ELK HAVEN NURSING HOME ASSOCIATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
ELK HAVEN NURSING HOME ASSOCIATION (EIN 23-1945075)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-09-23
IRS object ID
201602679349300300
Schema version
2015v2.1
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)
Return2016-09-23T05:55:39-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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
Signature2016-09-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJoseph G SullivanPreparerPersonNm
PTINP00360476PTIN
Phone6108622249PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

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$14,803,114GrossReceiptsAmt
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 Employee223TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$10,956,455PYProgramServiceRevenueAmt
CY Program Service Revenue$11,317,161CYProgramServiceRevenueAmt
PY Investment Income$463,853PYInvestmentIncomeAmt
CY Investment Income$378,169CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$11,420,308PYTotalRevenueAmt
CY Total Revenue$11,695,330CYTotalRevenueAmt
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$6,534,928PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,832,640CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,674,435PYOtherExpensesAmt
CY Other Expenses$3,731,657CYOtherExpensesAmt
PY Total Expenses$10,209,363PYTotalExpensesAmt
CY Total Expenses$10,564,297CYTotalExpensesAmt
PY Revenues Less Expenses$1,210,945PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,131,033CYRevenuesLessExpensesAmt
Total Assets BOY$26,696,200TotalAssetsBOYAmt
Total Assets EOY$27,467,564TotalAssetsEOYAmt
Total Liabilities BOY$2,303,260TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,992,856TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$24,392,940NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$25,474,708NetAssetsOrFundBalancesEOYAmt
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$9,510,302ExpenseAmt
Revenue$11,317,161RevenueAmt
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$9,510,302TotalProgramServiceExpensesAmt
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 Counseling0CreditCounselingInd
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 BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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 Document29IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee223EmployeeCnt
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
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 DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
June Sorg
Board Member2.00Yes (X)$0$0$0
Joseph Koch
Board Member2.00Yes (X)$0$0$0
Carole Harshbarger
president2.00$0$0$0Yes (X)
Sandra Schwabennauer
Secretary/Treasurer2.00$0$0$0Yes (X)
Mark Jacob Attorney
Solicitor2.00$0$0$0Yes (X)
Joseph Kim
Vice President2.00$0$0$0Yes (X)
Tom Davido
Administrator40.00$175,065$0$23,326Yes (X)
Nancy Votano
DON40.00$137,190$0$8,658Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$312,255TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$31,984TotalOtherCompensationAmt
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
6000 Feldwood RoadAtlantaGA30349therapy$928,948
Sysco Food Services - Pittsburgh
1 Whitney DriveHarmonyPA16037food service$406,224
Omnicare Inc
Dept 781668DetroitMI48278pharmacy$310,921
Complete Healthcare Resources
200 Dryden Road - Suite 3100DresherPA19025Management Services$203,307
Penn Highlands Elk (Elk Reg HC)
763 Johnsonburg RoadSaint MarysPA15857lab$111,343
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$11,317,161TotalRevenueColumnAmt
Related Or Exempt Func Income$11,317,161RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$11,317,161TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$463,728TotalRevenueColumnAmt
Exclusion$463,728ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,022,225SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,107,784SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$85,559SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$85,559TotalRevenueColumnAmt
Exclusion-$85,559ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,695,330TotalRevenueColumnAmt
Related Or Exempt Func Income$11,317,161RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$378,169ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$198,391TotalAmt
Management And General$198,391ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,987,630TotalAmt
Program Services$4,844,006ProgramServicesAmt
Management And General$143,624ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$41,156TotalAmt
Management And General$41,156ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,209,850TotalAmt
Program Services$1,180,733ProgramServicesAmt
Management And General$29,117ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$395,613TotalAmt
Program Services$384,221ProgramServicesAmt
Management And General$11,392ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$222,592TotalAmt
Management And General$222,592ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,317TotalAmt
Management And General$6,317ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$34,400TotalAmt
Management And General$34,400ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,116,766TotalAmt
Program Services$1,079,812ProgramServicesAmt
Management And General$36,954ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,988TotalAmt
Program Services$1,478ProgramServicesAmt
Management And General$4,510ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$78,149TotalAmt
Program Services$2,348ProgramServicesAmt
Management And General$75,801ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$23,557TotalAmt
Program Services$129ProgramServicesAmt
Management And General$23,428ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$268,548TotalAmt
Program Services$241,693ProgramServicesAmt
Management And General$26,855ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,381TotalAmt
Program Services$889ProgramServicesAmt
Management And General$5,492ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$523,268TotalAmt
Program Services$470,941ProgramServicesAmt
Management And General$52,327ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$105,894TotalAmt
Management And General$105,894ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Other general services$423,234$423,234
Physician fees$296,129$296,129
Supplies$293,725$283,672$10,053
Other Nursing Services$130,987$130,987

