FURP.ORG / PUBLIC DATA EXPLORER

RIDDLE VILLAGE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
RIDDLE VILLAGE (EIN 23-2613942)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-01
IRS object ID
201441219349300604
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)
Timestamp2014-05-01T08:02:17-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1610 WGERMANTOWN PIKE STE400AddressLine1
CityPLYMOUTH MEETINGCity
StatePAState
ZIP Code19462ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN232613942EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RIDDLE VILLAGEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRIDDNameControl
Phone6108913777Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11048 W BALTIMORE PIKEAddressLine1
CityMEDIACity
StatePAState
ZIP Code19063ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT BERTOLETTE CEOName
TitlePRESIDENT/CEOTitle
Phone6108913777Phone
Date Signed2014-04-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES D WATSONName
PTINP01450300PTIN
Phone2156433900Phone
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 BERTOLETTENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11048 W BALTIMORE PIKEAddressLine1
CityMEDIACity
StatePAState
ZIP Code19063ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26666294GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.RIDDLEVILLAGE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTO ENRICH THE VALUE OF RETIREMENT LIVING FOR RESIDENTS & LIVES OF THOSE WHO SUPPORT THEM.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees429TotalNbrEmployees
Total Nbr Volunteers43TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1138619ContributionsGrantsPriorYear
Contributions Grants Current Year103398ContributionsGrantsCurrentYear
Program Service Revenue Prior Year26083204ProgramServiceRevenuePriorYear
Program Service Revenue CY26415152ProgramServiceRevenueCY
Investment Income Prior Year104166InvestmentIncomePriorYear
Investment Income Current Year147744InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year27325989TotalRevenuePriorYear
Total Revenue Current Year26666294TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10717226SalariesEtcPriorYear
Salaries Etc Current Year11078833SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year15471960OtherExpensePriorYear
Other Expenses Current Year15203117OtherExpensesCurrentYear
Total Expenses Prior Year26189186TotalExpensesPriorYear
Total Expenses Current Year26281950TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1136803RevenuesLessExpensesPriorYear
Revenues Less Expenses CY384344RevenuesLessExpensesCY
Total Assets BOY52406783TotalAssetsBOY
Total Assets EOY50758247TotalAssetsEOY
Total Liabilities BOY92368265TotalLiabilitiesBOY
Total Liabilities EOY89717042TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-39961482NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-38958795NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO ENRICH THE VALUE OF RETIREMENT LIVING FOR OUR RESIDENTS AND THE LIVES OF THOSE WHO SUPPORT THEM.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11817013Expense
Revenue17277178Revenue
DescriptionINDEPENDENT LIVING FACILITY - CONSISTING OF 365 UNITS, IS DESIGNED TO ALLOW EACH RESIDENT TO LIVE THEIR LIFE TO THE FULLEST WITHOUT THE CONCERNS ASSOCIATED WITH POSSIBLE FUTURE HEALTHCARE NEEDS. THE ORGANIZATION PROVIDE MEALS, HOUSEKEEPING, ACTIVITIES, WELLNESS, 24 HOUR NURSE AVAILABILITY AND A FITNESS CENTER THAT ENCOURAGES RESIDENTS TO REMAIN AS ACTIVE AS POSSIBLE. AS A CCRC, RIDDLE VILLAGE PROVIDES SUBSIDIES TO ANY RESIDENT WHO IS UNABLE TO MEET THEIR FINANCIAL OBLIGATIONS TO THE COMMUNITY. THE ORGANIZATION CURRENTLY HAS AT LEAST TWO RESIDENTS WHO ARE IN NEED OF THIS SUBSIDY WITH OTHERS REQUESTING ASSISTANCE RECENTLY DO TO THE DOWNTURN IN THE ECONOMY. RIDDLE VILLAGE HOSTS MANY COMMUNITY EVENTS, IS A VOTING CENTER DURING ELECTIONS AND SUPPORTS THE OVERALL COMMUNITY BY PARTICIPATING IN THE PAYMENT OF LOCAL, COUNTY AND SCHOOL TAXES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3379277Expense
Revenue5197303Revenue
DescriptionPERSONAL CARE UNIT - CONSISTS OF 49 APARTMENTS BOTH STUDIO AND ONE-BEDROOMS. THERE WAS A RECENT EXPANSION AND REFURBISHING PROJECT FOR BOTH PERSONAL CARE UNIT AND SKILLED NURSING FACILITY TO ALLOW FOR A MORE HOME LIKE ENVIRONMENT, MORE GATHERING PLACES FOR RESIDENTS, FAMILY AND FRIENDS AND KITCHEN FACILITIES TO BETTER SERVE OUR RESIDENTS. IT IS OUR PHILOSOPHY THAT EACH RESIDENTS CARE, PHYSICAL AND EMOTIONAL HEALTH IS EQUALLY IMPORTANT. THIS UNIT CONSISTS OF BOTH LIFECARE RESIDENTS AND PRIVATE PAY RESIDENTS. ALL LIFECARE RESIDENTS ARE GUARANTEED CARE REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense7167258Expense
Revenue3940671Revenue
DescriptionSKILLED NURSING FACILITY - CONSISTS OF 86 SKILLED BEDS. THE FACILITY IS DESIGNED TO PROVIDE A HOME LIKE ATMOSPHERE TO ENSURE THAT RESIDENTS ARE COMFORTABLE IN ALL STAGES OF THEIR LIFE. THIS FACILITY ALSO CARES FOR LIFECARE RESIDENTS AND PRIVATE PAY RESIDENTS. WE ALSO PROVIDE FOR MEDICARE AND OTHER THIRD PARTY BILLING RESIDENTS. ALL LIFECARE RESIDENTS ARE GUARANTEED CARE REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES.Description
FieldValueIRS element (for citing)
Total Program Service Expense22363548TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
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 Entity1DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109622NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees429NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
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
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KIMBERLY ROGUSZEWSKIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6108913777TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11048 WEST BALTIMORE PIKEAddressLine1
CityMEDIACity
StatePAState
ZIP Code19063ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ARTHUR A BERNARDON
DIRECTOR1.000.00X000
DANIEL E KENNEDY
CHAIR1.000.00X000X
JOSEPH P BROOKS
DIRECTOR1.000.00X000
JOSEPH LUNDY ESQ
DIRECTOR1.000.00X000
ROBERT F FISCHER
VICE CHAIR/TREASURER1.000.00X000X
ROBERT L SUMNER
DIRECTOR1.000.00X000
JON D HELMS
SECRETARY1.000.00X000X
MARIA C BUCCO
DIRECTOR1.000.00X000
LEONARD MCCANDLESS
DIRECTOR1.000.00X000
ROBERT G BERTOLETTE
PRESIDENT/CEO40.000.00267444018734X
KIMBERLY ROGUSZEWSKI
VICE PRESIDENT/CFO/ASSIT SECRETARY/ASSIS TREASURER40.000.00186785024127X
RONALD WATERMAN
VICE PRESIDENT OF OPERATIONS40.000.00177046024127X
DONNA CAHILL
DIRECTOR OF MARKETING40.000.00109362016568X
SUZANNE CHILDS
DIRECTOR OF NURSING40.000.00106698022774X
FieldValueIRS element (for citing)
Total Reportable Comp From Org847335TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation106330TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHAB CARE GROUP INC
PO BOX 50534ST LOUISMO63150PHYSICAL THERAPY972715
CS LIGA PAINTING
223 EAST SECOND STREETMEDIAPA19063PAINTING/REFURBISHING504103
ELWYN PHARMACY & MED EQUIP
194 S MIDDLETOWN ROADELWYNPA19063PHARMACY494688
CLASSIC KITCHENS
622 E GAY STREETWEST CHESTERPA19380APPLIANCE STORE439541
SYSCO FOOD SERVICES
PO BOX 6499PHILADELPHIAPA19145RAWFOOD SUPPLIES419903
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
All Other Contributions103398AllOtherContributions
Total Contributions103398TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE6230001190078311900783
RESIDENT CARE62300091389009138900
EARNED ENTRANCE FEE62300053362475336247

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column39222TotalRevenueColumn
Related Or Exempt Function Income39222RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue26415152TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column147744TotalRevenueColumn
Exclusion$147,744ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column26666294TotalRevenueColumn
Related Or Exempt Function Income26415152RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$147,744ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total692876Total
Management And General692876ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8519938Total
Program Services8231243ProgramServices
Management And General288695ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1170468Total
Program Services1113710ProgramServices
Management And General56758ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total695551Total
Program Services625996ProgramServices
Management And General69555ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total30000Total
Management And General30000ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total72050Total
Management And General72050ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total269732Total
Management And General269732ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total736812Total
Management And General736812ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2774763Total
Program Services2497287ProgramServices
Management And General277476ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total50599Total
Management And General50599ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1797444Total
Program Services1617700ProgramServices
Management And General179744ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4143114Total
Program Services3728803ProgramServices
Management And General414311ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1027398Total
Program Services924658ProgramServices
Management And General102740ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NURSING19059331905933
DINING SERVICES15094191509419
PLANT AND MAINTENANCE649016208799440217

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total236837Total
Management And General236837ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total26281950Total
Program Services22363548ProgramServices
Management And General3918402ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1032355BOY
EOY1187275EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2110577BOY
EOY2239115EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5673478BOY
EOY4105633EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY110956BOY
EOY130162EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1326714BOY
EOY1405548EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis93584473LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec64794836LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY30772438BOY
EOY28789637EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10293909BOY
EOY11913389EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1086356BOY
EOY987488EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY52406783BOY
EOY50758247EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1377544BOY
EOY1295303EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY38536361BOY
EOY37754275EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY48890000BOY
EOY47965000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY1035575BOY
EOY973014EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY428571BOY
EOY285714EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2100214BOY
EOY1443736EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY92368265BOY
EOY89717042EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-42079592BOY
EOY-41180303EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY691214BOY
EOY691214EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1426896BOY
EOY1530294EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-39961482BOY
EOY-38958795EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY52406783BOY
EOY50758247EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses384344ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-38135ReconciliationUnrealizedInvest
Reconcilation Other Changes656478ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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 Years105972CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years50526CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47426CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1138619CurrentTaxYearMinus1Year
Current Tax Year103398CurrentTaxYear
