KESWICK PINES INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- KESWICK PINES INC (EIN 52-1761391)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-09-28
- IRS object ID
- 201702719349300530
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-09-28T11:23:09-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 W GERMANTOWN PIKE STE 400 | AddressLine1Txt |
| City | PLYMOUTH MEETING | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19462 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521761391 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KESWICK PINES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KESW | BusinessNameControlTxt |
| Phone | 7328490400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 509 ROUTE 530 | AddressLine1Txt |
| City | WHITING | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08759 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GEORGINA BAVAIS | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 7328490400 | PhoneNum |
| Signature | 2017-09-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SETH BRODY CPA | PreparerPersonNm |
| PTIN | P01586423 | PTIN |
| Phone | 2156433900 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.137.57.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-09-27 | IPDt |
| IP Tm | 11:34:30 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 99C95A981D0D28C6F98C4015289DF6597996F4F5 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | A78F1062FA74E90C671D16910DB17AD2D08C9BAB | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE PINES AT WHITING | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ERIC GHAUL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 509 ROUTE 530 | AddressLine1Txt |
| City | WHITING | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08759 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $18,741,143 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.THEPINESATWHITING.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | SERVES THE ELDERLY THROUGH APARTMENT LIVING, ASSITED LIVING, AND NURSING HOME CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 378 | TotalEmployeeCnt |
| Total Volunteers | 85 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $164,667 | PYContributionsGrantsAmt |
| CY Contributions Grants | $100,137 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,708,903 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,976,991 | CYProgramServiceRevenueAmt |
| PY Investment Income | $134,683 | PYInvestmentIncomeAmt |
| CY Investment Income | $252,305 | CYInvestmentIncomeAmt |
| PY Other Revenue | $556,563 | PYOtherRevenueAmt |
| CY Other Revenue | $570,743 | CYOtherRevenueAmt |
| PY Total Revenue | $17,564,816 | PYTotalRevenueAmt |
| CY Total Revenue | $17,900,176 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $22,600 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $18,110 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,619,310 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,005,222 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,126,589 | PYOtherExpensesAmt |
| CY Other Expenses | $6,943,191 | CYOtherExpensesAmt |
| PY Total Expenses | $15,768,499 | PYTotalExpensesAmt |
| CY Total Expenses | $15,966,523 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,796,317 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,933,653 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $29,294,445 | TotalAssetsBOYAmt |
| Total Assets EOY | $28,562,964 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $38,935,945 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $36,137,797 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$9,641,500 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$7,574,833 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | GUIDED BY CHRISTIAN PRINCIPLES, THE PINES AT WHITING SEEKS TO BUILD A CARING AND RESPECTFUL COMMUNITY OF TRUSTEES, RESIDENTS AND STAFF THAT SERVES THE PHYSICAL, SOCIAL, EMOTIONAL AND SPIRITUAL NEEDS OF SENIOR ADULTS THROUGH RESIDENTIAL LIVING AND HEALTH CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,970,700 | ExpenseAmt |
