2012-04-27T15:56:09-07:00 2011-06-30 990 2010-07-01 232995232 CHELTENHAM YORK ROAD NURSING AND REHABILITATION CENTER INC CHEL 2159514390 6970 Germantown Avenue Philadelphia PA 19119 Donald Levesque 2159514390 2012-04-27 2010 2016-02-24 21:20:13Z Donald Levesque 6970 Germantown Avenue Philadelphia PA 19119 21987293 0 X www.newcourtland.org X 1999 PA Skilled Nursing Home for the Elderly 7 3 308 0 0 0 731788 923525 20983234 20907728 2679 3831 -14108 152209 21703593 21987293 0 0 0 0 10916647 12692697 0 0 0 10365185 7940742 21281832 20633439 421761 1353854 12442750 10129033 13022924 9355351 -580174 773682 Skilled Nursing Home for the Elderly 0 0 19507049 0 0 Nursing Home Care: Operates a Skilled Nursing Home (240 residents) 0 0 0 19507049 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 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 0 0 0 0 1 15 0 1 308 1 0 0 0 0 0 0 X 7 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 PA X NewCourtland 2159514390 6970 Germantown Ave Philadelphia PA 19119 X David Auten 0 X 0 0 0 Andrew Siebert 1 X 0 0 0 Freda Lee 1 X 0 0 0 Gail Kass 1 X 0 0 0 Mary Naylor 1 X 0 0 0 Donald Levesque 1 X 0 0 0 Christine Dennis 40 X X 118401 0 4736 Catherine Rivers 40 X 105297 0 4212 Myrleine Alexandre 40 X 107997 0 4320 331695 0 13268 3 0 0 1 Select Rehab 550 Frontage Road Newfield IL 60093 Rehab Therapists for the Elder 973458 Duane Morris LLP 30 South 17th Street Philadelphia PA 19103 Legal Services 360744 Courtland II 6970 Germantown Avenue Philadelphia PA 19119 Nursing Services 207089 Healthcare Services Group 3220 Tillman Drive Suite 300 Bensalem PA 19020 Food Services for the Elderly 196650 Keystone Quality Transport PO Box 2027 Media PA 19063 Legal Services 175275 8 0 0 0 0 923525 0 0 923525 Medicaid 623000 17660972 17660972 0 0 Medicare 623000 2438456 2438456 0 0 Direct Patient Revenue 623000 284703 284703 0 0 Commercial Insurance 623000 228165 228165 0 0 PA State Disapportionment Revenue 623000 295432 295432 0 0 0 0 0 0 20907728 3831 0 0 3831 0 0 0 0 0 0 0 0 0 0 0 0 0 Meals 623000 8326 8326 0 0 Miscellaneous 623000 143883 143883 0 0 0 0 0 0 152209 21987293 21059937 0 3831 0 0 0 0 0 0 0 0 331695 0 331695 0 9931271 9931271 0 0 248137 238212 9925 0 1237514 1089012 148502 0 944080 859113 84967 0 0 0 0 0 512625 0 512625 0 33645 0 33645 0 0 0 0 0 0 0 0 0 0 0 2938327 2938327 0 0 8689 8689 0 0 272874 272874 0 0 0 0 0 0 0 0 0 0 1040344 1040344 0 0 0 0 0 0 0 0 0 0 5031 0 5031 0 23913 23913 0 0 0 0 0 0 766560 766560 0 0 230932 230932 0 0 Transportation of Elderly Residents 147006 147006 0 0 Bad Debt 457855 457855 0 0 Worker's Compensation 203916 203916 0 0 Resident Medical & Pharmacy Services 644887 644887 0 0 Other Expenses 654138 654138 0 0 20633439 19507049 1126390 0 1165988 -83748 3007227 2964224 1905101 1407772 313238 209694 14528139 9346846 5608435 5181293 0 442761 449798 12442750 10129033 3202498 3026824 331029 344786 9489397 5983741 13022924 9355351 X -580174 773682 0 0 0 0 -580174 773682 12442750 10129033 X 1353854 2 X 0 1 1 X 0 X 768486 652920 731788 923525 3076719 18255602 18643090 19726367 20983234 20907728 98516021 0 0 0 0 18255602 19411576 20379287 21715022 21831253 101592740 101592740 76795 2679 3831 83305 0 0 76795 2679 3831 83305 8912 8910 8847 -14108 152209 164770 18264514 19420486 20464929 21703593 21987293 101840815 0.99756 0.99896 0.00082 0.00082 X Meals & other miscellaneous 0 1 1106742 0 1106742 5799473 0 4342253 1457220 4379815 0 2762830 1616985 3150483 0 2241763 908720 91626 0 0 91626 5181293 Resident Funds Held In Trust 344785 Deferred Financing Cost Fees, net 105013 449798 0 Due to NewCourtland Elder Services (supporting organization) 5983741 5983741 21987293 20633439 1353854 0 0 0 0 0 0 1353854 21987293 0 0 0 0 0 21987293 0 0 0 21987293 20633439 0 0 0 0 0 20633439 0 0 0 20633439 SchD_P04_S00_L02b Schedule D, Part IV, Line 2b Resident Trust Liability - Resident funds held by a bank. Organization acts in a fiduciary capacity. SchD_P10_S00_L00 Schedule D, Part X Cheltenham York Road Nursing Home is a not-for-profit corporation and is exempt from federal and state income taxes under Section 501(c)(3) of the Internal Revenue Code, and, accordingly, no provision for income taxes has been provided. X X X X X X 0 0 0 0 0 0 0 0 0 David Auten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Andrew Siebert 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Freda Lee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Gail Kass 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Mary Naylor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Donald Levesque 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Christine Dennis 118401 0 0 0 0 0 0 0 4736 0 123137 0 118553 0 Catherine Rivers 105297 0 0 0 0 0 0 0 4212 0 109509 0 110536 0 Myrleine Alexandre 107997 0 0 0 0 0 0 0 4320 0 112317 0 0 0 F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b Form 990's are reviewed by Board members at Board meetings or through other means. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c At Board of Director meetings, which are held two or more times a year, conflict of interest concerns are addressed. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 A Board Level review is conducted. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Available upon request. F990_P07_S0A_L05 Form 990, Part VII, Section A, Line 5 Andrew Seibert, Board of Director, and Donald Levesque, Treasurer, and others are employees of Veritas Health Services (VHS) and Veritas Financial Services (VFS). VHS and VFS provides management services to NewCourtland and related affiliated organizations including Cheltenham York Road Nursing and Rehab. Total management services fees paid to VHS and VFS for services to NewCourtland and related affiliated organizations during the fiscal year ended June 30, 2011 was $ F990_P11_S00_L05 Form 990, Part XI, Line 5 Rounding correction in order to make Assets equal Liabilities. NewCourtland Elder Services 6970 Germantown Avenue Philadelphia PA 19119 232734102 Supporting Organization PA 501(c)(3) 170(b)(1)(A)(vi) NewCourtland Elder Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 NewCourtland Elder Services q 2689329 Needed to gather additional data