2014-11-12T10:48:17-06:00 2014-06-30 232932984 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2013-07-01 231458000 MESSIAH HOME MESS 7176974666 100 MT ALLEN DRIVE MECHANICSBURG PA 17055 CAROLYN N BURKE SECRETARY/TREASURER 7176974666 2014-11-12 1 JULIUS C GREEN CPA JD P00350393 2159720701 2013 2015-11-30 17:44:51Z MESSIAH LIFEWAYS AT MESSIAH VILLAGE CURTIS W STUTZMAN 100 MT ALLEN DRIVE MECHANICSBURG PA 17055 45452869 0 X WWW.MESSIAHLIFEWAYS.ORG X 1896 PA MINISTRY THAT RESPONSIBLY ENHANCES THE LIVES OF OLDER ADULTS WITH CHRIST-LIKE LOVE. 5 2 597 429 0 0 608801 1270025 34919149 36400080 1644803 2632132 975606 1228616 38148359 41530853 0 147800 0 0 15800806 16342132 0 0 0 21941807 20887167 37742613 37377099 405746 4153754 97748305 106598553 59803672 60619710 37944633 45978843 X THE ORGANIZATION'S MISSION IS TO BE "A MINISTRY THAT RESPONSIBLY ENHANCES THE LIVES OF OLDER ADULTS WITH CHRIST-LIKE LOVE." INTENTIONAL AND MEANINGFUL COMMUNITY LIFE IS CENTRAL TO ACHIEVING THE ORGANIZATION'S MISSION OF LIVING "LIFE.EMBRACED." WE BELIEVE LIFE CAN BE ENHANCED WHEN PERSONS HAVE OPPORTUNITIES TO PURSUE THEIR OWN GROWTH WITH AN INWARD JOURNEY OF THE BODY, MIND AND SOUL, HAVE OPPORTUNITIES TO JOURNEY OUTWARD AND CARE FOR AND SHARE THEIR HEARTS AND HANDS WITH OTHERS, AND HAVE OPPORTUNITIES TO JOYOUSLY JOURNEY TOGETHER WITH OTHERS AND BUILD RESPECTFUL, PARTICIPATORY RELATIONSHIPS.OUR DREAM IS TO INSPIRE EVERYONE 55 AND BETTER TO MORE FULLY EMBRACE LIFE; TO NOT FEAR GROWING OLDER, BUT TO RE-IMAGINE THE JOURNEY OF AGING AS A TIME OF PURPOSE, ZEST, AND FAITH-FILLED LIVING. 0 0 28504478 147800 36400080 THE YEAR ENDING JUNE 30, 2014 WAS ONE OF POSITIVE GROWTH AND NEW ACCOMPLISHMENTS AS THE ORGANIZATION CELEBRATED ITS 118-YEAR ANNIVERSARY. MESSIAH LIFEWAYS AT MESSIAH VILLAGE ("MESSIAH VILLAGE") CELEBRATED THE COMPLETION OF RENOVATIONS OF ALL COMMON SPACES IN THE NITTANY NEIGHBORHOOD, WHICH IS LOCATED IN ENHANCED LIVING IN A PERSONAL CARE LICENSED AREA. IN ADDITION, RESIDENT ROOMS IN THE WAGNER NEIGHBORHOOD WERE COMPLETELY RENOVATED IN SPRING 2014. WAGNER IS A SHORT-TERM NURSING NEIGHBORHOOD IN NURSING CARE. IN FALL 2013, MESSIAH VILLAGE COMPLETED THE FINAL PHASE OF THE COTTAGES ON WILLOW WAY. THIS PHASE CONSISTS OF 8 NEW COTTAGES. SEVEN OF THE EIGHT NEW COTTAGES ARE OCCUPIED.THE GIFT DEVELOPMENT OFFICE FUNDRAISED THROUGH THE ANNUAL APPEAL AND A DINNER THAT RAISED $29,753 TO DEVELOP A MULTI-SENSORY ROOM FOR RESIDENTS IN THE ASPER SPECIAL CARE NEIGHBORHOOD IN NURSING. A SPECIAL GIFT OF $100,000 WAS GIVEN BY A COMMUNITY DONOR TO HELP PAY FOR NEW CHAIRS, CARPET, AND PAINT IN THE CHAPEL AND A NEW