2021-11-15T14:58:17-07:00 2020-12-31 990 2020-01-01 251364240 ROLLING FIELDS INC ROLL 8145872012 9108 STATE HWY 198 CONNEAUTVILLE PA 16406 Lisa Haglund President & CEO 7164876800 2021-11-15 0 11 1 AAL2 X 2020 2022-09-23 18:48:47Z LISA HAGLUND 4600 ROUTE 60 GERRY NY 14740 13686210 0 X HTTPS://WWW.ROLLINGFIELDS.COM/ X 1979 PA THE OPERATION OF A NURSING HOME WITH EXTENDED CARE FACILITIES AND TO OTHERWISE GENERALLY ENGAGE IN AND DO ANY LAWFUL ACT CONCERNING ANY OR ALL LAWFUL BUSINESS FOR WHICH CORPORATIONS MAY BE INCORPORATED UNDER THE BUSINESS CORPORATION LAW. 12 12 374 0 0 0 32 148 12636355 11847805 -33596 321 1014661 1837936 13617452 13686210 0 0 8725834 8093621 0 0 7251058 7124442 15976892 15218063 -2359440 -1531853 23590585 20727324 26617230 25285822 -3026645 -4558498 THE OPERATION OF A NURSING HOME WITH EXTENDED CARE FACILITIES AND TO OTHERWISE GENERALLY ENGAGE IN AND DO ANY LAWFUL ACT CONCERNING ANY OR ALL LAWFUL BUSINESS FOR WHICH CORPORATIONS MAY BE INCORPORATED UNDER THE BUSINESS CORPORATION LAW. 0 0 11993982 0 13685741 THE OPERATION OF A NURSING HOME WITH EXTENDED CARE FACILITIES AND TO OTHERWISE GENERALLY ENGAGE IN AND DO ANY LAWFUL ACT CONCERNING ANY OR ALL LAWFUL BUSINESS FOR WHICH CORPORATIONS MAY BE INCORPORATED UNDER THE BUSINESS CORPORATION LAW. 0 0 0 11993982 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 17 0 1 374 1 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 PA X ORGANIZATION 7164876800 4600 ROUTE 60 GERRY NY 14740 X Lisa Haglund President & CEO 1 39 X 0 247004 21242 Joel King Registered Care Partner 40 0 X 203532 0 17890 David Smeltzer President & CEO 1 39 X 0 207320 8926 Gregory Fernandez Chief Financial Officer 1 29 X 0 72575 0 Bertha Saho Board Member 1 0 X 0 0 0 David Rishell Board Member 1 0 X 0 0 0 Burton Jones Board Member 1 0 X 0 0 0 Edwin Roorda Secretary/Treasurer 1 0 X X 0 0 0 Hal Hoxie Board Member 1 0 X 0 0 0 Honna Curtis Board Member 1 0 X 0 0 0 Janet Snyder Board Member 1 0 X 0 0 0 Larry Roberts Board Member 1 0 X 0 0 0 Walter Fleming Chair 1 0 X X 0 0 0 William Rushik Chair 1 0 X X 0 0 0 Susan Wilston Vice Chair 1 0 X X 0 0 0 Susanne Mohnkern Board Member 1 0 X 0 0 0 Randal Gerig Chief Financial Officer 1 39 X 0 0 0 203532 526899 48058 1 0 1 0 HealthPro Heritage PO Box 69268 Baltimore MD 21264 Therapy 804824 1 0 0 0 0 0 148 0 148 RESIDENT REVENUE 623000 11843083 11843083 0 0 ENTRANCE FEES 623000 4722 4722 0 0 0 0 0 0 11847805 321 0 0 321 0 0 0 0 0 0 0 0 0 0 0 0 0 STIMULUS AND OTHER REVENUE 623000 1638101 1638101 0 0 REBATES AND REFUNDS FROM VENDORS 623000 14799 14799 0 0 CAFETERIA SALES 623000 65085 65085 0 0 119951 119951 0 0 1837936 13686210 13685741 0 321 6558281 6291235 267046 64107 61497 2610 930225 892347 37878 541008 518979 22029 1348478 1348478 9779 9779 23700 23700 16045 16045 39327 28947 10380 109384 109384 305938 241122 64816 2881 2398 483 470453 370783 99670 670822 528702 142120 215339 201986 13353 PURCHASE AND CONTRACTED 1430214 1414918 15296 0 SUPPLIES 1475132 1438378 36754 0 RECRUITING 47621 2546 45075 0 BAD DEBTS & CRA 951227 144 951083 0 8102 0 8102 15218063 11993982 3224081 0 255705 103583 31126 1041 2655058 1119335 136713 116141 19381848 1468401 18511296 17913447 2000687 1473777 23590585 20727324 1113595 2947347 64386 13560290 12875085 11878959 9463390 26617230 25285822 X -3026645 -4558498 0 0 -3026645 -4558498 23590585 20727324 -1531853 0 0 0 0 0 X X 0 1 X 1 0 X 14127 32 148 14307 7575933 13651016 13686062 34913011 0 0 7590060 13651048 13686210 34927318 34927318 34633 -33596 1037 0 0 34633 -33596 0 1037 0 0 7624693 13617452 13686210 34928355 0.99997 1 0.00003 0 X Schedule A, Part III, Line 15 SCHEDULE A, PART III CONTAINS A SHORT YEAR'S DATA IN THE 2018 COLUMN AS THE CORPORATION WAS CONVERTED TO A NON-PROFIT EFFECTIVE JULY 2, 2018. DATA IN THIS COLUMN CONTAINS REVENUE FROM JULY 2, 2018 THROUGH DECEMBER 31, 2018. 0 832384 832384 0 17221577 1194361 16027216 0 0 0 0 0 1327887 274040 1053847 0 0 0 0 17913447 GOODWILL 174516 RESIDENT FUNDS 222535 ASSETS LIMITED AS TO USE 1076726 1473777 0 DUE FROM AFFILIATES 9201013 RESIDENT FUNDS 223035 THIRD PARTY LIABILITY 39342 9463390 X Schedule D, Part X, Line 2 THE ORGANIZATION AND ITS COMPONENTS ARE NOT-FOR-PROFIT CORPORATIONS AND ARE EXEMPT FROM INCOME TAXES AS ORGANIZATIONS QUALIFIED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE INTERNAL REVENUE SERVICE HAS ALSO CLASSIFIED THE ORGANIZATION AND ITS COMPONENTS AS ENTITIES THAT ARE NOT PRIVATE FOUNDATIONS. 1 0 0 0 0 0 0 0 0 David Smeltzer President & CEO 0 173418 0 0 0 33902 0 0 0 8925 0 216245 0 0 Lisa Haglund President & CEO 0 223561 0 13973 0 9470 0 0 0 21242 0 268246 0 0 Joel King Registered Care Partner 202832 0 700 0 0 0 0 0 17890 0 221422 0 0 0 Schedule J, Part I, Line 4 David Smeltzer, President & CEO of Heritage Ministries Management Company, a related company, was paid a severance of $31,978. Form 990, Part I, Line 1 FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: AND DO ANY LAWFUL ACT CONCERNING ANY OR ALL LAWFUL BUSINESS FOR WHICH CORPORATIONS MAY BE INCORPORATED UNDER THE BUSINESS CORPORATION LAW. Form 990, Part I, Line 6 THE NUMBER OF VOLUNTEERS WAS ESTIMATED AT ZERO DUE TO THE COVID-19 PANDEMIC. Form 990, Part VI, Section A, Line 3 THE ORGANIZATION HAS DELEGATED CONTROL RELATED TO SIGNIFICANT MANAGEMENT DUTIES NORMALLY PERFORMED BY OFFICERS OF THE ORGANIZATION TO HERITAGE MINISTRIES MANAGEMENT COMPANY (HMMC). HMMC PROVIDES VARIOUS ADMINISTRATIVE FUNCTIONS INCLUDING FINANCIAL REPORTING, PAYROLL, ACCOUNTS RECEIVABLE MANAGEMENT AND EMPLOYS ROLLING FIELDS AND ITS AFFILIATES CEO, CFO AND COO. Form 990, Part VI, Section A, Line 6 CORPORATE MEMBERS ARE AS FOLLOWS: THE GERRY HOMES, INC. (TGH) 100% CORPORATE MEMBER Form 990, Part VI, Section A, Line 7a TGH APPOINTS BOARD MEMBERS BASED ON THEIR SOLE CORPORATE MEMBERSHIP. Form 990, Part VI, Section B, Line 11b THE 990 IS AVAILABLE TO BOARD MEMBERS AT THEIR REQUEST. THE 990 IS REVIEWED BY MANAGEMENT PRIOR TO FILING. Form 990, Part VI, Section B, Line 12c THE FINANCE COMMITTEE REVIEWS DISCLOSURES COMPLETED BY OFFICERS AND DIRECTORS ON AN ANNUAL BASIS. Form 990, Part VI, Section B, Line 15 ROLLING FIELDS INC BOARD OF DIRECTORS CONTRACTS WITH HERITAGE MINISTRIES MANAGEMENT COMPANY TO PROVIDE ADMINISTRATIVE SUPPORT, WHICH INCLUDES REVIEW OF PERFORMANCE AND COMPENSATION OF OFFICERS OR TOP MANAGEMENT. Form 990, Part VI, Section C, Line 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO BE MAILED OR SENT ELECTRONICALLY UPON REQUEST. Form 990, Part XII, Line 2c THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS DURING THE YEAR. HERITAGE MINISTRIES MANAGEMENT CO INC 4600 ROUTE 60 GERRY NY 14740 261590078 SUPPORTING ORGANIZATION NY 501(C)(3) LINE 12A, I N/A 0 WESTERN NEW YORK MENNONITE RETIREMENT COMMUNITY INC 5945 VINECROFT DRIVE CLARENCE CENTER NY 14032 161560655 HOUSING FOR SENIORS NY 501(C)(3) LINE 10 N/A 0 HERITAGE VILLAGE REHAB & SKILLED NURSING INC 4570 ROUTE 60 GERRY NY 14740 261231096 HEALTH CARE FOR THE ELDERLY NY 501(C)(3) LINE 10 N/A 0 HERITAGE MINISTRIES CHARITABLE CARE NETWORK 4600 ROUTE 60 GERRY NY 14740 261454957 PASSIVE PARENT ORANIZATION NY 501(C)(3) LINE 12A, I N/A 0 HEARTHSTONE AT SERENITY CREEK 920 N SEMINARY AVE WOODSTOCK IL 60098 463825098 HEALTH CARE FOR THE ELDERLY IL 501(C)(3) LINE 10 N/A 0 WOODSTOCK CHRISTIAN LIFE SERVICES INC 920 N SEMINARY AVE WOODSTOCK IL 60098 363186415 HEALTH CARE FOR THE ELDERLY IL 501(C)(3) LINE 10 N/A 0 GERRY HOMES INC 4600 ROUTE 60 GERRY NY 14740 160755780 HEALTH CARE FOR THE ELDERLY NY 501(C)(3) LINE 10 N/A 0 IVES HILL RETIREMENT COMMUNITY INC 1200 JEWELL DR WATERTOWN NY 13601 161529379 SENIOR LIVING NY 501(C)(3) LINE 10 N/A 0 THE LODGE AT IVES HILL INC 1200 JEWELL DR WATERTOWN NY 13601 274249244 SENIOR CARE NY 501(C)(3) LINE 10 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0