Total1445941Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23164757CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24321791CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25513077CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26083204CurrentTaxYearMinus1Year
Current Tax Year26415152CurrentTaxYear
Total125497981Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23270729CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24372317CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25560503CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27221823CurrentTaxYearMinus1Year
Current Tax Year26518550CurrentTaxYear
Total126943922Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509126943922PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years608646CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years297917CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years138153CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year104166CurrentTaxYearMinus1Year
Current Tax Year147744CurrentTaxYear
Total1296626Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years608646CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years297917CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years138153CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year104166CurrentTaxYearMinus1Year
Current Tax Year147744CurrentTaxYear
Total1296626Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23879375CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24670234CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25698656CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27325989CurrentTaxYearMinus1Year
Current Tax Year26666294CurrentTaxYear
Total128240548Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98990PublicSupportPercentage509
Prior Year Support Percentage0.98360PriorYearSupportPercentage
Investment Income Percentage0.01010InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01640PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 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 Balance1426896BeginningOfYearBalance
Contributions103398Contributions
End Of Year Balance1530294EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance777704BeginningOfYearBalance
Contributions649192Contributions
End Of Year Balance1426896EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance730278BeginningOfYearBalance
Contributions47426Contributions
End Of Year Balance777704EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance679752BeginningOfYearBalance
Contributions50526Contributions
End Of Year Balance730278EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance578173BeginningOfYearBalance
Contributions101579Contributions
End Of Year Balance679752EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis58076757OtherCostOrOtherBasis
Depreciation32789217Depreciation
Book Value25287540BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5897402OtherCostOrOtherBasis
Depreciation5600620Depreciation
Book Value296782BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis29610314OtherCostOrOtherBasis
Depreciation26404999Depreciation
Book Value3205315BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings28789637TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionINTEREST RATE SWAP AGREEMENTDescription
Amount$1,443,736Amount
FieldValueIRS element (for citing)
Total Of Amounts1443736TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt27284637TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-38135NetUnrealizedGainsInvestments
Other Revenues656478OtherRevenues
Revenue Not Rptd F990618343RevenueNotRptdF990
Revenue Subtotal26666294RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99026666294TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt26281950TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal26281950ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99026281950TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:THE ORGANIZATION HAS BEEN HOLDING DEPOSITS RECEIVED FROM PROSPECTIVE RESIDENTS THAT ARE FULLY REFUNDABLE UNTIL THEY SIGN A RESIDENT AGREEMENT, AT WHICH TIME THE DEPOSITS ARE APPLIED TOWARD THE RESIDENTS' ENTRANCE FEE.
PART X, LINE 2:FIN 48 FOOTNOTE: THE VILLAGE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REQUIRED. THE VILLAGE FOLLOWS THE PROVISIONS OF THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE VILLAGE BELIEVES THAT THERE IS NO UNCERTAINTY IN THE TAX POSITIONS TAKEN BY THE VILLAGE AND THESE PROVISIONS HAVE NO IMPACT ON THE VILLAGE'S FINANCIAL STATEMENTS. THE VILLAGE'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE VILLAGE IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE VILLAGE IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE YEARS 2010 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS 656,478.PART XI, LINE 2D - OTHER ADJUSTMENTS:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT G BERTOLETTE
PRESIDENT/CEO23085903658500000187340286178000
KIMBERLY ROGUSZEWSKI
VICE PRESIDENT/CFO/ASSIT SECRETARY/A16566902111600000241270210912000
RONALD WATERMAN
VICE PRESIDENT OF OPERATIONS15695802008800000241270201173000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
DELAWARE COUNTY AUTHORITY
A231973437245913HK72006-10-0145270000TO PROVIDE FUNDS TO MAKE THE LOAN FOR PURPOSES OF PAYING CONSTRUCTION COSTS000
DELAWARE COUNTY AUTHORITY
B2319734372011-10-0330000000TO REFINANCE THE 2005 BONDS AND PARTIAL 2006 BONDS000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A263650004527000049258110979281707093649691820071011
B940000300000003900002961000020111011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0000001
B0000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
SOVEREIGN
A11110.00000000000000001
SOVEREIGN
B11110.00000000000000001

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD, TO THE EXTENT PERMITTED BY APPLICABLE LAW, BETWEEN MEETINGS OF THE BAORD. MEETINGS OF THE EXECUTIVE COMMITTEE MAY BE CALLED AT ANY TIME BY THE CHAIR OF COMMITTEE, BY THE CHAIR OF THE BOARD OR BY ANY TWO MEMBERS OF THE COMMITTEE. NOTICE OF SPECIAL MEETINGS OF THE EXECUTIVE COMMITTEE SHALL BE GIVEN AT LEAST TWO DAYS BEFORE SUCH MEETING, BUT WRITTEN NOTICE SHALL NOT BE REQUIRED.
FORM 990, PART VI, SECTION A, LINE 7AONE DIRECTOR SHALL BE NOMINATED BY THE RIDDLE HEALTH CARE FOUNDATION, AND PROVIDED THAT SUCH NOMINEE IS OTHERWISE QUALIFIED UNDER THESE BYLAWS AND APPLICABLE LAW, SUCH NOMINEE SHALL BE ELECTED BY THE BOARD TO SERVE FOR A TERM OF ONE YEAR, AND SHALL BE ELIGIBLE FOR SUCCEEDING ONE-YEAR TERMS WITHOUT LIMIT. AT ALL TIMES, A MAJORITY OF ALL OF THE DIRECTOS SHALL BE NON-RESIDENTS OF RIDDLE VILLAGE. NO DIRECTOR, EXCEPT THE DIRECTOR NOMINATED BY THE RIDDLE HEALTH CARE FOUNDATION, MAY SERVE MORE THAN TWO CONSECUTIVE FULL TERMS.
FORM 990, PART VI, SECTION B, LINE 11ALL MEMBERS OF THE BOARD REVIEW THE FORM PRIOR TO THE FILING THEREOF.
FORM 990, PART VI, SECTION B, LINE 12CCURRENTLY, ALL MEMBERS OF THE BOARD REVIEW THE CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. THEY CONFIRM THAT THEY HAVE NO SUCH CONFLICT IF APPROPRIATE. IF CONFLICT WERE TO EXIST, THE BOARD AS A WHOLE WOULD REVIEW EACH POTENTIAL CONFLICT AND DETERMINE THE APPROPRIATENESS OF THE ACTION. ANY BOARD MEMBER INVOLVED IN A CONFLICT WOULD BE UNABLE TO VOTE ON ANY ACTION, PURCHASE OR DECISION BEING MADE. IN ADDITION, EACH SENIOR MANAGEMENT REPRESENTATIVE SIGNS A SIMILAR STATEMENT. DIRECTORS WITH A POTENTIAL CONFLICT ARE EXCLUDED FROM DECISION MAKING IN THAT AREA.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION IS MAINLY DETERMINED BASED ON EXTERNAL SALARY SURVEYS. WORK PERFORMANCE AND EXPANDED JOB RESPONSIBLITIES ARE ALSO CONSIDERED. THE PRESIDENT/CEO USES THE TOOLS MENTIONED ABOVE TO DETERMINE THE SALARIES OF KEY EMPLOYEES. THE INFORMATION IS THEN SHARED WITH THE COMPENSATION COMMITTEE FOR DISCUSSION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE ORGANIZATIONS FINANCIAL STATEMENTS ARE DISTRIBUTED TO RESIDENTS & FILED WITH THE PA INSURANCE DEPARTMENT. THEY ARE ALSO MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN FAIR VALUE OF SWAP AGREEMENT 656,478. /CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2CTHIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
RELATED PARTY EXPLANATIONRIDDLE VILLAGE LEASES THE LAND ON WHICH THEIR FACILITY IS SITUATED FROM RIDDLE HEALTHCARE FOUNDATION. THESE ENTITIES ALSO HAVE A BOARD MEMBER IN COMMON. RIDDLE HEALTHCARE FOUNDATION DOES NOT HAVE CONTROL OR AN ABILITY TO ELECT A MAJORITY OF THE BOARD MEMBERS OF RIDDLE VILLAGE. THEREFORE, THESE TWO PARTIES ARE NOT CONSIDERED RELATED.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1RIDDLE VILLAGE DEVELOPMENT LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11048 WEST BALTIMORE PIKEAddressLine1
CityMEDIACity
StatePAState
ZIP Code19063ZIPCode
FieldValueIRS element (for citing)
EIN262397145EIN
Primary ActivitiesIMPLEMENTING DEVELOPMENT OF ADDITIONAL FACILITIESPrimaryActivities
Legal Domicile StatePALegalDomicileState
Total Income0TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1RIDDLE VILLAGEBusinessNameLine1