| Grant | $18,110 | GrantAmt |
| Revenue | $17,534,611 | RevenueAmt |
| Desc | THE PINES AT WHITING OFFERS INDEPENDENT LIVING APARTMENTS WITH 24 HOUR EMERGENCY CALL SERVICE AND HOME CARE SUPPORTIVE SERVICES AS WELL AS HEALTH CARE SERVICES INCLUDING: ASSISTED LIVING, MEMORY SUPPORT, SKILLED NURSING/REHABILITATION AND LONG TERM CARE PROGRAMS. DURING 2016, THE PINES MADE A SUBSTANTIAL CONTRIBUTION TO THE GREATER WHITING AREA COMMUNITY. THESE COMMUNITY OUTREACH ACTIVITIES RANGED FROM: 1.) CELL PHONES FOR SOLDIERS - COLLECTED 11 OLD/USED CELL PHONES TO DONATE TO THE NON-PROFIT GROUP, WHICH THEY IN TURN USE TO BUY CALLING CARDS FOR SOLDIERS.2.) LACEY TOWNSHIP MUNICIPAL ALLIANCE - DONATED $30 TO DIANE TO LEAD A CHAIR EXERCISE PROGRAM FOR 80 PARTICIPANTS.3.) OCEAN COUNTY COLLEGE - $100 DONATION TOWARD CHEER TEAM.4.) AMERICA'S KESWICK - $250 DONATION IN MEMORY OF JOHN HIBBARD.5.) AMERICA'S KESWICK - $2,500 ANNUAL DONATION.6.) WHITING AND LAKEHURST CHURCHES - DONATED $93 TO HOST BREAKFAST FOR ALL THE LOCAL PASTORS TO DISCUSS WAYS WE CAN ALL WORK TOGETHER. 7.) SHAMROCKS FOR THE SHORE 5K RACE - $100 DONATION TOWARD RACE AND THEIR BENEFICIARIES.8.) CHURCH OF GRACE AND PEACE - DONATED BIBLES AND RELIGIOUS VIDEOS AND BOOKS.9.) ATLANTIC CITY RESCUE MISSION - DONATION OF CLOTHES AND OTHER ITEMS.10.) CAREGIVER VOLUNTEERS OF CENTRAL JERSEY - DROVE THEIR WHITING RESIDENT CAREGIVERS TO THEIR DINNER IN TOMS RIVER.11.) VOLUNTEER LUNCHEON - DONATED $735 TO 75 PARTICIPANTS WHO HELD A YOGA SESSION AND LUNCHEON TO HONOR OUR RESIDENT VOLUNTEERS.12.) PROVIDENCE HOUSE - KNITTED BABY HATS AND BLANKETS.13.) SOUTHERN OCEAN COUNTY PROFESSIONAL GROUP - DONATED $225 TOWARDS HOSTING A NETWORKING MEETING AND SERVED BREAKFAST.14.) MANCHESTER TOWNSHIP - $525 TOWARDS SPONSORSHIP FOR MANCHESTER DAY.15.) CAREGIVER VOLUNTEERS OF CENTRAL JERSEY - LUNCH FOR 30 PEOPLE DONATED $500.16.) AMERICAN RED CROSS - BLOOD DRIVE HOSTED AT OUR COMMUNITY, ALONG WITH SNACKS PROVIDED. RESIDENTS VOLUNTEERED AT THE REGISTRATION AND REFRESHMENT TABLES. 36 PEOPLE DONATED, 8 RESIDENTS VOLUNTEERED, DONATION OF $30.17.) CAREGIVER VOLUNTEERS OF CENTRAL JERSEY - $1,500 TOWARDS ANNUAL SPONSORSHIP OF THEIR VOLUNTEER EVENT.18.) WHITESBOG PRESERVATION TRUST - $100 DONATION FROM ACTIVTY DEPARTMENT IN EXCHANGE FOR A PRESENTATION TO OUR RESIDENTS.19.) WHITING FIRE COMPANY - $1,000 DONATION TO THANK THEM FOR ALL THEIR SERVICE. RESIDENTS CONTRIBUTED 40%.20.) HEALTH & WELLNESS FAIR - ANNUAL HEALTH FAIR BROUGHT TO RESIDENTS AND PEOPLE OUTSIDE THE COMMUNITY BY THE PINES AND MERIDIAN. 67 PEOPLE SCREENED.21.) ALZHEIMER'S NEW JERSEY - 5 STAFF MEMBERS WALKED AND AN $853 DONATION THROUGH FUNDS WAS RAISED BY STAFF AND RESIDENTS THROUGH VARIOUS MEANS. ALSO A DONATION OF SNACKS AND WATER.22.) CROP WALK - $206 DONATION THROUGH RESIDENTS AND STAFF.23.) BOARD OF SOCIAL SERVICES - $35 DONATION OF BREAKFAST.24.) SOUTHERN OCEAN COUNTY PROFESSIONAL GROUP - HOSTED NETWORKING MEETING AND SERVED BREAKFAST.25.) FRIENDS OF THE SOUTHERN OCEAN COUNTY ANIMAL SHELTER - DONATION OF CAT AND DOG FOOD FROM A MARKETING EVENT. 26.) BOARD OF SOCIAL SERVICES MANCHESTER TOWNSHIP - $135 DONATION AND OVER 300 LBS OF FOOD.27.) MANCHESTER TOWNSHIP - $35 DONATION OF 3 COOKIE TRAYS.28.) PROVIDENCE HOUSE - $200 DONATION BY WOMEN OF ACTION GROUP.29.) ST. MARY'S OF THE PINES - SCARVES, SOCKS, AND GLOVES DOANTED THROUGH A MARKETING EVENT.30.) PINELANDS PRESERVATION ALLIANCE - $100 DONATATION FROM ACTIVITY DEPARTMENT IN EXCHANGE FOR A PRESENTATION TO OUR RESIDENTS.31.) ONE SIMPLE WISH - $500 IN DONATIONS FROM STAFF VIA DRESS DOWN DAYS TO FOSTER CHILDREN. 