MENNO-HAVEN INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MENNO-HAVEN INC (EIN 23-6276101)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-10-25
IRS object ID
201642999349300009
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-10-25T08:38:00-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN520783935PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SMITH ELLIOTT KEARNS & COMPANY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line119 BROOKWOOD AVE STE 101AddressLine1Txt
CityCARLISLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP17015ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN236276101EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MENNO-HAVEN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMENNBusinessNameControlTxt
Phone7172621000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12011 SCOTLAND AVENUEAddressLine1Txt
CityCHAMBERSBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID A GENTRYPersonNm
Person TitleCFOPersonTitleTxt
Phone7172621000PhoneNum
Signature2016-10-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGREGORY P HALL CPAPreparerPersonNm
PTINP00156653PTIN
Phone7172439104PhoneNum
Preparation2016-10-15PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID A GENTRYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12011 SCOTLAND AVENUEAddressLine1Txt
CityCHAMBERSBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$59,832,364GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MENNOHAVEN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1964FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionOUR MISSION IS TO BE AN INNOVATIVE ORGANIZATION THAT NURTURES THE HUMAN SPIRIT, IS PASSIONATE ABOUT SERVICE, AND DEMONSTRATES GOD'S LOVE, ONE PERSON AT A TIME.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee800TotalEmployeeCnt
Total Volunteers462TotalVolunteersCnt
Total Gross UBI$152,246TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$87,936NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$669,662PYContributionsGrantsAmt
CY Contributions Grants$660,847CYContributionsGrantsAmt
PY Program Service Revenue$42,335,245PYProgramServiceRevenueAmt
CY Program Service Revenue$44,125,400CYProgramServiceRevenueAmt
PY Investment Income$2,073,972PYInvestmentIncomeAmt
CY Investment Income$1,868,893CYInvestmentIncomeAmt
PY Other Revenue$168,063PYOtherRevenueAmt
CY Other Revenue$170,894CYOtherRevenueAmt
PY Total Revenue$45,246,942PYTotalRevenueAmt
CY Total Revenue$46,826,034CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$22,665,328PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$22,784,073CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$306,048CYTotalFundraisingExpenseAmt
PY Other Expenses$19,282,389PYOtherExpensesAmt
CY Other Expenses$19,886,729CYOtherExpensesAmt
PY Total Expenses$41,947,717PYTotalExpensesAmt
CY Total Expenses$42,670,802CYTotalExpensesAmt
PY Revenues Less Expenses$3,299,225PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,155,232CYRevenuesLessExpensesAmt
Total Assets BOY$119,708,971TotalAssetsBOYAmt
Total Assets EOY$119,859,483TotalAssetsEOYAmt
Total Liabilities BOY$94,467,606TotalLiabilitiesBOYAmt
Total Liabilities EOY$92,491,887TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$25,241,365NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$27,367,596NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION IS TO BE AN INNOVATIVE ORGANIZATION THAT NURTURES THE HUMAN SPIRIT, IS PASSIONATE ABOUT SERVICE, AND DEMONSTRATES GOD'S LOVE, ONE PERSON AT A TIME.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$18,468,097ExpenseAmt
Revenue$23,166,570RevenueAmt
DescORGANIZATION MAINTAINS A LICENSED SKILLED NURSING FACILITY IN TWO LOCATIONS. PROVIDES ROOM AND BOARD, NURSING CARE, MEDICAL AND REHAB SERVICES, SOCIAL SERVICES, AND ACTIVITY PROGRAMS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$8,613,167ExpenseAmt
Revenue$11,487,118RevenueAmt
DescORGANIZATION MAINTAINS A LICENSED PERSONAL CARE AND RESIDENTIAL LIVING FACITILY IN TWO LOCATIONS. PROVIDES ROOM AND BOARD, LIMITED NURSING CARE, MEDICAL AND REHAB SERVICES, SOCIAL SERVICES, AND ACTIVITY PROGRAMS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$9,157,241ExpenseAmt
Revenue$9,471,712RevenueAmt
DescORGANIZATION MAINTAINS INDEPENDENT LIVING UNITS FOR INDIVIDUALS WHO WISH TO MAINTAIN MORE INDEPENDENCE, BUT DESIRE ACCESS TO THE FOLLOWING SERVICES: EMERGENCY NURSE CALL, GROUNDS, MAINTENANCE, AND TRANSPORTATION SERVICES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$36,238,505TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionYes (true)DeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document133IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee800EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID A GENTRY CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7172621000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12011 SCOTLAND AVENUEAddressLine1Txt
CityCHAMBERSBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17201ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
WAYNE YEAGER
BOARD CHAIRM2.49Yes (X)Yes (X)$0$0$0
DALE CLUGSTON
BOARD VICE-C1.65Yes (X)Yes (X)$0$0$0
LYNN ROTZ
BOARD TREASU0.80Yes (X)Yes (X)$0$0$0
LIN HOSKINSON
BOARD SECRET1.36Yes (X)Yes (X)$0$0$0
CAROLYN GEORGE
BRD ASST SEC0.84Yes (X)Yes (X)$0$0$0
ARNOLD BARBOUR
BOARD MEMBER0.74Yes (X)$0$0$0
RONALD GIPE
BOARD MEMBER2.81Yes (X)$0$0$0
BRADLEY MARTIN
BOARD MEMBER0.66Yes (X)$0$0$0
GLENN WINGERT
BOARD MEMBER1.51Yes (X)$0$0$0
MARTHA WALKER
BOARD MEMBER0.54Yes (X)$0$0$0
DALE HORST
BOARD MEMBER1.03Yes (X)$0$0$0
PAMELA GAUDIOSE
BOARD MEMBER1.19Yes (X)$0$0$0
DENNIS CASTELLI
BOARD RESIDE0.50Yes (X)$0$0$0
HUGH DAVIS
CEO40.00Yes (X)$271,741$0$11,287
JACK PARSON
CFO40.00$213,098$0$13,595Yes (X)
TIMOTHY JOHNSON
COO40.00Yes (X)$189,626$0$19,071
CHARLES NELSON
CHIEF GIFT P40.00Yes (X)$156,309$0$18,493
JONATHAN BAKER
CAO40.00Yes (X)$116,881$0$7,585
ZACHARY SIMPSON
MEDICAL DIRE40.00$197,509$0$17,041Yes (X)
TRACEY ECHELBERGER
EXEC. DIR. M40.00$102,913$0$4,422Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,248,077TotalReportableCompFromOrgAmt
Total Other Compensation$91,494TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CURA HOSPITALITY
PO BOX 743676ATLANTAGA30374DIETARY SERVICE$2,419,227
ALLIANCE REHAB
28100 TORCH PARKWAY STE 600WARRENVILLEIL60555THERAPY SERVICE$1,021,962
REHABCARE GROUP INC
PO BOX 503534ST LOUISMO63150THERPAY SERV$835,757
ALERT PHARMACY SERVICES INC
219 N BALTIMORE AVENUEMT HOLLY SPRINGSPA17065PHARMACY$606,765
WAYNESBORO CONSTRUCTION CO INC
PO BOX 229WAYNESBOROPA17268CONTRACTOR$443,208
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Fundraising$1,517FundraisingAmt
All Other Contributions$659,330AllOtherContributionsAmt
Noncash Contributions$176,631NoncashContributionsAmt
Total Contributions$660,847TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NURSING & PERSONAL CARE623000$38,498,429$38,498,429
OTHER RESIDENT SERVICES623000$3,559,165$3,559,165
LIFE LEASE CONTRACTS623000$2,067,806$2,067,806
FieldValueIRS element (for citing)
Total Program Service Revenue$44,125,400TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$984,956TotalRevenueColumnAmt
Exclusion$984,956ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$13,869,938SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$12,986,001SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$883,937SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$883,937TotalRevenueColumnAmt
Exclusion$883,937ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$38,977FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$1,517ContriRptFundraisingEventAmt
Fundraising Direct Expenses$20,329FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,648TotalRevenueColumnAmt
Exclusion$18,648ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescFOOD SERVICE & GUEST ROOMSDesc
Business722100BusinessCd
Total Revenue Column$152,246TotalRevenueColumnAmt
Unrelated Business Revenue$152,246UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$152,246OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,826,034TotalRevenueColumnAmt
Related Or Exempt Func Income$44,125,400RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$152,246UnrelatedBusinessRevenueAmt
Exclusion$1,887,541ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$771,921TotalAmt
Management And General$727,721ManagementAndGeneralAmt
Fundraising$44,200FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$400,321TotalAmt
Management And General$377,493ManagementAndGeneralAmt
Fundraising$22,828FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,160,969TotalAmt
Program Services$14,973,356ProgramServicesAmt
Management And General$2,061,062ManagementAndGeneralAmt
Fundraising$126,551FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$444,870TotalAmt
Program Services$336,183ProgramServicesAmt
Management And General$101,326ManagementAndGeneralAmt
Fundraising$7,361FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,695,894TotalAmt
Program Services$2,329,947ProgramServicesAmt
Management And General$352,351ManagementAndGeneralAmt
Fundraising$13,596FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,310,098TotalAmt
Program Services$1,094,951ProgramServicesAmt
Management And General$203,344ManagementAndGeneralAmt
Fundraising$11,803FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,470,771TotalAmt
Program Services$1,192,561ProgramServicesAmt
Management And General$261,993ManagementAndGeneralAmt
Fundraising$16,217FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$349,450TotalAmt
Program Services$2,574ProgramServicesAmt
Management And General$346,743ManagementAndGeneralAmt
Fundraising$133FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,446,659TotalAmt
Program Services$3,015,702ProgramServicesAmt
