ELK HAVEN NURSING HOME ASSOCIATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ELK HAVEN NURSING HOME ASSOCIATION (EIN 23-1945075)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-12
IRS object ID
202123169349301437
Schema version
2020v4.1
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)
Return2021-11-12T09:34:21-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN263753134PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 BOYLSTON STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02116ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN231945075EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELK HAVEN NURSING HOME ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlELKHBusinessNameControlTxt
Phone8148342618PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1785 JOHNSONBURG ROADAddressLine1Txt
CityST MARYSCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15857ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJUNE SORGPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8148342618PhoneNum
Signature2021-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJUNEPersonFirstNm
Person LastSORGPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHARLES N CICCONEPreparerPersonNm
PTINP00734640PTIN
Phone6177600600PhoneNum
Preparation2021-11-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJUNE SORGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1785 JOHNSONBURG ROADAddressLine1Txt
CityST MARYSCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15857ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,797,050GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ELKHAVENNURSINGHOME.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1967FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionPROVIDING LONG TERM NURSING CARE THROUGH A SKILLED NURSING FACILITY AND PERSONAL CARE UNIT.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee256TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$12,906PYContributionsGrantsAmt
CY Contributions Grants$1,516,171CYContributionsGrantsAmt
PY Program Service Revenue$10,981,274PYProgramServiceRevenueAmt
CY Program Service Revenue$9,661,954CYProgramServiceRevenueAmt
PY Investment Income$432,027PYInvestmentIncomeAmt
CY Investment Income$564,815CYInvestmentIncomeAmt
PY Other Revenue$69,774PYOtherRevenueAmt
CY Other Revenue$54,110CYOtherRevenueAmt
PY Total Revenue$11,495,981PYTotalRevenueAmt
CY Total Revenue$11,797,050CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,238,454PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,871,766CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,644,706PYOtherExpensesAmt
CY Other Expenses$3,703,785CYOtherExpensesAmt
PY Total Expenses$10,883,160PYTotalExpensesAmt
CY Total Expenses$11,575,551CYTotalExpensesAmt
PY Revenues Less Expenses$612,821PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$221,499CYRevenuesLessExpensesAmt
Total Assets BOY$28,660,055TotalAssetsBOYAmt
Total Assets EOY$12,547,514TotalAssetsEOYAmt
Total Liabilities BOY$1,025,578TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,225,894TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$27,634,477NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,321,620NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION IS TO BE THE LEADING PROVIDER OF SPECIALIZED HEALTH CARE PROGRAMS, PRODUCTS AND SERVICES IN THE AREA. WE ARE COMMITTED TO QUALITY, DIGNITY, RESPECT AND HOSPITALITY IN OUR CUSTOMER SERVICE AND ACTIVE PARTICIPATION IN THE COMMUNITIES WE SERVE. EMPOWERED EMPLOYEES DRIVE OUR CUSTOMER RELATIONS AND CREATE AN ATMOSPHERE WHICH ENHANCES PERSONAL GROWTH, EXPANDS RESPONSIBILITY, MAXIMIZES CREATIVITY AND INSTILLS TRUST. WE BELIEVE IN CREATING VALUE FOR OUR CUSTOMERS. MEETING THEIR INDIVIDUAL AND COLLECTIVE NEEDS IS A SHARED RESPONSIBILITY AND THE STANDARD OF CONDUCT BY WHICH EACH OF US IS MEASURED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,341,210ExpenseAmt
Revenue$9,661,954RevenueAmt
DescASSOCIATION OPERATES A 120-BED NURSING FACILITY AND A 40-UNIT PERSONAL CARE CENTER, PROVIDING HOUSING, HEALTH CARE AND OTHER RELATED SERVICES FOR THE RESIDENTS OF ELK COUNTY, PENNSYLVANIA. IN PROVIDING SERVICES, CERTAIN INDIVIDUALS ARE NOT DENIED SERVICES IN EXCESS OF THEIR MEANS. THE ESTIMATED COST OF PROVIDING CHARITY CARE IS APPROXIMATELY $1,524,000 FOR THE YEAR ENDED DECEMBER 31, 2020.Desc
Total Program Service Expenses$10,341,210TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial LiquidationYes (1)PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document34IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee256EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMPLETE HEALTHCARE RESOURCES-EASTERN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2153285723PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 DRYDEN ROAD SUITE 2000AddressLine1Txt
CityDRESHERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP19025ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ROBERT SCHRIEBER
SECRETARY/TREASURER2.002.00Yes (X)Yes (X)$0$0$0
JUNE SORG
PRESIDENT2.002.00Yes (X)Yes (X)$0$0$0
FRANK BEIMEL
BOARD MEMBER2.002.00Yes (X)$0$0$0
CHARLETTE GERG
VICE PRESIDENT2.002.00Yes (X)Yes (X)$0$0$0
LOU RADKOWSKI
BOARD MEMBER2.002.00Yes (X)$0$0$0
MARK JACOB
SOLICITOR2.002.00Yes (X)$0$0$0
ARLENE ANDERSON
ADMINISTRATOR38.002.00Yes (X)$126,213$0$11,798
FieldValueIRS element (for citing)
Total Reportable Comp From Org$126,213TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$11,798TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
