2017-05-15T07:49:57-05:00 2016-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 221 W PHILADELPHIA STREET SUITE 200 YORK PA 17401 990 2015-07-01 232039189 TEL HAI RETIREMENT COMMUNITY TELH 6102733149 PO BOX 190 HONEY BROOK PA 193440190 M SUE VERDEGEM SR. EXEC. VP OF FIN. & ADMIN. 6102733149 2017-05-12 1 KERRI N BOGDA P00760402 7178467000 2015 2021-01-29 14:40:06Z DAVE SHENK PO BOX 190 HONEY BROOK PA 193440190 34674179 0 X WWW.TELHAI.ORG X 1978 PA TO PROVIDE HIGH QUALITY CARE AND SERVICES TO RETIRED PERSONS. 7 4 659 405 0 0 526239 30241 26352719 31045502 420093 548388 490129 1659711 27789180 33283842 10900 17100 0 0 17099797 18662818 0 0 0 11263808 14725269 28374505 33405187 -585325 -121345 121251579 122097221 120537369 122780902 714210 -683681 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 14250731 17100 16203983 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 130 RESIDENTS WHICH PROVIDES CARE AND SOCIAL ACTIVITIES FOR THE RESIDENTS. TEL HAI PROVIDED 48,935 DAYS OF SKILLED NURSING. 4370387 0 5361612 TEL HAI LAKEVIEW PERSONAL CARE IS A PERSONAL CARE FACILITY FOR 100 RESIDENTS WHICH PROVIDES SUPERVISED DAILY ACTIVITIES. TEL HAI PROVIDED 33,336 PERSONAL CARE DAYS TO ITS RESIDENTS. LAKEVIEW ALSO PROVIDES ADULT AND CHILD DAY CARE SERVICES WITH SUPERVISED DAILY ACTIVITIES TO THE COMMUNITY. THESE TWO PROGRAMS PROVIDED A TOTAL OF 14,197 DAYS TO THE COMMUNITY. 10629314 0 9479907 TEL HAI OPERATES 357 INDEPENDENT LIVING UNITS FOR UP TO 625 ELDERLY RESIDENTS PROVIDING HOUSING, SOCIAL SERVICE SUPPORT, SOCIAL AND PHYSICAL ACTIVITIES. 0 0 0 AS PART OF THE ORGANIZATION'S CHARITABLE MISSION, BENEVOLENCE IS EXTENDED AS NEEDED AND WHEN APPROPRIATE TO RESIDENTS AT ALL LEVELS OF CARE. THE ESTIMATED COSTS OF PROVIDING BENEVOLENT CARE IS BASED UPON THE DIRECT AND INDIRECT COSTS IDENTIFIED WITH THE SPECIFIC BENEVOLENT CARE PROVIDED. THE COST OF BENEVOLENT CARE PROVIDED TO RESIDENTS AMOUNTED TO APPROXIMATELY $1,820,000 IN 2016 AND $1,770,000 IN 2015. 0 0 0 29250432 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 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 25 0 1 659 1 0 0 0 0 0 0 0 0 0 0 X 7 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X M SUE VERDEGEM SR EXEC VP OF FINANCE & ADMIN 6102739333 1200 TEL HAI CIRCLE HONEY BROOK PA 19344 JOANNE BELSON SECRETARY 1.00 1.00 X X 0 0 0 JOSEPH J SWARTZ PRESIDENT/CEO 4.00 36.00 X X 0 187037 10545 M SUE VERDEGEM ASST SEC'Y/SR EXEC, VP FIN & ADM 4.00 36.00 X X 0 140499 21672 GARY R MCEWEN TREASURER 1.00 2.00 X X 0 0 0 TERESA LONG DIRECTOR//SR. VP RESIDENT SVC. 20.00 20.00 X 0 129298 17612 WILLIAM COLBY CHAIR 1.00 1.00 X X 0 0 0 WENDEL KING DIRECTOR 1.00 1.00 X 0 0 0 JANICE WILLIAMS ADMINISTRATOR, MEADOWS AT TEL HAI 40.00 X 113240 0 13654 CATHY YODER VP OF MARKETING 40.00 X 122736 0 9259 BRUCE HARTSHORNE EXEC VP OPERATIONS 15.00 25.00 X 0 126532 22449 235976 583366 95191 2 0 1 0 WOHLSEN CONSTRUCTION COMPANY 548 STEEL WAY LANCASTER PA 17604 CONSTRUCTION 8971488 BERKS HOMES 3335 MORGANTOWN RD MOHNTON PA 19549 