2014-10-28T11:09:52-05:00 2014-06-30 410746749 CLIFTONLARSONALLEN LLP 610 WGERMANTOWN PIKE STE400 PLYMOUTH MEETING PA 19462 990 2013-07-01 232018005 CATHEDRAL VILLAGE CATH 2154871300 600 EAST CATHEDRAL ROAD PHILADELPHIA PA 19128 DENNIS KOZA CEO/PRESIDENT 2154871300 2014-10-24 1 BERNADETTE O'TOOLE CPA P00229258 2156433900 2013 2015-11-30 17:44:51Z DENNIS KOZA 600 EAST CATHEDRAL ROAD PHILADELPHIA PA 19128 26079950 0 X WWW.CATHEDRALVILLAGE.COM X 1976 PA OPERATION OF A CONTINUING CARE RETIREMENT COMMUNITY IN ACCORDANCE WITH OUR TAX EXEMPT CHARTER 14 13 296 127 0 0 241277 592629 23076091 22658984 641757 559910 585279 538306 24544404 24349829 0 0 0 0 10273678 9965223 0 0 0 13183803 14310068 23457481 24275291 1086923 74538 49882011 53973058 37292496 39737672 12589515 14235386 X CATHEDRAL VILLAGE WAS FOUNDED WITH THE SUPPORT OF THE EPISCOPAL DIOCESE OF PENNSYLVANIA AS AN INDEPENDENT, NONPROFIT, NONSECTARIAN CONTINUING CARE RETIREMENT COMMUNITY, COMMITTED TO PROMOTING THE QUALITY OF LIFE FOR EACH RESIDENT. OUR AIM IS TO ENCOURAGE MAXIMUM INDEPENDENCE; ENHANCEMENT OF DIGNITY; FINANCIAL SECURITY; PERSONAL CHOICE; AND OPTIMAL PHYSICAL, PSYCHOLOGICAL AND SOCIAL WELL-BEING OF THE INDIVIDUAL. AN INTEGRAL PART OF EACH RESIDENT'S LIFE IS HIS/HER FAMILY, IMMEDIATE OR EXTENDED. CATHEDRAL VILLAGE ENCOURAGES THE INVOLVEMENT OF FAMILIES AND SURROGATES IN THE PROMOTION OR RESIDENT INDEPENDENCE AND DIGNITY, AND SEEKS OPEN AND CONSTRUCTIVE COMMUNICATION WITH THE FAMILIES AND SURROGATES. EACH RESIDENT HAS THE RESPONSIBILITY TO RESPECT THE RIGHTS OF OTHER RESIDENTS AND OF THE STAFF. CATHEDRAL VILLAGE CONSIDERS THE STAFF TO BE AN INTEGRAL PART OF THE COMMUNITY THAT IS ESSENTIAL TO ACHIEVING THE COMMUNITY'S GOALS. 0 0 20156789 22658984 CV IS A CCRC THAT PROVIDES HOUSING, HEALTHCARE AND OTHER RELATED SERVICES TO RESIDENTS UNDER OPERATION OF A RETIREMENT FACILITY CONTAINING 293 APARTMENTS AND A 133 SKILLED NURSING FACILITY LOCATED IN PHILADELPHIA, PENNSYLVANIA. 20156789 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 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 1 0 0 0 0 0 0 0 0 0 1 75 0 296 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X CATHERINE CHAN-NG EXECUTIVE VP & CFO 2154871300 600 EAST CATHEDRAL ROAD PHILADELPHIA PA 19128 WILLIAM SCOTT CHAIRMAN 5.00 0.00 X X 0 0 0 WILLIAM COBB VICE CHAIRMAN 1.00 0.00 X X 0 0 0 EDWIN SHEFFIELD ASSISTANT SECRETARY 1.00 0.00 X X 0 0 0 KARL FRITTON ESQ TREASURER 1.00 0.00 X X 0 0 0 RICHARD HARTMANN ESQ SECRETARY 1.00 0.00 X X 0 0 0 JUDITH BORIE BOARD MEMBER 3.00 0.00 X 0 0 0 JOHN BOWER JR BOARD MEMBER 1.00 0.00 X 0 0 0 LEE DOTY ESQ BOARD MEMBER 1.00 0.00 X 0 0 0 PETER WILMERDING BOARD MEMBER 1.00 0.00 X 0 0 0 DENNIS KOZA PRESIDENT/CEO 37.50 0.00 X X 225850 0 20692 JENNIFER SHROPSHIRE BOARD MEMBER 1.00 0.00 X 0 0 0 ELIZABETH GEMMILL ESQ BOARD MEMBER 1.00 0.00 X 0 0 0 RICHARD SCHAPHORST BOARD MEMBER 1.00 0.00 X 0 0 0 EMILY STARR BOARD MEMBER 1.00 0.00 X 0 0 0 ALEXIS THIELENS BOARD MEMBER 1.00 0.00 X 0 0 0 SONYA DRISCOLL BOARD MEMBER 1.00 0.00 X 0 0 0 JUDITH HERNAN BOARD MEMBER 1.00 0.00 X 0 0 0 CATHERINE CHAN-NG EXECUTIVE VICE PRESIDENT/CFO 37.50 0.00 X 153766 0 10998 379616 0 31690 2 0 1 0 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES 4221071 HAVERSTICK-BORTHWICK 400 STENTON AVE PLYMOUTH MEETING PA 19462 CONSTRUCTION 2010967 WILDONGER JOSEPH 3217 AMBLER STREET PHILADELPHIA PA 19134 CONSTRUCTION 515738 AEGIS THERAPIES PO BOX 8103 FORT SMITH AR 72902 THERAPY 471290 DERO