FURP.ORG / PUBLIC DATA EXPLORER

REFORMED CHURCH MINISTRIES TO THE AGING THE PARTICULAR SYNOD OF THE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
REFORMED CHURCH MINISTRIES TO THE AGING THE PARTICULAR SYNOD OF THE (EIN 22-1508545)
Tax period
2011-01-01 to 2011-12-31
Filed
2013-01-28
IRS object ID
201340289349300009
Schema version
2011v1.5
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)
Timestamp2013-01-28T11:31:44-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1465 South St Ste 200AddressLine1
CityMorristownCity
StateNJState
ZIP Code079606497ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN221508545EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1REFORMED CHURCH HOMEBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% RUBY ANASTOSInCareOfName
Name ControlREFONameControl
Phone7326079230Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11990 ROUTE 18 NORTHAddressLine1
CityOLD BRIDGECity
StateNJState
ZIP Code088573771ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Namekatherine shepardName
TitleofficerTitle
Date Signed2013-01-24DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone9738989494Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKATHERINE K SHEPARDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11990 ROUTE 18 NORTHAddressLine1
CityOLD BRIDGECity
StateNJState
ZIP Code08857ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15635748GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.REFORMEDCHURCHHOME.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1961YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionTO ESTABLISH, MAINTAIN, AND OPERATE ITS HOME AND PROGRAMS ON BEHALF OF THE AGING MEMBERS OF THE REFORMED CHURCH IN AMERICA ("RCA").ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees276TotalNbrEmployees
Total Nbr Volunteers67TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year135470ContributionsGrantsPriorYear
Contributions Grants Current Year132814ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13727519ProgramServiceRevenuePriorYear
Program Service Revenue CY14593155ProgramServiceRevenueCY
Investment Income Prior Year779899InvestmentIncomePriorYear
Investment Income Current Year886005InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year14642888TotalRevenuePriorYear
Total Revenue Current Year15611974TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9267487SalariesEtcPriorYear
Salaries Etc Current Year9574470SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4801158OtherExpensePriorYear
Other Expenses Current Year5238525OtherExpensesCurrentYear
Total Expenses Prior Year14069145TotalExpensesPriorYear
Total Expenses Current Year14813495TotalExpensesCurrentYear
Revenues Less Expenses Prior Year573743RevenuesLessExpensesPriorYear
Revenues Less Expenses CY798479RevenuesLessExpensesCY
Total Assets BOY38275994TotalAssetsBOY
Total Assets EOY37894787TotalAssetsEOY
Total Liabilities BOY8765952TotalLiabilitiesBOY
Total Liabilities EOY8713895TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY29510042NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY29180892NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF THE REFORMED CHURCH MINISTRIES TO THE AGING, THE REGIONAL SYNOD OF THE MID-ATLANTICS ("RCH"), IS TO ESTABLISH, MAINTAIN, AND OPERATE ITS HOME AND PROGRAMS ON BEHALF OF THE AGING MEMBERS OF THE REFORMED CHURCH IN AMERICA ("RCA"). WHILE OUR COMMISSION AND PRIORITY IS TO SERVE THE MEMBERSHIP OF THE RCA, IT IS ALSO OUR DESIRE TO SERVE THE COMMUNITY AT LARGE AND TO PROVIDE A WITNESS OF OUR COMMITMENT TO REFLECT GOD'S LOVE TO THE WORLD. THE HOME IS COMMITTED TO EXCELLENCE WHILE PROVIDING QUALITY CHRISTIAN HEALTHCARE SERVICE, INCLUDING SKILLED NURSING AND ASSISTED LIVING, AND MAINTAINING THE DIGNITY OF THE RESIDENTS AT WHATEVER LEVEL OF CARE IS REQUIRED IN AN ATMOSPHERE WHICH SPEAKS CLEARLY OF GOD'S LOVE (REGARDLESS OF RACE, COLOR, HANDICAP, RELIGION OR NATIONAL ORIGIN).MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense13332198Expense
Grants500Grants
Revenue14593155Revenue
DescriptionREFORMED CHURCH HOME PROVIDES HOUSING, HEALTHCARE, AND OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF A COMBINED 108 BED SKILLED NURSING HOME AND A 48-UNIT ASSISTED LIVING FACILITY WHICH ACCOMMODATES 54 BEDS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.Description
Total Program Service Expense13332198TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees276NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRUBY ANASTOSNamePerson
Telephone Number7326079230TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11990 ROUTE 18 NORTHAddressLine1
CityOLD BRIDGECity
StateNJState
ZIP Code088573771ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
AUDREY AHN
PRESIDENT - TRUSTEE1.0XX000
DAVE SLICKER
VICE PRESIDENT - TRUSTEE1.0XX000
DORIS HAUG
SECRETARY - TRUSTEE1.0XX000
CHARLES FOX
TREASURER - TRUSTEE1.0XX000
REVEREND STEPHEN J ECKERT
TRUSTEE1.0X000
KAREN FEENEY
TRUSTEE1.0X000
REED FEUSTER
TRUSTEE1.0X000
