FURP.ORG / PUBLIC DATA EXPLORER

CHURCH OF GOD HOME INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CHURCH OF GOD HOME INC (EIN 23-1353370)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-07
IRS object ID
201703119349300345
Schema version
2016v3.0
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)
Return2017-11-07T12:09:24-00:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN231353370EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Church of God Home IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHURBusinessNameControlTxt
Phone7172495322PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 North Hanover StreetAddressLine1Txt
CityCarlisleCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17013ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRyan CaseyPersonNm
Person TitleVP of FinanceCFOPersonTitleTxt
Signature2017-11-02SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.201.121.81IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-07IPDt
IP Tm13:08:55IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4EB1EBD41937AC9825E094276B606CBFD5CE5481AtSubmissionCreationDeviceId
At Submission Filing Device Id4EB1EBD41937AC9825E094276B606CBFD5CE5481AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSteven J ReiterPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1440 East Lincoln AvenueAddressLine1Txt
CityMyerstownCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17067ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,049,340GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.churchofgodhome.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionChurch of God Home, a Continuing Care Retirement Community, is a Christian ministry committed to caring for the body, mind and spirit of older persons.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee230TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$215,679PYContributionsGrantsAmt
CY Contributions Grants$258,717CYContributionsGrantsAmt
PY Program Service Revenue$13,431,608PYProgramServiceRevenueAmt
CY Program Service Revenue$14,081,159CYProgramServiceRevenueAmt
PY Investment Income$92,836PYInvestmentIncomeAmt
CY Investment Income$72,633CYInvestmentIncomeAmt
PY Other Revenue-$28,976PYOtherRevenueAmt
CY Other Revenue$57,558CYOtherRevenueAmt
PY Total Revenue$13,711,147PYTotalRevenueAmt
CY Total Revenue$14,470,067CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,012,852PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,723,985CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$409CYTotalFundraisingExpenseAmt
PY Other Expenses$5,054,251PYOtherExpensesAmt
CY Other Expenses$5,464,728CYOtherExpensesAmt
PY Total Expenses$12,067,103PYTotalExpensesAmt
CY Total Expenses$12,188,713CYTotalExpensesAmt
PY Revenues Less Expenses$1,644,044PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,281,354CYRevenuesLessExpensesAmt
Total Assets BOY$14,234,651TotalAssetsBOYAmt
Total Assets EOY$16,279,332TotalAssetsEOYAmt
Total Liabilities BOY$2,729,584TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,444,293TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$11,505,067NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$13,835,039NetAssetsOrFundBalancesEOYAmt
MissionChurch of God Home, a Continuing Care Retirement Community, is a Christian ministry committed to caring for the body, mind and spirit of older persons.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$11,125,263ExpenseAmt
Revenue$14,138,717RevenueAmt
DescProviding Skilled Nursing Care, Personal care and Independent Living Services to indigent and elderly residents. Church of God Home provided 38,920 service days of Skilled Nursing Care, 12,863 service days of Personal Care and 16,409 service days of Independent Living during 2016.Desc
Total Program Service Expenses$11,125,263TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document50IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee230EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Ryan CaseyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7178663233PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1440 East Lincoln AvenueAddressLine1Txt
CityMyerstownCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17067ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Frank Arva
Trustee001.00001.00Yes (X)$0$0$0
Harry Boswell
Secretary001.00001.00Yes (X)$0$0$0
Steven J Reiter
President/CEO001.00040.00Yes (X)$0$296,207$10,600Yes (X)
Donald Styer
President001.00001.00Yes (X)$0$0$0
Steve Minnich
Vice-President001.00001.00Yes (X)$0$0$0
Mary Shrader
Administrator040.00$104,231$0$0Yes (X)
Robert Fodor
Administrator040.00040.00$64,077$98,617$0Yes (X)Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$168,308TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$394,824TotReportableCompRltdOrgAmt
Total Other Compensation$10,600TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
New Dawn Christian Community Services
440 East Lincoln AvenueMyerstownPA17067Mgmt Services$898,558
Sodexho Inc & Affiliates
4880 Paysphere CircleChicagoIL60674Dietary Services$911,896
RehabCare Group Inc
PO Box 503534St LouisMO63150Therapy Services$679,910
Milestone Healthcare LLC
L-3542ColumbusOH43260Agency Nursing$358,503
HSE Staffing Agency LLC
422 Mercury DriveMechanicsburgPA17055Agency Nursing$130,155
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$99,252RelatedOrganizationsAmt
All Other Contributions$159,465AllOtherContributionsAmt
Total Contributions$258,717TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNet Resident Service RevenueDesc
Business623000BusinessCd
Total Revenue Column$14,081,159TotalRevenueColumnAmt
Related Or Exempt Func Income$14,081,159RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$14,081,159TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,119TotalRevenueColumnAmt
Exclusion$27,119ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$624,787SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$579,273SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$45,514SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,514TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Gift Shop Revenue$9,194$9,194
Miscellaneous$40,868$40,868
Meals - Guest$7,496$7,496
FieldValueIRS element (for citing)
Other Revenue Total$57,558OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,470,067TotalRevenueColumnAmt
Related Or Exempt Func Income$14,138,717RelatedOrExemptFuncIncomeAmt
Exclusion$27,119ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,254,589TotalAmt
