MENNO-HAVEN INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MENNO-HAVEN INC (EIN 23-6276101)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-07
IRS object ID
201303119349301210
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)
Timestamp2013-11-07T09:19:35-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN520783935EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SMITH ELLIOTT KEARNS & COMPANY LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1804 WAYNE AVENUEAddressLine1
CityCHAMBERSBURGCity
StatePAState
ZIP Code17201ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN236276101EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MENNO-HAVEN INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMENNNameControl
Phone7172621000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12011 SCOTLAND AVENUEAddressLine1
CityCHAMBERSBURGCity
StatePAState
ZIP Code17201ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTIMOTHY D JOHNSONName
TitleINTERIM CEOTitle
Phone7172621000Phone
Date Signed2013-10-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGREGORY P HALL CPAName
PTINP00156653PTIN
Phone7172633910Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTIMOTHY D JOHNSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12011 SCOTLAND AVEAddressLine1
CityCHAMBERSBURGCity
StatePAState
ZIP Code17201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts46904835GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MENNOHAVEN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1964YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTO ENHANCE THE QUALITY OF LIFE THROUGH RESPONSIVE CHRISTIAN HUMAN SERVICES IN A CARING COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees722TotalNbrEmployees
Total Nbr Volunteers562TotalNbrVolunteers
Total Gross UBI165795TotalGrossUBI
Net Unrelated Business Txbl Income-282060NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year397916ContributionsGrantsPriorYear
Contributions Grants Current Year698096ContributionsGrantsCurrentYear
Program Service Revenue Prior Year40435759ProgramServiceRevenuePriorYear
Program Service Revenue CY40621935ProgramServiceRevenueCY
Investment Income Prior Year521374InvestmentIncomePriorYear
Investment Income Current Year785055InvestmentIncomeCurrentYear
Other Revenue Prior Year252837OtherRevenuePriorYear
Other Revenue Current Year201542OtherRevenueCurrentYear
Total Revenue Prior Year41607886TotalRevenuePriorYear
Total Revenue Current Year42306628TotalRevenueCurrentYear
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 Year19195570SalariesEtcPriorYear
Salaries Etc Current Year20397286SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year221700TotalFundrsngExpCurrentYear
Other Expense Prior Year19577156OtherExpensePriorYear
Other Expenses Current Year19162970OtherExpensesCurrentYear
Total Expenses Prior Year38772726TotalExpensesPriorYear
Total Expenses Current Year39560256TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2835160RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2746372RevenuesLessExpensesCY
Total Assets BOY107520673TotalAssetsBOY
Total Assets EOY110843661TotalAssetsEOY
Total Liabilities BOY98210221TotalLiabilitiesBOY
Total Liabilities EOY96831037TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9310452NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14012624NetAssetsOrFundBalancesEOY
Mission DescriptionTO ENHANCE THE QUALITY OF LIFE THROUGH RESPONSIVE CHRISTIAN HUMAN SERVICES IN A CARING COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16889574Expense
Revenue21253804Revenue
DescriptionORGANIZATION MAINTAINS A LICENSED SKILLED NURSING FACILITY IN TWO LOCATIONS. PROVIDES ROOM & BOARD, NURSING CARE, MEDICAL AND REHAB SERVICES, SOCIAL SERVICES, AND ACTIVITY PROGRAMS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense8894916Expense
Revenue11363989Revenue
DescriptionORGANIZATION MAINTAINS A LICENSED ASSISTED LIVING AND RESIDENTIAL LIVING FACILITY IN TWO LOCATIONS. PROVIDES ROOM & BOARD, LIMITED NURSING CARE, MEDICAL AND REHAB SERIVCES, SOCIAL SERVICES AND ACTIVITY PROGRAMS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense8702613Expense
Revenue8004142Revenue
DescriptionORGANIZATION MAINTAINS INDEPENDENT LIVING UNITS FOR INDIVIDUALS WHO WISH TO MAINTAIN MORE INDEPENDENCE, BUT DESIRE ACCESS TO THE FOLLOWING SUPPORT SERVICES: EMERGENCY NURSE CALL, GROUNDS MAINTENANCE, AND MEDICAL AND TRANSPORTATION SERVICES.Description
FieldValueIRS element (for citing)
Total Program Service Expense34487103TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
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 Activities1FundraisingActivities
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 Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096137NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees722NumberOfEmployees
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
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
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TIMOTHY D JOHNSONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7172621000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12011 SCOTLAND AVENUEAddressLine1
CityCHAMBERSBURGCity
StatePAState
ZIP Code17201ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
LLWELLYN MARTIN
BOARD CHAIRMAN0.60X000
DALE HORST
BOARD VICE CHAIRMAN0.60X000
DARRELL BAER
BOARD SECRETARY0.40X000
LYNN ROTZ
BOARD TREASURER0.60X000
WAYNE YEAGER
ASST. SECRETARY/TREASURER0.50X000
BRADLEY MARTIN
BOARD MEMBER0.40X000
JOHN BENNER
BOARD MEMBER0.10X000
GLENN WINGERT
BOARD MEMBER0.40X000
