2024-11-07T05:29:43-06:00 2023-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2023-01-01 231365158 CORNWALL MANOR CORN 7172732647 PO BOX 125 1 BOYD STREET CORNWALL PA 170160125 HARRY MCCONNELL PRESIDENT & CEO 7172732647 2024-11-06 1 1 KERRI N BOGDA CPA P00760402 7177404863 2024-11-06 2023 2024-10-15 13:58:12Z HARRY MCCONNELL PO BOX 125 1 BOYD STREET CORNWALL PA 170160125 36720604 0 X WWW.CORNWALLMANOR.ORG X 1949 PA ELDER CARE PROVIDER WITH MISSIONAL TIES TO EASTERN PA CONF. OF THE UNITED METHODIST CHURCH. 11 11 428 352 0 0 1108805 733101 29037035 32733487 1658524 2118733 230188 293381 32034552 35878702 0 0 0 0 16407126 17953764 0 0 331267 13741231 15236960 30148357 33190724 1886195 2687978 143155188 156078241 56179616 61617604 86975572 94460637 CORNWALL MANOR OFFERS DIVERSIFIED AND HIGH QUALITY HOUSING, HEALTH CARE AND RELATED SERVICES FOR INDIVIDUALS TO ACHIEVE A RETIREMENT AND AGING LIFESTYLE THEY FIND FULFILLING IN A SECURE, CARING AND CHRISTIAN ENVIRONMENT. 0 0 11395875 0 13510747 CORNWALL MANOR OPERATES A 96 BED SKILLED NURSING FACILITY. CORNWALL MANOR PARTICIPATES IN BOTH THE MEDICARE AND MEDICAID PROGRAMS. DURING 2023, CORNWALL MANOR PROVIDED 32,397 DAYS OF CARE OF WHICH 1,899 WERE MEDICARE AND 9,820 WERE MEDICAID COVERED. CORNWALL MANOR PROVIDED BENEVOLENT CARE TO 37 INDIVIDUALS TOTALING $1,883,083. CORNWALL MANOR BELIEVES THAT PROVIDING BENEVOLENT CARE IS PART OF ITS MISSION. 2355714 0 2792893 CORNWALL MANOR HAS 36 PERSONAL CARE UNITS, AND IS LICENSED FOR 45. THERE ARE A MIX OF ALCOVES AND SUITES. RESIDENTS RECEIVE THREE MEALS A DAY AND LIMITED NURSING CARE. DURING 2023, CORNWALL MANOR PROVIDED 12,096 DAYS OF CARE. CORNWALL MANOR PROVIDED BENEVOLENT CARE IN THE AMOUNT OF $239,132 TO 5 RESIDENTS DURING 2023. THERE IS NO OUTSIDE FINANCIAL HELP AVAILABLE TO RESIDENTS WHO HAVE LIMITED RESOURCES. CORNWALL MANOR'S BOARD HAS ESTABLISHED A BENEVOLENT CARE POLICY THAT ADDRESSES LIMITED FINANCES AND IS CONSISTENT WITH OUR MISSION OF PROVIDING QUALITY CARE IN A CHRISTIAN ENVIRONMENT. 13858041 0 16429847 CORNWALL MANOR HAS 343 RESIDENTIAL LIVING UNITS. THEY VARY FROM ONE TO THREE BEDROOM APARTMENTS AND HOUSES. THEY OFFER A VARIETY OF ENTRANCE FEES AND MONTHLY FEES. BY OFFERING A VARIETY OF OPTIONS, WE CAN OFFER A SECURE AND CARING LIFESTYLE TO A GREATER NUMBER OF PEOPLE. CORNWALL MANOR PROVIDED BENEVOLENT CARE TO 5 INDIVIDUALS IN INDEPENDENT LIVING DURING 2023. THERE IS NO OUTSIDE FINANCIAL HELP AVAILABLE TO RESIDENTS WHO HAVE LIMITED RESOURCES. CORNWALL MANOR'S BOARD HAS ESTABLISHED A BENEVOLENT CARE POLICY THAT ADDRESSES LIMITED FINANCES AND IS CONSISTENT WITH OUR MISSION OF PROVIDING QUALITY CARE IN A CHRISTIAN ENVIRONMENT. 27609630 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 39 0 428 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X BROOKE FOGEL VICE PRESIDENT FINANCE 7172732647 PO BOX 125 CORNWALL PA 170160125 REV DR JEFFREY A RAFFAUF CHAIRPERSON 2.00 0.00 X X 0 0 0 TIMOTHY SHEFFEY CHAIRPERSON (UNTIL 07/23) 2.00 0.00 X X 0 0 0 MARK OLSON VICE CHAIRPERSON 2.00 0.00 X X 0 0 0 DIANE B GRIFFITHS SECRETARY 2.00 0.00 X X 0 0 0 DANNY VAN GERPEN TRUSTEE 2.00 0.00 X 0 0 0 MICHELLE CALVERT TRUSTEE 2.00 0.00 X 0 0 0 THOMAS I SIEGEL TRUSTEE 2.00 0.00 X 0 0 0 LYNN G PHILLIPS TRUSTEE 2.00 0.00 X 0 0 0 ELLEN ARNOLD TRUSTEE 2.00 0.00 X 0 0 0 REV DR ROBERT HOFFMAN TRUSTEE 2.00 0.00 X 0 0 0 WILLIAM BRILL TRUSTEE 2.00 0.00 X 0 0 0 NANCYJO FIELDING EX-OFFICIO & TRUSTEE (NON-VOTING) 2.00 0.00 X 0 0 0 JEANNE ARNOLD TRUSTEE 2.00 0.00 X 0 0 0 HARRY MCCONNELL PRESIDENT & CEO 40.00 0.00 X 222327 0 1690 BROOKE FOGEL VP FIN & TREASURER (AS OF 10/23) 40.00 0.00 X 21923 0 0 VICKI DEITZLER VP ADVANCEMENT 40.00 0.00 X 135826 0 17132 GREG WEABER VP HUMAN RESOURCES 40.00 0.00 X 127549 0 20331 JAMES CONNOR II VP RESIDENT SERVICES 40.00 0.00 X 137965 0 21078 JENNIFER MARGUT VP MKTG & PUBLIC RELATIONS 40.00 0.00 X 138864 0 20714 MINNIE STRICKLER VP HEALTH SERVICES 40.00 0.00 X 142383 0 21253 PAUL WEIDMAN VP PLANT OPERATIONS 40.00 0.00 X 161059 0 21939 MICHELE LAUCKS VP FIN & TREASURER (UNTIL 12/23) 40.00 0.00 X 155134 0 21078 HOLLY KRAMER REGISTERED NURSE 40.00 0.00 X 136354 0 893 FLORYMELL VALENTIN REGISTERED NURSE 40.00 0.00 X 113326 0 15985 ROBERT SEMINARA REGISTERED NURSE 40.00 0.00 X 145041 0 567 KATE DAVIES DIRECTOR OF NURSING 40.00 0.00 X 130101 0 20780 MELANIE STOEFFLER REGISTERED NURSE 40.00 0.00 X 152614 0 15573 1920466 0 199013 13 0 1 0 APEX REHAB SOLUTIONS 209 SIGMA SOLUTIONS PITTSBURGH PA 15238 THERAPY SERVICES 1110707 1 733101 7547 733101 RESIDENTIAL LIVING 623000 16429847 16429847 SKILLED NURSING 623000 13510747 13510747 PERSONAL CARE 623000 2792893 2792893 32733487 1513038 1513038 64966 131249 -66283 -66283 -66283 1313886 549722 158469 764164 -158469 605695 605695 31762 0 31762 31762 210 0 210 210 78015 2462 75553 75553 RESIDENT/VISITOR MEALS 623000 251640 251640 MISCELLANEOUS INCOME 900099 499 499 252139 35878702 32733487 0 2412114 1388245 505677 729610 152958 12624482 11427023 1145753 51706 272796 248467 20729 3600 2660529 2300952 336702 22875 1007712 862445 131640 13627 40301 40301 84470 84470 2201 2201 233203 233203 1924045 1924045 303596 303596 226949 84839 119915 22195 422029 422029 3817540 3260179 557361 41656 17599 17260 6797 285846 285846 4897705 4181080 716625 400483 341885 58598 FOOD & PAPER PRODUCTS 1320287 1320287 ENVIRONMENTAL SERVICES 359820 359820 MEDICAL SUPPLIES 233092 233092 SOCIETY EXPENSES 102056 98787 3269 541681 157607 326565 57509 33190724 27609630 5249827 331267 1835963 1388876 222822 45453 2688396 3083255 221600 222200 277267 216349 149289014 68651172 74593623 80637842 56556238 61733970 5543607 7393063 1215672 1357233 143155188 156078241 3909883 3999655 27662134 28319180 5788238 11437718 18819361 17861051 56179616 61617604 X 52628116 57148728 34347456 37311909 86975572 94460637 143155188 156078241 X 2687978 4554052 243035 X 0 1 X 1 0 X 952315 2781148 4615709 1108805 733101 10191078 25371708 25161127 26568842 29037035 32773487 138912199 205939 124517 138396 181279 252139 902270 26529962 28066792 31322947 30327119 33758727 150005547 35195 45285 77110 43820 43352 244762 0 35195 45285 77110 43820 43352 244762 149760785 1422484 857462 901901 899141 1578004 5658992 1422484 857462 901901 899141 1578004 5658992 15334 69289 93596 109987 288206 27967780 28924254 32294137 31319856 35446718 155952745 0.96030 0.96140 0.03630 0.03590 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2019 AMOUNT: $ 15,334. GROSS RECEIPTS FROM THE SALE OF GOODS - 2021 AMOUNT: $ 10,242. 2022 AMOUNT: $ 65,057. 2023 AMOUNT: $ 78,015. NONCHARITABLE FUNDRAISING GROSS RECEIPTS - 2021 AMOUNT: $ 59,047. 2022 AMOUNT: $ 28,539. 2023 AMOUNT: $ 31,762. NONCHARITABLE GAMING GROSS RECEIPTS - 2023 AMOUNT: $ 210. PART III, SECTION B, LINE 12: OTHER INCOME CONSISTS OF FOOD SERVICE FUNCTIONS PROVIDED TO RESIDENTS, FAMILIES OF RESIDENTS AND OTHER NON-PROFIT GROUPS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2201 2201 0 PART II-B, LINE 1: THE TAXPAYER PAYS DUES TO VARIOUS ORGANIZATIONS THAT ASSIST IN ITS MISSION. THE AMOUNT LISTED IS THE PERCENTAGE OF DUES PAID TO LEADING AGE AND LEADING AGE PA THAT REPRESENT THESE ORGANIZATIONS' LOBBYING EXPENSES. 32277947 22956 4515703 1562000 35254606 37693210 239033 -4496296 1158000 32277947 33262711 595003 4991496 1156000 37693210 30091621 243022 3560568 632500 33262711 25156493 223465 5197663 486000 30091621 0.00000 0.55870 0.44130 1 0 665208 665208 140219364 62725506 77493858 6833672 5925666 908006 1570770 1570770 80637842 ENTRANCE FEES-ASSET PRESERVATION 17470775 RESERVATION DEPOSITS 69750 ANNUITIES PAYABLE 320526 17861051 40598997 4554052 146183 4700235 35898762 -20060 -20060 35878702 33123065 131249 131249 32991816 198908 198908 33190724 PART V, LINE 4: INCOME FROM THE ENDOWMENT FUND IS USED TO OFFSET BENEVOLENT CARE NEEDS OF RESIDENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF ANNUITY AGREEMENTS 119,507. INVESTMENT FEES -96,852. CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 123,528. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES INCLUDED ON PART VIII, LINE 6B -131,249. AUX. FUNDRAISING INCOME (NET) 31,762. AUX. SHOP INCOME (NET) 75,553. OTHER AUX. INCOME 3,874. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES INCLUDED IN PART VIII, LINE 6B 131,249. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 96,852. AUXILIARY EXPENSES 102,056. X X 0 0 0 0 0 0 0 1 0 HARRY MCCONNELL PRESIDENT & CEO 210188 0 3675 0 8464 0 646 0 1044 0 224017 0 0 0 PAUL WEIDMAN VP PLANT OPERATIONS 151048 0 10011 0 0 0 7509 0 14430 0 182998 0 0 0 MICHELE LAUCKS VP FIN & TREASURER (UNTIL 12/23) 143759 0 11375 0 0 0 6577 0 14501 0 176212 0 0 0 MELANIE STOEFFLER REGISTERED NURSE 152614 0 0 0 0 0 2850 0 12723 0 168187 0 0 0 MINNIE STRICKLER VP HEALTH SERVICES 133381 0 9002 0 0 0 6752 0 14501 0 163636 0 0 0 JENNIFER MARGUT VP MKTG & PUBLIC RELATIONS 130095 0 8769 0 0 0 6577 0 14137 0 159578 0 0 0 JAMES CONNOR II VP RESIDENT SERVICES 129196 0 8769 0 0 0 6577 0 14501 0 159043 0 0 0 VICKI DEITZLER VP ADVANCEMENT 127057 0 8769 0 0 0 2631 0 14501 0 152958 0 0 0 KATE DAVIES DIRECTOR OF NURSING 121729 0 8372 0 0 0 6279 0 14501 0 150881 0 0 0 PART I, LINE 7 ANY VICE PRESIDENT OR DIRECTOR WHO IS REPORTED ON THIS SCHEDULED WOULD BE ELIGIBLE TO RECEIVE A SUPPLEMENT PAYMENT AS PART OF A BOARD APPROVED INCENTIVE PROGRAM. THE INCENTIVE PROGRAM IS BASED OFF OF FINANCIAL AND NON-FINANCIAL GOALS SET EACH YEAR INCLUDING ACHIEVING BUDGETED OCCUPANCY IN EACH LEVEL OF CARE, MEETING LOAN COVENANT REQUIREMENTS, EXCEEDING BUDGETED OPERATING INCOME, ETC. A NATIONAL FINANCE AUTHORITY 521304598 2022-06-30 45000000 REFUND PRIOR YEAR BONDS AND CAPITAL IMPROVEMENTS 0 0 0 A 195000 45000000 508790 11944027 32537183 2023 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 1 FULTON BANK NA 14.000000000000 0 0 0 0 0 A 0 SCHEDULE K: THE ORGANIZATION HAS NOT ADOPTED POST BOND-ISSUANCE PROCEDURES DUE TO THE NATURE OF THE LOAN REPORTED. THE LOAN IS A TAX-EXEMPT NOTE WITH A BANK BEING THE ONLY HOLDER OF THE NOTE. THE NOTE IS A "DRAW-DOWN NOTE WITH MONIES BEING DISSEMINATED ONLY WHEN THE EXPENSES HAVE BEEN INCURRED. THEREFORE, THERE IS NO NEED FOR ARBITRAGE OR NONQUALIFIED BOND PROCEDURES AS THESE ARE NOT NECESSARY BASED ON CIRCUMSTANCES. FORM 990, PART VI, SECTION B, LINE 11B THE PRESIDENT AND VICE PRESIDENT OF FINANCE PERFORM AN INITIAL REVIEW OF THE FORM 990. AFTER THIS INITIAL REVIEW, THE FINANCE COMMITTEE AND THE BOARD OF TRUSTEES ARE GIVEN THE FORM TO REVIEW AND PROVIDE COMMENTS TO APPROPRIATE STAFF PRIOR TO THE RETURN BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, TRUSTEES AND COMMITTEE MEMBERS COMPLETE A FULL DISCLOSURE REPORT (CONFLICT OF INTEREST) ON AN ANNUAL BASIS. THE FULL DISCLOSURE REPORT EXPRESSLY STATES THAT FAMILY AND BUSINESS RELATIONSHIPS SHOULD BE CONSIDERED WHEN REPORTING CONFLICTS. THE FORMS ARE THEN REVIEWED BY THE CEO FOR ANY POSSIBLE CONFLICTS. IF CONFLICTS ARE IDENTIFIED THEY ARE REPORTED TO THE BOARD OF TRUSTEES FOR REVIEW AND ACTION, IF NECESSARY. SUCH ACTIONS ARE DOCUMENTED IN THE BOARD MINUTES. FULL DISCLOSURE FORMS ARE FILED WITH THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15 CORNWALL MANOR DETERMINES COMPENSATION DURING THE BUDGET PROCESS. THE HUMAN RESOURCES DEPARTMENT RECOMMENDS THE PERCENTAGE INCREASE TO MANAGEMENT AND THE HR COMMITTEE. THE INCREASE IS BASED ON SURVEYS, LOCAL COMPETITION, AND THE GENERAL ECONOMY. THE APPROVED PERCENTAGE IS APPLIED TO ALL WAGE RATES. THE BUDGET IS APPROVED BY THE FINANCE COMMITTEE AND THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE REVIEWS THE CEO'S SALARY IF ADJUSTMENT BEYOND THE STANDARD PERCENTAGE FOR OTHER EMPLOYEES IS CONTEMPLATED. IN SUCH CIRCUMSTANCES, COMPARATIVE DATA FOR SIMILAR ORGANIZATIONS IS GATHERED FROM PAY AND BENEFIT SURVEYS CONDUCTED BY STATE OR NATIONAL ASSOCIATIONS OF SENIOR LIVING PROVIDERS, GUIDESTAR DATABASES, OR OTHER RELEVANT SOURCES. ALL BOARD LEVEL DISCUSSIONS ON COMPENSATION ARE RECORDED IN BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 CORNWALL MANOR MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ANNUAL AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE RESIDENTS OF THE FACILITY EACH YEAR. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF ANNUITY AGREEMENT 119,507. CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 123,528. CORNWALL MANOR SOCIETY GIFT SHOP PO BOX 125 CORNWALL PA 17016 GIFT SHOP SOCIETY PA 111189 70451 CORNWALL MANOR CORNWALL MANOR WORKERS COMP TRUST PO BOX 125 CORNWALL PA 17016 237741225 TRUST FUND TO COVER WORKERS COMP EXPENSE PA 501(C)(3) LINE 10 CORNWALL MANOR 1 POOLED INCOME FUND (1) INVESTMENTS PA N/A T 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 CORNWALL MANOR WORKER'S COMPENSATION TRUST R 175000 COST