2013-05-15T08:44:14-05:00 2012-06-30 251724342 ALPERN ROSENTHAL 339 SIXTH AVENUE 8TH FL PITTSBURGH PA 152222525 990 2011-07-01 251021794 PASSAVANT MEMORIAL HOMES PASS 4128201010 100 PASSAVANT WAY PITTSBURGH PA 15238 OFFICER 4128201010 2013-05-15 1 EUGENE J LOGAN P00227231 4122812501 2011 2016-02-24 21:20:13Z KEVIN FRIEL 100 PASSAVANT WAY PITTSBURGH PA 15238 44574033 0 X HTTP://PASSAVANT.ORG X 1895 PA PASSAVANT MEMORIAL HOMES, INC. IS A PRIVATE, NON-PROFIT HUMAN SERVICES ORGANIZATION WHOSE MISSION IS TO EMPOWER PEOPLE WITH DISABILITIES TO LIVE IN THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY SUPPORTS WHILE PROMOTING CHOICE AND INDEPENDENCE. 8 8 1070 8 0 0 109070 219187 43304605 43025998 34447 28182 888202 1300666 44336324 44574033 0 0 0 0 27415576 29046710 0 0 0 14892892 14023041 42308468 43069751 2027856 1504282 26531871 28160160 24051981 24116123 2479890 4044037 PASSAVANT MEMORIAL HOMES, INC. IS A PRIVATE, NON-PROFIT HUMAN SERVICES ORGANIZATION WHOSE MISSION IS TO EMPOWER PEOPLE WITH DISABILITIES TO LIVE IN THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY SUPPORTS WHILE PROMOTING CHOICE AND INDEPENDENCE. 0 0 36054605 43025998 PASSAVANT MEMORIAL HOMES, INC. PRESENTLY PROVIDES A FULL RANGE OF COMPREHENSIVE SUPPORT PROGRAMS TO OVER 500 CHILDREN AND ADULTS WITH MENTAL RETARDATION AND MENTAL HEALTH DIAGNOSIS. SERVICES INCLUDE RESIDENTIAL, CHILDREN'S PROGRAMS, FAMILY LIVING, VOCATIONAL PROGRAMS, OLDER ADULT DAY CARE, HOME AND COMMUNITY BASED PROGRAMS, SUPPORTED LIVING/HOUSING, TRIAGE NURSING SERVICES, AND LONG TERM STRUCTURED RESIDENCES. 36054605 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 158 0 1 1070 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 1 0 0 PA X KEVIN FRIEL 4128201010 100 PASSAVANT WAY PITTSBURGH PA 15238 X JACK WADDELL 1.00 X 0 0 0 MARY ANN BOLLAND 1.00 X 0 0 0 HAZEL SHEFFIELD 1.00 X 0 0 0 FRANK BAKER 1.00 X 0 0 0 JOSEPH O'DONNELL 1.00 X 0 0 0 LARRY VOGEL 1.00 X 0 0 0 SUSAN ABRAMOWICH 1.00 X 0 0 0 KRISTIN HARTZELL 1.00 X 0 0 0 RICK D SENFT 40.00 X 0 565737 109931 PATRICK A DEMICO 40.00 X 0 321051 58807 JERRY PARFITT 40.00 X 0 199468 24026 LARRY KUSHIK 40.00 X 0 147373 25505 CAROL GRANT 40.00 X 0 154637 7594 BRENDA WYMAN 40.00 X 0 98484 23152 0 1486750 249015 0 0 1 0 HIGHMARK INC SUITE 1083 TEAM 1866 PITTSBURGH PA 15222 HEALTH INSURANCE 5497184 WALMART PO BOX 530933 ATLANTA GA 303530933 GROCERIES 917041 FUELMAN MID ATLANTIC PO BOX 200311 PITTSBURGH PA 152510311 GASOLINE 492044 BABB ABSENCE MANAGEMENT 850 RIDGE AVE PITTSBURGH PA 152126095 INSURANCE 446164 FOX ROTHCHILD LLP 2000 MARKET ST 10TH FLOOR PHILADELPHIA PA 191033291 LEGAL 433557 17 100000 119187 219187 REVENUE 624100 41462420 41462420 FEES 624100 1563578 1563578 43025998 26964 26964 68470 0 68470 68470 68470 1218 0 1218 1218 1218 11796 0 11796 11796 WORKERS COMPENSATION 624100 1066310 1066310 MANAGEMENT FEE 624100 40592 40592 113498 113498 1220400 44574033 44132900 0 221946 22618400 22322100 296300 100670 100615 55 4675553 4672977 2576 1652087 1651177 910 3875230 90570 3784660 350616 140785 