Program Services$5,254,589ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$75,937TotalAmt
Program Services$75,937ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,001,460TotalAmt
Program Services$1,001,460ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$391,999TotalAmt
Program Services$391,999ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$940,280TotalAmt
Management And General$940,280ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,724TotalAmt
Management And General$8,724ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$13,350TotalAmt
Management And General$13,350ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$10,755TotalAmt
Management And General$10,755ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,715,166TotalAmt
Program Services$1,711,218ProgramServicesAmt
Management And General$3,828ManagementAndGeneralAmt
Fundraising$120FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,130TotalAmt
Management And General$9,841ManagementAndGeneralAmt
Fundraising$289FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$761,866TotalAmt
Program Services$761,328ProgramServicesAmt
Management And General$538ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$108,820TotalAmt
Program Services$108,149ProgramServicesAmt
Management And General$671ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$335,741TotalAmt
Program Services$335,741ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$19,604TotalAmt
Program Services$19,604ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,871TotalAmt
Program Services$15,596ProgramServicesAmt
Management And General$275ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$502,577TotalAmt
Program Services$502,577ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$96,619TotalAmt
Program Services$96,619ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Pharmacy Medical Supplies$400,032$400,032
Repairs Maintenance$238,076$238,076
Employment, Personnel, Recruitment Retention$69,419$4,640$64,779
Bad Debt$207,698$207,698

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,000TotalAmt
Management And General$10,000ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,188,713TotalAmt
Program Services$11,125,263ProgramServicesAmt
Management And General$1,063,041ManagementAndGeneralAmt
Fundraising$409FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,700BOYAmt
EOY$1,700EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,387,681BOYAmt
EOY$4,644,390EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,451,141BOYAmt
EOY$1,339,963EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$125,239BOYAmt
EOY$117,873EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,035,493LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,965,619LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,157,941BOYAmt
EOY$5,069,874EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,681,499BOYAmt
EOY$1,581,947EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,429,450BOYAmt
EOY$3,523,585EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,234,651BOYAmt
EOY$16,279,332EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$817,255BOYAmt
EOY$1,050,412EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$480,659BOYAmt
EOY$470,720EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$28,368BOYAmt
EOY$18,670EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,403,302BOYAmt
EOY$904,491EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,729,584BOYAmt
EOY$2,444,293EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,377,099BOYAmt
EOY$13,709,427EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$127,968BOYAmt
EOY$125,612EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,505,067BOYAmt
EOY$13,835,039EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,234,651BOYAmt
EOY$16,279,332EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,281,354ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$45,517NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$94,135OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind
Public Support Total170$0PublicSupportTotal170Amt
Public Support CY1700.00000PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,473,544CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$142,124CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$145,805CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$215,679CurrentTaxYearMinus1YearAmt
Current Tax Year$258,717CurrentTaxYearAmt
Total$2,235,869TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,381,397CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,198,204CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,761,635CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,431,608CurrentTaxYearMinus1YearAmt
Current Tax Year$14,081,159CurrentTaxYearAmt
Total$64,854,003TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,854,941CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,340,328CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,907,440CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,647,287CurrentTaxYearMinus1YearAmt
Current Tax Year$14,339,876CurrentTaxYearAmt
Total$67,089,872TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,246,146CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$77,643CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$85,568CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$99,252CurrentTaxYearMinus1YearAmt
Current Tax Year$99,252CurrentTaxYearAmt
Total$1,607,861TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,246,146CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$77,643CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$85,568CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$99,252CurrentTaxYearMinus1YearAmt
Current Tax Year$99,252CurrentTaxYearAmt
Total$1,607,861TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$65,482,011PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,480CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,126CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,809CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,364CurrentTaxYearMinus1YearAmt
Current Tax Year$27,119CurrentTaxYearAmt
Total$112,898TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,480CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,126CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,809CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,364CurrentTaxYearMinus1YearAmt
Current Tax Year$27,119CurrentTaxYearAmt