Management And General$430,957ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$227,004TotalAmt
Program Services$87,292ProgramServicesAmt
Management And General$112,378ManagementAndGeneralAmt
Fundraising$27,334FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,226,356TotalAmt
Program Services$3,226,356ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$82,149TotalAmt
Program Services$41,640ProgramServicesAmt
Management And General$35,747ManagementAndGeneralAmt
Fundraising$4,762FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,031TotalAmt
Management And General$1,031ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,040,663TotalAmt
Program Services$2,017,471ProgramServicesAmt
Fundraising$23,192FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,065,104TotalAmt
Program Services$3,894,495ProgramServicesAmt
Management And General$170,609ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$399,576TotalAmt
Program Services$186,061ProgramServicesAmt
Management And General$213,515ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DIRECT RESIDENTIAL SERVIC$4,068,397$3,581,525$486,872
MISCELLANEOUS$386,513$225,736$152,706$8,071
TRAINING$100,681$10,280$90,401
EQUIPMENT RENTAL & MAINTE$22,375$22,375

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$42,670,802TotalAmt
Program Services$36,238,505ProgramServicesAmt
Management And General$6,126,249ManagementAndGeneralAmt
Fundraising$306,048FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,200BOYAmt
EOY$1,450EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,402,739BOYAmt
EOY$4,374,178EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$98BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,847,633BOYAmt
EOY$3,113,965EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$262,192BOYAmt
EOY$257,053EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,063,931BOYAmt
EOY$1,035,248EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$128,280,975LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$61,856,534LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$66,467,281BOYAmt
EOY$66,424,441EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$41,834,947BOYAmt
EOY$41,906,315EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,827,950BOYAmt
EOY$2,746,833EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$119,708,971BOYAmt
EOY$119,859,483EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,811,326BOYAmt
EOY$4,678,889EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$27,108,999BOYAmt
EOY$25,967,890EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,690,000BOYAmt
EOY$39,785,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$1,473BOYAmt
EOY$1,615EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$12,224,240BOYAmt
EOY$11,467,805EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,631,568BOYAmt
EOY$10,590,688EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$94,467,606BOYAmt
EOY$92,491,887EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,359,105BOYAmt
EOY$19,366,798EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,913,929BOYAmt
EOY$6,111,720EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,968,331BOYAmt
EOY$1,889,078EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,241,365BOYAmt
EOY$27,367,596EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$119,708,971BOYAmt
EOY$119,859,483EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,155,232ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,994,524NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$34,477OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$397,916CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$698,096CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,072,972CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$669,662CurrentTaxYearMinus1YearAmt
Current Tax Year$660,847CurrentTaxYearAmt
Total$3,499,493TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,435,759CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$40,621,935CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$41,764,636CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,336,245CurrentTaxYearMinus1YearAmt
Current Tax Year$44,125,400CurrentTaxYearAmt
Total$209,283,975TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,833,675CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$41,320,031CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$42,837,608CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$43,005,907CurrentTaxYearMinus1YearAmt
Current Tax Year$44,786,247CurrentTaxYearAmt
Total$212,783,468TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,605CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,210CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,565CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,485CurrentTaxYearMinus1YearAmt
Current Tax Year$4,320CurrentTaxYearAmt