WIND BARRIER AT THE CHAPEL ENTRANCE. A PORTION OF THAT GIFT ALSO FUNDED THE MULTI-SENSORY ROOM. THIS YEAR, $592,000 WAS THE COST OF PROVIDING BENEVOLENT CARE IN ENHANCED LIVING AND $1,677,000 WAS THE COST IN NURSING.ANOTHER ENTHUSIASTIC GROUP ON THE CAMPUS IS THE MESSIAH VILLAGE AUXILIARY. FOR MANY YEARS THEY HAVE GENEROUSLY SUPPORTED THE ENDOWMENT FUND BY DONATING TO ANNUAL APPEAL EFFORTS AND BY DONATING MONEY FROM THEIR GIFT SHOP AND COFFEE SHOP SALES, QUILT SALES, AND CLOTHING SALES TO SUPPORT BENEVOLENT CARE. BEHIND THE SCENES, AUXILIARY MEMBERS SERVE QUIETLY BUT CONFIDENTLY, KNOWING THAT THEIR EFFORTS MAKE A DIFFERENCE TO THIS COMMUNITY. FROM TRANSPORTING RESIDENTS TO REHAB AND HAIR APPOINTMENTS TO PLANTING FLOWERS AND HOSTING AT THE FIRESIDE GRILLE, VOLUNTEERS' GENEROSITY OF GIVING TIME AND TALENT IMPACT NEARLY EVERY ASPECT OF LIFE AT MESSIAH VILLAGE. THIS YEAR 429 VOLUNTEERS GAVE 30,474 HOURS OF SERVICE TO MESSIAH VILLAGE. BASED ON THE BUREAU OF LABOR AND STATISTICS FIGURES, VOLUNTEERS PROVIDED $650,926 WORTH OF SERVICE. ONE OF THE MOST NOTABLE WAYS IN WHICH MESSIAH VILLAGE ENHANCED THE LIVES OF ITS 350 RESIDENTS IN RESIDENTIAL LIVING WAS THROUGH "PATHWAYS INSTITUTE FOR LIFELONG LEARNING." THE PATHWAYS INSTITUTE PROVIDES RESIDENTS WITH OPPORTUNITIES TO ENGAGE IN MENTAL, CULTURAL AND SPIRITUAL ACTIVITIES PROMOTING THEIR OVERALL WELLNESS. APPROXIMATELY 60% OF ITS MEMBERS ARE RESIDENTS OF MESSIAH VILLAGE. IN THE FALL OF 2013, MESSIAH LIFEWAYS OFFICIALLY CONVENED A TEAM TO BEGIN WORK ON PHASE 1 OF "PROJECT ENVISION: A 20-YEAR PLAN FOR A MISSION-DRIVEN MESSIAH VILLAGE." THIS PROJECT HAS DEFINED A CLEAR COURSE TO ENSURE MESSIAH VILLAGE MEETS THE CHANGING NEEDS OF FUTURE GENERATIONS OF RESIDENTS WHILE REMAINING FISCALLY STRONG AND MISSION-FOCUSED. THE PROJECT AIMS TO INCREASE RESIDENTIAL LIVING AND ENHANCED LIVING OPTIONS, OFFER SMALLER NURSING NEIGHBORHOODS WITH PRIVATE ROOMS, AND ADD NUMEROUS LIFESTYLE AMENITIES. THE CENTERPIECE OF PHASE ONE IS THE VILLAGE SQUARE WHICH FEATURES A BLEND OF LIVELY COMMON SPACES THAT PROMOTE VITALITY AND 80 PRIVATE APARTMENTS WITH UNDERGROUND PARKING. IT WILL INCLUDE A WELLNESS CENTER, SPA, CULTURAL ARTS CENTER AND BISTRO. THE VILLAGE SQUARE WILL NOT ONLY BE THE HUB OF ENRICHMENT ACTIVITY FOR RESIDENTS, BUT IT WILL HOUSE THE "PATHWAYS INSTITUTE FOR LIFELONG LEARNING" AND MESSIAH LIFEWAYS WELLNESS, WHICH HUNDREDS OF COMMUNITY MEMBERS FROM ACROSS OUR REGION ENJOY ON A WEEKLY BASIS. THE FIRST PHASE OF PROJECT ENVISION WILL ALSO INCLUDE THE ADDITION OF 26 NEW LARGE APARTMENTS IN ENHANCED LIVING AND A NEW ADDITION ONTO NURSING THAT WILL INCLUDE TWO NURSING NEIGHBORHOODS WHICH SERVE 16 RESIDENTS EACH. WITH THIS ADDITION, MESSIAH LIFEWAYS WILL BE ABLE TO OFFER 64 PRIVATE ACCOMMODATIONS THROUGHOUT ITS NURSING NEIGHBORHOODS. GROUNDBREAKING IS SLATED FOR AS EARLY AS FALL 2015 WITH THE COMPLETION OF THIS FIRST PHASE PROJECTED FOR EARLY 2017. MARKETING & COMMUNICATION CONTINUED TO MARKET THIS CONTINUING CARE RETIREMENT COMMUNITY THROUGH PRINT ADVERTISEMENTS, DIRECT MAIL, WEB ADVERTISING AND EVENT PROMOTION.AGAIN, MESSIAH VILLAGE WAS RECOGNIZED BY HARRISBURG MAGAZINE AS "SIMPLY THE BEST" LONG-TERM CARE FACILITY IN THE REGION. IN ADDITION, MESSIAH VILLAGE WAS RECOGNIZED BY SUSQUEHANNA STYLE MAGAZINE READERS AS THE WHO'S WHO IN BUSINESS FOR HARRISBURG - FOR BEST RETIREMENT COMMUNITY. MESSIAH VILLAGE'S NURSING WAS RECOGNIZED AS ONE OF THE TOP NURSING FACILITIES IN THE COUNTRY THROUGH U.S. NEWS & WORLD REPORT'S BEST NURSING HOMES OF 2014. TO LEARN MORE, VISIT MESSIAHLIFEWAYS.ORG. 28504478 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 139 0 1 597 1 0 0 0 0 0 0 0 0 0 0 X 5 2 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X CAROLYN N BURKE CFO 7176974666 100 MT ALLEN DRIVE MECHANICSBURG PA 17055 EMERSON L LESHER CHAIR/PRESIDENT (UNTIL 6/30/13) 7.00 33.00 X X 0 114109 11946 CURTIS D STUTZMAN PRESIDENT/CEO (AS OF AUGUST 2013) 10.00 30.00 X X 0 84687 4772 JULIA A STOUT CPA SECRETARY/TREASURER/CFO 10.00 30.00 X X 0 110549 12994 NICOLE M SARVER VICE PRESIDENT/VP OF CAMPUS OPERATIONS 25.00 15.00 X X 0 101888 7334 DAVID P MCBETH DIRECTOR 1.00 X 0 0 0 WAYNE CASSEL DIRECTOR 1.00 X 0 0 0 0 411233 37046 0 0 0 0 MESSIAH LIFEWAYS 100 MT ALLEN DRIVE MECHANICSBURG PA 17055 MANAGEMENT SERVICES 4738335 WAGMAN CONSTRUCTION INC 231 N GEORGE ST YORK PA 17401 CONSTRUCTION SERVICES 3313750 CURA HOSPITALITY PO BOX 827276 PHILADELPHIA PA 19182 DINING SERVICES PROVIDER 2623362 WARFEL CONSTRUCTION CO 1110 ENTERPRISE RD EAST PETERSBURG PA 17520 CONSTRUCTION SERVICES 1908000 REHABGROUP INC PO BOX 503534 ST LOUIS MO 63105 THERAPY SERVICES 1459794 19 28829 1241196 13358 1270025 NET RESIDENT SERVICE 623000 36400080 36400080 36400080 1037760 1037760 281252 15480 265772 265772 265772 5499575 3871218 33985 1628357 -33985 1594372 1594372 924 28829 1333 -409 -409 MEAL REV 722210 453062 453062 BARBER-BEAUTY SHOP 812900 212673 212673 PATHWAYS REV 900099 81637 81637 215881 215881 963253 41530853 36400080 0 3860748 147800 147800 13021400 10216425 2804975 276673 217074 59599 2082987 1634285 448702 961072 943579 17493 4924689 104685 4820004 152180 152180 3008446 3008446 988191 908821 79370 43822 43822 1692489 1692489 9378 5684 3694 30011 19231 10780 1096745 1096745 4767062 4656494 110568 385684 385684 FOOD EXPENSE 1319691 1319691 MEDICAL SUPPLIES 1074394 1074394 NURSING HOME ASSESSMENT 448997 448997 REPAIRS AND MAINTENANCE 369720 38179 331541 575668 541953 33715 37377099 28504478 8872621 0 3350 3350 4116326 4057402 167911 34131 8953248 4693197 174607 180078 389846 434429 98885357 52200716 44972032 46684641 37395874 43675883 1575111 6835442 97748305 106598553 3697506 4264338 19682340 19562169 28100320 27390160 112920 56329 8210586 9346714 59803672 60619710 X 22579318 28503527 3547170 5365334 11818145 12109982 37944633 45978843 97748305 106598553 X 4153754 3824382 56075 X 0 1 X 1 0 X 1573064 638778 798306 608801 1168929 4787878 30741219 32871100 34076326 34919149 36400080 169007874 32314283 33509878 34874632 35527950 37569009 173795752 0 234075 234075 234075 234075 173561677 442257 567295 750098 1058102 1319012 4136764 442257 567295 750098 1058102 1319012 4136764 636157 762571 969467 761517 1065272 4194984 33392697 34839744 36594197 37347569 39953293 182127500 0.95300 0.95790 0.02270 0.02050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 15216966 313858 2691669 747176 17475317 13995438 232566 1667684 678722 15216966 13846675 498792 148227 498256 13995438 11538544 412666 2312389 416924 13846675 10071887 329725 1136932 11538544 1.00000 0 0 376847 1687156 2064003 67007495 31840032 35167463 24018009 16918724 7099285 5795850 3441960 2353890 46684641 DEFERRED FINANCING COSTS, NET 742118 CASH SURRENDER VALUE OF LIFE INSURANCE 692482 SPLIT INTEREST AGREEMENT 69816 DUE FROM OTHER FUNDS 21692 INTERCOMPANY RECEIVABLES 5309334 6835442 DERIVATIVE FINANCIAL INSTRUMENT 1037857 REFUNDABLE ENTRANCE FEES 6181492 LINE OF CREDIT 2127365 9346714 X 45259413 3824382 39649 3864031 41395382 152180 -16710 135470 41530852 37225203 16710 16710 37208493 152180 16426 168606 37377099 PART IV, LINE 2B: MESSIAH LIFEWAYS AT MESSIAH VILLAGE MAINTAINS TRUST FUND ACCOUNTS, PRIMARILY FOR ANY RESIDENT WHO HAS EXHAUSTED THEIR FUNDS AND ARE BENEVOLENT OR ON MEDICAL ASSISTANCE. EACH RESIDENT HAS AN INDIVIDUAL BANK ACCOUNT IN HIS OR HER NAME AND ANY SOCIAL SECURITY OR PENSION MONEY THEY RECEIVE IS DEPOSITED INTO THAT ACCOUNT. FUNDS IN THE INDIVIDUAL RESIDENT ACCOUNTS ARE THEN SWEPT OR PULLED INTO A MESSIAH VILLAGE ACCOUNT AND THE APPROPRIATE FUNDS ARE APPLIED TO THE COST OF THE RESIDENTS' CARE. ANY REMAINING FUNDS ARE AVAILABLE FOR THE RESIDENTS' PERSONAL USE. THE VILLAGE ALSO MAINTAINS AN ESCROW ACCOUNT WHICH HOLDS FUNDS ON DEPOSIT FROM PROSPECTIVE RESIDENTS FOR RESIDENTIAL LIVING UNITS UNDER CONSTRUCTION. FUNDS ARE HELD IN THE ESCROW ACCOUNT UNTIL 50% OF ANTICIPATED