2014-11-17T07:40:56-06:00 2013-12-31 232932984 PARENTEBEARD LLC 46 PUBLIC SQUARE SUITE 400 WILKESBARRE PA 18701 990 2013-01-01 221500537 GREEN HILL INC GREE 9737312300 103 PLEASANT VALLEY WAY WEST ORANGE NJ 07052 TONI LYNN DAVIS PRESIDENT 9737312300 2014-11-12 1 JULIUS GREEN CPA P00350393 5708200100 2013 2015-11-30 17:44:51Z TONI LYNN DAVIS 103 PLEASANT VALLEY WAY WEST ORANGE NJ 07052 14730024 0 X WWW.GREEN-HILL.COM X 1866 NJ TO CARE FOR AND ASSIST THE AGED AND SHELTER THOSE WHOSE AFFLICTIONS ARE CHRONIC. 13 10 283 22 0 0 47305 40608 12989540 13850783 573098 718744 137642 119889 13747585 14730024 1065 1100 0 0 8241971 8759135 15000 0 0 7003790 7424069 15261826 16184304 -1514241 -1454280 35314003 33610265 18967319 17142656 16346684 16467609 X CONTINUING THE TRADITION OF THOSE BEFORE US, WE STRIVE TO MAINTAIN A WARM, HOME-LIKE ENVIRONMENT OFFERING SUPPORT AND ASSISTANCE TO SENIORS AND THEIR FAMILIES. OUR STAFF IS INTEGRAL TO OUR MISSION BY PROVIDING EXCELLENT SERVICE AND OFFERING QUALITY CARE, REHABILITATION, RECREATIONAL, EDUCATION, AND SOCIAL ACTIVITIES. UNDER THE DIRECTION OF OUR BOARD OF TRUSTEES, WE CONTINUE OUR NOT-FOR-PROFIT MISSION BY ENHANCING THE QUALITY OF LIFE FOR SENIORS IN A HOME-LIKE ENVIRONMENT, ENCOURAGING RESPECT AND DIGNITY FROM A CARING STAFF WHO TAKE PRIDE IN THEIR LIFE'S WORK. 0 0 13998015 1100 13850783 GREEN HILL, INC. OPERATES A RETIREMENT COMMUNITY PROVIDING HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO ELDERLY RESIDENTS. GREEN HILL IS LICENSED FOR 77 SKILLED NURSING BEDS, WHICH INCLUDES FOUR 10-BED SKILLED NURSING HOMES, KNOWN AS GREEN HOUSE HOMES. DEVELOPED IN CONCEPT BY EDEN ALTERNATIVE ORIGINATOR DR. WILLIAM THOMAS, A GREEN HOUSE HOME IS A SMALL INTENTIONAL COMMUNITY FOR A GROUP OF ELDERS AND STAFF. IT SERVES AS A PLACE WHERE ELDERS CAN RECEIVE SKILLED NURSING ASSISTANCE AND SUPPORT IN A HOME-LIKE SETTING. GREEN HILL IS ALSO LICENSED FOR 88 COMPREHENSIVE PERSONAL CARE UNITS AND 48 RESIDENTIAL HEALTHCARE UNITS. 13998015 1 1 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 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 1 60 0 1 283 1 0 0 0 0 0 0 0 0 0 0 X 13 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X TONI DAVIS 9737312300 103 PLEASANT VALLEY WAY WEST ORANGE NJ 07052 TONI LYNN DAVIS PRESIDENT 35.50 2.00 X X 194443 0 24526 PAUL O'CONNOR CHAIRMAN 1.00 0.50 X X 0 0 0 CALVIN TREVENEN VICE CHAIRMAN 1.00 0.50 X X 0 0 0 LORI BRAENDER SECRETARY 1.00 0.50 X X 0 0 0 VALERIE DEPIRO TREASURER 1.00 0.50 X X 0 0 0 CHRISTIAN BASTARDI TRUSTEE 1.00 0.50 X 0 0 0 HARRIS COHEN TRUSTEE 1.00 0.50 X 0 0 0 ELIZABETH DAVIS TRUSTEE 1.00 0.50 X 0 0 0 WALTER FARLEY TRUSTEE 1.00 0.50 X 0 0 0 LORIE GARDNER TRUSTEE 1.00 0.50 X 0 0 0 RODGER HERRIGEL TRUSTEE 1.00 0.50 X 0 0 0 A DUNCAN KIDD TRUSTEE 1.00 0.50 X 0 0 0 MARC SCUDILLO TRUSTEE 1.00 0.50 X 0 0 0 KAREN JUNG DIRECTOR OF FINANCE 35.50 2.00 X 104179 0 2546 298622 0 27072 2 0 1 0 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 DIETARY & PLANT SERVICES 1070053 SELECT REHABILITATION INC 550 FRONTAGE ROAD SUITE 2145 NORTHFIELD IL 60093 THERAPY SERVICES 508909 PAR CORPORATION