REHABCARE GROUP INC
PO BOX 503534ST LOUISMO63150REHABILIATION SERVICES$737,802
COMPLETE HEALTHCARE RESOURCES-EASTERN I
200 DRYDEN ROAD SUITE 3100DRESHERPA19025MANAGEMENT SERVICES$584,610
PENN HIGHLANDS - ELK
763 JOHNSONBURG ROADSSAINT MARYSPA15857LABS/COVID TESTING$204,896
ST MARY'S PHARMACY
4 RAILROAD STST MARYSPA15857PHARMACY$186,147
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$1,493,954GovernmentGrantsAmt
All Other Contributions$22,217AllOtherContributionsAmt
Total Contributions$1,516,171TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$9,661,954TotalRevenueColumnAmt
Related Or Exempt Func Income$9,661,954RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$9,661,954TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$512,985TotalRevenueColumnAmt
Exclusion$512,985ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$51,830SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$51,830SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$51,830TotalRevenueColumnAmt
Exclusion$51,830ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
FOOD REVENUE900099$43,787$43,787
OTHER REVENUE900099$10,323$10,323
FieldValueIRS element (for citing)
Other Revenue Total$54,110OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,797,050TotalRevenueColumnAmt
Related Or Exempt Func Income$9,661,954RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$618,925ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$138,011TotalAmt
Program Services$138,011ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,811,761TotalAmt
Program Services$5,713,757ProgramServicesAmt
Management And General$98,004ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$34,029TotalAmt
Management And General$34,029ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,442,063TotalAmt
Program Services$1,415,844ProgramServicesAmt
Management And General$26,219ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$445,902TotalAmt
Program Services$432,505ProgramServicesAmt
Management And General$13,397ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$548,925TotalAmt
Management And General$548,925ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$19,165TotalAmt
Management And General$19,165ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$39,500TotalAmt
Management And General$39,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,023,000TotalAmt
Program Services$963,195ProgramServicesAmt
Management And General$59,805ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$16,578TotalAmt
Program Services$1,064ProgramServicesAmt
Management And General$15,514ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$140,106TotalAmt
Program Services$34,798ProgramServicesAmt
Management And General$105,308ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$47,290TotalAmt
Management And General$47,290ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$197,645TotalAmt
Program Services$197,622ProgramServicesAmt
Management And General$23ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$738TotalAmt
Program Services$511ProgramServicesAmt
Management And General$227ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$492,768TotalAmt
Program Services$449,498ProgramServicesAmt
Management And General$43,270ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$136,811TotalAmt
Management And General$136,811ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHYSICIAN FEES$570,524$570,524
SUPPLIES$294,240$277,344$16,896
OTHER NURSING SERVICES$67,891$64,932$2,959
OXYGEN$27,888$27,888

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$80,716TotalAmt
Program Services$53,717ProgramServicesAmt
Management And General$26,999ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,575,551TotalAmt
Program Services$10,341,210ProgramServicesAmt
Management And General$1,234,341ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,749,551BOYAmt
EOY$2,870,244EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,524,560BOYAmt
EOY$417,487EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$809,428BOYAmt
EOY$790,562EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$123,454BOYAmt
EOY$122,805EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,276,079LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,212,589LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,408,933BOYAmt
EOY$5,063,490EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$17,874,765BOYAmt
EOY$3,088,675EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$169,364BOYAmt
EOY$194,251EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$28,660,055BOYAmt
EOY$12,547,514EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$961,158BOYAmt
EOY$683,351EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$7,796BOYAmt
EOY$29,327EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$56,624BOYAmt
EOY$1,513,216EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,025,578BOYAmt
EOY$2,225,894EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$27,634,477BOYAmt
EOY$10,321,620EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,634,477BOYAmt
EOY$10,321,620EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,660,055BOYAmt
EOY$12,547,514EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$221,499ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$673,365NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$18,207,721OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$9,558CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,287CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,208CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,906CurrentTaxYearMinus1YearAmt