CONSTRUCTION 4065155 LYONS & HOHL PAVING 1815 HORSESHOE PIKE HONEY BROOK PA 19344 EXCAVATING 1440792 COATES CONSTRUCTION LLC 5295 OLD STRASBURG ROAD GAP PA 17527 CONSTRUCTION 1239579 CURA HOSPITALITY LLC PO BOX 743676 ATLANTA GA 30374 DINING MANAGEMENT 851266 16 30241 30241 NET RESIDENT REVENUE 623000 31045502 31045502 31045502 273621 273621 44060 96919 54768 0 -10708 96919 86211 86211 1610336 1335569 274767 274767 274767 RESIDENT UPGRADES 900099 628894 628894 COFFEE SHOP INCOME 900099 334904 334904 RESIDENT FUNCTIONS 900099 204906 204906 404796 404796 1573500 33283842 31045502 0 2208099 17100 17100 14936637 13116832 1819805 187341 164516 22825 1967351 1727659 239692 1571489 1380027 191462 14625 14625 529 529 191218 191218 1485244 1353702 131542 9400 8255 1145 2753212 2418296 334916 116115 116115 2575250 2309590 265660 77472 68033 9439 13740 12066 1674 292566 292566 6208134 5451766 756368 700 700 MEDICAL SUPPLIES 609626 609626 RECRUITING/EMPLOYEE ENT 199926 175568 24358 ACTIVITIES 151037 132635 18402 BOOKS, DUES, & SUBSCRIP 13887 12195 1692 12588 12588 33405187 29250432 4154755 0 819 4579 2351218 947936 1729174 1429061 431145 146817 127607 140057 140069 153215 152075095 48549010 94612767 103526085 18621720 11327338 504510 1909645 2732550 2512488 121251579 122097221 9914384 2220386 53121401 69930473 54310279 45827330 902905 3191305 3899808 120537369 122780902 X 583234 -798224 130976 114543 714210 -683681 121251579 122097221 X -121345 -355875 -746025 X 0 1 X 1 0 X 15673 25166 19621 526239 30241 616940 2476069 26688312 25941812 26352719 31045502 112504414 420991 238330 340560 280043 1173672 2453596 2912733 26951808 26301993 27159001 32249415 115574950 0 0 0 115574950 334536 386355 427420 465976 414600 2028887 334536 386355 427420 465976 414600 2028887 110922 106673 104944 111175 225182 658896 3358191 27444836 26834357 27736152 32889197 118262733 0.97730 0.97850 0.01720 0.01730 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: APPLICATION FEES/MISC INCOME - 2011 AMOUNT: $ 110,922. 2012 AMOUNT: $ 106,673. 2013 AMOUNT: $ 104,944. 2014 AMOUNT: $ 111,175. 2015 AMOUNT: $ 76,573. OPTIUM CAPITATION PAYMENTS - 2015 AMOUNT: $ 148,609. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 529 0 0 0 0 0 529 0 PART II-B, LINE 1: TEL HAI RETIREMENT COMMUNITY WILL, ON OCCASION, ASK ITS VOLUNTEERS, RESIDENTS, AND STAFF TO WRITE TO THEIR CONGRESSMEN REGARDING LEGISLATION WHICH AFFECTS THEIR COMMUNITY. THESE REQUESTS ARE GENERALLY VERY INFORMAL AND NO EXPENSES ARE INCURRED. IT IS ESTIMATED THAT THE LEADERSHIP TEAM SPENT $529 IN EXPENSES ON SUCH COMMUNICATIONS. 1266187 1266187 91234476 32847852 58386624 51982027 15701158 36280869 7592405 7592405 103526085 INTEREST RATE SWAP AGREEMENT 2819918 SECURITY DEPOSITS 107300 DUE TO RELATED PARTIES 972590 3899808 X 32164135 -355875 -591107 -946982 33111117 -1921 -1921 33109196 33562026 156839 156839 33405187 0 33405187 PART X, LINE 2: THE ORGANIZATION 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 2016 AND 2015. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET UNREALIZED GAIN/LOSS - INTEREST RATE SWAP AGREEMENT -591,107. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS NETTED WITH EXPENSES PER THE FINANCIAL STATEMENTS 28,911. INCOME NETTED WITH EXPENSES PER FINANCIAL STATEMENTS 23,936. RENTAL EXPENSES -54,768. PART XII, LINE 2D - OTHER ADJUSTMENTS: CONTRIBUTIONS NETTED WITH EXPENSES PER THE FINANCIAL STATEMENTS -28,911. INCOME NETTED WITH EXPENSES PER FINANCIAL STATEMENTS -23,936. RENTAL EXPENSES 54,768. LOSS ON REFINANCING 154,918. 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 JOSEPH J SWARTZ PRESIDENT/CEO 0 187037 0 0 0 0 0 3741 0 6804 0 197582 0 0 M SUE VERDEGEM ASST SEC'Y/SR EXEC, VP FIN & ADM 0 140499 0 0 0 0 0 2795 0 18877 0 162171 0 0 A CHESTER CTY HEALTH AND EDUCATION FACILITIES AUTHORITY 232265260 165579ER0 2009-02-05 18000000 BOND REFINANCE, CAPITAL IMPROVEMENTS 0 0 0 B DAUPHIN COUNTY GENERAL AUTHORITY 232336949 2013-12-20 50000000 CAPITAL IMPROVEMENTS 0 0 0 C LEBANON COUNTY HEALTH FACILITIES 232546819 2016-06-16 7877329 BOND REFINANCE 0 0 0 D LEBANON COUNTY HEALTH FACILITIES 232546819 2016-06-01 10000000 BOND REFINANCE 0 0 0 A 4450000 18000000 309603 65412 3897356 13727629 2010 1 0 1 1 B 39000000 50000000 395036 49604964 2015 0 0 1 1 C 7877329 7877329 2016 1 0 1 1 D 10000000 10000000 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 0 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 1 1 M&T BANK 21.330000000000 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 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 THE BOARD OF DIRECTORS OF TEL HAI SERVICES ELECTS THE BOARD OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B TEL HAI SERVICES MUST APPROVE ANY CHANGES TO THE ORGANIZATION'S BY-LAWS. MAJOR CAPITAL IMPROVEMENTS MUST ALSO BE APPROVED BY TEL HAI SERVICES. FORM 990, PART VI, SECTION B, LINE 11 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 B, LINE 15 THE BOARD'S EXECUTIVE COMMITTEE REVIEWS THE LEADINGAGE PA ANNUAL WAGE SURVEY TO BENCHMARK THE EXECUTIVE TEAM'S SALARIES AGAINST INDUSTRY STANDARDS AND ENSURE SALARIES ARE WITHIN FAIR MARKET RANGE FOR THE INDUSTRY. THE BOARD PRESIDENT REVIEWS ALL SALARY RECOMMENDATIONS AND DECISIONS REGARDING COMPENSATION ARE SUBJECT TO BOARD APPROVAL. ALL EXECUTIVE COMMITTEE DISCUSSIONS ON COMPENSATION ARE RECORDED IN EXECUTIVE MINUTES. ALL OTHER SALARIES ARE DETERMINED BY THE HUMAN RESOURCES DEPARTMENT AND WITH THE APPROPRIATE DIRECTORS OF VICE PRESIDENTS AND ARE DETERMINED AFTER VARIOUS WAGE STUDIES ARE CONSULTED TO AFFIRM SALARIES ARE WITHIN FAIR MARKET VALUE FOR THE INDUSTRY. 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 XI, LINE 9: NET UNREALIZED GAIN/LOSS - INTEREST RATE SWAP AGREEMENTS -591,107. LOSS ON REFINANCING -154,918. 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 9 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 9 N/A 0 FTH SERVICES 206 OLD LANCASTER ROAD DEVON PA 19333 461530132 IN HOME CARE PA 501(C)(3) LINE 9 TEL HAI SERVICES INC 0 0 0 1 1 1 0 0 0 0 0 0 0 1 1 0 1 1 0 0