INC 140 WASHINGTON STREET MORRISTOWN NJ 07960 CARPETING 243623 SELECT MEDICAL REHABILITATION SERVICES PO BOX 643920 PITTSBURGH PA 15264 THERAPY SERVICES 185232 MANHATTAN WELDING CO 1434 CHESTNUT AVENUE HILLSIDE NJ 07205 WELDING 119492 5 40608 40608 NET RESIDENT SERVICE REVENUE 623000 13614749 13614749 ADMISSION FEES 623000 229034 229034 APPLICATION FEES 623000 7000 7000 13850783 718744 718744 BEAUTY SHOP REVENUE 623000 93724 93724 MISCELLANEOUS 623000 14561 14561 FINANCE CHARGE INCOME 900099 11604 11604 119889 14730024 13850783 0 838633 1100 1100 218969 218969 6450349 5817099 633250 391543 334065 57478 1124106 995831 128275 574168 516830 57338 65833 65833 82447 82447 45504 45504 50334 50334 1132194 1066673 65521 166152 165572 580 688348 429338 259010 75999 17335 58664 637553 637553 62441 60595 1846 48940 22051 26889 366730 366730 2204796 2161548 43248 364815 182383 182432 FOOD 513999 513999 PHARMACY AND DRUG COSTS 213697 213697 PROVIDER ASSESSMENT 207944 207944 BAD DEBT EXPENSE 150002 150002 346341 279781 66560 16184304 13998015 2186289 0 870522 545976 12919 10957 1145006 1233706 218992 176605 49687053 24129160 27292905 25557893 5355002 5693657 418657 391471 35314003 33610265 1276587 1127802 266850 260100 14174194 14177816 3249688 1576938 18967319 17142656 X 14946466 15062868 4523 1400218 1400218 16346684 16467609 35314003 33610265 X -1454280 1575205 X X 0 1 X 1 0 X 471300 54854 27770 47305 40608 641837 11158190 7690371 11655376 12989540 13857471 57350948 11629490 7745225 11683146 13036845 13898079 57992785 0 0 0 57992785 85442 160134 197148 555098 718744 1716566 85442 160134 197148 555098 718744 1716566 163886 64252 117109 122322 113201 580770 11878818 7969611 11997403 13714265 14730024 60290121 0.96190 0.97030 0.02850 0.01830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 279792 279792 42075179 18974377 23100802 7329250 5154783 2174467 2832 2832 25557893 ACCRUED PENSION COST 552705 CAPITAL LEASE OBLIGATIONS 534109 DERIVATIVE FINANCIAL INSTRUMENT 189561 DUE TO AFFILIATE 300563 1576938 X 16305229 1575205 1575205 14730024 0 14730024 16184304 0 16184304 0 16184304 PART X, LINE 2: GREEN HILL AND HOME CARE ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON THEIR EXEMPT INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013. EFFECTIVE MAY 1, 2010, GREEN HILL AND HOME CARE CHANGED THEIR YEAR END FROM APRIL 30 TO DECEMBER 31. THE FEDERAL RETURSN OF ORGANIZATION EXEMPT FROM INCOME TAX FOR GREEN HILL AND HOME CARE FOR THE YEARS ENDED DECEMBER 31, 2012, DECEMBER 31, 2011, AND THE EIGHT-MONTH PERIOD ENDED DECEMBER 31, 2010 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: PENSION LIABILITY ADJUSTMENT 1,502,940. CHANGE IN FAIR VALUE OF DERIVATIVE INSTRUMENTS 72,265. X X X 0 1 0 0 0 0 0 0 0 TONI LYNN DAVIS PRESIDENT 164443 0 30000 0 0 0 2464 0 22062 0 218969 0 0 0 PART I, LINE 4B TONI LYNN DAVIS PARTICIPATED IN A 457(F) PLAN. THERE WERE NO CONTRIBUTIONS TO THE PLAN IN 2013. A NEW JERSEY ECONOMIC DEVELOPMENT AUTHORITY 222045817 645918X8N 2010-05-20 14275000 CONSTRUCTION OF FOUR GREEN HOUSE HOMES 0 0 0 A 14275000 145470 297697 542205 217560 12820498 