Current Tax Year$1,516,171CurrentTaxYearAmt
Total$1,564,130TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,953,140CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,808,697CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,464,934CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,981,274CurrentTaxYearMinus1YearAmt
Current Tax Year$9,661,954CurrentTaxYearAmt
Total$52,869,999TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,962,698CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,815,984CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,483,142CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,994,180CurrentTaxYearMinus1YearAmt
Current Tax Year$11,178,125CurrentTaxYearAmt
Total$54,434,129TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$54,434,129PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$483,353CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$474,819CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$632,287CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$435,037CurrentTaxYearMinus1YearAmt
Current Tax Year$512,985CurrentTaxYearAmt
Total$2,538,481TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$483,353CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$474,819CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$632,287CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$435,037CurrentTaxYearMinus1YearAmt
Current Tax Year$512,985CurrentTaxYearAmt
Total$2,538,481TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$57,833CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,811CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$51,574CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$69,774CurrentTaxYearMinus1YearAmt
Current Tax Year$54,110CurrentTaxYearAmt
Total$283,102TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,503,884CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,340,614CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,167,003CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,498,991CurrentTaxYearMinus1YearAmt
Current Tax Year$11,745,220CurrentTaxYearAmt
Total$57,255,712TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.95070PublicSupportCY509Pct
Public Support PY5090.95120PublicSupportPY509Pct
Investment Income CY0.04430InvestmentIncomeCYPct
Investment Income PY0.04340InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER REVENUE - 2016 AMOUNT: $ 15,658. 2017 AMOUNT: $ 12,370. 2018 AMOUNT: $ 15,904. 2019 AMOUNT: $ 35,527. 2020 AMOUNT: $ 10,323. FOOD REVENUE - 2016 AMOUNT: $ 42,175. 2017 AMOUNT: $ 37,441. 2018 AMOUNT: $ 35,670. 2019 AMOUNT: $ 34,247. 2020 AMOUNT: $ 43,787.ExplanationTxt

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,000OtherCostOrOtherBasisAmt
Book Value$44,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,772,838OtherCostOrOtherBasisAmt
Depreciation$7,347,283DepreciationAmt
Book Value$4,425,555BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$263,911OtherCostOrOtherBasisAmt
Depreciation$237,622DepreciationAmt
Book Value$26,289BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,935,980OtherCostOrOtherBasisAmt
Depreciation$2,391,990DepreciationAmt
Book Value$543,990BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$259,350OtherCostOrOtherBasisAmt
Depreciation$235,694DepreciationAmt
Book Value$23,656BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,063,490TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
THIRD PARTY SETTLEMENTS$336,646
PAYCHECK PROTECTION PROGRAM LOAN$1,176,570
FieldValueIRS element (for citing)
Total Liability$1,513,216TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$12,443,282TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$673,365NetUnrealizedGainsInvstAmt
Revenue Not Reported$673,365RevenueNotReportedAmt
Revenue Subtotal$11,769,917RevenueSubtotalAmt
Other Revenues Not Included$27,133OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$27,133RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,797,050TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$11,548,418TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$11,548,418ExpensesSubtotalAmt
Other Expenses Not Included$27,133OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$27,133ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$11,575,551TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ASSOCIATION IS A NOT-FOR-PROFIT ORGANIZATION AND IS RECOGNIZED AS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE COMMONWEALTH ACT OF MAY 5, 1933, KNOWN AS THE NONPROFIT ORGANIZATION LAW AND, ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. THE ASSOCIATION ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD APPLIED TO THE RECOGNITION OF THE TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX BENEFIT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR ALL UNCERTAIN TAX POSITIONS. INTEREST AND PENALTIES ASSESSED, IF ANY, ARE ACCRUED AS INCOME TAX EXPENSE. THE ASSOCIATION HAS IDENTIFIED ITS TAX STATUS AS TAX-EXEMPT ENTITY AS A TAX POSITION; HOWEVER, THE ASSOCIATION HAS DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. THE ASSOCIATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2017.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 27,133.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 27,133.

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail (4 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDescDistributionDistributionDtFair Market Value Of AssetFairMarketValueOfAssetAmtMethod Of FMV DeterminationMethodOfFMVDeterminationTxtEINEINAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionTxt
ELK HAVEN FOUNDATION
CASH & CASH EQIVALENTS2020-10-15$113,911BOOK VALUE841788081785 JOHNSONBURG ROADST MARYSPA16127501(C)(3)
ELK HAVEN FOUNDATION
MORTGAGED BACKED SECURITY2020-10-15$192,735BOOK VALUE841788081785 JOHNSONBURG ROADST MARYSPA16127501(C)(3)
ELK HAVEN FOUNDATION
CORPORATE BONDS & NOTES2020-10-15$15,983,731BOOK VALUE841788081785 JOHNSONBURG ROADST MARYSPA16127501(C)(3)
ELK HAVEN FOUNDATION
CERTIFICATES OF DEPOSIT2020-10-15$1,746,832BOOK VALUE841788081785 JOHNSONBURG ROADST MARYSPA16127501(C)(3)
FieldValueIRS element (for citing)
Director Of Successor2Yes (1)DirectorOfSuccessor2Ind
Employee Of Successor20EmployeeOfSuccessor2Ind
Owner Of Successor20OwnerOfSuccessor2Ind
Receive Compensation20ReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, LINE 2E:PERSON(S) INVOLVED: JUNE H. SORG, PRESIDENTCHARLETTE GERG, VICE PRESIDENTSCHWABENBAUER JOHNSONBURG, SECRETARY /TREASURERSCHREIBER, JR., BOARD MEMBERLOU RADOWSKI, BOARD MEMBER
PART II, LINE 2E:EXPLANATION OF INVOLVEMENT: THE INITIAL BOARD MEMBERSHIP OF ELK HAVEN FOUNDATION CONSISTS OF THE FIVE MEMBERS OF THE BOARD OF ELK HAVEN NURSING HOME ASSOCIATION WITH SIMILAR OFFICERS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3ELK HAVEN ENTERED INTO A MANAGEMENT AGREEMENT WITH COMPLETE HEALTHCARE RESOURCES - EASTERN, (CHRE) INC. TO PROVIDE FINANCIAL AND ACCOUNTING SERVICES AND SUPERVISE THE DAY-TO-DAY OPERATIONS.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS SENT TO THE BOARD MEMBERS FOR REVIEW AND SIGNATURE PRIOR TO FILING THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. THE DISCLOSURES ARE REVIEWED ANNUALLY BY THE BOARD AND AS NEW CONFLICTS ARISE.
FORM 990, PART VI, SECTION B, LINE 15AMARKET STUDIES ARE PERFORMED IN THE REGION TO DETERMINE THE APPROPRIATE LEVEL OF COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC BASED UPON REQUEST.
FORM 990, PART XI, LINE 9:TRANSFER OF EQUITY TO RELATED PARTY -18,207,721.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ELK HAVEN FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1785 JOHNSONBURG ROADAddressLine1Txt
CityST MARYSCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16127ZIPCd
FieldValueIRS element (for citing)
EIN841788081EIN
Primary ActivitiesSUPPORTING ORGANIZATIONPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 12B, IIPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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