KEN GIBSON
TRUSTEE1.0X000
SUE HENDERSHOT
TRUSTEE1.0X000
REVEREND CHARLES HIGGINS
TRUSTEE1.0X000
GIL HUNT
TRUSTEE1.0X000
MARILYN KOOPS
TRUSTEE1.0X000
REVEREND LUIS PEREZ
TRUSTEE1.0X000
BOB PRESTON
TRUSTEE1.0X000
REVEREND DIANNA SMITH
TRUSTEE1.0X000
LINDA K SOLEY
TRUSTEE1.0X000
SARA THOMPSON
TRUSTEE1.0X000
REVEREND JOSEPH WOODS
TRUSTEE1.0X000
KATHERINE K SHEPARD
ADMINISTRATOR55.0X163188037358
WILSON SANTIAGO
NURSING SUPERVISOR55.0107321014343X
RUBY ANASTOS
CONTROLLER55.0103774017737X
SNOOKY MENDOZA
MDS COORDINATOR55.010141407268X
CHARLEEN BRISINDI
ASSISTANT DIRECTOR OF NURSING55.0100220011304X
FieldValueIRS element (for citing)
Total Reportable Comp From Org575917TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation88010TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXHO INC AND AFFILIATES
PO BOX 360170PITTSBURGHPA152516170FOOD/MAINTENANCE1382333
SELECT REHABILITATION
PO BOX 809056CHICAGOIL606809056MEDICAL505182
CROWN REHAB INCORPORATED
205 MAIN STREETMATAWANNJ07747MEDICAL278894
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Fundraising Events27822FundraisingEvents
All Other Contributions104992AllOtherContributions
Total Contributions132814TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING SERVICE REVENUE5419001179544111795441
RESIDENTIAL SERVICE REVENUE54190026082812608281
ANCILLIARY SERVICE REVENUE900099189433189433
FieldValueIRS element (for citing)
Total Program Service Revenue14593155TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column758914TotalRevenueColumn
Exclusion$758,914ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities127091Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities127091Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column127091TotalRevenueColumn
Exclusion$127,091ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events23774GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events27822CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses23774FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15611974TotalRevenueColumn
Related Or Exempt Function Income14593155RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$886,005ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total500Total
Program Services500ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total200546Total
Program Services180491ProgramServices
Management And General20055ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7681119Total
Program Services6913007ProgramServices
Management And General768112ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total157196Total
Program Services141476ProgramServices
Management And General15720ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total906915Total
Program Services816224ProgramServices
Management And General90691ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total628694Total
Program Services565825ProgramServices
Management And General62869ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total64073Total
Program Services57666ProgramServices
Management And General6407ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total18216Total
Program Services16394ProgramServices
Management And General1822ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total27500Total
Program Services24750ProgramServices
Management And General2750ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total49380Total
Program Services44442ProgramServices
Management And General4938ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1309386Total
Program Services1178447ProgramServices
Management And General130939ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total24434Total
Program Services21991ProgramServices
Management And General2443ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total663332Total
Program Services596999ProgramServices
Management And General66333ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total75772Total
Program Services68195ProgramServices
Management And General7577ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total6121Total
Program Services5509ProgramServices
Management And General612ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total401324Total
Program Services361192ProgramServices
Management And General40132ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total931912Total
Program Services838721ProgramServices
Management And General93191ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total164551Total
Program Services148096ProgramServices
Management And General16455ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES48254043428648254
UTILITIES39845735861139846
NJ PROVIDER TAX36030632427536031
REPAIRS AND MAINTENANCE99697897279970

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total161524Total
Program Services145374ProgramServices
Management And General16150ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14813495Total
Program Services13332198ProgramServices
Management And General1481297ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3856BOY
