICALLY TO THE CHIEF EXECUTIVE OFFICER (CEO) WHO IS HIRED, DIRECTED AND EVALUATED BY THE BOARD OF DIRECTORS. OTHER COVERED SENIOR MANAGEMENT STAFF UNDER THE IRS GUIDELINES INCLUDE SENIOR MANAGEMENT PERSONS WHO REPORT DIRECTLY TO THE CEO AND MAY SUBSTANTIALLY INFLUENCE THE FINANCES OF THE ORGANIZATION. IN LIVING BRANCHES STRUCTURE, THIS INCLUDES THE POSITION OF CHIEF FINANCIAL & TECHNOLOGY OFFICER. THE COMPENSATION PLAN, WHILE FOCUSED ON THE CEO POSITION, PROVIDES GUIDANCE FOR THE CEO TO ESTABLISH THE COMPENSATION FOR OTHER EXECUTIVE LEADERS IN LIVING BRANCHES. COMPETITIVE WAGE INFORMATION FOR THE COMPENSATION PLAN IS SOURCED FROM CONTINUING CARE RETIREMENT COMMUNITY (CCRC) COMPENSATION SURVEYS, PRIMARILY THE CHIEF EXECUTIVES OF MULTI-FACILITY ORGANIZATIONS (CEMO) LEADERSHIP COMPENSATION SURVEY. IN ADDITION, THE LEADINGAGE SALARY AND BENEFITS REPORT AND THE LEADINGAGE PA REGIONAL SALARY SURVEY ARE REVIEWED. THE COVERED EXECUTIVE POSITIONS HAVE AN ESTABLISHED SALARY RANGE WITH A THRESHOLD, MIDPOINT AND MAXIMUM SALARY. THE RANGES ARE REVIEWED ANNUALLY WITH THE COMPARATIVE DATA SOURCES AND ARE ESTABLISHED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE TARGET (OR MIDPOINT) SALARY FOR A FULLY QUALIFIED LIVING BRANCHES EXECUTIVE IS GENERALLY AT THE 75TH PERCENTILE FOR SIMILARLY SIZED ORGANIZATIONS FROM THE COMPARATIVE DATA SOURCES. COMPENSATION INCREASES FOR THE COVERED POSITIONS ARE APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS UPON THE COMPLETION OF ANNUAL PERFORMANCE APPRAISALS AND IN ACCORDANCE WITH THE COMPENSATION PLAN. THE EXECUTIVE COMMITTEE DOCUMENTS ITS DISCUSSIONS AND CONCLUSIONS IN EXECUTIVE COMMITTEE MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS ARTICLES OF INCORPORATION, BYLAWS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PAGE 5, PART V, LINE 2A THE FILING ENTITY IS AN AFFILIATE IN A GROUP OF WHICH LIVING BRANCHES(EIN 23-2125481) IS CONSIDERED A COMMON PAY AGENT FOR W-2 REPORTING. LIVING BRANCHES REPORTS ALL EMPLOYEES ON ITS FORM W-3, HOWEVER, EACH AFFILIATE HAS EMPLOYEES ALLOCATED TO THAT ENTITY. PER IRS INSTRUCTIONS, EMPLOYEES LISTED ON PART V, LINE 2A ARE THOSE WHO HAVE BEEN DEEMED TO BE EMPLOYEES OF THIS ORGANIZATION. HATFIELD MENNONITE HOME, INC. DOES NOT, HOWEVER, REPORT THESE EMPLOYEES ON A SEPARATE W-3 UNDER ITS OWN EIN. LIVING BRANCHES 275 DOCK DRIVE LANSDALE PA 19446 232125481 MANAGEMENT SERVICES FOR RELATED TAX-EXEMPT ORGANIZATIONS PA 501(C)(3) LINE 10 N/A 0 DOCK ACRES INC 275 DOCK DRIVE LANSDALE PA 19446 232233514 HOUSING FOR THE ELDERLY PA 501(C)(3) LINE 10 LIVING BRANCHES 0 SOUDERTON MENNONITE HOMES 207 WEST SUMMIT STREET SOUDERTON PA 18964 231433891 HEALTH CARE & HOUSING FOR THE ELDERLY PA 501(C)(3) LINE 10 LIVING BRANCHES 0 DOCK MANOR INC 275 DOCK DRIVE LANSDALE PA 19446 232136450 LOW INCOME HOUSING FOR THE ELDERLY PA 501(C)(3) LINE 10 LIVING BRANCHES 0 DOCK VILLAGE INC 275 DOCK DRIVE LANSDALE PA 19446 232136449 LOW INCOME HOUSING TO QUALIFIED FAMILIES & INDIVIDUALS PA 501(C)(3) LINE 10 LIVING BRANCHES 0 LIVING BRANCHES FOUNDATION 275 DOCK DRIVE LANSDALE PA 19446 912113430 FUNDRAISING & SUPPORTING ORGANIZATION PA 501(C)(3) LINE 12A, I LIVING BRANCHES 0 0 1 1 0 1 0 0 0 0 1 0 0 1 0 1 0 0 0 0 LATE FILED RETURN DUE TO CCH SOFTWARE OUTAGE