CONSTRUCTION MASSIMO DEROBERTIS 4 CAROL LANE MALVERN PA 19355 APARTMENT RENOVATION 468463 17 592629 592629 RESIDENT & MEDICAL SERVICES 623000 19265627 19265627 ENTRANCE FEE AMORTIZATION 623000 3393357 3393357 22658984 272130 272130 57403 0 57403 57403 57403 2017901 1730121 287780 287780 287780 COMPANION SERVICES 812900 250789 250789 FOOD SERVICE 722210 183381 183381 46733 46733 480903 24349829 22658984 0 1098216 X 406203 406203 7621826 6478552 1143274 105235 89450 15785 1235772 1050406 185366 596187 506759 89428 6606 6606 74750 74750 73863 73863 5677191 4825612 851579 180605 153514 27091 609540 518109 91431 1266318 1076370 189948 920 782 138 69515 59088 10427 553143 470172 82971 3399969 2889974 509995 343648 292101 51547 OTHER MEDICAL 571618 485875 85743 EQUIPMENT MAINTENANCE & 541274 460083 81191 PHARMACY 329448 280031 49417 BAD DEBT EXPENSE 246142 209221 36921 365518 310690 54828 24275291 20156789 4118502 0 1793009 624105 1324387 1290149 1055121 1225070 158497 171613 256777 255665 64394639 30175537 30869444 34219102 13665470 15518170 759306 669184 49882011 53973058 3313123 3865535 20364330 20279311 13615043 15592826 37292496 39737672 X 2087407 1992474 8208288 9723047 2293820 2519865 12589515 14235386 49882011 53973058 74538 1571333 0 X 0 1 X 1 0 X 109902 420085 262856 241277 592629 1626749 26025795 26450547 27003869 23076091 22658984 125215286 26135697 26870632 27266725 23317368 23251613 126842035 0 0 0 126842035 349660 295645 247463 282886 272130 1447784 349660 295645 247463 282886 272130 1447784 595299 628678 604370 585279 538306 2951932 27080656 27794955 28118558 24185533 24062049 131241751 0.96650 0.96530 0.01100 0.01200 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: FOOD SERVICE COMPANION CARE GUEST HOUSE ALL OTHER REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12812566 1474775 2140938 910109 15518170 12852211 6784051 1364893 8188589 12812566 14650729 966499 84477 2849494 12852211 15657872 2279073 2640005 5926221 14650729 15204210 103323 1050752 700413 15657872 0.25000 0.16000 0.59000 0 0 1887133 1887133 21583710 11937193 9646517 36108905 15682192 20426713 4597124 2470211 2126913 217767 85941 131826 34219102 X 25847299 1571333 1571333 24275966 73863 73863 24349829 24201428 0 24201428 73863 73863 24275291 PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED FOR DONOR SPECIFIED, BOND FINANCING OR BOARD DESIGNATED PURPOSES SUCH AS CAPITAL EXPANSION, FINANCIAL AID TO RESIDENTS, ETC. PART X, LINE 2: CATHEDRAL VILLAGE HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. CATHEDRAL VILLAGE 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 THE FINANCIAL STATEMENTS OF CATHEDRAL VILLAGE. CATHEDRAL VILLAGE'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE TAX RETURNS FOR THE YEARS 2011 TO 2013 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. X 0 0 X X X X 0 0 0 0 0 0 0 0 0 DENNIS KOZA PRESIDENT/CEO 225850 0 0 0 0 0 11526 0 9166 0 246542 0 0 0 CATHERINE CHAN-NG EXECUTIVE VICE PRESIDENT/CFO 153766 0 0 0 0 0 9260 0 1738 0 164764 0 0 0 PART I, LINE 1B CATHEDRAL VILLAGE PROVIDES AN EXPENSE ALLOWANCE OF $300 EVERY PAY PERIOD (TWO WEEKS) TO DENNIS KOZA, CURRENT PRESIDENT AND CHIEF EXECUTIVE OFFICER. THIS ALLOWANCE IS INCLUDED AS TAXABLE INCOME. A PHILADELPHIA AUTHORITY FOR INDUSTRIAL DEVELOPMENT 232237287 717818L30 2003-04-22 10849424 SEE PART VI 0 0 0 B PHILADELPHIA AUTHORITY FOR INDUSTRIAL DEVELOPMENT 222237287 2011-05-17 5000000 SEE PART VI 0 0 0 C PHILADELPHIA AUTHORITY FOR INDUSTRIAL