32.) RELAY FOR LIFE(AMERICAN CANCER SOCIETY) - $817 IN DONATION FROM EMPLOYEE DRESS DOWN DAY DONATIONS & SPONSORSHIP FROM THE PINES.33.) COMMUNITY REFORM CHURCH INTERFAITY CLERGY - HOST THEIR MONTHLY MEETINGS ONSITE.34.) WHITING ELEM SCHOOL JR. IMPACT CLUB - APPROXIMATELY 22 CHILDREN COME IN MONTHLY TO PLAY GAMES AND INTERACT WITH RESIDENTS IN HEALTH CARE. OVERALL $120 DONATION.35.) NEW LISBON DEVELOPMENTAL CENTER - THE RED HAT SOCIETY IN GEORGETOWN COLLECTED ITEMS TO DONATE. APPROXIMATELY 14 RESIDENTS PARTICIPATE.36.) MOCAP MEETING - HELD MEETING FOR THE MONMOUTH OCEAN COUNTY ACTIVITY PROFESSIONALS. DONATION OF $100.37.) CATHOLIC CHARITIES - GEORGETOWN RESIDENTS KNITTED HATS & BLANKETS FOR DONATIONS.38.) ST. ELIZABETH ANN SETON - LENT THEM ITEMS TO USE AT THEIR 40TH ANNIVERSARY CELEBRATION SUCH AS AN ICE CREAM CART AND A TENT.39.) CRESTWOOD VILLAGE 7 - $50 DONATION OF COOKIE TREES FOR THEIR FESTIVAL OF THE TREES.40.) BROWNIE TROOP 948 - GIRLS CAME IN TO SING WITH RESIDENTS AND HAVE COOKIES. DONATION OF $9. 41.) ST. ELIZABETH ANN SETON - $9 DONATION TO THE YOUTH MINISTRY PROGRAM WHO CAME IN TO CAROL FOR THE RESIDENTS OF HEALTHCARE AND ENJOYED COOKIES.THE PINES ALSO PROVIDED SUBSIDY FOR 10 RESIDENTS IN THE PINES COMMUNITY WHO COULD NOT AFFORD TO PAY THE FULL RATE FOR SERVICES. FOR THE YEAR 2016, THE TOTAL AMOUNT OF FORGIVEN REVENUE WAS $108,328.OVERALL, THE PINES PROGRAM TO SERVE OTHERS BENEFITTED SENIORS, COMMUNITY MEMBERS AND STUDENTS BY SUPPORTING THEIR TALENTS, GIVING INFORMATION TO IMPROVE THE QUALITY OF LIFE AND HELPING PEOPLE TO BETTER UNDERSTAND AND APPRECIATE SENIOR ADULTS. | Desc |
| Total Program Service Expenses | $13,970,700 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | Yes (1) | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 378 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GEORGINA BAVAIS CFO | PersonNm |
| Phone | 7328490400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 509 ROUTE 530 | AddressLine1Txt |
| City | WHITING | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08759 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JAY KATZ | |||||||
| CHAIRPERSON | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARK KOLCHIN | |||||||
| VICE CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DOUGLAS J BAUERBAND | |||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| WILLIAM COOK | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ALAN R DINKFELT | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| EDNA FREDERICKS | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CAROLYN HIBBARD | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN R HOLLAND | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT HUBINGER | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| OTTO C MORCH | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ERIC J GHAUL | |||||||
| CEO | 40.00 | Yes (X) | $190,430 | $0 | $7,610 | ||
| GEORGINA E BAVAIS | |||||||
| CFO | 40.00 | Yes (X) | $143,383 | $0 | $16,535 | ||
| PATRICIA A POLCHAK | |||||||
| HEALTHCARE ADMINISTRATOR | 40.00 | $133,683 | $0 | $24,101 | Yes (X) | ||
| ADRIANNE M SOBOCINSKI | |||||||
| PHYSICAL THERAPIST | 40.00 | $114,938 | $0 | $12,261 | Yes (X) | ||
| ANN EASTON | |||||||
| DIRECTOR OF NURSING | 40.00 | $111,977 | $0 | $4,515 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $694,411 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $65,022 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SODEXO INC & AFFLIATES | |||||
| PO BOX 360170 | PITTSBURGH | PA | 15251 | FOOD SERVICE PROVIDER | $1,034,496 |
| US FOOD SERVICE INC | |||||
| PO BOX 33101 | NEWARK | NJ | 07188 | FOOD SUPPLIER | $620,964 |
| R SOMERS CONSTRUCTION INC | |||||
| 1981 BROOKLYN AVENUE | WHITING | NJ | 08759 | CONSTRUCTION CONTRACTOR | $366,114 |
| REMTEK SERVICES INC | |||||
| 204 BRANCHWOOD COURT | DEPTFORD | NJ | 08096 | ROOFING | $339,839 |
| J W FINLEY INC | |||||
| 310 MAIN STREET | TOMS RIVER | NJ | 08753 | HEATER MAINTANENCE | $316,934 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $100,137 | AllOtherContributionsAmt |
| Total Contributions | $100,137 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| RESIDENT MONTHLY FEES | 623990 | $7,297,358 | $7,297,358 |
| PRIVATE PAY | 623990 | $4,779,602 | $4,779,602 |
| MEDICAID AND MEDICARE REVENUE | 623990 | $3,404,422 | $3,404,422 |
