MENNO-HAVEN INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MENNO-HAVEN INC (EIN 23-6276101)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-10
IRS object ID
201232849349300333
Schema version
2011v1.2
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)
Timestamp2012-10-10T12:49:22-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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)
NameRODNEY E MASONName
TitleCEOTitle
Phone7172621000Phone
Date Signed2012-09-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGREGORY P HALL CPAName
PTINP00156653PTIN
Phone7172633910Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRODNEY E MASONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12011 SCOTLAND AVEAddressLine1
CityCHAMBERSBURGCity
StatePAState
ZIP Code17201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts49319524GrossReceipts
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 COMMUNITYActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees688TotalNbrEmployees
Total Nbr Volunteers579TotalNbrVolunteers
Total Gross UBI220057TotalGrossUBI
Net Unrelated Business Txbl Income-224022NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year597467ContributionsGrantsPriorYear
Contributions Grants Current Year397916ContributionsGrantsCurrentYear
Program Service Revenue Prior Year37734090ProgramServiceRevenuePriorYear
Program Service Revenue CY40435759ProgramServiceRevenueCY
Investment Income Prior Year682185InvestmentIncomePriorYear
Investment Income Current Year521374InvestmentIncomeCurrentYear
Other Revenue Prior Year192096OtherRevenuePriorYear
Other Revenue Current Year252837OtherRevenueCurrentYear
Total Revenue Prior Year39205838TotalRevenuePriorYear
Total Revenue Current Year41607886TotalRevenueCurrentYear
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 Year18974596SalariesEtcPriorYear
Salaries Etc Current Year19195570SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year220260TotalFundrsngExpCurrentYear
Other Expense Prior Year19096819OtherExpensePriorYear
Other Expenses Current Year19577156OtherExpensesCurrentYear
Total Expenses Prior Year38071415TotalExpensesPriorYear
Total Expenses Current Year38772726TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1134423RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2835160RevenuesLessExpensesCY
Total Assets BOY106027524TotalAssetsBOY
Total Assets EOY107520673TotalAssetsEOY
Total Liabilities BOY93308822TotalLiabilitiesBOY
Total Liabilities EOY98210221TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12718702NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9310452NetAssetsOrFundBalancesEOY
Mission DescriptionTO ENHANCE THE QUALITY OF LIFE THROUGH RESPONSIVE CHRISTIAN HUMAN SERVICES IN A CARING COMMUNITYMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense15392507Expense
Revenue21101408Revenue
DescriptionORGANIZATION MAINTAINS A LICENSED SKILLED NURSING FACILITY. PROVIDES ROOM & BOARD AND NURSING CARE, MEDICAL AND REHAB SERVICES, SOCIAL SERVICES, AND ACTIVITY PROGRAMS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense311614Expense
Revenue11115776Revenue
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)
Expense18430065Expense
Revenue8218575Revenue
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, MEDICAL AND TRANSPORTATION SERVICES.Description
FieldValueIRS element (for citing)
Total Program Service Expense34134186TotalProgramServiceExpense
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 With1096153NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees688NumberOfEmployees
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 Line1RODNEY E MASONBusinessNameLine1
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 DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
LLWELLYN MARTIN
BOARD CHAIRMAN0.40XX000
DALE HORST
BOARD VICE CHAIRMAN0.30XX000
MARTHA WALKER
BOARD SECRETARY0.30XX000
LYNN ROTZ
BOARD TREASURER0.30XX000
JOSEPH HULOCK
ASST. SECRETARY/TREASURER0.30XX000
BRADLEY MARTIN
BOARD MEMBER0.30X000
DARRELL BAER
BOARD MEMBER0.10X000
GLENN WINGERT
BOARD MEMBER0.20X000
WAYNE YEAGER
BOARD MEMBER0.20X000
DALE CLUGSTON
BOARD MEMBER0.30X000
CAROLYN GEORGE
BOARD MEMBER0.40X000
HELEN SKIBA-POWELL
BOARD RESIDENT REPRESENTAT0.20X000
RODNEY MASON
CHIEF EXECUTIVE OFFICER40.00X213779022091
JACK PARSON
CHIEF FINANCIAL OFFICER40.00X168499011793
TIMOTHY JOHNSON
CHIEF OPERATIONS OFFICER40.00X128899013135
CHARLES NELSON
CHIEF OFFICER OF GIFT PLAN40.00X136567013657
WENDY COWAN
CHIEF OFFICER OF MARKETING40.00X11100305492
DENNIS TRAVERS
CHIEF OFFICER OF HUMAN RES40.00X10980309466
DR ZACHARY SIMPSON
MEDICAL DIRECTOR40.0017037200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1038922TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation75634TotalOtherCompensation
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 SERVIES1842467
CURA HOSPITALITY
PO BOX 827276PHILADELPHIAPA19182DIETARY SERVICES1288601
FEESERS INC
5561 GRAYSON ROADHARRISBURGPA17111FOOD SERVICE DISTRIBUTOR1070251
MCCONKEY & CO INC
2555 KINGSTON RD STE 100YORKPA17402INSURANCE612090
CONTINUING CARE RX INC
PO BOX 12899PHILADELPHIAPA19176PHARMACY100356
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
All Other Contributions397916AllOtherContributions
Total Contributions397916TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING & PERSONAL CAR6230003433883034338830
OTHER RESIDENT SERVICE62300038309023830902
LIFE LEASE CONTRACTS62300022660272266027
FieldValueIRS element (for citing)
Total Program Service Revenue40435759TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column452732TotalRevenueColumn
Exclusion$452,732ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7769516Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7700874Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities68642Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column68642TotalRevenueColumn
Exclusion$68,642ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events43544GrossIncomeFundraisingEvents
Fundraising Direct Expenses10764FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column32780TotalRevenueColumn
Exclusion$32,780ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionPHYSICIAN/FOOD SERVICEDescription
Business Code722100BusinessCode
Total Revenue Column220057TotalRevenueColumn
Unrelated Business Revenue220057UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue220057TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column41607886TotalRevenueColumn
Related Or Exempt Function Income40435759RelatedOrExemptFunctionIncome
Unrelated Business Revenue220057UnrelatedBusinessRevenue
Exclusion$554,154ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total944184Total
Management And General889477ManagementAndGeneral
Fundraising54707Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14882051Total
Program Services13340898ProgramServices
Management And General1455540ManagementAndGeneral
Fundraising85613Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total274061Total
Program Services190950ProgramServices
Management And General76845ManagementAndGeneral
Fundraising6266Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1959293Total
Program Services1727988ProgramServices
Management And General211318ManagementAndGeneral
Fundraising19987Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1135981Total
Program Services972524ProgramServices
Management And General154879ManagementAndGeneral
Fundraising8578Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1586117Total
Program Services1391946ProgramServices
Management And General194091ManagementAndGeneral
Fundraising80Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total384124Total
Program Services200ProgramServices
Management And General383529ManagementAndGeneral
Fundraising395Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2698126Total
Program Services2506917ProgramServices
Management And General179608ManagementAndGeneral
Fundraising11601Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total138094Total
Program Services37436ProgramServices
Management And General96327ManagementAndGeneral
Fundraising4331Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3261477Total
Program Services3261477ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total67868Total
Program Services35542ProgramServices
Management And General32048ManagementAndGeneral
Fundraising278Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total30450Total
Management And General30450ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2331661Total
Program Services2306928ProgramServices
Fundraising24733Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4223306Total
Program Services4109208ProgramServices
Management And General114098ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total330503Total
Program Services160392ProgramServices
Management And General170111ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DIRECT RESIDENTIAL SERV42093143940567268747
MISCELLANEOUS2545601435051073643691
BAD DEBTS55992214453848
EQUIPMENT RENTAL & MAIN55645564

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total38772726Total
Program Services34134186ProgramServices
Management And General4418280ManagementAndGeneral
Fundraising220260Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2300BOY
EOY2300EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4261462BOY
EOY2447831EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY16299BOY
EOY5599EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2251745BOY
EOY2619873EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY235605BOY
EOY248445EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1071231BOY
EOY1028927EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis122089725LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec50288157LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY74250666BOY
EOY71801568EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY21752856BOY
EOY27265842EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2185360BOY
EOY2100288EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY106027524BOY
EOY107520673EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3800257BOY
EOY3589563EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY26775622BOY
EOY26701547EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY43965000BOY
EOY43195000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY3323BOY
EOY1726EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY12033349BOY
EOY12013320EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6731271BOY
EOY12709065EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY93308822BOY
EOY98210221EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5714127BOY
EOY2319701EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5824289BOY
EOY5878915EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1180286BOY
EOY1111836EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12718702BOY
EOY9310452EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY106027524BOY
EOY107520673EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2835160ReconcilationRevenueExpenses
Reconcilation Other Changes-6243410ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years1374654CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years656949CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years480295CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year597467CurrentTaxYearMinus1Year
Current Tax Year397916CurrentTaxYear
Total3507281Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21654174CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23212281CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24221786CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37734090CurrentTaxYearMinus1Year
Current Tax Year40435759CurrentTaxYear
Total147258090Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23027CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25920CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16132CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29590CurrentTaxYearMinus1Year
Current Tax Year43544CurrentTaxYear
Total138213Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23051855CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23895150CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24718213CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38361147CurrentTaxYearMinus1Year
Current Tax Year40877219CurrentTaxYear
Total150903584Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1625CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1895CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2490CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4340CurrentTaxYearMinus1Year
Current Tax Year3305CurrentTaxYear
Total13655Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1625CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1895CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2490CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4340CurrentTaxYearMinus1Year
Current Tax Year3305CurrentTaxYear
Total13655Total
FieldValueIRS element (for citing)
Public Support Total509150889929PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years412877CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years340160CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years167364CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year631151CurrentTaxYearMinus1Year
Current Tax Year452732CurrentTaxYear
Total2004284Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years412877CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years340160CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years167364CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year631151CurrentTaxYearMinus1Year
Current Tax Year452732CurrentTaxYear
Total2004284Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23464732CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24235310CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24885577CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38992298CurrentTaxYearMinus1Year
Current Tax Year41329951CurrentTaxYear
Total152907868Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98680PublicSupportPercentage509
Prior Year Support Percentage0.98530PriorYearSupportPercentage
Investment Income Percentage0.01310InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01370PriorYrInvestIncomePercentage
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