EOY8227EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1156263BOY
EOY774251EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY847195BOY
EOY742564EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY72207BOY
EOY34803EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY35686BOY
EOY102180EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis25300568LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10884233LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14832281BOY
EOY14416335EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY21029580BOY
EOY21447919EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY298926BOY
EOY368508EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY38275994BOY
EOY37894787EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY770829BOY
EOY943603EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY7728170BOY
EOY7447688EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY266953BOY
EOY322604EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8765952BOY
EOY8713895EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY28747839BOY
EOY28401538EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY85833BOY
EOY142384EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY676370BOY
EOY636970EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29510042BOY
EOY29180892EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38275994BOY
EOY37894787EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses798479ReconcilationRevenueExpenses
Reconcilation Other Changes-1127629ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1REFORMED CHURCH IN AMERICABusinessNameLine1
FieldValueIRS element (for citing)
EIN221508545EIN
Type Of Organization01TypeOfOrganization
Listed In Governing DocfalseListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

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)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance762203BeginningOfYearBalance
Contributions56551Contributions
Investment Earnings Or Losses-39400InvestmentEarningsOrLosses
End Of Year Balance779354EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance620521BeginningOfYearBalance
Investment Earnings Or Losses55849InvestmentEarningsOrLosses
Other Expenditures-85833OtherExpenditures
End Of Year Balance762203EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance513733BeginningOfYearBalance
Investment Earnings Or Losses106788InvestmentEarningsOrLosses
End Of Year Balance620521EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance802962BeginningOfYearBalance
Investment Earnings Or Losses-289229InvestmentEarningsOrLosses
End Of Year Balance513733EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.82000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.18000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1586445OtherCostOrOtherBasis
Book Value1586445BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20748800OtherCostOrOtherBasis
Depreciation8850828Depreciation
Book Value11897972BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1828236OtherCostOrOtherBasis
Depreciation1185153Depreciation
Book Value643083BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1137087OtherCostOrOtherBasis
Depreciation848252Depreciation
Book Value288835BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14416335TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (8 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
COMMON STOCK8357377F
COMMODITIES670139F
MONEY MARKET FUNDS2604410F
CORPORATE BONDS7924086F
PUBLIC REIT'S414964F
BOND FUNDS100000F
BOND TRUST FUNDS739973F
PERPETUAL TRUST636970F
FieldValueIRS element (for citing)
Total Of Book Value Program Related21447919TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
RESIDENTS' FUNDS$36,641
RESIDENTS' SECURITY DEPOSITS$264,307
OTHER LIABILITIES$21,656
FieldValueIRS element (for citing)
Total Of Amounts322604TotalOfAmounts
Total Revenue15611974TotalRevenue
Total Expenses14813495TotalExpenses
Excess Or Deficit For Year798479ExcessOrDeficitForYear
Net Unrealized GL On Investments-1127629NetUnrealizedGLOnInvestments
Total Adjustments-1127629TotalAdjustments
Excess Or Deficit Per FS-329150ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14434965TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1127629NetUnrealizedGainsInvestments
Revenue Not Rptd F990-1127629RevenueNotRptdF990
Revenue Subtotal15562594RevenueSubtotal
Investment Expenses Not Included49380InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt49380RevenueNotRptdOnFinStmt
Total Revenue Per Form99015611974TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14764115TotExpensesEtcAuditedFinclStmt
Expenses Subtotal14764115ExpensesSubtotal
Investment Expenses Not Included249380InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt49380ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014813495TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSSCHEDULE D, PART V, QUESTION 4ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES.
TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTESCHEDULE D, PART XAN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE ORGANIZATION FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; RESPECTIVELY. THE FIN 48 FOOTNOTE BELOW IS FROM THE ORGANIZATION'S 2011 AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION, IN ACCORDANCE WITH ACCOUNTING STANDARDS REGARDING ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, HAS EVALUATED UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING STANDARDS REGARDING ACCOUNTING FOR CONTINGENCIES AND HAS DETERMINED IT HAS NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2011 AND 2010.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLFNameOfEvent1
Gross Receipts Event151596GrossReceiptsEvent1
Charitable Contributions Event127822CharitableContributionsEvent1
Gross Revenue Event123774GrossRevenueEvent1
Cash Prizes Event1625CashPrizesEvent1
Non Cash Prizes Event11725NonCashPrizesEvent1
Rent Facility Costs Event117692RentFacilityCostsEvent1
Other Direct Expenses Event13732OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total51596GrossReceiptsTotal
Charitable Contributions Total27822CharitableContributionsTotal
Gross Revenue Total Events23774GrossRevenueTotalEvents
Cash Prizes Total Events625CashPrizesTotalEvents
Non Cash Prizes Total Events1725NonCashPrizesTotalEvents
Rent Facility Costs Total Events17692RentFacilityCostsTotalEvents
Other Direct Expenses Total Events3732OtherDirectExpensesTotalEvents
Direct Expense Summary Events23774DirectExpenseSummaryEvents

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonKATHERINE K SHEPARDNamePerson
Base Compensation Filing Org159763BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org3425OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org13775DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org23583NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org200546TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (31 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMMUNITY BENEFIT STATEMENTCORE FORM, PART IIIHISTORY ======= IN 1890, DR. HENRY REICHERT, A PRESBYTERIAN MINISTER IN NEWARK, BECAME CONVINCED OF THE NEED FOR A HOME FOR THE AGED. HIS DILIGENT LEADERSHIP LED TO THE FORMATION OF THE BETHANY HOME FOR THE AGED IN 1902 ON LAND IN IRVINGTON. THIS WAS THE FIRST HOME FOR THE AGED ESTABLISHED BY A CHURCH GROUP. MANY LOCAL CHURCHES SUPPORTED THIS BETHANY HOME FOR THE AGED FOR MANY YEARS THROUGH VARIOUS STAGES OF GROWTH. RIGHT FROM ITS INCEPTION, THE HOME WAS TOO SMALL. WHEN DENOMINATIONS BEGAN TO ESTABLISH THEIR OWN HOMES IN THE TWENTIES AND THIRTIES, THE BETHANY HOME PERSEVERED THROUGH A PERIOD OF HARD FINANCIAL TIMES. IN AUGUST OF 1998, THE IRVINGTON SITE WAS CLOSED AND A MOVE WAS MADE TO A NEWLY CONSTRUCTED FACILITY IN OLD BRIDGE, WHICH IS SITUATED ON 15 ACRES OF GROUND. THE BEAUTIFUL AND TRANQUIL PARK-LIKE SETTING OFFERS OUTDOOR ENJOYMENT TO RESIDENTS AND