209831 192520 77304 115216 2299122 2242520 56602 315742 110745 204997 125647 979 124668 1456575 1381740 74835 1643381 1550643 92738 960276 385585 574691 591038 380393 210645 275192 110500 164692 OPERATING EXPENSES 1505233 460165 1045068 TREATMENT SERVICES 331530 330747 783 FIXED ASSETS, REPAIRS, 100939 45060 55879 43069751 36054605 7015146 0 -30882 31609 130356 116107 11669348 13914230 396011 481081 26821860 14540585 12720890 12281275 1646148 1129117 0 206741 26531871 28160160 1611023 2428601 0 5706 18206986 18009177 4233972 3672639 24051981 24116123 X 2389598 3982661 90292 61376 2479890 4044037 26531871 28160160 X 1504282 59866 X 0 1 1 X 1 1 X 101482 379376 49956 109070 219187 859071 33775907 35767906 38445433 43304605 43025998 194319849 33877389 36147282 38495389 43413675 43245185 195178920 0 0 0 195178920 58590 83400 116409 96817 95434 450650 58590 83400 116409 96817 95434 450650 844469 1273596 588591 808079 1220400 4735135 34780448 37504278 39200389 44318571 44561019 200364705 0.97410 0.97900 0.00220 0.00230 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6337302 6337302 16910338 13243739 3666599 75476 75476 957624 675712 281912 2541120 621134 1919986 12281275 ACCRUED PAYROLL AND TAXES 1019582 DUE TO RESIDENTS 101915 OTHER ACCRUED EXPENSES 406273 ACCRUED WORKER'S COMPENSATION CLAIMS 1000000 FMV - INTEREST RATE SWAP 1144869 3672639 44574033 43069751 1504282 17024 42842 59866 1564148 44228360 17024 131856 148880 44079480 494553 494553 44574033 42635297 131856 131856 42503441 566310 566310 43069751 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: PMH, PMHF, LET, ADS, AND THE HOUSING INITIATIVE CORPORATIONS ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). PDC IS A FOR-PROFIT CORPORATION AND IS SUBJECT TO FEDERAL AND STATE INCOME TAXES. PDC PROVIDES FOR INCOME TAXES IN ACCORDANCE WITH THE ASSET AND LIABILITY METHOD. UNDER THIS METHOD, DEFERRED TAXES ARE DETERMINED BASED ON THE DIFFERENCE BETWEEN THE FINANCIAL STATEMENT AND THE TAX BASIS OF ASSETS AND LIABILITIES USING ENACTED TAX RATES IN EFFECT IN THE YEARS IN WHICH THE DIFFERENCES ARE EXPECTED TO REVERSE. DEFERRED TAX ASSETS ARE PROVIDED FOR OPERATING LOSSES THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME AND TAX CREDITS THAT ARE AVAILABLE TO OFFSET FUTURE FEDERAL INCOME TAXES. A VALUATION ALLOWANCE IS ESTABLISHED FOR ANY DEFERRED TAX ASSET FOR WHICH REALIZATION IS NOT CONSIDERED LIKELY. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE ORGANIZATIONS MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN A POSITION THAT IS UNCERTAIN. AN UNCERTAIN POSITION IS DEFINED AS ONE IN WHICH THERE IS A 50% OR GREATER LIKELIHOOD THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF JUNE 30, 2012, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE ORGANIZATION HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2008. PART XI, LINE 8 - OTHER ADJUSTMENTS: INTEREST RATE SWAP 71,757. RESTRICTION OF TEMPORARY RESTRICTED NET ASSET RELEASED -28,915. TOTAL TO SCHEDULE D, PART XI, LINE 8: 42,842. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -71,757. WORKERS COMPENSATION 566,310. PART XIII, LINE 4B - OTHER ADJUSTMENTS: WORKERS COMPENSATION 566,310. X X X X X 0 0 0 1 1 0 1 0 0 RICK D SENFT 0 564047 0 0 0 1690 0 89888 0 20043 0 675668 0 0 PATRICK A DEMICO 0 314056 0 0 0 6995 0 38764 0 20043 0 379858 0 0 JERRY PARFITT 0 199468 0 0 0 0 0 3983 0 20043 0 223494 0 0 LARRY KUSHIK 0 144816 0 0 0 2557 0 5462 0 20043 0 172878 0 0 CAROL GRANT 0 151086 0 0 0 3551 0 138 0 7456 0 162231 0 0 PART I, LINE 5 THE ORGANIZATION IS INCLUDED IN THE BASE WITH OTHER ORGANIZATIONS FOR DETERMINATION OF BONUS ASSOCIATED WITH REVENUE GROWTH FOR KEY OFFICERS. THE BOARD APPROVES ANY BONUS PAYOUTS AND SETS THE CRITERIA BASED ON RECOMMENDATIONS FROM A THIRD PARTY (HAY GROUP WHO RECOMMENDS PLANS FOR APPROPRIATE EXECUTIVE COMPENSATION). ALL BONUS PAYMENTS ARE PAID AND EXPENSED FROM A RELATED FOR PROFIT CORPORATION. PART I, LINE 6 ANY BONUS PAYMENTS CONTINGENT ON NET PROFITS ARE SOLELY ASSOCIATED WITH THE FOR PROFIT SUBSIDIARY, APPROVED BY THE BOARD OF DIRECTORS, AND IN LINE WITH AN EXECUTIVE COMPENSATION PLAN AS APPROVED BY THE HAY GROUP (AN INDEPENDENT THIRD PARTY). FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT SERVICES ARE PROVIDED BY PASSAVANT DEVELOPMENT CORPORATION (A FOR-PROFIT SUBSIDIARY). PRINCIPLE SERVICES PROVIDED INCLUDE ADMINISTRATIVE, FINANCIAL, AND HUMAN RESOURCES. ALL COMPENSATION FOR EMPLOYEES FOR SERVICES PROVIDED TO PASSAVANT MEMORIAL HOMES ARE COMPARED TO STATE ALLOWABLE COSTS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED PRIOR TO SUBMISSION BY THE DIRECTOR OF FINANCE, CHIEF OPERATING OFFICER AND VICE PRESIDENT. IT IS AUTHORIZED AND SIGNED BY THE CEO AND PRESIDENT. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15A CEO AND COO POSITIONS ARE ANNUALLY REVEIWED BY AN INDEPENDENT BOARD AND SUBJECT TO MEETING CERTAIN CRITERIA. SALARY STUDIES ARE ALSO DONE. AS OF 5/10/10, THERE IS A STUDY CURRENTLY IN PROCESS. THE DIRECTOR OF FINANCE POSITION IS ALSO INCLUDED AS PART OF THE SALARY STUDY. THE STUDY IS BEING CONDUCTED BY AN INDEPENDENT CONSULTING FIRM. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. PASSAVANT MEMORIAL HOMES COMPENSATION AND BENEFITS AS REPORTED ON PART VII COLUMN (E) INCLUDES ALL DIRECTORS AND OFFICERS COMPENSATION AND BENEFITS FOR PASSAVANT MEMORIAL HOMES, PASSAVANT DEVELOPMENT CORPORATION, ACCESSIBLE DENTAL SERVICES, LIFE ENRICHMENT TRUST, INVIVASPAN HEALTH, PASSAVANT MEMORIAL HOMES FOUNDATION AND PASSAVANT HOUSING AND URBAN DEVELOPMENT CORPORATION. INDIVIDUAL 990'S ARE SUBMITTED FOR EACH CORPORATION. ALL DIRECTORS AND OFFICERS THAT RECEIVE COMPENSATION AND BENEFITS WORK ON AVERAGE AT LEAST 40 HOURS PER WEEK. THEIR TIME IS DIVIDED AMONG THE VARIOUS ENTITIES LISTED ABOVE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 17,024. INTEREST RATE SWAP 71,757. RESTRICTION OF TEMPORARY RESTRICTED NET ASSET RELEASED -28,915. TOTAL TO FORM 990, PART XI, LINE 5: 59,866. PASSAVANT MEMORIAL HOMES SELF-INSURED WC TRUST 100 PASSAVANT WAY PITTSBURGH PA 15238 251768224 TO FUND THE WORKERS