LIN HOSKINSON
BOARD MEMBER0.30X000
DALE CLUGSTON
BOARD MEMBER0.30X000
CAROLYN GEORGE
BOARD MEMBER0.50X000
HELEN SKIBA-POWELL
BOARD RESIDENT REPRESENTAT0.20X000
RODNEY MASON
CHIEF EXECUTIVE OFFICER40.00214690017850X
JACK PARSON
CHIEF FINANCIAL OFFICER40.00172090016919X
TIMOTHY JOHNSON
CHIEF OPERATIONS OFFICER40.00130366013832X
CHARLES NELSON
CHIEF OFFICER OF GIFT PLAN40.00140446014363X
WENDY COWAN
CHIEF OFFICER OF MARKETING40.00109212010959X
DENNIS TRAVERS
CHIEF OFFICER OF HUMAN RES40.00113258010182X
DR ZACHARY SIMPSON
MEDICAL DIRECTOR40.0017252900X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1052591TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation84105TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
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
REHABCARE GROUP INC
PO BOX 503534ST LOUISMO63150THERAPY SERVIES1705610
HEALTH AMERICA
3721 TECPORT DRIVEHARRISBURGPA17106INSURANCE1350956
FEESERS INC
5561 GRAYSON ROADHARRISBURGPA17111FOOD SERVICE DISTRIBUTOR1149703
CURA HOSPITALITY
PO BOX 827276PHILADELPHIAPA19182DIETARY SERVICES1147813
LEO KOB CO INC
303 JONLYN DRIVEELIZABETHTOWNPA17022PLUMBING575572
FieldValueIRS element (for citing)
Number Of Contractors GT100 K20NumberOfContractorsGT100K
All Other Contributions698096AllOtherContributions
Total Contributions698096TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING & PERSONAL CAR6230003544060435440604
OTHER RESIDENT SERVICES62300032996343299634
LIFE LEASE CONTRACTS62300018816971881697
FieldValueIRS element (for citing)
Total Program Service Revenue40621935TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column676924TotalRevenueColumn
Exclusion$676,924ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4693655Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4585524Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities108131Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column108131TotalRevenueColumn
Exclusion$108,131ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events48430GrossIncomeFundraisingEvents
Fundraising Direct Expenses12683FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column35747TotalRevenueColumn
Exclusion$35,747ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionPHYSICIAN/FOOD SERVICESDescription
Business Code722100BusinessCode
Total Revenue Column165795TotalRevenueColumn
Unrelated Business Revenue165795UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue165795TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column42306628TotalRevenueColumn
Related Or Exempt Function Income40621935RelatedOrExemptFunctionIncome
Unrelated Business Revenue165795UnrelatedBusinessRevenue
Exclusion$820,802ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1136694Total
Management And General1067659ManagementAndGeneral
Fundraising69035Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15610527Total
Program Services14063284ProgramServices
Management And General1453156ManagementAndGeneral
Fundraising94087Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total292332Total
Program Services209927ProgramServices
Management And General78333ManagementAndGeneral
Fundraising4072Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2154817Total
Program Services1881760ProgramServices
Management And General255882ManagementAndGeneral
Fundraising17175Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1202916Total
Program Services1028245ProgramServices
Management And General164595ManagementAndGeneral
Fundraising10076Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1562482Total
Program Services1337783ProgramServices
Management And General224619ManagementAndGeneral
Fundraising80Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total343367Total
Program Services200ProgramServices
Management And General342370ManagementAndGeneral
Fundraising797Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2941548Total
Program Services2725001ProgramServices
Management And General216547ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total150149Total
Program Services55346ProgramServices
Management And General93184ManagementAndGeneral
Fundraising1619Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3196580Total
Program Services3196580ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total72671Total
Program Services33853ProgramServices
Management And General38452ManagementAndGeneral
Fundraising366Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total26952Total
Management And General26952ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2319049Total
Program Services2296403ProgramServices
Fundraising22646Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4181639Total
Program Services4049457ProgramServices
Management And General132182ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total330145Total
Program Services160381ProgramServices
Management And General169764ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DIRECT RESIDENTIAL SERV36602473243896416351
MISCELLANEOUS3154601967251169881747
BAD DEBTS5441954419
EQUIPMENT RENTAL & MAIN82628262

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total39560256Total
Program Services34487103ProgramServices
Management And General4851453ManagementAndGeneral
Fundraising221700Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2300BOY
EOY2350EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2447831BOY
EOY4314729EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY5599BOY
EOY5099EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2619873BOY
EOY2577364EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY248445BOY