Total$20,185TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,605CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,210CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,565CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,485CurrentTaxYearMinus1YearAmt
Current Tax Year$4,320CurrentTaxYearAmt
Total$20,185TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$212,763,283PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$452,732CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$693,271CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,804,426CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,170,613CurrentTaxYearMinus1YearAmt
Current Tax Year$984,956CurrentTaxYearAmt
Total$5,105,998TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$452,732CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$693,271CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,804,426CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,170,613CurrentTaxYearMinus1YearAmt
Current Tax Year$984,956CurrentTaxYearAmt
Total$5,105,998TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$41,286,407CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,013,302CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$44,642,034CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$44,176,520CurrentTaxYearMinus1YearAmt
Current Tax Year$45,771,203CurrentTaxYearAmt
Total$217,889,466TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97650PublicSupportCY509Pct
Public Support PY5090.97740PublicSupportPY509Pct
Investment Income CY0.02000InvestmentIncomeCYPct
Investment Income PY0.02000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,183,932BeginningYearBalanceAmt
Contributions$164,311ContributionsAmt
Investment Earnings Or Losses-$83,643InvestmentEarningsOrLossesAmt
Other Expenditures$1,061,483OtherExpendituresAmt
End Year Balance$7,202,117EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,379,452BeginningYearBalanceAmt
Contributions$406,731ContributionsAmt
Investment Earnings Or Losses$429,002InvestmentEarningsOrLossesAmt
Other Expenditures$1,031,253OtherExpendituresAmt
End Year Balance$8,183,932EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,406,728BeginningYearBalanceAmt
Contributions$711,667ContributionsAmt
Investment Earnings Or Losses$1,316,291InvestmentEarningsOrLossesAmt
Other Expenditures$1,055,234OtherExpendituresAmt
End Year Balance$8,379,452EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,533,212BeginningYearBalanceAmt
Contributions$414,677ContributionsAmt
Investment Earnings Or Losses$610,178InvestmentEarningsOrLossesAmt
Other Expenditures$151,339OtherExpendituresAmt
End Year Balance$7,406,728EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,526,629BeginningYearBalanceAmt
Contributions$229,827ContributionsAmt
Investment Earnings Or Losses$21,785InvestmentEarningsOrLossesAmt
Other Expenditures$245,029OtherExpendituresAmt
End Year Balance$6,533,212EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.26230PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.73770TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,455,534OtherCostOrOtherBasisAmt
Book Value$3,455,534BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$92,191,834OtherCostOrOtherBasisAmt
Depreciation$39,873,435DepreciationAmt
Book Value$52,318,399BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,904,771OtherCostOrOtherBasisAmt
Depreciation$18,077,446DepreciationAmt
Book Value$9,827,325BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,728,836OtherCostOrOtherBasisAmt
Depreciation$3,905,653DepreciationAmt
Book Value$823,183BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$66,424,441TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
OBLIGATION UNDER INTEREST RATE SWAP$10,298,275
GIFT ANNUITIES$292,413
FieldValueIRS element (for citing)
Total Liability$10,590,688TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$44,817,362TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,994,524NetUnrealizedGainsInvstAmt
Other Revenue-$14,148OtherRevenueAmt
Revenue Not Reported-$2,008,672RevenueNotReportedAmt
Revenue Subtotal$46,826,034RevenueSubtotalAmt
Total Revenue Per Form990$46,826,034TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$42,691,131TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$20,329OtherExpensesIncludedAmt
Expenses Not Reported$20,329ExpensesNotReportedAmt
Expenses Subtotal$42,670,802ExpensesSubtotalAmt
Total Expenses Per Form990$42,670,802TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART IV, LINE 2BRESIDENT FUNDS ARE MAINTAINED FOR THE BENEFIT OF OUR RESIDENTS.
SCHEDULE D, PAGE 3, PART XTHE ORGANIZATION FOLLOWS GENERAL ACCEPTED ACCOUNTING PRINCIPLES, WHICH PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION'S POLICY IS TO CHARGE PENALTIES AND INTEREST TO INCOME TAX EXPENSE AS INCURRED. THE ORGANIZATION'S FEDERAL INCOME TAX RETURNS ARE SUBJECT TO EXAMINIATION BY THE INTERNAL REVENUE SERVICE, GENERALLY FOR A PERIOD OF THREE YEARS AFTER THE RETURNS ARE FILED.