| ENTRANCE FEES REVENUE | 623990 | $1,473,426 | $1,473,426 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,183 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,183 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,976,991 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $153,018 | TotalRevenueColumnAmt |
| Exclusion | $153,018 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $16,748 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,592 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,156 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,156 | TotalRevenueColumnAmt |
| Exclusion | $9,156 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $929,434 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $830,147 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $99,287 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $99,287 | TotalRevenueColumnAmt |
| Exclusion | $99,287 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $7,195 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $3,228 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,967 | TotalRevenueColumnAmt |
| Exclusion | $3,967 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ANCILLARY SERVICES | 623000 | $326,305 | $326,305 |
| FOOD SERVICES | 623000 | $144,130 | $144,130 |
| BARBER AND BEAUTY | 623000 | $87,185 | $87,185 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $557,620 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,900,176 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,534,611 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $265,428 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,610 | TotalAmt |
| Program Services | $4,610 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,500 | TotalAmt |
| Program Services | $13,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $357,958 | TotalAmt |
| Program Services | $55,600 | ProgramServicesAmt |
| Management And General | $302,358 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,843,528 | TotalAmt |
| Program Services | $6,054,338 | ProgramServicesAmt |
| Management And General | $789,190 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,073 | TotalAmt |
| Program Services | $78,705 | ProgramServicesAmt |
| Management And General | $34,368 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,068,855 | TotalAmt |
| Program Services | $921,098 | ProgramServicesAmt |
| Management And General | $147,757 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $621,808 | TotalAmt |
| Program Services | $541,300 | ProgramServicesAmt |
| Management And General | $80,508 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,833 | TotalAmt |
| Program Services | $187,833 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,166 | TotalAmt |
| Management And General | $25,166 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,722 | TotalAmt |
| Management And General | $43,722 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,335 | TotalAmt |
| Management And General | $31,335 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,035 | TotalAmt |
| Program Services | $351,080 | ProgramServicesAmt |
| Management And General | $6,955 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $327,501 | TotalAmt |
| Program Services | $327,333 | ProgramServicesAmt |
| Management And General | $168 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $279,574 | TotalAmt |
| Program Services | $229,011 | ProgramServicesAmt |
| Management And General | $50,563 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,629 | TotalAmt |
| Program Services | $27,657 | ProgramServicesAmt |
| Management And General | $87,972 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,672,793 | TotalAmt |
| Program Services | $1,583,083 | ProgramServicesAmt |
| Management And General | $89,710 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,228 | TotalAmt |
| Program Services | $12,534 | ProgramServicesAmt |
| Management And General | $3,694 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $600,712 | TotalAmt |
