2018-11-14T07:37:00-06:00 2017-12-31 232108173 RKL LLP 91 CUMBERLAND PARKWAY MECHANICSBURG PA 17055 990 2017-01-01 231356232 ODD FELLOWS HOME OF PENNSYLVANIA ODDF 7179443351 999 WEST HARRISBURG PIKE MIDDLETOWN PA 17057 LOUIS VOGEL III CEO/ADMINISTRATOR 7179443351 2018-11-13 1 NATHAN J BABINSACK CPA P01204934 7177909333 2018-11-13 50.202.190.94 2018-11-13 14:40:07 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 232CF639F263615E5077F7EE647706B60E150D7F 2017 2019-02-21 02:37:17Z THE MIDDLETOWN HOME LOUIS VOGEL III 999 WEST HARRISBURG PIKE MIDDLETOWN PA 17057 13254331 0 X WWW.MIDDLETOWNHOME.ORG X 1875 PA SEE SCHEDULE O 14 14 300 365 0 0 103612 150263 11864462 11664016 98642 307383 24939 -14457 12091655 12107205 0 0 0 0 8000931 7853993 0 0 0 4015434 4080073 12016365 11934066 75290 173139 13150274 14240550 2725854 3384522 10424420 10856028 SEE SCHEDULE O 0 0 10032064 11664016 DURING THE YEAR ENDED DECEMBER 31, 2017, THE ODD FELLOWS HOME OF PA PROVIDED 30,846 NURSING DAYS OF CARE, 17,083 PERSONAL DAYS OF CARE AND 4,707 INDEPENDENT LIVING DAYS OF CARE SERVICES TO ITS ELDERLY, FRAIL AND NEEDY RESIDENTS. 10032064 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 15 0 1 300 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X LU ANN ISHAQ 7179443351 999 WEST HARRISBURG PIKE MIDDLETOWN PA 17057 THOMAS E WOODEN SR DIRECTOR 1.00 X 220 0 0 WILLIAM S MOONEY GRAND ENCAMPMENT REP 1.00 X 484 0 0 LENA SHADE REBEKAH ASSEMBLY REP 1.00 X 396 0 0 RUSSELL PETTYJOHN DIRECTOR 1.00 X 220 0 0 NEIL B THOMAS DIRECTOR 1.00 X 484 0 0 MARY LANDES DIRECTOR 1.00 X 440 0 0 PAUL MILLER DIRECTOR 1.00 X 396 0 0 DOUGLAS EABY DIRECTOR 1.00 X 396 0 0 MAE HAUSSLER DIRECTOR 1.00 X 440 0 0 CHARLES DANIHEL DIRECTOR 1.00 X 440 0 0 SHERMAN F WOODEN DIRECTOR 1.00 X 44 0 0 NEVIN W ADAMS SECRETARY / TREAS. 1.00 X X 2884 0 0 TIMOTHY HAHN 2ND VICE PRESIDENT 1.00 X X 440 0 0 WILLIAM PURCELL 1ST VICE PRESIDENT 1.00 X X 952 0 0 LEON S STAMM PRESIDENT 1.00 X X 2840 0 0 KEITH P HARTMAN DIRECTOR 1.00 X 484 0 0 LU ANN ISHAQ DIRECTOR OF FINANCE 40.00 X 99320 0 16904 LOUIS VOGEL III CEO / ADMINISTRATOR 40.00 X 180794 0 30771 291674 0 47675 1 0 1 0 FLAGSHIP REHABILITATION 157 BALTIMORE ST SUITE 200 CUMBERLAND MD 21502 THERAPY SERVICE 873004 BARRETT CONSULTING 9925 FIELDSTONE DRIVE HAGERSTOWN MD 21740 CONSULTING 203670 2 72682 77581 150263 NET RESIDENT SERVICE REVENUE 623000 11664016 11664016 11664016 133190 133190 7000 0 7000 7000 7000 1255299 1081106 174193 174193 174193 0 72682 66020 -66020 -66020 CAFE 40791 40791 MEALS 2940 2940 REBATES 561 561 271 271 44563 12107205 11708579 0 248363 339349 339349 6078138 5366745 711393 962128 839081 123047 474378 404128 70250 28906 28906 44138 44138 1946 1946 1148656 1082467 66189 84493 84493 264255 186413 77842 137356 137356 475318 475318 16848 3117 13731 16379 1285 15094 39042 39042 633320 633320 66917 66917 FOOD 412705 412705 PHARMACY 237958 237958 MEDICAL SUPPLIES 186022 186022 BAD DEBT 83591 83591 202223 80872 121351 11934066 10032064 1902002 0 1749 1643 407467 170033 1372563 1147204 400 53029 45727 138975 169946 20514053 12054849 7659661 8459204 3130741 3828317 385689 