VISITORS ALL YEAR LONG. THE GROUNDS ALSO INCLUDE A QUARTER-MILE WALKING PATH, PATIOS, AND OUTSIDE FLOWER AND HERB GARDENS WHERE RESIDENTS CAN ENJOY THE BEAUTY OF NATURE. BOTH ASSISTED LIVING AND SKILLED NURSING CARE ARE OFFERED IN OLD BRIDGE. MISSION STATEMENT ================= THE MISSION OF THE REFORMED CHURCH MINISTRIES TO THE AGING, THE REGIONAL SYNOD OF THE MID-ATLANTICS ("RCH"), IS TO ESTABLISH, MAINTAIN, AND OPERATE ITS HOME AND PROGRAMS ON BEHALF OF THE AGING MEMBERS OF THE REFORMED CHURCH IN AMERICA ("RCA"). WHILE OUR COMMISSION AND PRIORITY IS TO SERVE THE MEMBERSHIP OF THE RCA, IT IS ALSO OUR DESIRE TO SERVE THE COMMUNITY AT LARGE AND TO PROVIDE A WITNESS OF OUR COMMITMENT TO REFLECT GOD'S LOVE TO THE WORLD. THE HOME IS COMMITTED TO EXCELLENCE WHILE PROVIDING QUALITY CHRISTIAN HEALTHCARE SERVICE, INCLUDING SKILLED NURSING AND ASSISTED LIVING, AND MAINTAINING THE DIGNITY OF THE RESIDENTS AT WHATEVER LEVEL OF CARE IS REQUIRED IN AN ATMOSPHERE WHICH SPEAKS CLEARLY OF GOD'S LOVE (REGARDLESS OF RACE, COLOR, HANDICAP, RELIGION OR NATIONAL ORIGIN). SERVICES ======== RCH IS DEDICATED TO THE SERVICE OF GOD AND THE CARE OF HIS PEOPLE BY PROVIDING QUALITY RESIDENTIAL AND NURSING SERVICES DESIGNED TO ENHANCE THE INDEPENDENCE AND DIGNITY, PRIVACY, OF ITS RESIDENTS THROUGH GOD'S LOVE, SPIRITUAL, SOCIAL, RECREATIONAL, AND PHYSICAL PROGRAMS. THE HOME HIRES AND TRAINS A COMPASSIONATE AND TALENTED STAFF THAT UNDERSTANDS RCH'S MISSION AND MAKES EVERY ATTEMPT TO GIVE A WARM AND COMFORTABLE FEELING TO ITS RESIDENTS. RCH'S CARE WORKERS ARE COMMITTED TO PROVIDING EACH RESIDENT WITH THE HIGHEST QUALITY HEALTHCARE, DELIVERED IN A COURTEOUS AND CARING MANNER. ASSISTED LIVING =============== A RESIDENT CAN CHOOSE FROM A SERIES OF RESIDENTIAL SUITES, EACH WITH A DIFFERENT FLOOR PLAN. ALL SUITES INCLUDE A KITCHENETTE, WHICH HAS A SINK, SMALL REFRIGERATOR, AND FOOD STORAGE SPACE, ALONG WITH A MICROWAVE OVEN, IF REQUESTED BY THE RESIDENT. IN ADDITION, EACH APARTMENT HAS A PRIVATE FULL BATH, INDIVIDUALLY CONTROLLED HEATING AND CENTRAL AIR CONDITIONING, WALL-TO-WALL CARPET, AND FULL WINDOW TREATMENTS. THERE ARE THREE APARTMENT DESIGNS AVAILABLE. THEY RANGE IN SIZE FROM A STUDIO TO A DELUXE MODEL. THE STUDIO IS A ONE ROOM APARTMENT THAT PROVIDES 282 AMPLE SQUARE FEET OF LIVING SPACE. NEXT IN SIZE IS THE ALCOVE/STUDIO DESIGN, WHICH OFFERS 408 SQUARE FEET OF TOTAL LIVING SPACE. THIS FLOOR PLAN IS IDEAL FOR THE RESIDENT LOOKING FOR ADDITIONAL LIVING SPACE OR A MORE AFFORDABLE HOUSING OPTION BY CONVERTING THIS FLOOR PLAN INTO A COMPANION SUITE. IN ADDITION, RCH OFFERS THE DELUXE SUITE, WHICH HAS A LARGE LIVING ROOM AND A LARGE BEDROOM WITH A WALK-IN CLOSET. THIS IS THE MOST LUXURIOUS OF ALL THE FLOOR PLANS AND BOASTS A TOTAL OF 437 SQUARE FEET OF LIVING SPACE. THERE ARE A TOTAL OF 48 SUITES, PLUS 3 ELEGANT DINING ROOMS, 2 SOLARIUMS FURNISHED WITH WICKER FURNITURE, A RESIDENT KITCHEN AND 1 SCREENED-IN PATIO FOR RELAXING