| Program Services | $600,712 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,580,971 | TotalAmt |
| Program Services | $1,343,825 | ProgramServicesAmt |
| Management And General | $237,146 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,117 | TotalAmt |
| Program Services | $231,812 | ProgramServicesAmt |
| Management And General | $30,305 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FOOD SERVICES | $1,081,289 | $1,078,177 | $3,112 |
| MEDICAL EXPENSES | $260,193 | $260,193 | |
| MISCELLANEOUS EXPENSES | $100,093 | $68,299 | $31,794 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,966,523 | TotalAmt |
| Program Services | $13,970,700 | ProgramServicesAmt |
| Management And General | $1,995,823 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,765 | BOYAmt |
| EOY | $1,765 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,684,144 | BOYAmt |
| EOY | $2,224,328 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $448,585 | BOYAmt |
| EOY | $728,478 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $103,778 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,757 | BOYAmt |
| EOY | $149,792 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $53,666,370 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $35,310,526 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,145,683 | BOYAmt |
| EOY | $18,355,844 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,573,724 | BOYAmt |
| EOY | $6,828,636 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,787 | BOYAmt |
| EOY | $170,343 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,294,445 | BOYAmt |
| EOY | $28,562,964 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $995,029 | BOYAmt |
| EOY | $1,082,521 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,761,901 | BOYAmt |
| EOY | $15,944,591 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,661,604 | BOYAmt |
| EOY | $18,527,874 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $464,549 | BOYAmt |
| EOY | $535,228 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,862 | BOYAmt |
| EOY | $47,583 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,935,945 | BOYAmt |
| EOY | $36,137,797 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$9,681,661 | BOYAmt |
| EOY | -$7,604,877 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,161 | BOYAmt |
| EOY | $30,044 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$9,641,500 | BOYAmt |
| EOY | -$7,574,833 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,294,445 | BOYAmt |
| EOY | $28,562,964 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,933,653 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $112,083 | NetUnrlzdGainsLossesInvstAmt |
| Investment Expense | $31,335 | InvestmentExpenseAmt |
| Other Changes In Net Assets | -$10,404 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $153,813 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $81,740 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $105,015 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $164,667 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $100,137 | CurrentTaxYearAmt |
| Total | $605,372 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,328,552 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,316,358 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,838,100 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,237,458 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,534,611 | CurrentTaxYearAmt |
| Total | $84,255,079 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,482,365 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,398,098 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,943,115 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,402,125 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,634,748 | CurrentTaxYearAmt |
| Total | $84,860,451 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $84,860,451 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $277,342 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $377,942 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $232,435 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $158,490 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $169,766 | CurrentTaxYearAmt |