418476 13150274 14240550 1247777 1367675 306697 323269 47527 44725 1123853 1648853 2725854 3384522 X 10038731 10437552 385689 418476 10424420 10856028 13150274 14240550 173139 258469 0 X 0 1 X 1 0 X 51690 67303 72921 103612 150263 445789 10863414 11531773 11422564 11910541 11664016 57392308 10915104 11599076 11495485 12014153 11814279 57838097 250 2800 451 3230 1700 8431 0 250 2800 451 3230 1700 8431 57829666 286799 126440 128195 141621 140190 823245 286799 126440 128195 141621 140190 823245 5078 47366 53149 46079 44562 196234 11206981 11772882 11676829 12201853 11999031 58857576 0.98250 0.98120 0.01400 0.01410 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2013 AMOUNT: $ 5,078. 2014 AMOUNT: $ 47,366. 2015 AMOUNT: $ 53,149. 2016 AMOUNT: $ 46,079. 2017 AMOUNT: $ 44,562. 0 1 X 25000 25000 16308086 8939564 7368522 3643570 2977800 665770 537397 137485 399912 8459204 X 12431694 258469 258469 12173225 -66020 -66020 12107205 12000086 66020 66020 11934066 0 11934066 PART IV, LINE 2B: THE HOME MAINTAINS RESIDENT FUNDS FOR THOSE RESIDENTS WHO REQUEST THIS SERVICE. PART X, LINE 2: INCOME TAXES: THE ODD FELLOWS HOME OF PENNSYLVANIA IS A PUBLIC CHARITY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOME HAS REVIEWED THE IMPACT OF ACCOUNTING OF UNCERTAINTY IN INCOME TAXES (FASC-740-10-05) ON THE FINANCIAL STATEMENTS AND HAS DETERMINED THERE ARE NO MATERIAL UNCERTAIN TAX POSITONS OR UNRECOGNIZED TAX BENEFITS AND THERE IS NO MATERIAL IMPACT ON THE STATEMENTS OF FINANCIAL POSITION, STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS, OR CASH FLOWS. THE IRS FORM(S) 990 FOR THE YEARS ENDED DECEMBER 31, 2016, 2015 AND 2014 REMAIN OPEN FOR AN EXAMINATION BY THE IRS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE -66,020. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 66,020. FALL FESTIVAL 72682 72682 1577 10248 3800 50395 72682 72682 1577 10248 3800 50395 66020 -66020 X X 0 1 0 0 0 0 0 0 0 LOUIS VOGEL III CEO / ADMINISTRATOR 180794 0 0 0 0 0 0 0 30771 0 211565 0 0 0 FORM 990, PART I, LINE 1 THE MIDDLETOWN HOME WILL SERVE OUR SURROUNDING COMMUNITIES BY PROVIDING THE HIGHEST PRACTICABLE QUALITY OF CARE BY A DEDICATED, REWARDED, AND CARING STAFF. OUR CONTINUING CARE RETIREMENT COMMUNITY IS COMMITTED TO THE ODD FELLOWS PRINCIPLE OF CARING FOR THE ELDERLY IN NEED, AGING IN PLACE, AND ASSURANCE OF CARE ALL PROVIDED WITHIN AN ENVIRONMENT THAT EMBODIES HOLISTIC WELLNESS AND THE VALUES OF LOVE, TRUTH, AND FAITH. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. THE REQUIREMENT TO DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS IS ALSO INCLUDED IN THE HANDBOOK WHICH EACH EMPLOYEE RECEIVES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICAL: DETERMINATION OF COMPENSATION OF THE CEO INCLUDES A REVIEW BY THE BOARD OF DIRECTORS. COMPENSATION PROCESS FOR OFFICERS: DETERMINATION OF COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES INCLUDES A REVIEW BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE HOME MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT ITS ADMINISTRATIVE OFFICES LOCATED AT 999 WEST HARRISBURG PIKE, MIDDLETOWN, PA 17057.