QUARRYVILLE PRESBYTERIAN RETIREMENT COMMUNITY: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
QUARRYVILLE PRESBYTERIAN RETIREMENT COMMUNITY (EIN 23-1314352)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-12
IRS object ID
201431329349301833
Schema version
2012v2.1
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)
Timestamp2014-05-12T10:56:29-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN232932984EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PARENTEBEARD LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11650 MARKET STREET STE 4500AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code191037341ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN231314352EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1QUARRYVILLE PRESBYTERIAN RETIREMENT COMMUNITYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlQUARNameControl
Phone7177867321Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 ROBERT FULTON HIGHWAYAddressLine1
CityQUARRYVILLECity
StatePAState
ZIP Code175661400ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDIANE E ASTONName
TitleCFOTitle
Phone7177867321Phone
Date Signed2014-05-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJULIUS C GREEN CPA JDName
PTINP00350393PTIN
Phone2159720701Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT B HAYWARD JRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1625 ROBERT FULTON HIGHWAYAddressLine1
CityQUARRYVILLECity
StatePAState
ZIP Code175661400ZIPCode
FieldValueIRS element (for citing)
Gross Receipts37516640GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.QUARRYVILLE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1948YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE FOR THE SPIRITUAL, PHYSICAL, EMOTIONAL, AND SOCIAL NEEDS OF OUR RESIDENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees483TotalNbrEmployees
Total Nbr Volunteers171TotalNbrVolunteers
Total Gross UBI183825TotalGrossUBI
Net Unrelated Business Txbl Income-23969NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year62715ContributionsGrantsPriorYear
Contributions Grants Current Year55105ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20782715ProgramServiceRevenuePriorYear
Program Service Revenue CY22352813ProgramServiceRevenueCY
Investment Income Prior Year379240InvestmentIncomePriorYear
Investment Income Current Year1331645InvestmentIncomeCurrentYear
Other Revenue Prior Year238354OtherRevenuePriorYear
Other Revenue Current Year215736OtherRevenueCurrentYear
Total Revenue Prior Year21463024TotalRevenuePriorYear
Total Revenue Current Year23955299TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year327891GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY178926GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11033689SalariesEtcPriorYear
Salaries Etc Current Year11729940SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8423675OtherExpensePriorYear
Other Expenses Current Year9001760OtherExpensesCurrentYear
Total Expenses Prior Year19785255TotalExpensesPriorYear
Total Expenses Current Year20910626TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1677769RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3044673RevenuesLessExpensesCY
Total Assets BOY52898378TotalAssetsBOY
Total Assets EOY52095954TotalAssetsEOY
Total Liabilities BOY44411391TotalLiabilitiesBOY
Total Liabilities EOY39559704TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8486987NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12536250NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE FOR THE SPIRITUAL, PHYSICAL, EMOTIONAL, AND SOCIAL NEEDS OF OUR RESIDENTS THROUGH HIGH-QUALITY FACILITIES, SERVICES, AND PERSONAL CARE IN A MANNER FAITHFUL TO THE BIBLE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9601034Expense
Grants0Grants
Revenue11643046Revenue
DescriptionOUR GOAL AT QV IS TO PROVIDE FOR THE SPIRITUAL, PHYSICAL, EMOTIONAL, AND SOCIAL NEEDS OF OUR RESIDENTS THROUGH HIGH-QUALITY FACILITIES, SERVICES, AND PERSONAL CARE IN A MANNER FAITHFUL TO THE BIBLE AND HONORING OUR LORD, JESUS CHRIST. IN OUR SKILLED CARE CENTER WE PROVIDE SUPERB MEDICAL STAFF, BACKED BY CAREFULLY TRAINED CAREGIVERS AND REHABILITATION THERAPISTS, WHO ARE READY TO SERVE OUR RESIDENTS. FOR THOSE WHO NEED MEMORY CARE SUPPORT, WE OFFER SECURE RESIDENCES, STAFFED BY DEMENTIA-CERTIFIED, LICENSED TEAMS.DURING THE FISCAL YEAR, 261 INDIVIDUALS WERE SERVED. AS OF 6/30/2013 THERE WERE 104 RESIDENTS RECEIVING SKILLED CARE SERVICES AND WE PROVIDED $1,956,930 WORTH OF UNREIMBURSED CARE TO MEDICAL ASSISTANCE RESIDENTS AS PART OF OUR CHARITABLE MISSION. 171 VOLUNTEERS FROM THROUGHOUT OUR COMMUNITY PROVIDED 10,460 HOURS OF TIME TOWARD THE CARE AND COMFORT OF OUR RESIDENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5486811Expense