EOY275345EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1028927BOY
EOY1108880EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis122533714LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec52028444LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY71801568BOY
EOY70505270EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY27265842BOY
EOY29966766EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2100288BOY
EOY2087858EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY107520673BOY
EOY110843661EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3589563BOY
EOY3293863EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY26701547BOY
EOY26634199EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY43195000BOY
EOY42395000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY1726BOY
EOY1517EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY12013320BOY
EOY12153956EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY12709065BOY
EOY12352502EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY98210221BOY
EOY96831037EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2319701BOY
EOY6075527EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5878915BOY
EOY6768057EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1111836BOY
EOY1169040EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9310452BOY
EOY14012624EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY107520673BOY
EOY110843661EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2746372ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1587165ReconciliationUnrealizedInvest
Reconcilation Other Changes368635ReconcilationOtherChanges
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 ConsolidatedXFinancialStatementConsolidated
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 Years656949CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years480295CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years597467CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year397916CurrentTaxYearMinus1Year
Current Tax Year698096CurrentTaxYear
Total2830723Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23212281CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24221786CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37734090CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40435759CurrentTaxYearMinus1Year
Current Tax Year40621935CurrentTaxYear
Total166225851Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25920CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16132CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29590CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year43544CurrentTaxYearMinus1Year
Current Tax Year18527CurrentTaxYear
Total133713Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23895150CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24718213CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years38361147CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40877219CurrentTaxYearMinus1Year
Current Tax Year41338558CurrentTaxYear
Total169190287Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1895CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2490CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4340CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3305CurrentTaxYearMinus1Year
Current Tax Year3010CurrentTaxYear
Total15040Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1895CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2490CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4340CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3305CurrentTaxYearMinus1Year
Current Tax Year3010CurrentTaxYear
Total15040Total
FieldValueIRS element (for citing)
Public Support Total509169175247PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years340160CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years167364CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years631151CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year452732CurrentTaxYearMinus1Year
Current Tax Year693271CurrentTaxYear
Total2284678Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years340160CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years167364CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years631151CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year452732CurrentTaxYearMinus1Year
Current Tax Year693271CurrentTaxYear
Total2284678Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24235310CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24885577CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years38992298CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41329951CurrentTaxYearMinus1Year
Current Tax Year42031829CurrentTaxYear
Total171474965Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98660PublicSupportPercentage509
Prior Year Support Percentage0.98680PriorYearSupportPercentage
Investment Income Percentage0.01330InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01310PriorYrInvestIncomePercentage
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 Balance6533212BeginningOfYearBalance
Contributions414677Contributions
Investment Earnings Or Losses610178InvestmentEarningsOrLosses
Other Expenditures151339OtherExpenditures
End Of Year Balance7406728EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance6526629BeginningOfYearBalance
Contributions229827Contributions
Investment Earnings Or Losses21785InvestmentEarningsOrLosses
Other Expenditures245029OtherExpenditures
End Of Year Balance6533212EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5814676BeginningOfYearBalance