251570 2011 0 0 1 1 A 0 0 1 1 0 0 0 0 A 0 1 0 0 1 0 0 0 0 A 0 SCHEDULE K, PART III, LINE 9: AT THE TIME OF FILING THE 2013 FORM 990, THE ORGANIZATION WAS IN THE PROCESS OF APPROVING THE WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATION SECTIONS 1.141-12 AND 1.145-2. SCHEDULE K, PART IV, LINE 7: AT THE TIME OF FILING THE 2013 FORM 990, THE ORGANIZATION WAS IN THE PROCESS OF APPROVING WRITTEN PROCEDURES TO MONITOR THE REQUIREMENTS OF SECTION 148. SCHEDULE K, PART V: AT THE TIME OF FILING THE 2013 FORM 990, THE ORGANIZATION WAS IN THE PROCESS OF APPROVING THE WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM OF SELF-REMEDIATION IF NOT AVAILABLE UNDER APPLICABLE REGULATIONS. MARC SCUDILLO BOARD MEMBER 38886 MARC SCUDILLO IS THE MANAGING OFFICER FOR EISNER AMPER, LLC. GREEN HILL, INC COMPENSATED EISNER AMPER, LLC A TOTAL OF $38,886 FOR INVESTMENT ADVISOR FEES IN 2013. 0 LORI BRAENDER BOARD MEMBER 30498 LORI BRAENDER IS A PARTNER FOR DAY PITNEY, LLP. GREEN HILL, INC. COMPENSATED DAY PITNEY, LLP $30,498 FOR LEGAL FEES IN 2013. 0 FORM 990, PART VI, SECTION B, LINE 11 THE PRESIDENT AND THE DIRECTOR OF FINANCE WILL REVIEW THE FORM 990 PRIOR TO FILING. THE FINANCE COMMITTEE WILL REVIEW THE FORM 990 AND ADVISE AND REPORT TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C EACH MEMBER COMPLETES AN ANNUAL QUESTIONNAIRE WHICH IS REVIEWED BY AN EXECUTIVE COMMITTEE. ANY RESTRICTIONS ARE DISCUSSED DURING REVIEW. THE EXECUTIVE COMMITTEE MONITORS AND ENFORCES THE POLICY BY ENSURING THAT THE QUESTIONNAIRE IS REQUIRED TO BE COMPLETED EACH YEAR. IF THERE ARE CONFLICTS, THEY ARE ADDRESSED AT THAT TIME WITH RESOLUTION ACCEPTABLE TO THE CONSENSUS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE MEETS AND REVIEWS THE PRESIDENT'S SALARY ANNUALLY IN EXECUTIVE SESSION. THE BOARD DETERMINES THE PRESIDENT'S SALARY AND UTILIZES OUTSIDE SURVEYS SUCH AS NJHA AND HCANJ TO ENSURE THAT SALARY IS AT AN ACCEPTABLE RANGE. THE EXECUTIVE COMMITTEE MEETS AND DISCUSSES ANY INCREASES AND MAKES RECOMMENDATIONS TO THE BOARD TO APPROVE. A FORM IS COMPLETED BY THE CHAIRMAN AND PUT IN THE PRESIDENT'S FILE STATING THE INCREASE, BONUS, ETC. THERE IS AN ANNUAL PROCESS FOR ADMINISTRATIVE AND MANAGEMENT POSITIONS. REGARDING OTHER SALARIES, THE BOARD UTILIZES OUTSIDE SERVICES AS WELL, AND THE PRESIDENT, ALONG WITH THE BOARD DETERMINE THEM. 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. FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT 1,502,940. CHANGE IN FAIR VALUE OF DERIVATIVE INSTRUMENTS 72,265. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY OVER THE AUDIT. THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. GREEN HILL HOME CARE INC 103 PLEASANT VALLEY WAY WEST ORANGE NJ 07052 270425491 PROVIDES SUPPORT AND ASSISTS THE AGED WHOSE AFFILICTION ARE CHRONIC NJ 501(C)(3) LINE 9 GREEN HILL INC 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 1 GREEN HILL HOME CARE INC O 35979 ACTUAL WAGES INCURRED GREEN HILL HOME CARE INC S 270161 ACTUAL TRANSFER GREEN HILL HOME CARE INC Q 68115 ACTUAL EXPENSES INCURRED GREEN HILL HOME CARE INC L 45535 ACTUAL EXPENSES INCURRED