2016-09-23T05:55:39-05:00 2015-12-31 311543240 CBIZ MHM LLC 401 PLYMOUTH ROAD SUITE 200 PLYMOUTH MEETING PA 19462 990 2015-01-01 231945075 ELK HAVEN NURSING HOME ASSOCIATION ELKH 8148342618 785 JOHNSONBURG ROAD ST MARYS PA 15857 CAROLE HARSHBARGER PRESIDENT 8148342618 2016-09-14 1 Joseph G Sullivan P00360476 6108622249 2015 2017-02-10 21:41:12Z CAROLE HARSHBARGER 785 JOHNSONBURG ROAD ST MARYS PA 15857 14803114 0 X www.elkhavennursinghome.com X 1967 PA providing long term nursing care through a skilled nursing facility and personal care unit. 5 5 223 30 0 0 0 0 10956455 11317161 463853 378169 0 0 11420308 11695330 0 0 0 0 6534928 6832640 0 0 0 3674435 3731657 10209363 10564297 1210945 1131033 26696200 27467564 2303260 1992856 24392940 25474708 X Our 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. 0 0 9510302 11317161 ASSOCIATION 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. 9510302 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 29 0 1 223 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X COMPLETE HEALTHCARE RESOURCES-EASTERN INC 2153285723 200 DRYDEN ROAD SUITE 2000 DRESHER PA 19025 June Sorg Board Member 2.00 X 0 0 0 Joseph Koch Board Member 2.00 X 0 0 0 Carole Harshbarger president 2.00 X 0 0 0 Sandra Schwabennauer Secretary/Treasurer 2.00 X 0 0 0 Mark Jacob Attorney Solicitor 2.00 X 0 0 0 Joseph Kim Vice President 2.00 X 0 0 0 Tom Davido Administrator 40.00 X 175065 0 23326 Nancy Votano DON 40.00 X 137190 0 8658 312255 0 31984 2 0 1 0 Rehabcare Group Inc 6000 Feldwood Road Atlanta GA 30349 therapy 928948 Sysco Food Services - Pittsburgh 1 Whitney Drive Harmony PA 16037 food service 406224 Omnicare Inc Dept 781668 Detroit MI 48278 pharmacy 310921 Complete Healthcare Resources 200 Dryden Road - Suite 3100 Dresher PA 19025 Management Services 203307 Penn Highlands Elk (Elk Reg HC) 763 Johnsonburg Road Saint Marys PA 15857 lab 111343 5 RESIDENT SERVICE REVENUE 623000 11317161 11317161 11317161 463728 463728 3022225 3107784 -85559 -85559 -85559 11695330 11317161 0 378169 X 198391 198391 4987630 4844006 143624 41156 41156 1209850 1180733 29117 395613 384221 11392 222592 222592 6317 6317 34400 34400 1116766 1079812 36954 5988 1478 4510 78149 2348 75801 23557 129 23428 268548 241693 26855 6381 889 5492 523268 470941 52327 105894 105894 Other general services 423234 423234 Physician fees 296129 296129 Supplies 293725 283672 10053 Other Nursing Services 130987 130987 195722 170030 25692 10564297 9510302 1053995 0 1720603 1924050 869861 1127911 266640 193329 13633898 7943317 6025660 5690581 14116086 14613034 2485608 2709832 1007771 1015090 32285 24213 171686 169524 26696200 27467564 843798 802706 1444358 1173266 15104 16884 2303260 1992856 X 24392940 25474708 24392940 25474708 26696200 27467564 1131033 -49265 0 X X 0 1 X 1 0 X 10998248 10367333 10642340 10956455 11317160 54281536 10998248 10367333 10642340 10956455 11317160 54281536 0 0 0 54281536 603444 621236 460090 482583 463728 2631081 603444 621236 460090 482583 463728 2631081 11601692 10988569 11102430 11439038 11780888 56912617 0.95380 0.95360 0.04620 0.04640 X 44000 44000 10740155 5827356 4912799 236112 146404 89708 2424822 1798944 625878 188809 170613 18196 5690581 CERTIFICATES OF DEPOSIT 2709832 F 2709832 resident funds and deposits 16884 16884 X 11646065 -49265 -49265 11695330 0 11695330 10564297 0 10564297 0 10564297 Part X, Line 2: THE ASSOCIATION IS A NOT-FOR-PROFIT CORPORATION AND IS RECOGNIZED AS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE COMMONWEALTH ACT OF MAY 5, 1933, KNOWN AS THE NONPROFIT ORGANIZATION LAW AND, ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. THE ASSOCIATION ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD APPLIED TO THE RECOGNITION OF THE TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX BENEFIT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR ALL UNCERTAIN TAX POSITIONS. INTEREST AND PENALTIES ASSESSED, IF ANY, ARE ACCRUED AS INCOME TAX EXPENSE. THE ASSOCIATION HAS IDENTIFIED ITS TAX STATUS AS TAX-EXEMPT ENTITY AS A TAX POSITION; HOWEVER, THE ASSOCIATION HAS DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. THE ASSOCIATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2012. X 0 0 0 0 0 0 0 0 0 Tom Davido Administrator 145835 0 29230 0 0 0 0 0 23326 0 198391 0 0 0 Part I, Line 3 Market studies are performed in the region to determine the appropriate level of compensation. A Elk County Industrial Development Authority 2010-12-15 2345000 refinance of original bond debt 0 0 0 A 1171734 2345000 1015090 64569 2345000 2010 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 Form 990, Part VI, Section A, line 3 Elk 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 11 FORM 990 IS SENT TO THE BOARD MEMBERS FOR REVIEW AND SIGNATURE PRIOR TO FILING THE RETURN. Form 990, Part VI, Section B, line 12c THE 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 15 MARKET STUDIES ARE PERFORMED IN THE REGION TO DETERMINE THE APPROPRIATE LEVEL OF COMPENSATION. Form 990, Part VI, Section C, line 19 documents will be made available to the public based upon request. Form 990, Part IX, line 11g other 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 2c HERE HAS BEEN NO CHANGE FROM THE PRIOR YEAR IN HOW THE ASSOCIATION OVERSEES THE AUDIT OR IN ITS SELECTION OF INDEPENDENT ACCOUNTANTS.