Contributions319799Contributions
Investment Earnings Or Losses739004InvestmentEarningsOrLosses
Other Expenditures346850OtherExpenditures
End Of Year Balance6526629EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4358246BeginningOfYearBalance
Contributions253953Contributions
Investment Earnings Or Losses1280534InvestmentEarningsOrLosses
Other Expenditures78057OtherExpenditures
End Of Year Balance5814676EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5986053BeginningOfYearBalance
Contributions213400Contributions
Investment Earnings Or Losses-1540291InvestmentEarningsOrLosses
Other Expenditures300916OtherExpenditures
End Of Year Balance4358246EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.16000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.84000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3269033OtherCostOrOtherBasis
Book Value3269033BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis89258909OtherCostOrOtherBasis
Depreciation32618198Depreciation
Book Value56640711BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis24695457OtherCostOrOtherBasis
Depreciation16065835Depreciation
Book Value8629622BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5310315OtherCostOrOtherBasis
Depreciation3344411Depreciation
Book Value1965904BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings70505270TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
GIFT ANNUITIES$484,440
OBLIGATION UNDER INTEREST RATE SWAP$11,868,062
FieldValueIRS element (for citing)
Total Of Amounts12352502TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt44275111TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1587165NetUnrealizedGainsInvestments
Other Revenues381318OtherRevenues
Revenue Not Rptd F9901968483RevenueNotRptdF990
Revenue Subtotal42306628RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99042306628TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt39572939TotExpensesEtcAuditedFinclStmt
Other Expenses Included12683OtherExpensesIncluded
Expenses Not Rptd F99012683ExpensesNotRptdF990
Expenses Subtotal39560256ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99039560256TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:RESIDENT FUNDS ARE MAINTAINED FOR THE BENEFIT OF OUR RESIDENTS.
PART X, LINE 2:WHEN TAX RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS TAKEN ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE WOULD BE REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. INTEREST AND PENALTIES ASSOCIATED WITH UNRECOGNIZED TAX BENEFITS WOULD BE CLASSIFIED AS EXPENSES AGAINST OTHER OPERATING REVENUE IN THE STATEMENT OF OPERATIONS. AT DECEMBER 31, 2012 AND 2011 THERE WAS NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS. TAX YEARS SUBSEQUENT TO 2008 ARE OPEN FOR EXAMINATION.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
CHANGE IN FAIR VALUE OF DERIVATIVES 311,431. CHANGE IN VALUE OF PERPETUAL TRUST 57,204. SPECIAL EVENT EXPENSES NETTED AGAINST FUNDRAISING INCOME 12,683. ROUNDINGPART XI, LINE 2D - OTHER ADJUSTMENTS:
SPECIAL EVENT EXPENSES NETTED AGAINST FUNDRAISING INCOME 12,683.PART XII, LINE 2D - OTHER ADJUSTMENTS:

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event148430GrossReceiptsEvent1
Gross Revenue Event148430GrossRevenueEvent1
Cash Prizes Event1900CashPrizesEvent1
Non Cash Prizes Event12759NonCashPrizesEvent1
Rent Facility Costs Event14945RentFacilityCostsEvent1
Food And Beverage Event13539FoodAndBeverageEvent1
Other Direct Expenses Event1540OtherDirectExpensesEvent1
Gross Receipts Total48430GrossReceiptsTotal
Gross Revenue Total Events48430GrossRevenueTotalEvents
Cash Prizes Total Events900CashPrizesTotalEvents
Non Cash Prizes Total Events2759NonCashPrizesTotalEvents
Rent Facility Costs Total Events4945RentFacilityCostsTotalEvents
Food And Beverage Total Events3539FoodAndBeverageTotalEvents
Other Direct Expenses Total Events540OtherDirectExpensesTotalEvents
Direct Expense Summary Events12683DirectExpenseSummaryEvents
Net Income Summary35747NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (4 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
RODNEY MASON
CHIEF EXECUTIVE OFFICER20337901000001311041880136620232540000
JACK PARSON
CHIEF FINANCIAL OFFICER1641240420403762011888050310189009000
CHARLES NELSON
CHIEF OFFICER OF GIFT PLAN130178065060376206507078560154809000
DR ZACHARY SIMPSON
MEDICAL DIRECTOR160733080340376200000172529000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 7ReturnReference
ExplanationCHIEF OFFICERS RECEIVED ADDITIONAL COMPENSATION AT THE REQUEST OF THE BOARD. THEY WERE GIVEN THE OPTION OF CASH OR INVESTMENT IN THEIR 457 PLAN.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
FRANKLIN COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY
A232261213353273AG02006-08-1529250000CONSTRUCTION, FURNISHING, AND EQUIPMENT000
FRANKLIN COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY
B232261213353273AH82008-01-1018850000REFINANCING OF SERIES 2001 AND 2006 PRIOR BONDS000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A2925000057867520080010
B1885000024547020110010

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A01100000
B01100000

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
WELLS FARGO
A11130.00000000000000000
WELLS FARGO
B11130.00000000000000000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2THE MARKETING DIRECTOR IS DISTANTLY RELATED TO A BOARD MEMBER. THERE HAVE BEEN NO ITEMS THAT WOULD BE CONSIDERED A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION HAS CONTRACTED WITH A MANAGEMENT COMPANY TO MANAGE AND DIRECT FOOD SERVICES.