Grants6350Grants
Revenue6529472Revenue
DescriptionAT QV OUR INDEPENDENT LIVING RESIDENTS CAN SET ASIDE THE WORLDLY CARES OF MAINTAINING A HOUSE WHILE LIVING IN THE SECURITY OF A RESPECTED CONTINUING CARE RETIREMENT COMMUNITY. THERE ARE ALL THE CLUBS, ACTIVITIES, SPIRITUAL, AND LEARNING OPPORTUNITIES A RESDIENT COULD WANT ALONG WITH ALL THE CONVENIENCES OF A SMALL TOWN. IN ADDITION, RESIDENTS HAVE THE SECURITY OF KNOWING THERAPIES, PERSONAL CARE, AND SKILLED CARE ARE AVAILABLE IF NEEDED. QV HAS EMBARKED ON A MAJOR EXPANSION, ADDING NEW COTTAGES AND A NEW COMMUNITY CENTER WITH A SWIMMING POOL.DURING THE FISCAL YEAR, 221 INDIVIDUALS WERE SERVED. AS OF 6/30/2013 THERE WERE 197 RESIDENTS OCCUPYING RESIDENTIAL APARTMENTS AND COTTAGES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3204427Expense
Grants172576Grants
Revenue4180295Revenue
DescriptionIN OUR PERSONAL CARE CENTER QV PROVIDES ASSISTANCE WITH THE TASKS OF DAILY LIVING UNDER THE 24 HOUR SUPERVISION OF A LICENSED PRACTICAL NURSE. IN ADDITION, THERE ARE SOCIAL AND RECREATIONAL EVENTS, WELLNESS, SPIRITUAL, AND EDUCATIONAL PROGRAMS AVAILABLE AND WE OFFER OUR RESIDENTS THE CONVENIENCE OF A BEAUTY SHOP, CONVENIENCE STORE, BANK, TRANSPORTATION SERVICES, AND GUEST ROOMS FOR FAMILIES, ALL WITHIN OUR CAMPUS. OUR GOAL IS TO HELP EACH RESIDENT LIVE AS INDEPENDENTLY AS POSSIBLE. FOR THOSE WHO NEED MEMORY CARE SUPPORT, WE OFFER SECURE RESIDENCES, STAFFED BY DEMENTIA-CERTIFED, LICENSED TEAMS.DURING THE FISCAL YEAR, 107 INDIVIDUALS WERE SERVED. AS OF 6/30/2013, THERE WERE 67 RESIDENTS OCCUPYING PERSONAL CARE APARTMENTS. DIACONAL SUPPORT IS PROVIDED TO RESIDENTS WHO HAVE DEMONSTRATED THE INABILITY TO PAY AND ARE NOT ELIGIBLE FOR THIRD-PARTY REIMBURSEMENT. CERTAIN RESIDENTS QUALIFY FOR CHARITY CARE UPON ADMISSION OR WHEN THEIR FINANCIAL RESOURCES ARE DEPLETED. BECAUSE THE ORGANIZATION PROVIDES DIACONAL SUPPORT TO RESIDENTS WHO ARE UNABLE TO PAY FOR THESE SERVICES IT IS REPORTED AS A REDUCTION OF REVENUE. DIACONAL SUPPORT AMOUNTED TO $178,926 IN 2013 AND $327,891 IN 2012.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionADDITIONAL BENEVOLENT CARE CONSISTS OF CONTRACT ALLOWANCES RELATED TO MEDICAL ASSISTANCE, MEDICARE, AND SUPPLEMENTAL SECURITY INCOME PROGRAMS OF $2,344,495 IN 2013 AND $1,973,637 IN 2012.Description
FieldValueIRS element (for citing)
Total Program Service Expense18292272TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096230NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees483NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDIANE E ASTON CFONamePerson
Telephone Number7177867321TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1625 ROBERT FULTON HIGHWAYAddressLine1
CityQUARRYVILLECity
StatePAState
ZIP Code175661400ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
BRUCE PETERS
CHAIRMAN1.00XX000
DR GUY RICHARDSON
VICE-CHAIRMAN1.00XX000
DR CHARLES HARTZEL
SECRETARY1.00XX000
DR BRUCE FIOL
BOARD MEMBER1.00X000
MARK VAN GILST
BOARD MEMBER1.00X000
DR WILLIAM GRAYBILL
BOARD MEMBER1.00X000
GEORGE MACKENZIE
BOARD MEMBER1.00X000
THOMAS HARR
BOARD MEMBER1.00X000
DR DAVID WESTON
BOARD MEMBER1.00X000
ROBERT HAYWARD JR
PRESIDENT, CEO40.00XX197319033327
DRGUY WEBSTER
BOARD MEMBER1.00X000
JONATHAN SNELLER
BOARD MEMBER1.00X000
DIANE ASTON
CFO40.00X120379026898
STEVE PHILLIPS
CHAPLAIN40.00X87798013921
FieldValueIRS element (for citing)
Total Reportable Comp From Org405496TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation74146TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BK CAMPBELL ENTERPRISES INC
1771 LIMESTONE ROADCOCHRANVILLEPA19330BUILDING CONTRACTORS954147
SELECT REHABILITATION INC
PO BOX 809056CHICAGOIL60680THERAPY SERVICES487742
WOHLSEN CONSTRUCTION COMPANY
PO BOX 4612LANCASTERPA17604RENOVATIONS CONTRACTOR191691
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions55105AllOtherContributions
Noncash Contributions431NoncashContributions
Total Contributions55105TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
SKILLED CARE SERVICES6230001164304611602638$40,408
RESIDENTIAL LIVING SERVICES62300065294725267435$1,262,037
PERSONAL CARE SERVICES62300041802954180295
FieldValueIRS element (for citing)
Total Program Service Revenue22352813TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column334427TotalRevenueColumn
Exclusion$334,427ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real76587Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real47064Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real29523Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column29523TotalRevenueColumn
Exclusion$29,523ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities14482232Securities
Other27631Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities13500145Securities
Other12500Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities982087Securities
Other15131Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column997218TotalRevenueColumn
Unrelated Business Revenue6286UnrelatedBusinessRevenue
Exclusion$990,932ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events2411GrossIncomeFundraisingEvents
Fundraising Direct Expenses1632FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column779TotalRevenueColumn
Exclusion$779ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
FARM OPERATION110000177539177539
OTHER INCOME9000995625$5,625
POSTAGE INCOME9000992270$2,270
FieldValueIRS element (for citing)
Total Other Revenue185434TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column23955299TotalRevenueColumn
Related Or Exempt Function Income21050368RelatedOrExemptFunctionIncome
Unrelated Business Revenue183825UnrelatedBusinessRevenue
Exclusion$2,666,001ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total178926Total
Program Services178926ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total500271Total
Program Services109535ProgramServices
Management And General390736ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8434482Total
Program Services7795822ProgramServices
Management And General638660ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total318652Total
Program Services59177ProgramServices
Management And General259475ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1811761Total
Program Services1699965ProgramServices
Management And General111796ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total664774Total
Program Services601117ProgramServices
Management And General63657ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total34147Total
Management And General34147ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total88625Total
Program Services8637ProgramServices
Management And General79988ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total1136Total
Program Services1136ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total84997Total
Management And General84997ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1353635Total
Program Services1203825ProgramServices
Management And General149810ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total246451Total
Program Services246451ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2281990Total
Program Services2099049ProgramServices
Management And General182941ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total31089Total
Management And General31089ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1466257Total
Program Services1461914ProgramServices
Management And General4343ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total33735Total
Program Services30308ProgramServices
Management And General3427ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total15271Total
Program Services7814ProgramServices
Management And General7457ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total130790Total
Program Services130790ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2391035Total
Program Services2154681ProgramServices
Management And General236354ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total89730Total
Program Services68282ProgramServices
Management And General21448ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NH ASSESSMENT TAX341327341327
OTHER OPERATIONAL EXPEN22303093516129514
FARM EXPENSES183115183115
BOOK EDITING EXPENSE54005400

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20910626Total
Program Services18292272ProgramServices
Management And General2618354ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY155084BOY
EOY5832EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2782872BOY
EOY2372743EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2028158BOY
EOY2440602EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY512317BOY
EOY425173EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis77245363LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec40151439LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY37087331BOY
EOY37093924EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10094236BOY
EOY9529122EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY59906BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY119243BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY59231BOY
EOY228558EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY52898378BOY
EOY52095954EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2478680BOY
EOY2409196EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY8919996BOY
EOY9634655EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY12920000BOY
EOY12460000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY52135BOY
EOY39275EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1131171BOY
EOY354189EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY18909409BOY
EOY14662389EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY44411391BOY
EOY39559704EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8454765BOY
EOY12504130EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY22222BOY
EOY22120EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10000BOY
EOY10000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8486987BOY
EOY12536250EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY52898378BOY
EOY52095954EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3044673ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-743157ReconciliationUnrealizedInvest
Reconcilation Other Changes1747747ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24936CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years269946CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years49371CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62715CurrentTaxYearMinus1Year
Current Tax Year55105CurrentTaxYear
Total462073Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17141547CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17591572CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19900151CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19517922CurrentTaxYearMinus1Year
Current Tax Year21050368CurrentTaxYear
Total95201560Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1311084CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1281878CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1265468CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1264793CurrentTaxYearMinus1Year
Current Tax Year1302445CurrentTaxYear
Total6425668Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18477567CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19143396CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21214990CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20845430CurrentTaxYearMinus1Year
Current Tax Year22407918CurrentTaxYear
Total102089301Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24020CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1610CurrentTaxYearMinus1Year
Current Tax Year4081CurrentTaxYear
Total44711Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24020CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1610CurrentTaxYearMinus1Year
Current Tax Year4081CurrentTaxYear
Total44711Total
FieldValueIRS element (for citing)
Public Support Total509102044590PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years678561CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years497579CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years414667CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year414632CurrentTaxYearMinus1Year
Current Tax Year411014CurrentTaxYear
Total2416453Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years678561CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years497579CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years414667CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year414632CurrentTaxYearMinus1Year
Current Tax Year411014CurrentTaxYear
Total2416453Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2386CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years200890CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year219929CurrentTaxYearMinus1Year
Total423205Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years71744CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years282943CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7330CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7678CurrentTaxYearMinus1Year
Current Tax Year7895CurrentTaxYear
Total377590Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19230258CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19923918CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21837877CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21487669CurrentTaxYearMinus1Year
Current Tax Year22826827CurrentTaxYear
Total105306549Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96900PublicSupportPercentage509
Prior Year Support Percentage0.96130PriorYearSupportPercentage
Investment Income Percentage0.02290InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02830PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2008 AMOUNT: $ 71,744. 2009 AMOUNT: $ 282,943. 2010 AMOUNT: $ 7,330. 2011 AMOUNT: $ 7,678. 2012 AMOUNT: $ 7,895.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$1,136OtherActivitiesAmount
Total Lobbying Expenditures IIB1136TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE ORGANIZATION PAYS DUES TO A MEMBER ORGANIZATION DEDICATED TO ISSUES INVOLVING CONTINUING CARE FACILITIES AND HELP AND SUPPORT FOR THE ELDERLY. THE PERCENTAGE OF DUES DEDICATED TO LOBBYING IS 5.9%. THE ORGANIZATION PAID $19,365 IN DUES FOR A TOTAL OF $1,136 DUES ALLOCATED TO LOBBYING.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance12388BeginningOfYearBalance
Investment Earnings Or Losses-102InvestmentEarningsOrLosses
End Of Year Balance12286EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance12387BeginningOfYearBalance
Investment Earnings Or Losses1InvestmentEarningsOrLosses
End Of Year Balance12388EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance12360BeginningOfYearBalance
Investment Earnings Or Losses27InvestmentEarningsOrLosses
End Of Year Balance12387EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance12334BeginningOfYearBalance
Investment Earnings Or Losses26InvestmentEarningsOrLosses
End Of Year Balance12360EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance12235BeginningOfYearBalance
Investment Earnings Or Losses99InvestmentEarningsOrLosses
End Of Year Balance12334EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.81400PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.18600TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis14906InvestmentCostOrOtherBasis
Other Cost Or Other Basis975390OtherCostOrOtherBasis
Book Value990296BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis439859InvestmentCostOrOtherBasis
Other Cost Or Other Basis33096036OtherCostOrOtherBasis
Depreciation16160270Depreciation
Book Value17375625BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis16225InvestmentCostOrOtherBasis
Other Cost Or Other Basis11648552OtherCostOrOtherBasis
Depreciation8357281Depreciation
Book Value3307496BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis224557InvestmentCostOrOtherBasis
Other Cost Or Other Basis30829838OtherCostOrOtherBasis
Depreciation15633888Depreciation
Book Value15420507BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings37093924TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
LIABILITIES TO RESIDENTS$7,977,429
ACCRUED PENSION LIABILITY$5,783,453
LINE OF CREDIT$901,507
FieldValueIRS element (for citing)
Total Of Amounts14662389TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt24829659TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-743157NetUnrealizedGainsInvestments
Other Revenues1568821OtherRevenues
Revenue Not Rptd F990825664RevenueNotRptdF990
Revenue Subtotal24003995RevenueSubtotal
Other Revenues Not Included-48696OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-48696RevenueNotRptdOnFinStmt
Total Revenue Per Form99023955299TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20780396TotExpensesEtcAuditedFinclStmt
Other Expenses Included48696OtherExpensesIncluded
Expenses Not Rptd F99048696ExpensesNotRptdF990
Expenses Subtotal20731700ExpensesSubtotal
Other Expenses Not Included178926OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt178926ExpensesNotRptdOnFinStmt
Total Expenses Per Form99020910626TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:THE FUNDS HELD BELONG TO RESIDENTS WHO ARE NOT ABLE TO MANAGE THEIR OWN FINANCES. THE FUNDS ARE USED TO PAY FOR SERVICES THE ORGANIZATION PROVIDES AND ALSO TO PROVIDE THE RESIDENT WITH FUNDS FOR THEIR OWN PERSONAL NEEDS. THE RESIDENT CAN REQUEST A PAYMENT FROM THE ACCOUNT BY COMPLETING A CHECK REQUEST FORM OR CAN OBTAIN CASH BY COMPLETING A PETTY CASH VOUCHER. THE RESIDENTS RECEIVE A MONTHLY STATEMENT SHOWING THE ACCOUNT ACTIVITY AND BALANCE.
PART V, LINE 4:ENDOWMENTS FUNDS ARE USED FOR NURSING SCHOLARSHIPS.DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:
PART X, LINE 2:THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING 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 HAS DETERMINED THAT THERE WERE NO MATERIAL TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 AND 2012. THE ORGANIZATION'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2012, 2011, AND 2010 REMAIN SUBJECT TO EXAMINATION BY THE APPROPRIATE TAXING AUTHORITIES.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
DIACONAL SUPPORT -178,926. MINIMUM PENSION LIABILITY ADJUSTMENT 1,747,747.PART XI, LINE 2D - OTHER ADJUSTMENTS:
FUNDRAISING EXPENSES -1,632. RENTAL EXPENSES -47,064.PART XI, LINE 4B - OTHER ADJUSTMENTS:
RENTAL EXPENSES 47,064. FUNDRAISING EXPENSES 1,632.PART XII, LINE 2D - OTHER ADJUSTMENTS:
DIACONAL SUPPORT 178,926.PART XII, LINE 4B - OTHER ADJUSTMENTS:

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantCHARITY CARE IS PROVIDED TO RESIDENTS OF QPRC WHO HAVE RUN OUT OF MONEY.TypeOfGrant
Number Of Recipients15NumberOfRecipients
Amount Of Cash Grant0AmountOfCashGrant
Amount Of Non Cash Assistance178926AmountOfNonCashAssistance
Method Of ValuationDIFFERENCE BETWEEN AMOUNT CHARGED AND AMOUNT RECEIVED AS PAYMENTMethodOfValuation
Description Of Non Cash AssistanceWRITE OFF OF AMOUNTS DUE TO QPRC FOR SERVICES RENDERED TO RESIDENTS WHO HAVE BEEN APPROVED FOR CHARITY CARE.DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: DIACONAL SUPPORT IS PROVIDED TO RESIDENTS WHO HAVE DEMONSTRATED THEIR INABILITY TO PAY VIA A FINANCIAL ASSISTANCE APPLICATION, AND ARE NOT ELIGIBLE FOR THIRD-PARTY REIMBURSEMENT. CERTAIN RESIDENTS QUALIFY FOR CHARITY CARE UPON ADMISSION OR WHEN THEIR FINANCIAL RESOURCES ARE DEPLETED. PERSONAL SPENDING FOR THOSE WHO QUALIFY IS MONITORED AND SERVICES PROVIDED BY QPRC ABOVE THEIR MONTHLY INCOME ARE WRITTEN OFF AS CHARITY CARE. BECAUSE THE ORGANIZATION PROVIDES CHARITY ASSISTANCE TO RESIDENTS WHO ARE UNABLE TO PAY FOR THESE SERVICES, IT IS REPORTED AS AN EXPENSE (990 PART IX, LINE 2) UNDER ASSISTANCE TO INDIVIDUALS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonROBERT HAYWARD JRNamePerson
TitlePRESIDENT, CEOTitle
Base Compensation Filing Org182543BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org13000BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org1776OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org5050DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org28277NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org230646TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATHE CHAPLAIN IS PROVIDED HOUSING, INCLUDING UTILITIES, FREE OF CHARGE. THE ORGANIZATION CONFORMS TO THE NON-TAXABLE HOUSING ALLOWANCE GUIDELINES PER THE IRS' RULES AND REGULATIONS. NOTE THAT WHILE THE HOUSING IS NOT TAXABLE FOR FEDERAL TAX PURPOSES, IT IS FOR MEDICARE AND AS SUCH IS INCLUDED IN THE CHAPLAIN'S BOX 5, W-2 BASE COMPENSATION REPORTING. THE VALUE OF THE HOUSING ALLOWANCE IS $13,544. THE CHAPLAIN RECEIVES A TAX GROSS-UP PAYMENT OF $8,316.50 AS WELL.
PART I, LINE 7BONUSES PAID TO TOP OFFICERS OF THE CORPORATION ARE RECOMMENDED TO THE BOARD OF DIRECTORS BY THE COMPENSATION COMMITTEE. BONUS ARE BASED ON VARIOUS PRE-DETERMINED QUANTITATIVE AND QUALITATIVE GOALS. THE BONUSES ARE AT THE DISCRETION OF THE BOARD AND AS SUCH, WOULD BE CONSIDERED NON-FIXED PAYMENTS.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2JONATHAN SNELLER (BOARD MEMBER) AND BRUCE FIOL (BOARD MEMBER)HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 8BTHE COMMITTEES DO NOT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. ALL MATTERS ARE TAKEN TO THE FULL BOARD FOR APPROVAL AND ACTION.
FORM 990, PART VI, SECTION B, LINE 11THE CHIEF FINANCIAL OFFICER, CEO, AND AUDIT AND FINANCE COMMITTEE WILL PERFORM THE INITIAL REVIEW OF THE FORM 990. ONCE APPROVED, EACH MEMBER OF THE GOVERNING BODY WILL RECEIVE A COPY OF THE FORM 990 BY E-MAIL PRIOR TO FILING THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CEACH YEAR DURING ANNUAL ETHICS TRAINING ALL EMPLOYEES ARE REQUIRED TO SIGN A CODE OF ETHICS/CONFLICT OF INTEREST STATEMENT. THE BOARD OF DIRECTORS ALSO SIGNS THE CODE OF ETHICS/CONFLICT OF INTEREST STATEMENT ANNUALLY. THERE IS A PLACE ON THE FORM FOR THE DISCLOSURE OF RELATIONSHIPS, SUCH AS THROUGH FAMILY OR BUSINESS CONTACTS, THAT COULD BE CONSIDERED A CONFLICT OF INTEREST. ALL CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY HUMAN RESOURCES. ANY DISCLOSURES ARE REVIEWED BY THE CFO AND CEO. REPORTS OF ETHICAL ISSUES ARE REVIEWED AND RESOLVED BY THE HEAD OF THE ETHICS COMMITTEE AND THE CEO.
FORM 990, PART VI, SECTION B, LINE 15THE OFFICERS' AND KEY EMPLOYEES' SALARIES ARE RECOMMENDED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND IS APPROVED BY THE FULL BOARD. SALARY SURVEYS AND FORMS 990 OF OTHER NOT-FOR-PROFITS ARE USED FOR COMPARATIVE PURPOSES TO ENSURE ANY COMPENSATION DECISIONS ARE WITHIN FAIR MARKET RANGE FOR THE INDUSTRY. DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN THE MINUTES OF THE EXECUTIVE COMMITTEE. THE FINANCE COMMITTEE RECOMMENDS APPROVAL OF THE BUDGET TO THE FULL BOARD. THE BUDGET INCLUDES A MAXIMUM PERCENTAGE INCREASE IN SALARY FOR ALL STAFF. THE JOB PERFORMANCE OF EACH EMPLOYEE IS TAKEN INTO CONSIDERATION AS PART OF THE PERFORMANCE REVIEW PROCESS.
FORM 990, PART VI, SECTION C, LINE 19THE FORM 990 IS AVAILABLE ON GUIDESTAR AND IS ALSO AVAILABLE UPON REQUEST. DISCLOSURE STATEMENTS, AS REQUIRED BY THE DEPARTMENT OF INSURANCE, ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION SINCE IT IS NOT REQUIRED BY FEDERAL OR STATE LAW. THE ORGANIZATION INCLUDES A COPY OF ITS FINANCIAL STATEMENTS WITH THE STATE REGISTRATION FILED WITH THE PENNSYLVANIA DEPARTMENT OF STATE, BUREAU OF CHARITABLE ORGANIZATIONS. THESE DOCUMENTS ARE A MATTER OF PUBLIC RECORD AND CAN BE VIEWED AT THE BUREAU OFFICE.
FORM 990, PART XI, LINE 9:MINIMUM PENSION LIABILITY ADJUSTMENT 1,747,747.CHANGES IN NET ASSETS OR FUND BALANCES:

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