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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 Balance0.17000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.83000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2806265OtherCostOrOtherBasis
Book Value2806265BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis90151880OtherCostOrOtherBasis
Depreciation31350339Depreciation
Book Value58801541BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis23979913OtherCostOrOtherBasis
Depreciation15638597Depreciation
Book Value8341316BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5151667OtherCostOrOtherBasis
Depreciation3299221Depreciation
Book Value1852446BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings71801568TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
GIFT ANNUITIES$529,572
OBLIGATION UNDER INTEREST RATE SWAP$12,179,493
FieldValueIRS element (for citing)
Total Of Amounts12709065TotalOfAmounts
Total Revenue41607886TotalRevenue
Total Expenses38772726TotalExpenses
Excess Or Deficit For Year2835160ExcessOrDeficitForYear
Net Unrealized GL On Investments-124029NetUnrealizedGLOnInvestments
Other-$6,119,381OtherAmount
Total Adjustments-6243410TotalAdjustments
Excess Or Deficit Per FS-3408250ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt35375240TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-124029NetUnrealizedGainsInvestments
Other Revenues-6108617OtherRevenues
Revenue Not Rptd F990-6232646RevenueNotRptdF990
Revenue Subtotal41607886RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99041607886TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt38783490TotExpensesEtcAuditedFinclStmt
Other Expenses Included10764OtherExpensesIncluded
Expenses Not Rptd F99010764ExpensesNotRptdF990
Expenses Subtotal38772726ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99038772726TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:RESIDENT FUNDS ARE MAINTAINED FOR THE BENEFIT OF OUR RESIDENTS.
PART X: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, 2011 AND 2010 THERE WAS NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS. TAX YEARS SUBSEQUENT TO 2007 ARE OPEN FOR EXAMINATION.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
CHANGE IN FAIR VALUE OF DERIVATIVES -6,050,931. CHANGE IN VALUE OF PERPETUAL TRUST -68,450. TOTAL TO SCHEDULE D, PART XI, LINE 8: -6,119,381.PART XI, LINE 8 - OTHER ADJUSTMENTS:
CHANGE IN FAIR VALUE OF DERIVATIVES -6,050,931. CHANGE IN VALUE OF PERPETUAL TRUST -68,450. SPECIAL EVENT EXPENSES NETTED AGAINST FUNDRAISING INCOME 10,764. ROUNDINGPART XII, LINE 2D - OTHER ADJUSTMENTS:
SPECIAL EVENT EXPENSES NETTED AGAINST FUNDRAISING INCOME 10,764.PART XIII, LINE 2D - OTHER ADJUSTMENTS:

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event143544GrossReceiptsEvent1
Gross Revenue Event143544GrossRevenueEvent1
Cash Prizes Event11110CashPrizesEvent1
Non Cash Prizes Event12491NonCashPrizesEvent1
Rent Facility Costs Event13728RentFacilityCostsEvent1
Food And Beverage Event12356FoodAndBeverageEvent1
Other Direct Expenses Event11079OtherDirectExpensesEvent1
Gross Receipts Total43544GrossReceiptsTotal
Gross Revenue Total Events43544GrossRevenueTotalEvents
Cash Prizes Total Events1110CashPrizesTotalEvents
Non Cash Prizes Total Events2491NonCashPrizesTotalEvents
Rent Facility Costs Total Events3728RentFacilityCostsTotalEvents
Food And Beverage Total Events2356FoodAndBeverageTotalEvents
Other Direct Expenses Total Events1079OtherDirectExpensesTotalEvents
Direct Expense Summary Events10764DirectExpenseSummaryEvents
Net Income Summary32780NetIncomeSummary

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)

Base 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
2026180985001311050000170910235870000
JACK PARSON
158799059380376202000097930180292000
CHARLES NELSON
1264910631403762000136570150224000
DR ZACHARY SIMPSON
170372000000000170372000

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)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
FRANKLIN COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY
232261213353273AG02006-08-1529250000CONSTRUCTION, FURNISHING, AND EQUIPMENT000
FRANKLIN COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY
232261213353273AH82008-01-1018850000REFINANCING OF SERIES 2001 AND 2006 PRIOR BONDS000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindRefunding EscrowRefundingEscrow
292500005786752867132520080010
1885000024547045961802011001013471824

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
011000.210000.260000.470000
011000.210000.260000.470000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
WELLS FARGO
11130.00000000000000001
WELLS FARGO
11130.00000000000000001

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. DISCRESSION 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 5:NET UNREALIZED LOSSES ON INVESTMENTS: -124,029. CHANGE IN FAIR VALUE OF DERIVATIVES -6,050,931. CHANGE IN VALUE OF PERPETUAL TRUST -68,450. TOTAL TO FORM 990, PART XI, LINE 5: -6,243,410.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 OF THE CAMPUSES OF MENNO HAVEN AND PENN HALL CCRC'S.PrimaryActivities
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
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
M7263FMV
MENNO HAVEN AUXILIARY INC
N9799FMV
MENNO HAVEN AUXILIARY INC
C44719FMV

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