FORM 990, PART VI, SECTION A, LINE 7BMAJOR DECISIONS OF THE GOVERNING BODY ARE APPROVED AND VOTED ON BY OUR BOARD OF DIRECTORS. WRITTEN MINUTES DOCUMENT OUR BOARD OF DIRECTORS MEETINGS, AS WELL AS, ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WILL BE PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THIS FORM.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST FORMS ARE REVIEWED BY THE CEO AND ANY DISCLOSED CONFLICTS ARE DISCUSSED WITH THE EXECUTIVE COMMITTEE OR APPROPRIATE OFFICERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION FOR THE CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIALS IS DETERMINED BY A COMPENSATION SURVEY OR STUDY USING PRIMARILY THE LEADING AGE AGENCY WAGE SURVEY OF SIMILAR SIZE FACILITIES. LEADING AGE IS AN ASSOCIATION OF NONPROFIT SENIOR SERVICES IN THE STATE OF PENNSYLVANIA. THE EXECUTIVE COMMITTEE OF THE BOARD ALSO HAS THE LIBERTY TO UTILIZE OTHER SURVEYS OF SIMILAR OPERATIONS IF THEY CHOOSE TO DO SO. COMPENSATION RANGES FOR OTHER OFFICERS AND KEY EMPLOYEES ARE DETERMINED BY A COMPENSATION SURVEY USING THE LEADING AGE PARENT AGENCY WAGE SURVEY. LEADING AGE IS AN ASSOCIATION OF NONPROFIT SENIOR SERVICES IN THE STATE OF PENNSYLVANIA. DISCRETION OF WHERE THE FALL IN THAT RANGE IS DETERMINED BY THEIR EXPERIENCE AND KNOWLEDGE AND IS DETERMINED BY THEIR SENIOR MANAGER.
FORM 990, PART VI, SECTION C, LINE 19THE ORGNIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT ITS ADMINISTRATIVE OFFICES LOCATED AT 2011 SCOTLAND AVE., CHAMBERSBURG, PA 17201.
FORM 990, PART XI, LINE 9:CHANGE IN FAIR VALUE OF DERIVATIVES 311,431. CHANGE IN VALUE OF PERPETUAL TRUST 57,204.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2C:THE ORGANIZATION'S FINANCE COMMITTE IS RESPONSIBLE FOR THE OVERSIGHT OF THIS CONSOLIDATED AUDIT AND MAKES RECOMMENDATIONS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT WHICH IS APPRROVED BY THE FULL BOARD OF DIRECTORS.CONSOLIDATED FINANCIAL STATEMENT AUDIT AND SELECTION OF ACCOUNTANTS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MENNO HAVEN AUXILIARY INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12075 SCOTLAND AVENUEAddressLine1
CityCHAMBERSBURGCity
StatePAState
ZIP Code17201ZIPCode
FieldValueIRS element (for citing)
EIN251673680EIN
Primary ActivitiesSUPPORT THE CAMPUSES OF MENNO HAVEN, PENN HALL, AND NORTHGATE CCRCPrimaryActivities
Legal Domicile StatePALegalDomicileState
Exempt Code Section501 (C)(3)ExemptCodeSection
Public Charity StatusPUBLIC CHARITYPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MENNO HAVEN AUXILARY INCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MENNO HAVEN AUXILIARY INC
N7321FMV
MENNO HAVEN AUXILIARY INC
O10072FMV
MENNO HAVEN AUXILIARY INC
C60368FMV

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