| Total | $1,215,975 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $277,342 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $377,942 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $232,435 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $158,490 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $169,766 | CurrentTaxYearAmt |
| Total | $1,215,975 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $323,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,296 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,967 | CurrentTaxYearAmt |
| Total | $349,263 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,759,707 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,776,040 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,498,550 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,582,911 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,808,481 | CurrentTaxYearAmt |
| Total | $86,425,689 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98190 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97850 | PublicSupportPY509Pct |
| Investment Income CY | 0.01410 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01610 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $252 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $252 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS DUES TO LEADING AGE, NEW JERSEY. A PERCENTAGE OF THOSE DUES ARE USED BY LEADING AGE, NEW JERSEY FOR LOBBYING PURPOSES. THE AMOUNT OF LOBBYING EXPENSES REPORTED ARE THE PERCENTAGE OF THE ORGANIZATION'S DUES USED BY LEADING AGE, NEW JERSEY FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preservation Public Use | Yes (X) | PreservationPublicUseInd |
| Protection Natural Habitat | Yes (X) | ProtectionNaturalHabitatInd |
| Preservation Open Space | Yes (X) | PreservationOpenSpaceInd |
| Total Easements | 1 | TotalEasementsCnt |
| States Easements Held | 1 | StatesEasementsHeldCnt |
| Written Policy Monitoring | Yes (1) | WrittenPolicyMonitoringInd |
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,748,541 | OtherCostOrOtherBasisAmt |
| Book Value | $2,748,541 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $40,335,754 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,304,259 | DepreciationAmt |
| Book Value | $8,031,495 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,124,985 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,821,115 | DepreciationAmt |
| Book Value | $7,303,870 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $457,090 | OtherCostOrOtherBasisAmt |
| Depreciation | $185,152 | DepreciationAmt |
| Book Value | $271,938 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,355,844 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CHARITABLE GIFT ANNUITIES | Desc |
| Amt | $47,583 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $47,583 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $17,988,355 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $112,083 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$23,904 | OtherRevenueAmt |
| Revenue Not Reported | $88,179 | RevenueNotReportedAmt |
| Revenue Subtotal | $17,900,176 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $17,900,176 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $15,921,688 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $15,921,688 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $31,335 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $13,500 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $44,835 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $15,966,523 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, LINE 9: | THE DEPARTMENT OF ENVIRONMENTAL PROTECTION HAS PROVIDED SIGNAGE THAT HAS BEEN PUT IN PLACE, ACCOMPANIED BY A LISTING OF APPROVED USES OF THE SITE AND ANY RESTRICTIONS. |
| PART IV, LINE 2B: | AMOUNTS HELD IN ESCROW REPRESENT CASH DEPOSITS MADE BY PROSPECTIVE RESIDENTS OF INDEPENDENT LIVING UNITS. THE CASH HAS BEEN DEPOSITED INTO A SAVINGS ACCOUNT. IF THE PROSPECTIVE RESIDENT(S) SHOULD DECIDE NOT TO FULFILL THE CONTRACT THE DEPOSITS ARE REFUNDABLE. IN ADDITION, ENTRANCE FEES RECEIVED FROM RESIDENTS HAVE BEEN REPORTED AS A LONG-TERM LIABILITY. REFUNDABLE PORTIONS OF ENTRANCE FEES ARE FULLY REFUNDABLE TO THE RESIDENT(S), LESS CERTAIN COSTS OR CHARGES INCURRED. IF THE RESIDENT(S) TERMINATE(S) THE CONTRACT, THE REFUNDABLE PORTION OF ENTRANCE FEES IS REFUNDABLE FOLLOWING THE REOCCUPANCY OF THE UNIT FOR THIRTY DAYS. |
| PART X, LINE 2: | KESWICK HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. KESWICK FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON KESWICK'S FINANCIAL STATEMENTS. KESWICK'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN THE VALUE OF ANNUITY -10,404. SCHOLARSHIP COSTS -13,500. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | SCHOLARSHIP COSTS 13,500. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | EMPLOYEE SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 6 | RecipientCnt |
| Cash Grant | $13,500 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 2: | THE PINES BUDGETS A CERTAIN DOLLAR AMOUNT EVERY YEAR TO DONATE TO THOSE WHO PROVIDE BENEFITS TO THE COMMUNITY. THE PINES MAINTAINS RECORDS OF WHERE THE DONATIONS WERE GIVEN. |
| PART III, LINE 1 | THE SCHOLARSHIP APPLICANT MUST HAVE BEEN EMPLOYED AT THE PINES AT WHITING AS A PART-TIME EMPLOYEE FOR AT LEAST ONE YEAR AND WORKED AT LEAST 300 HOURS PER YEAR. HOURS ARE BASED ON FISCAL YEAR MAY 1 - APRIL 1. THE APPLICANT MUST PRESENT A LETTER OF ACCEPTANCE FROM EITHER A COLLEGE OR SPECIALTY SCHOOL AT THE TIME OF APPLICATION. THE APPLICANT MUST SUPPLY TWO LETTERS OF REFERENCE; ONE FROM SCHOOL (GUIDANCE COUNSELOR, TEACHER, COACH, ETC.) AND THE SECOND MUST COME FROM AN INDIVIDUAL UNRELATED TO SCHOOL OR FAMILY. IN ADDITION, EACH APPLICATION IS CAREFULLY REVIEWED BY THE STUDENT'S DIRECT SUPERVISOR. THE SUPERVISOR IS TO EXAMINE SPECIFIC CRITERIA SUCH AS SAFETY AND JOB PERFORMANCE. THE SUPERVISOR WILL INCLUDE HIS/HER RELATED REMARKS, SIGN THE APPLICATION, AND FORWARD THE APPLICATION IN ITS ENTIRETY TO THE SCHOLARSHIP COMMITTEE. APPLICANTS ALREADY IN COLLEGE, WHETHER APPLYING FOR THE FIRST TIME OR FOR RENEWAL OF THE SCHOLARSHIP MUST PRESENT A TRANSCRIPT OF FULL-TIME (12 OR MORE CREDIT HOURS) OF COLLEGE GRADES. THE APPLICANT WILL THEN NOT BE REQUIRED TO SUBMIT A LETTER OF ACCEPTANCE AND TWO LETTERS OF REFERENCE; HOWEVER, BOTH FIRST TIME APPLICANTS AND APPLICANT RENEWALS WILL BE ASKED ABOUT THEIR LEVEL OF PARTICIPATION BOTH IN THEIR SCHOOL AND THEIR COMMUNITY. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ERIC J GHAUL | ||||||||||||||
| CEO | $158,938 | $0 | $10,000 | $0 | $21,492 | $0 | $5,768 | $0 | $1,842 | $0 | $198,040 | $0 | $0 | $0 |
| GEORGINA E BAVAIS | ||||||||||||||
| CFO | $135,883 | $0 | $7,500 | $0 | $0 | $0 | $4,291 | $0 | $12,244 | $0 | $159,918 | $0 | $0 | $0 |
| PATRICIA A POLCHAK | ||||||||||||||
| HEALTHCARE ADMINISTRATOR | $127,683 | $0 | $6,000 | $0 | $0 | $0 | $4,596 | $0 | $19,505 | $0 | $157,784 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 1A | FormAndLineReferenceDesc |
| Explanation | AS PART OF HIS 2016 COMPENSATION PACKAGE; ERIC GHAUL, PRESIDENT, WAS PAID A BOARD APPROVED TAKE-HOME TAX DEFERRAL BONUS OF $10,000. THE PINES PAID THE TAXES ON HIS BEHALF. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PUBLIC FINANCE AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 273866124 | BondIssuerEIN |
| CUSIP | NONEAVAIL | CUSIPNum |
| Bond Issued | 2014-11-13 | BondIssuedDt |
| Issue Price | $21,500,000 | IssuePriceAmt |
| Purpose | SEE PART VI | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $2,304,497 | RetiredAmt |
| Total Proceeds | $21,500,000 | TotalProceedsAmt |
| In Reserve Fund | $894,458 | InReserveFundAmt |
| Issuance Costs From Proceeds | $429,999 | IssuanceCostsFromProceedsAmt |
| Working Capital Expenditures | $85,517 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $3,447,116 | CapitalExpendituresAmt |
| Other Spent Proceeds | $16,642,910 | OtherSpentProceedsAmt |
| Substantial Completion | 2014 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART I, BOND ISSUES: | FormAndLineReferenceDesc |
| Explanation | (A) ISSUER NAME: PUBLIC FINANCE AUTHORTIY (F) DESCRIPTION OF PURPOSE: TO REFUND THE FIRST MORTGAGE REVENUE REFUNDING BONDS, SERIES 1998 AND TO FINANCE VARIOUS CAPITAL PROJECTS AND WORKING CAPITAL. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE BOARD OF DIRECTORS, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, MAY DESIGNATE AN EXECUTIVE COMMITTEE COMPRISED OF THE CHAIRPERSON, VICE CHAIRPERSON, SECRETARY, TREASURER AND AN ADDITIONAL MEMBER OF THE BOARD OF DIRECTORS SELECTED BY THE CURRENT MEMBERS OF THE BOARD OF DIRECTORS IN MANAGEMENT OF THE CORPORATION, PROVIDED, THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS IN REFERENCE TO (A) AMENDING, ALTERING, OR REPEALING THE BYLAWS, (B) ELECTING, APPOINTING OR REMOVING ANY MEMBER OF THE EXECUTIVE COMMITTEE OR ANY DIRECTOR OR OFFICER OF THE CORPORATION, (C) AMENDING THE ARTICLES OF INCORPORATION, (D) ADOPTING A PLAN OF MERGER OR ADOPTING A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION, (E) AUTHORIZING THE SALE, LEASE, EXCHANGE OR MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION, (F) AUTHORIZING THE VOLUNTARY DISSOLUTION OF THE CORPORATION OR REVOKING PROCEEDINGS THERFORE, (G) ADOPTING A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION, (H)AMENDING, ALTERING, OR REPEALING ANY RESOLUTION OF THE BOARD OF DIRECTORS TO ANOTHER COMMITTEE OF THE BOARD THE DESIGNATION AND APPOINTMENT OF AN EXECUTIVE COMMITTEE AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF DIRECTORS, OR ANY INDIVIDUAL DIRECTOR, OF ANY RESPONSIBILITY IMPOSED UPON IT OR HIM BY LAW. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CFO REVIEWS THE FORM 990 WITH THE BOARD MEMBERS PRIOR TO FILING WITH THE IRS. A COPY OF THE FORM 990 IS PROVIDED TO ALL MEMBERS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION'S BOARD MEMBERS AND OFFICERS ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST TO THE MEMBERS OF THE BOARD. BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY, WHICH ARE REVIEWED BY THE CEO. THE ORGANIZATION ALSO HAS A CONFLICT OF INTEREST SECTION IN ITS EMPLOYEE HANDBOOK WHICH ALL EMPLOYEES ARE REQUIRED TO FOLLOW AT THE APRIL QUARTERLY MEETING. ALL BOARD MEMBERS ARE TO SIGN THE CONFLICT OF INTEREST POLICY STATING THERE ARE NONE TO DECLARE OR IF THERE ARE ANY TO DECLARE. TO DATE THERE HAVE NOT BEEN ANY DECLARED.IF CONFLICTS OF INTEREST DO ARISE, THE INTERESTED PARTY OR PARTIES ARE PROHIBITED FROM VOTING ON BOARD MATTERS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD'S EXECUTIVE COMMITTEE APPROVES WHAT THE CEO'S COMPENSATION WILL BE. IT IS SUBMITTED IN WRITING BY THE CHAIR OF THE BOARD TO THE CFO. THIS PROCESS WAS LAST COMPLETED IN 2013. OTHER OFFICERS OR KEY EMPLOYEES ARE REVIEWED BY THE SUPERVISOR ON THE ANNIVERSARY AND ARE APPROVED AN INCREASE IF THE JOB PERFORMANCE JUSTIFIES AND THIS IS DONE WITHIN THE BOARD APPROVED BUDGET. COMPARABILITY DATA INCLUDED THE 2015-2016 CCRC REPORT SALARY & BENEFITS REPORT ENDORSED BY LEADING AGE PUBLISHED BY HOSPITAL & HEALTHCARE COMPENSATION SERVICE WAS USED AS A REFERENCE. THIS PROCESS OCCURS ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ANNUAL DISCLOSURE STATEMENT INCLUDES THE MOST RECENT AUDITED FINANCIAL STATEMENTS. THIS IS GIVEN TO RESIDENTS AND/OR PROSPECTIVE RESIDENTS WHO INQUIRE ABOUT THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 14: | THE ORGANIZATION IS WORKING ON A DRAFT OF A FORMAL WRITTEN POLICY. CURRENTLY, THE ORGANIZATION FOLLOWS THE ESTABLISHED PERIOD OF RETENTION AND DESTRUCTION GUIDELINES OUTLINED IN THE PRACTICE BRIEF FROM THE AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION AND THE QUALITY ASSURANCE STANDARDS OF THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS. |
| FORM 990, PART XI, LINE 9: | CHANGE IN THE VALUE OF ANNUITY -10,404. |
Comments