AND READING DURING WARMER WEATHER. SKILLED NURSING =============== NURSING CARE IS PROVIDED FOR THOSE WHO NEED AROUND-THE-CLOCK ASSISTANCE WITH THE NORMAL ACTIVITIES OF DAILY LIVING SUCH AS DRESSING, BATHING, AND FEEDING, AND INCLUDES MORE INTENSIVE NURSING CARE. SKILLED NURSING CARE IS PROVIDED IN RCH'S 108 BED LONG-TERM CARE WING, WHICH IS DIVIDED INTO THREE UNITS. THREE 12-BED CLUSTERS MAKE UP A 36-BED NEIGHBORHOOD WITH ITS OWN DINING, LOUNGE, AND ACTIVITIES AREAS. THERE ARE 36 PRIVATE ROOMS AND 72 SEMI-PRIVATE ROOMS. THE SEMI-PRIVATE ROOMS HAVE AN L-SHAPED DESIGN, WHICH AFFORDS EACH OCCUPANT HIS OR HER OWN PERSONAL PRIVATE ROOM. THERE ARE TWO LARGE WINDOWS AND ACCESS TO THE SHARED BATHROOM WITHOUT WALKING THROUGH THE ROOMMATE'S ROOM. THE PRIVATE ROOMS CONTAIN TWO LARGE WINDOWS AND A PRIVATE BATHROOM, SOME WITH PRIVATE SHOWERS. IN ADDITION, THERE ARE TWO SMALL ELEGANT DINING ROOMS PER FLOOR AND A LARGE LOUNGE FOR RESIDENTS TO ENJOY CRAFTS, EACH OTHER'S COMPANY, OR WATCHING TV. THE FACILITY ALSO PROVIDES SMALLER LOUNGE AREAS ON EACH WING FOR FAMILY VISITS AND SOCIALIZING. ADDITIONAL SERVICES =================== OUTLINED BELOW ARE A NUMBER OF RCH SERVICES. THE INFORMATION IS NOT INTENDED TO BE ALL-INCLUSIVE BUT RATHER PROVIDES ADDITIONAL INFORMATION THAT FURTHER DEMONSTRATES HOW RCH BENEFITS IT RESIDENTS IN FURTHERANCE OF ITS CHARITABLE TAX-EXEMPT PURPOSE. 1) BASIC NURSING SERVICES - NURSING ASSESSMENTS. BASIC ASSISTANCE AND LINEN CHANGES INCLUDED IN MONTHLY FEE. 2) DINING SERVICES - PROVIDES THREE NUTRITIONALLY BALANCED MEALS A DAY. 3) MAINTENANCE - STAFF WILL PERFORM ALL APARTMENT MAINTENANCE AND REPAIRS. 4) LAUNDRY - PROVIDES RESIDENT WITH PERSONAL LAUNDRY SERVICES AS WELL AS BED AND BATH LINENS ONCE A WEEK. 5) HOUSEKEEPING - PROVIDES DAILY/WEEKLY CLEANING TO INCLUDE VACUUMING, DUSTING, CLEANING BATHROOMS. 6) ACTIVITIES - FULL-TIME DIRECTOR, PLANNED OUTSIDE EVENTS, CRAFTS, GAMES, GARDENING, SHOPPING, THEATER. HEALTH AND WELLNESS =================== 1) DOCTOR ON-CALL 24 HOURS A DAY. 2) EXPERIENCED NURSING STAFF AVAILABLE 24 HOURS A DAY. 3) INDIVIDUALIZED TRANSPORTATION PLANS. 4) EMERGENCY CALL SYSTEM IN EVERY APARTMENT/ROOM. 5) PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY ON-SITE. 6) STATE-OF-THE-ART EXERCISE EQUIPMENT AND EXERCISE PROGRAMS. 7) FULL TIME SOCIAL WORKER TO ASSIST YOU WITH CONCERNS. 8) OTHER MEDICAL SPECIALTY SERVICES AVAILABLE. 9) BEAUTY AND BARBER SALON ON-SITE FOR PAMPERING. 10) 24 HOUR CARE. 11) REGISTERED DIETICIAN. 12) RECREATIONAL STAFF, 7 DAYS A WEEK. 13) FULL-TIME HOUSEKEEPING AND LAUNDRY SERVICE 14) HOSPICE. 15) RESIDENT COUNCIL. 16) DENTIST, EYE DOCTOR AND FOOT DOCTOR ON-SITE. COMMUNITY PRESENTATIONS ======================= THE ORGANIZATION ALSO PROVIDES VARIOUS LECTURES AND SEMINARS TO THE COMMUNITY FREE OF CHARGE.
GOVERNANCE, MANAGEMENT, AND DISCLOSURECORE FORM, PART VI, SECTION A; QUESTION 2LINDA SOLEY AND REVEREND JOSEPH WOODS - FAMILY RELATIONSHIP.
