ELK HAVEN NURSING HOME ASSOCIATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ELK HAVEN NURSING HOME ASSOCIATION (EIN 23-1945075)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-13
IRS object ID
201713179349303666
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)
Return2017-11-13T12:16:13-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN311543240PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1401 PLYMOUTH ROAD SUITE 200AddressLine1Txt
CityPLYMOUTH MEETINGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP19462ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

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)
PersonCAROLE HARSHBARGERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8148342618PhoneNum
Signature2017-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJoseph G SullivanPreparerPersonNm
PTINP00360476PTIN
Phone6108622249PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address96.90.32.117IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-10IPDt
IP Tm09:43:27IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id20087036E5B3FD96C17AC6BE1EF3A98CB42C38E1AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2018-03-14 21:41:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCAROLE HARSHBARGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1785 JOHNSONBURG ROADAddressLine1Txt
CityST MARYSCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15857ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,724,164GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.elkhavennursinghome.comWebsiteAddressTxt
Type Of Organization AssocYes (X)TypeOfOrganizationAssocInd
Formation1967FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or Missionproviding long term nursing care through a skilled nursing facility and personal care unit.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee217TotalEmployeeCnt
Total Volunteers22TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$9,558CYContributionsGrantsAmt
PY Program Service Revenue$11,317,161PYProgramServiceRevenueAmt
CY Program Service Revenue$10,953,140CYProgramServiceRevenueAmt
PY Investment Income$378,169PYInvestmentIncomeAmt
CY Investment Income$476,625CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$57,833CYOtherRevenueAmt
PY Total Revenue$11,695,330PYTotalRevenueAmt
CY Total Revenue$11,497,156CYTotalRevenueAmt
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$6,832,640PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,174,278CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,731,657PYOtherExpensesAmt
CY Other Expenses$3,667,783CYOtherExpensesAmt
PY Total Expenses$10,564,297PYTotalExpensesAmt
CY Total Expenses$10,842,061CYTotalExpensesAmt
PY Revenues Less Expenses$1,131,033PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$655,095CYRevenuesLessExpensesAmt
Total Assets BOY$27,467,564TotalAssetsBOYAmt
Total Assets EOY$26,860,637TotalAssetsEOYAmt
Total Liabilities BOY$1,992,856TotalLiabilitiesBOYAmt
Total Liabilities EOY$891,626TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$25,474,708NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$25,969,011NetAssetsOrFundBalancesEOYAmt
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$9,711,939ExpenseAmt
Revenue$10,953,140RevenueAmt
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.Desc
Total Program Service Expenses$9,711,939TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 RequiredYes (1)ScheduleJRequiredInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document26IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee217EmployeeCnt
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
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 OtherYes (1)CompensationProcessOtherInd
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 (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Carole Harshbarger
president2.00Yes (X)Yes (X)$0$0$0
June Sorg
Vice President2.00Yes (X)Yes (X)$0$0$0
Sandra Schwabenbauer
Secretary/Treasurer2.00Yes (X)Yes (X)$0$0$0
charlette gerg
Board Member2.00Yes (X)$0$0$0
LOU RADKOWSKI
Board Member2.00Yes (X)$0$0$0
Mark Jacob Attorney
Solicitor2.00Yes (X)$0$0$0
Tom Davido
Administrator40.00Yes (X)$179,867$0$24,917
Nancy Votano
DON40.00$154,049$0$8,864Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$333,916TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$33,781TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
REHABCARE GROUP INC
PO BOX 503534SAINT LOUISMO63150rehabilitation services$1,162,181
SYSCO FOOD SERVICES - PITTBURGH
1 WHITNEY DRIVE PO BOX 1000HARMONYPA16037FOOD SERVICES$383,672
COMPLETE HEALTHCARE RESOURCES
200 DRYDEN RD STE 3100DRESHERPA19025MANAGEMENT SERVICES$270,666
HALLSTROM CONSTRUCTION
PO Box 648 101 East Long AveDUBOISPA15801CONSTRUCTION$247,358
Omnicare Inc
Dept 781668DetroitMI48278pharmacy$219,024
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
All Other Contributions$9,558AllOtherContributionsAmt
Total Contributions$9,558TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$10,953,140TotalRevenueColumnAmt
Related Or Exempt Func Income$10,953,140RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$10,953,140TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$483,353TotalRevenueColumnAmt
Exclusion$483,353ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,220,280SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,227,008SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$6,728SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,728TotalRevenueColumnAmt
Exclusion-$6,728ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
food ervenue900099$42,175$42,175
other revenue900099$15,658$15,658
FieldValueIRS element (for citing)
Other Revenue Total$57,833OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,497,156TotalRevenueColumnAmt
Related Or Exempt Func Income$10,953,140RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$534,458ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$204,784TotalAmt
Management And General$204,784ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,195,526TotalAmt
Program Services$5,053,329ProgramServicesAmt
Management And General$142,197ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$35,118TotalAmt
Management And General$35,118ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,328,040TotalAmt
Program Services$1,297,862ProgramServicesAmt
Management And General$30,178ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$410,810TotalAmt
Program Services$399,566ProgramServicesAmt
Management And General$11,244ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$241,692TotalAmt
Management And General$241,692ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,891TotalAmt
Management And General$2,891ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$47,802TotalAmt
Management And General$47,802ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,134,376TotalAmt
Program Services$1,098,968ProgramServicesAmt
Management And General$35,408ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,079TotalAmt
Management And General$2,079ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$97,400TotalAmt
Program Services$1,364ProgramServicesAmt
Management And General$96,036ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$43,061TotalAmt
Program Services$405ProgramServicesAmt
Management And General$42,656ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$273,079TotalAmt
Program Services$245,771ProgramServicesAmt
Management And General$27,308ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,013TotalAmt
Program Services$1,684ProgramServicesAmt
Management And General$7,329ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$550TotalAmt
Management And General$550ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$456,413TotalAmt
Program Services$410,771ProgramServicesAmt
Management And General$45,642ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$110,726TotalAmt
Management And General$110,726ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
food$395,777$395,777
Supplies$262,812$253,287$9,525
Physician fees$245,529$245,529
Other Nursing Services$149,741$149,741

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$194,842TotalAmt
Program Services$157,885ProgramServicesAmt
Management And General$36,957ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,842,061TotalAmt
Program Services$9,711,939ProgramServicesAmt
Management And General$1,130,122ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,924,050BOYAmt
EOY$1,756,641EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,127,911BOYAmt
EOY$1,055,017EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$193,329BOYAmt
EOY$112,884EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,093,227LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,399,730LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,690,581BOYAmt
EOY$5,693,497EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,613,034BOYAmt
EOY$15,974,700EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,709,832BOYAmt
EOY$2,117,102EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,015,090BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$24,213BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$169,524BOYAmt
EOY$150,796EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$27,467,564BOYAmt
EOY$26,860,637EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$802,706BOYAmt
EOY$838,259EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,173,266BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$16,884BOYAmt
EOY$13,891EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$39,476EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,992,856BOYAmt
EOY$891,626EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$25,474,708BOYAmt
EOY$25,969,011EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,474,708BOYAmt
EOY$25,969,011EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,467,564BOYAmt
EOY$26,860,637EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$655,095ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$160,792NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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$9,558CurrentTaxYearAmt
Total$9,558TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,367,333CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,642,340CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,956,455CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,317,160CurrentTaxYearMinus1YearAmt
Current Tax Year$10,953,140CurrentTaxYearAmt
Total$54,236,428TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,367,333CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,642,340CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,956,455CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,317,160CurrentTaxYearMinus1YearAmt
Current Tax Year$10,962,698CurrentTaxYearAmt
Total$54,245,986TotalAmt

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$54,245,986PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$621,236CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$460,090CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$482,583CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$463,728CurrentTaxYearMinus1YearAmt
Current Tax Year$483,353CurrentTaxYearAmt
Total$2,510,990TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$621,236CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$460,090CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$482,583CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$463,728CurrentTaxYearMinus1YearAmt
Current Tax Year$483,353CurrentTaxYearAmt
Total$2,510,990TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$57,833CurrentTaxYearAmt
Total$57,833TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,988,569CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,102,430CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,439,038CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,780,888CurrentTaxYearMinus1YearAmt
Current Tax Year$11,503,884CurrentTaxYearAmt
Total$56,814,809TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.95480PublicSupportCY509Pct
Public Support PY5090.95380PublicSupportPY509Pct
Investment Income CY0.04420InvestmentIncomeCYPct
Investment Income PY0.04620InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcYes (1)AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

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$10,806,671OtherCostOrOtherBasisAmt
Depreciation$6,131,150DepreciationAmt
Book Value$4,675,521BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$246,530OtherCostOrOtherBasisAmt
Depreciation$165,425DepreciationAmt
Book Value$81,105BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,807,217OtherCostOrOtherBasisAmt
Depreciation$1,922,433DepreciationAmt
Book Value$884,784BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$188,809OtherCostOrOtherBasisAmt
Depreciation$180,722DepreciationAmt
Book Value$8,087BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,693,497TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescCERTIFICATES OF DEPOSITDesc
Book Value$2,117,102BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$2,117,102TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescTHIRD PARTY SETTLEMENTSDesc
Amt$39,476Amt
FieldValueIRS element (for citing)
Total Liability$39,476TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$11,336,364TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$160,792NetUnrealizedGainsInvstAmt
Revenue Not Reported-$160,792RevenueNotReportedAmt
Revenue Subtotal$11,497,156RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,497,156TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,842,061TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$10,842,061ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$10,842,061TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b:THE ESCROW LIABILITY OFFSETS THE RESIDENT TRUST FUND ESTABLISHED ON BEHALF OF THE FACILITY'S RESIDENTS.
Part X, Line 2:THE ASSOCIATION IS A NOT-FOR-PROFIT CORPORATION 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, 2013.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Tom Davido
Administrator$149,909$0$29,958$0$0$0$0$0$24,917$0$204,784$0$0$0
Nancy Votano
DON$129,109$0$24,940$0$0$0$0$0$8,864$0$162,913$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationMarket studies are performed in the region to determine the appropriate level of compensation.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3Elk Haven entered into a management agreement with Complete Healthcare Resources - Eastern, 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 15MARKET 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 IX, line 11gother professional fees: Program service expenses 1,098,968. Management and general expenses 35,408. Fundraising expenses 0. Total expenses 1,134,376.
form 990, part xii, line 2cTHERE HAS BEEN NO CHANGE FROM THE PRIOR YEAR IN HOW THE ASSOCIATION OVERSEES THE AUDIT OR IN ITS SELECTION OF INDEPENDENT ACCOUNTANTS.

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