Total$112,898TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,882,421CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,364,454CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,914,249CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,674,651CurrentTaxYearMinus1YearAmt
Current Tax Year$14,366,995CurrentTaxYearAmt
Total$67,202,770TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97440PublicSupportCY509Pct
Public Support PY5090.97410PublicSupportPY509Pct
Investment Income CY0.00170InvestmentIncomeCYPct
Investment Income PY0.00190InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$127,968BeginningYearBalanceAmt
Investment Earnings Or Losses-$2,356InvestmentEarningsOrLossesAmt
End Year Balance$125,612EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$139,414BeginningYearBalanceAmt
Investment Earnings Or Losses-$11,446InvestmentEarningsOrLossesAmt
End Year Balance$127,968EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$142,573BeginningYearBalanceAmt
Investment Earnings Or Losses-$3,159InvestmentEarningsOrLossesAmt
End Year Balance$139,414EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$134,904BeginningYearBalanceAmt
Investment Earnings Or Losses$7,669InvestmentEarningsOrLossesAmt
End Year Balance$142,573EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$152,566BeginningYearBalanceAmt
Investment Earnings Or Losses$7,305InvestmentEarningsOrLossesAmt
Other Expenditures$24,967OtherExpendituresAmt
End Year Balance$134,904EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$394,716OtherCostOrOtherBasisAmt
Book Value$394,716BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,523,845OtherCostOrOtherBasisAmt
Depreciation$7,762,922DepreciationAmt
Book Value$3,760,923BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,878,000OtherCostOrOtherBasisAmt
Depreciation$2,202,697DepreciationAmt
Book Value$675,303BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$238,932OtherCostOrOtherBasisAmt
Book Value$238,932BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,069,874TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc
Financial derivatives and other financial products
Closely-held equity interests

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Due From The Orchards at Marsh Run
Interest in Net Assets of FCF$3,397,972
Interest in Perpetual Trusts$125,613
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,523,585TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
Federal income taxes
Refundable Entrance Fees$224,680
Security Deposits$679,811
Deferred Compensation Liability
Entrance Fee Refund Payable
Deposits - Letort Manor
Security Deposits - Creekside
FieldValueIRS element (for citing)
Total Liability$904,491TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
IV 2bThe Home maintains resident funds for those residents who request this service.
V 4The Permanent endowment funds are restricted in principal under perpetual trust agreements and the earnings are available for the Organizations general tax-exempt purpose.
X 2The Organization follows the guidance for accounting for uncertainty in income taxes recognized in an organizations consolidated financial statements that prescribes 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. The guidance also addresses derecognition, classification, interest and penalties, accounting in interim periods, and disclosure. Management has determined that this guidance had no material effect on the consolidated financial statements. The Organizations policy is to recognize interest related o unrecognized tax benefits in interest expense and penalties in administrative expenses. There were no interest or penalties recognized on the consolidated statements of operations as a result of this guidance. Generally, tax returns for years ended December 31, 2013, and thereafter remain subject to examination by federal and state tax authorities.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Steven J Reiter
President/CEO$242,507$53,700$10,600$306,807
Robert Fodor
Administrator$78,367$20,250$98,617$64,077$64,077

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I Line 3FormAndLineReferenceDesc
ExplanationThe related Organization has a Salaries and Benefits committee that reviews forms 990 of other organizations and industry salaries to determine the President/CEO Compensation.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1StoneRidge Retirement Living Communities IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionCommon Current OfficerRelationshipDescriptionTxt
Transaction$898,558TransactionAmt
TransactionManagement Services FeeTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bCompleted form is posted to the Organizations website in a section for Trustee access and Trustees are informed that it is available for review.
Form 990, Part VI, Section C, Line 19No documents available to the public.
Form 990, Part VI, Section A, Line 6 7Church of God Home is a controlled entity of StoneRidge Retirement Living Communities, Inc., as sole member, elects all of the Trustees of the Board.
Form 990, Part IX, Line 11gIncludes Agency Nursing 601,244, Contracted Therapy 717,235, Contracted Dietary Services 275,063, Medical Director 13,500, Pharmacy Consultant 19,620, Contracted Barber Beauty 31,485, Other Contracted Services 53,071
Form 990, Part XI, Line 9Change In Interest Forever Caring Fund 96,491, Change in Perpetual Trusts 2,356
Form 990, Part VI, Section B, Line 12cBy-laws require an annual statement from Trustees.
Form 990, Part VI, Section B, Line 15a 15bCEO is employed and compensated by the management company noted in Line 6 above.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Forever Caring Fund of East PA Conf
801 North Hanover StreetCarlislePA17013232206565Support COGHPA501c311aN/Afalse
The Orchards at Marsh Run
801 North Hanover StreetCarlislePA17013204775863CCRCPA501c39falseStoneRidge Retirement Living Communities Inc
StoneRidge Retirement Living Communities Inc
440 East Lincoln AvenueMyerstownPA17067208424515Mgmt ServicesPA501c311 IIIN/Afalse
StoneRidge Retirement Living
440 East Lincoln AvenueMyerstownPA17067231379523CCRCPA501c39falseStoneRidge Retirement Living Communities Inc
StoneRidge Family Medicine
440 East Lincoln AvenueMyerstownPA17067208424605Physician PracticePA501c39falseStoneRidge Retirement Living
Schoolyard Square
440 East Lincoln AvenueMyerstownPA17067352508751Personal Care HomePA501c39falseStoneRidge Retirement Living Communities Inc
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd