2013-11-04T12:03:59-06:00 2012-12-31 341897225 HILL BARTH & KING LLC 15942 CONNEAUT LAKE ROAD MEADVILLE PA 16335 990 2012-01-01 250773080 ST PAUL HOMES STPA 7245887610 339 EAST JAMESTOWN ROAD GREENVILLE PA 16125 CHRISTOPHER WRIGHT 7245887610 2013-10-15 1 DONALD R YOUNG P00175251 8143361512 2013-10-15 2012 2016-02-24 21:20:13Z G BRYAN OROS 339 EAST JAMESTOWN ROAD GREENVILLE PA 16125 25571905 0 X LIFEATSTPAULS.ORG X 1868 PA THE MISSION OF ST. PAULS HOMES, FORMED AND SUSTAINED BY THE JUDIO-CHRISTIAN FAITH, AND HISTORICALLY RELATED TO THE UNITED CHURCH OF CHRIST IS TO PROVIDE MEANING AND RICHNESS TO THE LIFE OF EACH RESIDENT AND HEALTH CARE SERVICES FOR THOSE WHO SEEK OUR FACILITY WHILE ENHANCING AND MAINTAIN THE DIGNITY OF HUMAN LIFE. 27 27 517 220 99789 0 528908 1153839 22280229 22791510 789588 403200 170909 408561 23769634 24757110 0 0 0 0 12522634 13253785 0 0 153839 9938001 10187579 22460635 23441364 1308999 1315746 58135097 59488664 37870278 37238791 20264819 22249873 X THE MISSION OF ST PAUL'S FORMED AND SUSTAINED BY THE JUDEO-CHRISTIAN FAITH AND HISTORICALLY RELATED TO THE UNITED CHURCH OF CHRIST, IS TO PROVIDE MEANING AND RICHNESS TO THE LIFE OF EACH RESIDENT AND HEALTH CARE SERVICES FOR THOSE WHO SEEK OUR FACILITY, WHILE MAINTAINING AND ENHANCING THE DIGNITY OF HUMAN LIFE. 0 0 20261825 22760010 ST. PAUL HOMES OPERATES A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) WHICH PROVIDES HOUSING CARE AND SERVICES TO ELDERLY INDIVIDUALS IN ORDER TO SHELTER AND ALLEVIATE THE DISTRESS AND HARDSHIP OF AGING. AT ITS CAMPUS, SPH PROVIDES A CONTINUUM OF SERVICES THROUGH ITS 67 INDEPENDENT LIVING HOUSES AND 17 APARTMENT UNITS (COLLECTIVELY KNOWN AS THE COLONY), TWO PERSONAL CARE FACILITIES WITH A TOTAL OF 120 UNITS (THE RIDGEWOOD AND THE HERITAGE), AND A 192 BED SKILLED NURSING FACILITY (THE VILLAS). A STANDARD COLONY HOUSE FEATURES A FULL SERVICE KITCHEN, FORMAL DINING ROOM, LIVING ROOM, SUNROOM, BATHROOM, POWDER ROOM AND A ONE CAR GARAGE, HOWEVER RESIDENTS HAVE SEVERAL RENOVATION OPTIONS. COLONY WOODLAND HOUSES OFFER SEVEN DIFFERENT FLOOR PLANS AND INCLUDE THE OPTION OF FACTORY BUILT HOMES OR TRADITIONAL ON SITE CONSTRUCTION. WOODLAND HOMES GENERALLY FEATURE THREE BEDROOMS, TWO BATHS, A LARGE SUNROOM, PATIO, TWO-CARE GARAGE, AND CENTRAL AIR CONDITIONING. RESIDENTS OF THE COLONY HAVE ACCESS TO SERVICES INCLUDING TRANSPORTATION, HOUSEKEEPING, MEALS, EMERGENCY NURSE VISITS, FITNESS CENTER, SOCIAL ACTIVITIES, AND SPIRITUAL PROGRAMS. THE RIDGEWOOD AT ST PAUL'S OFFERS A UNIQUE PERSONAL CARE RESIDENCE COMBINING PRIVATE APARTMENTS AND PERSONAL CARE. THE RIDGEWOOD IS LICENSED FOR 52 PERSONAL CARE BEDS BY THE DEPARTMENT OF PUBLIC WELFARE AND PROVIDES MEALS, PERSONAL LAUNDRY SERVICES, AND ASSISTANCE WITH HOUSEKEEPING, GIVING RESIDENTS TIME TO ENJOY THEIR HOBBIES AND PARTICIPATE IN PLANNED EVENTS. TRANSPORTATION ON AND OFF CAMPUS IS ALSO AVAILABLE. A FULL-TIME LICENSED PRACTICAL NURSE COORDINATES RESIDENTS' HEALTH CARE INCLUDING MEDICATION MANAGEMENT IF NEEDED, SCHEDULING APPOINTMENTS AND FOLLOWING UP ON RECOMMENDED MEDICAL CARE. PERSONAL CARE ATTENDANTS, CERTIFIED IN CPR AND FIRST AID, PROVIDE ASSISTANCE WITH ALL ACTIVITIES OF DAILY LIVING. IN 2006, SPH OPENED THE HERITAGE, AN 80 UNIT APARTMENT BUILDING THAT IS LICENSED AS A PERSONAL CARE FACILITY BY THE DEPARTMENT OF PUBLIC WELFARE. THE HERITAGE SERVES INDEPENDENT PEOPLE AS WELL AS INDIVIDUALS THAT NEED ASSISTANCE WITH DAILY ACTIVITIES. AGING-IN-PLACE SERVICES GIVES INDEPENDENT RESIDENTS THE OPPORTUNITY TO STAY IN THEIR APARTMENT AND ADD PERSONAL CARE SERVICES (IE ASSISTANCE WITH THE ACTIVITIES OF DAILY LIVING) WHEN NEEDED. A FULL TIME LPN ASSISTS IN COORDINATING HEALTH SERVICES. SPH'S NURSING FACILITY KNOWN AS THE VILLAS AT ST. PAUL'S OPENED IN APRIL 2005. THE 192-BED VILLAS PROVIDES NURSING CARE AND REHABILITATION AND EXPANDED ALZHEIMER'S AND DEMENTIA CARE SERVICES AS WELL AS EXPANDED FITNESS PROGRAM. THE NURSING FACILITY IS LICENSED BY THE PA DEPT OF HEALTH AND PARTICIPATES IN BOTH THE MEDICARE AND MEDICAID PROGRAMS. 20261825 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 43 0 1 517 1 1 1 0 0 0 0 0 0 0 X 27 27 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X G BRYAN OROS 7245887610 339 EAST JAMESTOWN ROAD GREENVILLE PA 16125 SCOTT HARTLE 1.00 X 0 0 0 AMY BECHER 1.00 X 0 0 0 WILLIAM MARTIN 1.00 X 0 0 0 LARRY REDFOOT 1.00 X 0 0 0 NEIL SIEFERT 1.00 X 0 0 0 BEN WALKER 1.00 X 0 0 0 REV VERNA CALL 1.00 X 0 0 0 VICTOR COLAIACO 1.00 X 0 0 0 JOHN MILLEN 1.00 X 0 0 0 JOHN MCCANDLESS 1.00 X 0 0 0 BETTY LOU ARTMAN 1.00 X 0 0 0 JOSEPH DESPOY 1.00 X 0 0 0 STEVEN GARGASZ 1.00 X 0 0 0 PAT HOUPT 1.00 X 0 0 0 PAUL WESTCOAT 1.00 X 0 0 0 JAMES SHAFFER 1.00 X 0 0 0 JEFFREY WALLACE 1.00 X 0 0 0 ROY WILT 1.00 X 0 0 0 GEORGE MCKEE 1.00 X 0 0 0 CHERYL BURNS 1.00 X 0 0 0 JULIE HILLS 1.00 X 0 0 0 DAVID REEVES 1.00 X X 0 0 0 BOB SHERBONDY 1.00 X X 0 0 0 MICHAEL WALTON 1.00 X 0 0 0 DOUG ANDERSON 1.00 X X 0 0 0 TERRY WHEELER 1.00 X X 0 0 0 JOSEPH DESPOY 1.00 X 0 0 0 REV JOSEPH HEDDEN 1.00 X 0 0 0 JACK WALTER 1.00 X 0 0 0 G BRYAN OROS 40.00 X 200455 0 0 200455 0 0 1 1 1 0 ALLIANCE REHAB 1520 KENSINGTON RD OAK BROOK IL 60523 THERAPY 1172583 SODEXHO MARRIOTT SVS PO BOX 685 CHARLOTE NC 28290 DIETARY MGT 451323 MCKESSON MEDICAL ONE POST STREET SAN FRANCISCO CA 94104 MEDICAL SERVICES 293385 HEALTHCARE SVC GROUP 3220 TILLMAN DRIVE BENSALEM PA 19020 ENVIRON SVCS MGT 180022 US FOOD SERVICES 9399 WEST HIGGINS ROAD ROSEMONT IL 60018 FOOD SERVICE 146037 5 1153839 1153839 PATIENT FEES 623000 22791510 22791510 22791510 318469 318469 899526 814795 84731 84731 84731 INCOME FROM EQUITY PARTNERS 900099 310033 310033 MANAGEMENT FEES 900099 99789 99789 MISC 900099 16223 16223 -17484 -17484 408561 24757110 22791510 99789 711972 179400 179400 10038112 8662912 1285512 89688 443766 377201 62127 4438 1853334 1575334 259467 18533 739173 628297 103484 7392 56944 56944 67400 67400 25040 25040 52811 43050 9761 69787 67647 2140 968357 968357 1991501 1991501 16784 16784 ANCILLARY 4122415 4122415 HEALTH CARE 1195564 1195564 ROOM & BOARD 698420 698420 CONTACTED SERVICES 287673 282924 4749 634883 617745 17138 23441364 20261825 3025700 153839 3492095 2397465 440229 1529438 2437026 113252 110723 200538 216450 64115918 26522345 38416165 37593573 8739366 12609887 1065357 1146112 4578886 2537199 58135097 59488664 832891 622516 111332 47866 31515000 30835000 5411055 5733409 37870278 37238791 X 18844836 20009728 506446 638478 913537 1601667 20264819 22249873 58135097 59488664 X 1315746 219427 449881 X 0 1 X 1 0 X 683948 590101 312067 528908 1153839 3268863 19975443 20279728 21216334 22280229 22791510 106543244 20659391 20869829 21528401 22809137 23945349 109812107 0 0 0 109812107 -212441 457398 1150818 789588 403200 2588563 -212441 457398 1150818 789588 403200 2588563 203251 170536 187260 170909 408561 1140517 20650201 21497763 22866479 23769634 24757110 113541187 0.96720 0.96260 0.02280 0.03000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 62397 62397 54050651 19969499 34081152 6622941 4773288 1849653 3379929 1779558 1600371 37593573 ACCRUED PAYROLL AND W/H 488930 ACCRUED WC LIABILITY 117000 RESIDENT TRUST FUND PAYABLE 39796 REFUNDABLE FEES 343799 DEFERRED REV FROM ADV FEE NET 3825047 DERIATIVE FINANCIAL INST 291052 OTHER 627785 5733409 25426418 219427 449881 669308 24757110 0 24757110 23441364 0 23441364 0 23441364 PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED LOSS ON DERIATIVE FINANCIAL INSTRUMENTS VALUATION GAIN ON BENEFICIAL INTEREST IN PERPETUAL TRUSTS 0 0 0 0 0 0 0 0 0 G BRYAN OROS 179400 0 0 0 21055 0 0 0 0 0 200455 0 0 0 A HORIZON HOSPITAL SYSTEM AUTHORITY SENIOR HEALTH & HOUSING FAC REV BONDS SE 251797817 000000001 2002-12-26 26855000 CONSTRUCTION OF SKILLED NURSING FACILITY 0 0 0 B HORIZON HOSPITAL SYSTEM AUTHORITY SENIOR HEALTH & HOUSING FAC REV BONDS SE 251797817 000000000 2004-09-30 7900000 RENOVATION OF PERSONAL CARE FACILITY 0 0 0 A 26855000 1850000 526558 21646247 2004 0 0 1 1 B 7900000 288841 158000 6043278 2006 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 1 1 0 0 0 0 B 1 1 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE BUDGET AND FINANCE COMMITTEE OF THE BOARD OF DIRECTORS AND MADE AVAILABLE TO ALL BOARD MEMBERS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS ENFORCED AND MONITORED BY THE DIRECTOR OF FINANCE. QUESTIONARIES ARE ANSWERED BY THE BOARD AS TO THEIR RELATIONSHIPS WITH OTHER BOARD MEMBERS AND EMPLOYEES. THE QUESTIONAIRES ARE REVIEWED BY THE DIRECTOR OF FINANCE AND APPROPRIATE ACTION IS TAKEN IF NECESSARY. FORM 990, PART VI, SECTION C, LINE 19 NOT AVAILABLE TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: UNREALIZED LOSS ON DERIATIVE FINANCIAL INSTRUMENTS 369,127. VALUATION GAIN ON BENEFICIAL INTEREST IN PERPETUAL TRUSTS 80,754.