FORM 990 REVIEW PROCESSCORE FORM, PART VI, SECTION B; QUESTION 11BTHE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO THE TREASURER OF THE ORGANIZATION'S BOARD OF TRUSTEES FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THEREAFTER, THE FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S FINANCE COMMITTEE FOR THEIR REVIEW PRIOR TO FILING WITH THE IRS. THE REFORMED CHURCH HOME BOARD OF TRUSTEES HAS DELEGATED TO THE EXECUTIVE COMMITTEE THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE OF THE FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION AND THE SYSTEM TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER SYSTEM INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE TREASURER OF THE ORGANIZATION'S BOARD OF TRUSTEES AND THEREAFTER TO THE ORGANIZATION'S FINANCE COMMITTEE.
CONFLICT OF INTEREST POLICYCORE FORM, PART VI, SECTION B; QUESTION 12THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE SECRETARY OF THE ORGANIZATION'S BOARD OF TRUSTEES FOR REVIEW. THEREAFTER THE SECRETARY PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THEREAFTER, THE SECRETARY PRESENTS THIS SUMMARY TO THE EXECUTIVE COMMITTEE FOR ITS REVIEW AND DISCUSSION.
COMPENSATION REVIEW AND APPROVAL PROCESSCORE FORM, PART VI, SECTION B; QUESTION 15THE ORGANIZATION'S BOARD OF TRUSTEES HAS A PERSONNEL COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE REFORMED CHURCH HOME'S SENIOR MANAGEMENT, INCLUDING THE ADMINISTRATOR. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE COMMITTEE PRESENTS ITS RECOMMENDED "TOTAL COMPENSATION" TO THE ORGANIZATION'S EXECUTIVE COMMITTEE FOR ITS REVIEW AND APPROVAL. THE EXECUTIVE COMMITTEE HAS THE RESPONSIBILITY TO REVIEW AND APPROVE THE PERSONNEL COMMITTEE'S RECOMMENDATIONS AND TO THEN PRESENT THIS TO THE ORGANIZATION'S FULL BOARD OF TRUSTEES FOR ITS REVIEW AND APPROVAL. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE ADMINISTRATOR. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HEALTHCARE EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOMES, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE PERSONNEL COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE ADMINISTRATOR. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE ADMINISTRATOR WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION C; QUESTION 19THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF TREASURY.
OTHER CHANGES IN NET ASSETSCORE FORM, PART XI; QUESTION 5OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: NET UNREALIZED LOSSES ON INVESTMENTS - ($1,127,629)
AUDITED FINANCIAL STATEMENTSCORE FORM, PART XII; QUESTION 2AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE TAXPAYER FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; RESPECTIVELY, AND ISSUED A CERTIFIED AUDITED FINANCIAL STATEMENT. AN UNQUALIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM EACH YEAR. THE ORGANIZATION'S BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE ITS FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT AUDITOR.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:AUDREY AHN TITLE:PRESIDENT - TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAVE SLICKER TITLE:VICE PRESIDENT - TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DORIS HAUG TITLE:SECRETARY - TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CHARLES FOX TITLE:TREASURER - TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:REVEREND STEPHEN J ECKERT TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KAREN FEENEY TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:REED FEUSTER TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KEN GIBSON TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SUE HENDERSHOT TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:REVEREND CHARLES HIGGINS TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GIL HUNT TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARILYN KOOPS TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:REVEREND LUIS PEREZ TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BOB PRESTON TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:REVEREND DIANNA SMITH TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LINDA K SOLEY TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SARA THOMPSON TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:REVEREND JOSEPH WOODS TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KATHERINE K SHEPARD TITLE:ADMINISTRATOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILSON SANTIAGO TITLE:NURSING SUPERVISOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RUBY ANASTOS TITLE:CONTROLLER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SNOOKY MENDOZA TITLE:MDS COORDINATOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CHARLEEN BRISINDI TITLE:ASSISTANT DIRECTOR OF NURSING HOURS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1REFORMED CHURCH IN AMERICABusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11990 ROUTE 18 NORTHAddressLine1
CityOLD BRIDGECity
StateNJState
ZIP Code08857ZIPCode
FieldValueIRS element (for citing)
EIN221508545EIN
Primary ActivitiesFUNDRAISINGPrimaryActivities
Legal Domicile StateNJLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1RCHBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg