2014-05-12T13:23:19-05:00 2013-06-30 135381590 BDO USA LLP 339 SIXTH AVENUE 8TH FL PITTSBURGH PA 15222 990 2012-07-01 251021794 PASSAVANT MEMORIAL HOMES PASS 4128201010 100 PASSAVANT WAY PITTSBURGH PA 15238 OFFICER 4128201010 2014-05-12 1 EUGENE J LOGAN P00227231 4122812501 2012 2015-11-30 17:44:51Z KEVIN FRIEL 163 THORN HILL ROAD WARRENDALE PA 15086 56377121 0 X HTTP://PASSAVANT.ORG X 1895 PA PASSAVANT MEMORIAL HOMES, INC. IS A PRIVATE, NON-PROFIT HUMAN SERVICES ORGANIZATION WHOSE MISSION IS TO EMPOWER PEOPLE WITH DISABILITIES TO LIVE IN THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY SUPPORTS WHILE PROMOTING CHOICE AND INDEPENDENCE. 9 9 1383 101 0 0 219187 68721 43025998 56022014 28182 1721 1300666 284665 44574033 56377121 0 0 0 0 29046710 35264949 0 0 0 14023041 19164837 43069751 54429786 1504282 1947335 28160160 30409791 24116123 24101836 4044037 6307955 PASSAVANT MEMORIAL HOMES, INC. IS A PRIVATE, NON-PROFIT HUMAN SERVICES ORGANIZATION WHOSE MISSION IS TO EMPOWER PEOPLE WITH DISABILITIES TO LIVE IN THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY SUPPORTS WHILE PROMOTING CHOICE AND INDEPENDENCE. 0 0 43198474 56022014 PASSAVANT MEMORIAL HOMES, INC. PRESENTLY PROVIDES A FULL RANGE OF COMPREHENSIVE SUPPORT PROGRAMS TO OVER 500 CHILDREN AND ADULTS WITH MENTAL RETARDATION AND MENTAL HEALTH DIAGNOSIS. SERVICES INCLUDE RESIDENTIAL, CHILDREN'S PROGRAMS, FAMILY LIVING, VOCATIONAL PROGRAMS, OLDER ADULT DAY CARE, HOME AND COMMUNITY BASED PROGRAMS, SUPPORTED LIVING/HOUSING, TRIAGE NURSING SERVICES, AND LONG TERM STRUCTURED RESIDENCES. 43198474 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 228 0 1 1383 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 1 1 0 PA X KEVIN FRIEL 4128201010 100 PASSAVANT WAY PITTSBURGH PA 15238 X DAVID CALIGUIRI 1.00 X 0 0 0 JACK WADDELL 1.00 X 0 0 0 MARY ANN BOLLAND 1.00 X 0 0 0 HAZEL SHEFFIELD 1.00 X 0 0 0 FRANK BAKER 1.00 X 0 0 0 JOSEPH O'DONNELL 1.00 X 0 0 0 LARRY VOGEL 1.00 X 0 0 0 SUSAN ABRAMOVICH 1.00 X 0 0 0 KRISTIN HARTZELL 1.00 X 0 0 0 RICK SENFT 1.00 40.00 X 0 607425 117149 PATRICK A DEMICO 1.00 40.00 X 0 358452 61926 LAWRENCE KUSHIK 1.00 40.00 X 0 164031 21754 KEVIN FRIEL 1.00 40.00 X 0 0 23048 BRENDA WYMAN 1.00 40.00 X 0 131299 21754 GREG HERSHBERGER 1.00 40.00 X 0 165825 23048 0 1427032 268679 0 0 1 0 HIGHMARK INC SUITE 1033 TEAM 1866 PITTSBURGH PA 15222 HEALTH INSURANCE 5784749 FOX ROTHSCHILD LLP 625 LIBERTY AVENUE PITTSBURGH PA 15222 LEGAL 1367449 WALMART PO BOX 530933 ATLANTA GA 30353 GROCERIES 1088229 UPMC PO BOX 371842 PITTSBURGH PA 15250 HEALTH INSURANCE 1077558 GUTTMAN OIL PO BOX 200311 PITTSBURGH PA 15251 GASOLINE 577319 24 68721 68721 REVENUE 624100 54206977 54206977 FEES 624100 1815037 1815037 56022014 1721 1721 68470 0 68470 68470 68470 11478 0 11478 11478 MANAGEMENT FEE 624100 43344 43344 161373 161373 204717 56377121 56065358 0 243042 28287919 27924837 363082 91913 87765 4148 4814183 4596921 217262 2070934 1977474 93460 6259361 100339 6159022 959040 292804 666236 251739 76858 174881 3425775 2611045 814730 390129 181831 208298 244245 39219 205026 2123844 1974209 149635 1768802 1718837 49965 944815 288461 656354 614140 413306 200834 361929 110500 251429 OPERATING EXPENSES 1298418 396419 901999 TREATMENT SERVICES 366625 366625 0 FIXED ASSETS, REPAIRS, 155975 41024 114951 54429786 43198474 11231312 0 31609 16935 116107 150547 13914230 16101482 481081 810145 26909824 14848995 12281275 12060829 1129117 1119984 206741 149869 28160160 30409791 2428601 2761381 5706 0 18009177 18966735 3672639 2373720 24116123 24101836 X 3982661 6275494 61376 32461 4044037 6307955 28160160 30409791 X 1947335 -21761 114 338230 X 0 1 X 1 1 1 X 379376 49956 109070 219187 68721 826310 35767906 38445433 43304605 43025998 56022014 216565956 36147282 38495389 43413675 43245185 56090735 217392266 0 0 0 217392266 83400 116409 96817 95434 70191 462251 83400 116409 96817 95434 70191 462251 1273596 588591 808079 1220400 204717 4095383 37504278 39200389 44318571 44561019 56365643 221949900 0.97950 0.97410 0.00210 0.00220 X 6337302 6337302 17137696 13736360 3401336 145157 145157 325301 56928 268373 2964368 1055707 1908661 12060829 DUE TO RESIDENTS 137954 OTHER ACCRUED EXPENSES 429127 ACCRUED WORKER'S COMPENSATION CLAIMS 1000000 FMV - INTEREST RATE SWAP 806639 2373720 X 56808662 86157 367145 453302 56355360 21761 21761 56377121 54515943 86157 86157 54429786 0 54429786 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE ORGANIZATION'S MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN A POSITION THAT IS UNCERTAIN. AN UNCERTAIN POSITION IS DEFINED AS ONE IN WHICH THERE IS A 50% OR GREATER LIKELIHOOD THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF JUNE 30, 2013, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE ORGANIZATION HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2009. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 338,230. NET ASSETS RELEASED FROM RESTRICTIONS 28,915. PART XI, LINE 4B - OTHER ADJUSTMENTS: UNREALIZED LOSS ON INVESTMENTS 21,761. X X X X X 0 0 0 1 1 0 1 0 0 RICK SENFT 0 500234 0 107191 0 0 0 95281 0 21868 0 724574 0 0 PATRICK A DEMICO 0 307090 0 51362 0 0 0 41082 0 20844 0 420378 0 0 LAWRENCE KUSHIK 0 152269 0 8762 0 3000 0 4886 0 16868 0 185785 0 0 GREG HERSHBERGER 0 152539 0 9900 0 3386 0 4704 0 18344 0 188873 0 0 PART I, LINE 5 THE ORGANIZATION IS INCLUDED IN THE BASE WITH OTHER ORGANIZATIONS FOR DETERMINATION OF BONUS ASSOCIATED WITH REVENUE GROWTH FOR KEY OFFICERS. THE BOARD APPROVES ANY INCENTIVE PLAN COMPENSATION AND SETS THE CRITERIA BASED ON RECOMMENDATIONS FROM A THIRD PARTY (SULLIVAN COTTER WHO RECOMMENDS PLANS FOR APPROPRIATE EXECUTIVE COMPENSATION). ALL BONUS PAYMENTS ARE PAID AND EXPENSED FROM A RELATED FOR PROFIT CORPORATION. PART I, LINE 6 ANY BONUS PAYMENTS CONTINGENT ON NET PROFITS ARE SOLELY ASSOCIATED WITH THE FOR PROFIT SUBSIDIARY, APPROVED BY THE BOARD OF DIRECTORS, AND IN LINE WITH AN EXECUTIVE COMPENSATION PLAN AS APPROVED BY THE SULLIVAN COTTER (AN INDEPENDENT THIRD PARTY). FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT SERVICES ARE PROVIDED BY PASSAVANT DEVELOPMENT CORPORATION (A FOR-PROFIT SUBSIDIARY). PRINCIPLE SERVICES PROVIDED INCLUDE ADMINISTRATIVE, FINANCIAL, AND HUMAN RESOURCES. ALL COMPENSATION FOR EMPLOYEES FOR SERVICES PROVIDED TO PASSAVANT MEMORIAL HOMES ARE COMPARED TO STATE ALLOWABLE COSTS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED PRIOR TO SUBMISSION BY THE DIRECTOR OF FINANCE, CHIEF OPERATING OFFICER AND VICE PRESIDENT. IT IS AUTHORIZED AND SIGNED BY THE CEO AND PRESIDENT. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 CEO AND COO POSITIONS ARE ANUALLY REVIEWED BY AN INDEPENDENT BOARD AND SUBJECT TO MEETING CERTAIN CRITERIA. SALARY STUDIES ARE ALSO DONE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. PASSAVANT MEMORIAL HOMES COMPENSATION AND BENEFITS AS REPORTED ON PART VII COLUMN (E) INCLUDES ALL DIRECTORS AND OFFICERS COMPENSATION AND BENEFITS FOR PASSAVANT MEMORIAL HOMES, PASSAVANT DEVELOPMENT CORPORATION, ACCESSIBLE DENTAL SERVICES, LIFE ENRICHMENT TRUST, INVIVASPAN HEALTH, PASSAVANT MEMORIAL HOMES FOUNDATION AND PASSAVANT HOUSING AND URBAN DEVELOPMENT CORPORATION. INDIVIDUAL 990'S ARE SUBMITTED FOR EACH CORPORATION. ALL DIRECTORS AND OFFICERS THAT RECEIVE COMPENSATION AND BENEFITS WORK AT LEAST 40 HOURS PER WEEK. THEIR TIME IS DIVIDED AMONG THE VARIOUS ENTITIES LISTED ABOVE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 338,230. PASSAVANT MEMORIAL HOMES SELF-INSURED WC TRUST 100 PASSAVANT WAY PITTSBURGH PA 15238 251768224 TO FUND THE WORKERS COMPENSATION TRUST PA 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT HOUSING INITIATIVES I 100 PASSAVANT WAY PITTSBURGH PA 15238 251891795 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT HOUSING INITIATIVES II 100 PASSAVANT WAY PITTSBURGH PA 15238 251891797 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT HOUSING INITIATIVES III 100 PASSAVANT WAY PITTSBURGH PA 15238 251891798 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 THE LIFE ENRICHMENT TRUST INC 100 PASSAVANT WAY PITTSBURGH PA 15238 300223116 TO LEGALLY PRESERVE ASSETS FOR DISABLED INDIVIDUALS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES I INC 100 PASSAVANT WAY PITTSBURGH PA 15238 200672805 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES II INC 100 PASSAVANT WAY PITTSBURGH PA 15238 200672875 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES III INC 100 PASSAVANT WAY PITTSBURGH PA 15238 200672915 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES V INC 100 PASSAVANT WAY PITTSBURGH PA 15238 202340470 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES VI 100 PASSAVANT WAY PITTSBURGH PA 15238 202340513 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES VII 100 PASSAVANT WAY PITTSBURGH PA 15238 208205630 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES VIII INC 100 PASSAVANT WAY PITTSBURGH PA 15238 208207234 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES IX 100 PASSAVANT WAY PITTSBURGH PA 15238 261631009 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES FOUNDATION 100 PASSAVANT WAY PITTSBURGH PA 15238 251869155 FUNDRAISING FOR OPERATIONS OF PASSAVANT MEMORIAL HOMES PA 11 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 ACCESSIBLE DENTAL SERVICES INC 100 PASSAVANT WAY PITTSBURGH PA 15238 262432726 PROVIDE DENTAL CARE FOR INDIVIDUALS WITH DISABILITIES PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES X 100 PASSAVANT WAY PITTSBURGH PA 15238 264399316 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS. PA 501 (C)(3) PASSAVANT MEMORIAL HOMES 1 PASSAVANT DEVELOPMENT CORPORATION 100 PASSAVANT WAY PITTSBURGH PA 15238 232950006 BUSINESS SERVICES PA C -270836 10014746 1.00000 0 LIFE ENRICHMENT TRUST 100 PASSAVANT WAY PITTSBURGH PA 15238 270387123 PRESERVATION OF ASSETS OF THOSE WHO HAVE DISABILITIES PA T 1.00000 0 PDC PHARMACY COLORADO INC 100 PASSAVANT WAY PITTSBURGH PA 15238 270450590 SALES OF PHARMACOLOGICALS PA C -452614 929427 1.00000 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 PASSAVANT DEVELOPMENT CORPORATION J 68470 FMV PASSAVANT DEVELOPMENT CORPORATION P 6259361 FMV PASSAVANT MEMORIAL HOMES INITIATIVE 1 Q 4128 FMV PASSAVANT MEMORIAL HOMES INITIATIVE 2 Q 4128 FMV PASSAVANT MEMORIAL HOMES INITIATIVE 3 Q 4128 FMV PASSAVANT MEMORIAL HOMES I Q 4128 FMV PASSAVANT MEMORIAL HOMES II Q 4128 FMV PASSAVANT MEMORIAL HOMES III Q 2064 FMV PASSAVANT MEMORIAL HOMES V Q 4128 FMV PASSAVANT MEMORIAL HOMES VI Q 2064 FMV PASSAVANT MEMORIAL HOMES VII Q 4128 FMV PASSAVANT MEMORIAL HOMES VIII Q 2064 FMV PASSAVANT MEMORIAL HOMES IX Q 4128 FMV PASSAVANT MEMORIAL HOMES X Q 4128 FMV