SCHEDULE D, PAGE 4, PART XI, LINE 2DCHANGE IN FAIR VALUE OF DERIVATIVES -34,477 SPECIAL EVENT EXPENSES NETTED AGAINST FUNDRAISING INCOME 20,329
SCHEDULE D, PAGE 4, PART XII, LINE 2DSPECIAL EVENT EXPENSES NETTED AGAINST FUNDRAISING INCOME 20,329

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$40,494GrossReceiptsEvent1Amt
Charitable Contri Event1$1,517CharitableContriEvent1Amt
Gross Revenue Event1$38,977GrossRevenueEvent1Amt
Cash Prizes Event1$1,060CashPrizesEvent1Amt
Non Cash Prizes Event1$5,936NonCashPrizesEvent1Amt
Rent Facility Costs Event1$5,135RentFacilityCostsEvent1Amt
Food And Beverage Event1$3,706FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$4,492OtherDirectExpensesEvent1Amt
Gross Receipts Total$40,494GrossReceiptsTotalAmt
Charitable Contributions Tot$1,517CharitableContributionsTotAmt
Gross Revenue Total Events$38,977GrossRevenueTotalEventsAmt
Cash Prizes Total Events$1,060CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$5,936NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$5,135RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$3,706FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$4,492OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$20,329DirectExpenseSummaryEventsAmt
Net Income Summary$18,648NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
HUGH DAVIS
CEO$214,262$50,000$7,479$11,287$283,028
JACK PARSON
CFO$198,604$14,494$13,595$226,693
TIMOTHY JOHNSON
COO$176,217$9,647$3,762$19,071$208,697
CHARLES NELSON
CHIEF GIFT PLANNING$146,065$5,907$4,337$18,493$174,802
ZACHARY SIMPSON
MEDICAL DIRECTOR$184,747$12,762$17,041$214,550

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1AMENNO HAVEN PROVIDED TEMPORARY HOUSING FOR 3 INDIVIDUALS CONSISTING OF THE MEDICAL DIRECTOR, CHIEF EXECUTIVE OFFICER, AND EXECUTIVE OFFICER CLINICAL SERVICES.
SCHEDULE J, PAGE 1, PART I, LINE 1BMENNO HAVEN PROVIDED TEMPORARY HOUSING FOR MEDICAL DIRECTOR FROM JANUARY 1, 2015 THROUGH NOVEMBER 7, 2015. MENNO HAVEN PROVIDED TEMPORARY HOUSING FOR CEO FROM JANUARY 1, 2015 THROUGH JUNE 30, 2015. MENNO HAVEN PROVIDED TEMPORARY HOUSING FOR EXECUTIVE OFFICER FOR CLINICAL SERVICES FROM MARCH 27, 2015 THROUGH MAY 31, 2015.
SCHEDULE J, PAGE 1, PART I, LINE 7CHIEF OFFICERS RECEIVED ADDITIONAL COMPENSATION AT THE REQUEST OF THE BOARD. THEY WERE GIVEN THE OPTION OF CASH OR INVESTMENT IN THEIR 457 PLAN.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBusiness Name Line2IssuerName/BusinessNameLine2TxtBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
FRANKLIN COUNTY INDUSTRIAL
ADEVELOPMENT232261213353273AG02006-08-15$29,250,000CONSTRUCTION FURNISHING AND EQUIPMENT.falsefalsefalse
FRANKLIN COUNTY INDUSTRIAL
BDEVELOPMENT232261213353273AH82008-11-10$18,850,000REFINANCING OF SERIES 2001 AND 2006 PRIOR BONDS.falsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$29,250,000$578,6752008falsefalseYes (true)false
B$18,850,000$245,4702011falsefalseYes (true)false

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)falsefalsefalsefalsefalse
BfalseYes (true)Yes (true)falsefalsefalsefalsefalse

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
WELLS FARGO
AYes (true)Yes (true)Yes (true)30.000000000000falsefalsefalsefalsefalse
WELLS FARGO
BYes (true)Yes (true)Yes (true)30.000000000000falsefalsefalsefalsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonHUGH DAVISPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionOFFICERRelationshipDescriptionTxt
Transaction$258,500TransactionAmt
TransactionSALE OF PROPERTYTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$926NoncashContributionsRptF990Amt
Method Of Determining RevenuesAUCTION OF DONATED ITEMSMethodOfDeterminingRevenuesTxt

Cars And Other Vehicles CarsAndOtherVehiclesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$9,150NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMV BY BLUE BOOKMethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$6,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMV OF RECENT SALESMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesINVOICE OF WHEELCHAIRMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)SERVICE5$214AUCTION OF DONATED ITMES
Yes (X)EVENT TICKETS6$377AUCTION OF DONATED ITEMS
Yes (X)SOFTWARE LICENS21$160,466FMV BY MICROSOFT
Yes (X)SOUND SYSTEM1$6,165INVOICE FROM VENDOR
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 3DURING 2015, THE ORGANIZATION CEASED PROVIDING IN-HOUSE PHYSICIAN SERVICES AND IN-HOUSE MEDICAL DIRECTOR. THE ORGANIZATION NOW CONTRACTS FOR BOTH OF THESE SERVICES.
FORM 990, PAGE 6, PART VI, LINE 3WE HAVE CONTRACTED A MANAGEMENT COMPANY TO MANAGE AND DIRECT OUR FOOD SERVICE.
FORM 990, PAGE 6, PART VI, LINE 7BMAJOR DECISIONS OF THE GOVERNING BODY ARE APPROVED AND VOTED ON BY OUR BOARD OF DIRECTORS. WRITTEN MINUTES DOCUMENT OUR BOARD OF DIRECTORS MEETINGS, AS WELL AS, ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PAGE 6, PART VI, LINE 11BA COPY OF THE FORM 990 WILL BE PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THIS FORM.
FORM 990, PAGE 6, PART VI, LINE 12CCONFLICT OF INTEREST FORMS ARE REVIEWED BY THE CEO AND ANY DISCLOSED CONFLICTS ARE DISCUSSED WITH THE EXECUTIVE COMMITTEE OR APPROPRIATE OFFICERS OF THE GOVERNING BODY.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION FOR THE CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIALS IS DETERMINED BY A COMPENSATION SURVEY OR STUDY USING PRIMARILY THE LEADING AGE AGENCY WAGE SURVEY OF SIMILAR SIZE FACILITIES. LEADING AGE IS AN ASSOCIATION OF NONPROFIT SENIOR SERVICES IN THE STATE OF PENNSYLVANIA. THE EXECUTIVE COMMITTEE OF THE BOARD ALSO HAS THE LIBERTY TO UTILIZE OTHER SURVEYS OF SIMILAR OPERATIONS IF THEY CHOOSE TO DO SO.
FORM 990, PAGE 6, PART VI, LINE 15BCOMPENSATION RANGES FOR OTHER OFFICERS AND KEY EMPLOYEES ARE DETERMINED BY A COMPENSATION SURVEY USING THE LEADING AGE PARENT AGENCY WAGE SURVEY. LEADING AGE IS AN ASSOCIATION OF NONPROFIT SENIOR SERVICES IN THE STATE OF PENNSYLVANIA. DISCRESSION OF WHERE THEY FALL IN THAT RANGE IS DETERMINED BY THEIR EXPERIENCE AND KNOWLEDGE AND IS DETERMINED BY THEIR SENIOR MANAGER.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGNIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT ITS ADMINISTRATIVE OFFICES LOCATED AT 2011 SCOTLAND AVE., CHAMBERSBURG, PA 17201.
FORM 990, PART XI, LINE 9CHANGE IN FAIR VALUE OF DERIVATIVES -34,477 SPECIAL EVENT EXPENSES NETTED AGAINST FUNDRAISING INCOME 20,329 SPECIAL EVENT EXPENSES NETTED AGAINST FUNDRAISING INCOME -20,329 TOTAL -34,477

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MENNO HAVEN AUXILIARY INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12075 SCOTLAND AVENUEAddressLine1Txt
CityCHAMBERSBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17201ZIPCd
FieldValueIRS element (for citing)
EIN251673680EIN
Primary ActivitiesSEE FOOTNOPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd
Exempt Code Section501C3ExemptCodeSectionTxt
Public Charity Status11APublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SEE FOOTNOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MENNO HAVEN AUXILIARY INC
O$11,419FMV
MENNO HAVEN AUXILIARY INC
N$5,287FMV
MENNO HAVEN AUXILIARY INC
C$69,423FMV

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