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$195,722TotalAmt
Program Services$170,030ProgramServicesAmt
Management And General$25,692ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,564,297TotalAmt
Program Services$9,510,302ProgramServicesAmt
Management And General$1,053,995ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,720,603BOYAmt
EOY$1,924,050EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$869,861BOYAmt
EOY$1,127,911EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$266,640BOYAmt
EOY$193,329EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,633,898LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,943,317LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,025,660BOYAmt
EOY$5,690,581EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,116,086BOYAmt
EOY$14,613,034EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,485,608BOYAmt
EOY$2,709,832EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,007,771BOYAmt
EOY$1,015,090EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$32,285BOYAmt
EOY$24,213EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$171,686BOYAmt
EOY$169,524EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$26,696,200BOYAmt
EOY$27,467,564EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$843,798BOYAmt
EOY$802,706EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,444,358BOYAmt
EOY$1,173,266EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,104BOYAmt
EOY$16,884EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,303,260BOYAmt
EOY$1,992,856EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,392,940BOYAmt
EOY$25,474,708EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,392,940BOYAmt
EOY$25,474,708EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,696,200BOYAmt
EOY$27,467,564EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,131,033ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$49,265NetUnrlzdGainsLossesInvstAmt
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 Minus4 Years$10,998,248CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,367,333CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,642,340CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,956,455CurrentTaxYearMinus1YearAmt
Current Tax Year$11,317,160CurrentTaxYearAmt
Total$54,281,536TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,998,248CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,367,333CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,642,340CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,956,455CurrentTaxYearMinus1YearAmt
Current Tax Year$11,317,160CurrentTaxYearAmt
Total$54,281,536TotalAmt

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$54,281,536PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$603,444CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$621,236CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$460,090CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$482,583CurrentTaxYearMinus1YearAmt
Current Tax Year$463,728CurrentTaxYearAmt
Total$2,631,081TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$603,444CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$621,236CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$460,090CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$482,583CurrentTaxYearMinus1YearAmt
Current Tax Year$463,728CurrentTaxYearAmt
Total$2,631,081TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,601,692CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,988,569CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,102,430CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,439,038CurrentTaxYearMinus1YearAmt
Current Tax Year$11,780,888CurrentTaxYearAmt
Total$56,912,617TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.95380PublicSupportCY509Pct
Public Support PY5090.95360PublicSupportPY509Pct
Investment Income CY0.04620InvestmentIncomeCYPct
Investment Income PY0.04640InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

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$10,740,155OtherCostOrOtherBasisAmt
Depreciation$5,827,356DepreciationAmt
Book Value$4,912,799BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$236,112OtherCostOrOtherBasisAmt
Depreciation$146,404DepreciationAmt
Book Value$89,708BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,424,822OtherCostOrOtherBasisAmt
Depreciation$1,798,944DepreciationAmt
Book Value$625,878BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$188,809OtherCostOrOtherBasisAmt
Depreciation$170,613DepreciationAmt
Book Value$18,196BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,690,581TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescCERTIFICATES OF DEPOSITDesc
Book Value$2,709,832BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$2,709,832TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
Descresident funds and depositsDesc
Amt$16,884Amt
FieldValueIRS element (for citing)
Total Liability$16,884TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$11,646,065TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$49,265NetUnrealizedGainsInvstAmt
Revenue Not Reported-$49,265RevenueNotReportedAmt
Revenue Subtotal$11,695,330RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,695,330TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,564,297TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$10,564,297ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$10,564,297TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationTHE 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, 2012.ExplanationTxt

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

FieldValueIRS element (for citing)
PersonTom DavidoPersonNm
TitleAdministratorTitleTxt
Base Compensation Filing Org$145,835BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$29,230BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$23,326NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$198,391TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Elk County Industrial Development AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issued2010-12-15BondIssuedDt
Issue Price$2,345,000IssuePriceAmt
Purposerefinance of original bond debtPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,171,734RetiredAmt
Total Proceeds$2,345,000TotalProceedsAmt
In Reserve Fund$1,015,090InReserveFundAmt
Issuance Costs From Proceeds$64,569IssuanceCostsFromProceedsAmt
Capital Expenditures$2,345,000CapitalExpendituresAmt
Substantial Completion2010SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

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 11FORM 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 1,079,812. Management and general expenses 36,954. Fundraising expenses 0. Total expenses 1,116,766.
form 990, part xii, line 2cHERE 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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