DEVELOPMENT 222237287 7178188K7 2013-06-11 9413768 SEE PART VI 0 0 0 A 10199424 10849424 68949 216988 9837311 2004 0 0 1 1 B 3683113 5000000 50000 4950000 2011 1 0 1 1 C 9789 9413768 729059 188275 8496493 2014 0 0 1 1 A 0 0 0 0 1 0 1 A 0 0 1 1 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: PHILADELPHIA AUTHORITY FOR INDUSTRIAL DEVELOPMENT DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2013 PART I, LINE A, COLUMN F THE PROCEEDS OF THE 2003 BONDS WERE USED TO FINANCE CERTAIN CAPITAL ADDITIONS AND RENOVATIONS TO THE FACILITIES AND TO FINANCE THE ACQUISTION OF 0.9 ACRES FO LAND ADJACENT TO THE FACILITIES. PART I, LINE B, COLUMN F THE PROCEEDS OF THE 2011 BOND WERE USED TO RETIRE ALL THE OUTSTANDING 1998 BONDS WHICH WERE USED TO REFINANCE THE 1990 AND 1993 BONDS. BOTH THE 1990 AND 1993 BONDS WERE USED TO FINANCE CERTAIN CAPITAL ADDITIONS AND RENOVATIONS TO THE FACILITIES. PART I, LINE C, COLUMN F THE PROCEEDS OF THE 2013 BONDS WERE USED TO PARTIALLY REFUND THE 2003 BONDS. HAVERSTICK-BORTHWICK WILLIAM COBB, BOARD MEMBER, IS PRESIDENT AT THE CONSTRUCTION COMPANY 3001835 CONSTRUCTION RENOVATIONS 0 FORM 990, PART VI, SECTION A, LINE 6 THE EPISCOPAL DIOCESE OF PENNSYLVANIA IS THE SOLE MEMBER OF CATHEDRAL VILLAGE. FORM 990, PART VI, SECTION A, LINE 7A CATHEDRAL VILLAGE NOMINATES MEMBERS OF OUR GOVERNING BODY AND THE EPISCOPAL DIOCESE HAS APPROVAL RIGHTS OF THE MEMBERS OF OUR GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY MANAGEMENT AND REVIEWED BY CLIFTONLARSONALLEN. IT IS PRESENTED TO THE FINANCE COMMITTEE AND DISTRIBUTED TO THE BOARD MEMBERS ON OCTOBER 15, 2014 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY, AS PART OF THE EMPLOYEE HANDBOOK, IS GIVEN TO ALL NEW EMPLOYEES WHEN THEY ARE HIRED. THE EMPLOYEES ARE REQUIRED TO SIGN A STATEMENT ACKNOWLEDGING THEIR RESPONSIBILITY TO BECOME ACQUAINTED WITH THE RULES AND REGULATIONS OF CATHEDRAL VILLAGE. ALL EMPLOYEES ARE EXPECTED TO ACT IN GOOD FAITH FOR THE BEST INTEREST OF CATHEDRAL VILLAGE AT ALL TIMES. ALL BOARD MEMBERS AND MANAGEMENT STAFF ARE REQUIRED TO FILE A CONFLICT OF INTEREST STATEMENT ANNUALLY WHEREBY BUSINESS RELATIONSHIPS ARE DISCLOSED. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE PRESIDENT IS DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. THE COMMITTEE MEETS ANNUALLY TO REVIEW THE PERFORMANCE OF THE PRESIDENT AND TO SET GOALS FOR THE NEXT YEAR. THE COMPENSATION OF ALL OTHER OFFICERS AND STAFF ARE DETERMINED GENERALLY BY THE BUDGET PROCESS. SPECIAL CONSIDERATION AND INCENTIVE COMPENSATION ARE APPROVED BY THE PRESIDENT AND EXECUTIVE VICE PRESIDENT BASED UPON THE OPERATING CHALLENGES AND ACHIEVEMENTS DURING THE YEAR. FORM 990, PART VI, SECTION C, LINE 19 ALL PUBLIC DOCUMENTS SUCH AS ARTICLES OF INCORPORATION, CORPORATE BYLAWS, CONFLICT OF INTEREST POLICY, ANNUAL DISCLOSURE STATEMENTS AND ALL PUBLIC DOCUMENTS SUCH AS ARTICLES OF INCORPORATION, CORPORATE BYLAWS, CONFLICT OF INTEREST POLICY, ANNUAL DISCLOSURE STATEMENTS AND FINANCIAL STATEMENTS ETC ARE AVAILABLE BY WRITTEN REQUEST TO CATHEDRAL VILLAGE, 600 E CATHEDRAL RD, PHILA., PA 19128. ATTN: CATHERINE CHAN-NG. FORM 990, PART IX, LINE 11G DINING CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 3,591,675. MANAGEMENT AND GENERAL EXPENSES 633,825. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,225,500. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,233,937. MANAGEMENT AND GENERAL EXPENSES 217,754. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,451,691.