COMPENSATION TRUST PA 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT HOUSING INITIATIVES I 100 PASSAVANT WAY PITTSBURGH PA 15238 251891795 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT HOUSING INITIATIVES II 100 PASSAVANT WAY PITTSBURGH PA 15238 251891797 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT HOUSING INITIATIVES III 100 PASSAVANT WAY PITTSBURGH PA 15238 251891798 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 THE LIFE ENRICHMENT TRUST INC 100 PASSAVANT WAY PITTSBURGH PA 15238 300223116 TO LEGALLY PRESERVE ASSETS FOR DISABLED INDIVIDUALS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES I INC 100 PASSAVANT WAY PITTSBURGH PA 15238 200672805 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES II INC 100 PASSAVANT WAY PITTSBURGH PA 15238 200672875 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES III INC 100 PASSAVANT WAY PITTSBURGH PA 15238 200672915 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES V INC 100 PASSAVANT WAY PITTSBURGH PA 15238 202340470 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES VI 100 PASSAVANT WAY PITTSBURGH PA 15238 202340513 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES VII 100 PASSAVANT WAY PITTSBURGH PA 15238 208205630 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES VIII INC 100 PASSAVANT WAY PITTSBURGH PA 15238 208207234 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES IX 100 PASSAVANT WAY PITTSBURGH PA 15238 261631009 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES FOUNDATION 100 PASSAVANT WAY PITTSBURGH PA 15238 251869155 FUNDRAISING FOR OPERATIONS OF PASSAVANT MEMORIAL HOMES PA 11 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 ACCESSIBLE DENTAL SERVICES INC 100 PASSAVANT WAY PITTSBURGH PA 15238 262432726 PROVIDE DENTAL CARE FOR INDIVIDUALS WITH DISABILITIES PA 9 501 (C)(3) PASSAVANT MEMORIAL HOMES INC 1 PASSAVANT MEMORIAL HOMES X 100 PASSAVANT WAY PITTSBURGH PA 15238 264399316 TO DEVELOP AND OPERATE REAL ESTATE TO HOUSE MH/MR CONSUMERS. PA 501 (C)(3) PASSAVANT MEMORIAL HOMES 1 PASSAVANT DEVELOPMENT CORPORATION 100 PASSAVANT WAY PITTSBURGH PA 15238 232950006 BUSINESS SERVICES PA C -74391 15780537 1.00000 LIFE ENRICHMENT TRUST 100 PASSAVANT WAY PITTSBURGH PA 15238 270387123 PRESERVATION OF ASSETS OF THOSE WHO HAVE DISABILITIES PA T 1.00000 PDC PHARMACY COLORADO INC 100 PASSAVANT WAY PITTSBURGH PA 15238 270450590 SALES OF PHARMACOLOGICALS PA C -365094 907392 1.00000 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 PASSAVANT DEVELOPMENT CORPORATION I 68470 FMV PASSAVANT DEVELOPMENT CORPORATION O 3875230 FMV PASSAVANT MEMORIAL HOMES INITIATIVE 1 P 4128 FMV PASSAVANT MEMORIAL HOMES INITIATIVE 2 P 4128 FMV PASSAVANT MEMORIAL HOMES INITIATIVE 3 P 4128 FMV PASSAVANT MEMORIAL HOMES I P 4128 FMV PASSAVANT MEMORIAL HOMES II P 4128 FMV PASSAVANT MEMORIAL HOMES III P 2064 FMV PASSAVANT MEMORIAL HOMES V P 4128 FMV PASSAVANT MEMORIAL HOMES VI P 2064 FMV PASSAVANT MEMORIAL HOMES VII P 4128 FMV PASSAVANT MEMORIAL HOMES VIII P 2064 FMV PASSAVANT MEMORIAL HOMES IX P 4128 FMV