ENTRANCE FEES ARE RECEIVED AND THE VILLAGE RECEIVES PERMISSION FROM THE DEPARTMENT OF INSURANCE TO TRANSFER THE FUNDS TO THE VILLAGE'S OPERATING ACCOUNT AND APPLY THEM TO THE RESIDENT'S ENTRANCE FEE. IF THE PROSPECTIVE RESIDENT CHANGES HIS OR HER MIND AND WANTS THE DEPOSIT BACK, THE FUNDS ARE RETURNED TO THEM. PART V, LINE 4: INVESTMENT RETURN ON THE PERMANENTLY RESTRICTED ENDOWMENT FUNDS ARE AVAILABLE FOR TRANSFER TO OPERATIONS TO HELP OFFSET CHARITY CARE. THE INVESTMENT POLICY OF MESSIAH VILLAGE ESTABLISHES THE METHOD FOR DETERMINING THE AMOUNT THAT CAN BE TRANSFERRED WHICH MUST BE APPROVED BY THE BOARD PRIOR TO THE BEGINNING OF THE YEAR. PART X, LINE 2: THE CORPORATION 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 2014 AND 2013. THE FEDERAL RETURNS OF ORGANIZATION EXEMPT FROM INCOME TAX FOR THE CORPORATION FOR YEARS ENDED PRIOR TO JUNE 30, 2011 ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT-INTEREST OBLIGATIONS 33,764. CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENT 49,502. CHANGE IN CASH SURRENDER VALUE OF LIFE INSURANCE 22,020. TRANSFER OF MESSIAH VILLAGE HOME CARE LLC VIA MERGER -49,211. REPOSITIONING EXPENSE NETTED ON FINANCIALS -16,426. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -15,480. FUNDRAISING EVENT EXPENSES -1,333. INTEREST INCOME NETTED AS EXPENSE ON FINANCIALS 103. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 15,480. FUNDRAISING EVENT EXPENSES 1,333. INTEREST INCOME NETTED AS EXPENSE ON FINANCIALS -103. PART XII, LINE 4B - OTHER ADJUSTMENTS: REPOSITIONING EXPENSE NETTED ON FINANCIALS 16,426. FRUIT OF THE VINE DINNER 29753 28829 924 1333 29753 28829 924 1333 1333 -409 1 MESSIAH LIFEWAYS COMMUNITY SUPPORT SERVICES 100 MT ALLEN DRIVE MECHANICSBURG PA 17055 320375859 501(C)(3) 147800 CASH TRANSFER OF CONTRIBUTIONS TO AFFILIATE 1 0 PART I, LINE 2: TRANSFER OF CONTRIBUTIONS TO AFFILIATE - MANAGEMENT OF MESSIAH LIFEWAYS OVERSEES THE USE OF FUNDS AT THE AFFILIATED ENTITIES. A CUMBERLAND COUNTY MUNICIPAL AUTHORITY 236003119 230614CX5 2008-02-14 10005536 CCRC RENOVATION AND EXPANSION 0 0 0 B CUMBERLAND COUNTY MUNICIPAL AUTHORITY 236003119 230614CY3 2008-02-14 8000000 CCRC RENOVATION AND EXPANSION 0 0 0 C CUMBERLAND COUNTY MUNICIPAL AUTHORITY 236003119 2009-09-02 12065800 REFUNDING OF 2002 BONDS 0 0 0 A 680000 10320065 1020526 713857 200000 8379157 6425 100 2010 0 0 1 1 B 8029310 416298 160000 56046 7375015 21951 2010 0 0 1 1 C 1995640 12065800 102696 11963104 2009 1 0 1 1 A 0 1 1 1 0 0.00100 0.00000 0.00100 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 1 0 1 1 MORGAN STANLEY 14.000000000000 0 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CUMBERLAND COUNTY MUNICIPAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 02/14/2013 ISSUER NAME: CUMBERLAND COUNTY MUNICIPAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 02/14/2013 SCHEDULE K, PART II, LINE 3: TOTAL PROCEEDS OF ISSUE FOR BONDS A & B REPORTED ON PART II LINE 3 EXCEED THE ISSUE PRICE LISTED IN PART I DUE TO INVESTMENT EARNINGS. FORM 990, PART VI, SECTION A, LINE 3 REHAB CARE IS UNDER CONTRACT TO PERFORM ALL REHABILITATIVE SERVICES FOR RESIDENTS OF MESSIAH HOME AND IS UNDER SUPERVISION OF THE VP OF CAMPUS OPERATIONS. CURA HOSPITALITY IS UNDER CONTRACT TO PERFORM ALL DINING SERVICES FOR MESSIAH HOME AND IS UNDER SUPERVISION OF THE VP OF CAMPUS OPERATIONS. THERE IS A MANAGEMENT AGREEMENT BETWEEN MESSIAH HOME AND ITS PARENT, MESSIAH LIFEWAYS, FOR CERTAIN MANAGEMENT FUNCTIONS, INCLUDING ACCOUNTING, HR, ADMINISTRATION, INFORMATION SERVICES, ETC. FORM 990, PART VI, SECTION A, LINE 6 MESSIAH LIFEWAYS ("ML") IS THE SOLE MEMBER OF MESSIAH HOME. FORM 990, PART VI, SECTION A, LINE 7A MESSIAH LIFEWAYS IS THE SOLE MEMBER OF MESSIAH HOME AND ELECTS THE BOARD OF DIRECTORS. CEO OF ML SERVES AS CHAIR OF THE BOARD AND CFO OF ML SERVES AS SECRETARY-TREASURER ACCORDING TO BY-LAWS. A VICE CHAIR IS ELECTED ANNUALLY FROM REMAINING BOARD MEMBERS WHICH CURRENTLY INCLUDE 2 INDEPENDENT MEMBERS AND 1 ADDITIONAL OFFICER OF ML. FORM 990, PART VI, SECTION A, LINE 7B SOLE MEMBER, MESSIAH LIFEWAYS, MUST APPROVE CERTAIN TRANSACTIONS (IE BORROWING, BUDGETS, PURCHASES, FUNDRAISING, CHANGE IN OPERATIONS ETC), AMENDMENTS TO ARTICLES AND BY LAWS ETC. AS LISTED IN ARTICLE IV SECTION 4.2. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WILL BE POSTED ON THE BOARD WEBSITE FOR MEMBER ACCESS AND REVIEW. A SPECIAL MEETING OF THE FINANCE & SHARED SERVICES COMMITTEE OF THE MESSIAH LIFEWAYS BOARD WILL BE HELD TO REVIEW THE 990 OF MESSIAH LIFEWAYS AND EACH OF ITS CONTROLLED ENTITIES IN EARLY NOVEMBER BEFORE IT IS FILED WITH THE IRS. THE REVIEW WILL BE LED BY THE CFO. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER AND EXECUTIVE TEAM MEMBER, ON AN ANNUAL BASIS, SHALL AFFIRM IN WRITING THAT THEY ARE AWARE OF AND IN COMPLIANCE WITH THE MESSIAH VILLAGE CODE OF ETHICS AND CONDUCT WHICH INCLUDES A CONFLICT OF INTEREST POLICY. MEMBERS MUST DISCLOSE THE FACTS OF ANY CONFLICTING INTEREST AND REFRAIN FROM ANY ACTION THAT MAY HAVE ANY INFLUENCE ON THE TRANSACTION OR POTENTIAL TRANSACTION AFFECTED BY SUCH CONFLICTING INTEREST. THE POLICY IS MONITORED BY MANAGEMENT OF MESSIAH LIFEWAYS (KARL BRUMMER, VP OF HR, CSS & ENRICHMENT) BY VERIFYING ALL FORMS ARE COMPLETED AND SIGNED. ANY VIOLATIONS OF THE POLICY WILL BE HANDLED AS DEEMED NECESSARY. ANY MEMBER WHO INTENTIONALLY VIOLATES THE POLICY WILL BE REMOVED FROM THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE MESSIAH LIFEWAYS BOARD OF DIRECTORS HAS A "PRESIDENTIAL RELATIONS COMMITTEE" WHICH CONDUCTS AN ANNUAL REVIEW OF THE PRESIDENT. THIS COMMITTEE HAS THE SAME COMPOSITION AS THE EXECUTIVE COMMITTEE. IN ADDITION TO ESTABLISHING THIS COMMITTEE THE BOARD HAS ESTABLISHED A POLICY TO GUIDE THE WORK OF THE COMMITTEE. THE PURPOSE OF THE COMMITTEE IS TO CONDUCT THE ANNUAL PERFORMANCE EVALUATION OF THE PRESIDENT, REVIEW PAST GOALS AND ESTABLISH FUTURE GOALS, SHARE A SUMMARY OF THE EVALUATION WITH THE FULL BOARD, AND RECOMMEND TERMS OF COMPENSATION TO THE FULL BOARD. IN DETERMINING COMPENSATION THE BOARD REVIEWS SALARY DATA FROM VARIOUS SOURCES SUCH AS TRADE ASSOCIATION AND HEALTHCARE ALLIANCES. REGARDING OTHER OFFICERS OF THE ORGANIZATION, THE PRESIDENT CONDUCTS AN ANNUAL PERFORMANCE EVALUATION. IN DETERMINING THEIR COMPENSATION THE PRESIDENT REVIEWS SALARY DATA FROM APPROPRIATE TRADE ASSOCIATIONS AND ALLIANCES. THE BOARD OF DIRECTORS GIVES FINAL APPROVAL OF THE COMPENSATION OF THESE OFFICERS INDIRECTLY THROUGH REVIEW AND APPROVAL OF THE ANNUAL BUDGET. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FOR INSPECTION UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON THEIR WEBSITE (WWW.MESSIAHLIFEWAYS.ORG), AND UPON REQUEST. ADDITIONALLY THE FINANCIAL STATEMENTS ARE INCORPORATED INTO THE DISCLOSURE STATEMENT PREPARED FOR MESSIAH HOME AND MESSIAH FAMILY SERVICES, AS REQUIRED BY THE DEPARTMENT OF INSURANCE. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT-INTEREST OBLIGATIONS 33,764. CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENT 49,502. CHANGE IN CASH SURRENDER VALUE OF LIFE INSURANCE 22,020. TRANSFER OF MESSIAH VILLAGE HOME CARE LLC VIA MERGER -49,211. MESSIAH FAMILY SERVICES DBA MESSIAH LIFEWAYS AT MOUNT JOY COUNTRY HOMES 106 BAYBERRY DRIVE MOUNT JOY PA 17552 231484171 HOUSING FOR SENIOR ADULTS PA 501(C)(3) 9 MESSIAH LIFEWAYS 0 CAPITAL AREA HEALTH ASSOCIATES 100 MOUNT ALLEN DRIVE MECHANICSBURG PA 17055 202199588 SENIOR HEALTHCARE PA 501(C)(3) 11A MESSIAH HOME DBA MESSIAH LIFEWAYS AT MESSIAH VILLLAGE 1 MESSIAH LIFEWAYS COMMUNITY SUPPORT SERVICES 100 MOUNT ALLEN DRIVE MECHANICSBURG PA 17055 320375859 SENIOR HEALTHCARE PA 501(C)(3) 9 MESSIAH LIFEWAYS 0 MESSIAH LIFEWAYS 100 MOUNT ALLEN DRIVE MECHANICSBURG PA 17055 352443724 SENIOR HEALTHCARE PA 501(C)(3) 11B N/A 0 0 0 0 1 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 CAPITAL AREA HEALTH ASSOCIATES D 917250 CASH