ORCHARD PARK CCRC INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: ORCHARD PARK CCRC INC (EIN 16-1584941)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-09
IRS object ID: 201233149349301593
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
Form 990
Schedule A
Schedule D
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-09T13:24:22-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	454051133	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FREED MAXICK CPAS PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	800 LIBERTY BLDG 420 MAIN ST	AddressLine1
City	BUFFALO	City
State	NY	State
ZIP Code	142023508	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	161584941	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ORCHARD PARK CCRC INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ORCH	NameControl
Phone	7166625001	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE FOX RUN LANE	AddressLine1
City	ORCHARD PARK	City
State	NY	State
ZIP Code	14127	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHAEL J MALONEY	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	7166625001	Phone
Date Signed	2012-11-07	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	MARY MADONIA	Name
PTIN	P00405803	PTIN
Phone	7168472651	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	FOX RUN AT ORCHARD PARK INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MICHAEL J MALONEY	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	ONE FOX RUN LANE	AddressLine1
City	ORCHARD PARK	City
State	NY	State
ZIP Code	14127	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	12352990	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.FOXRUNORCHARDPARK.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2002	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	CONSISTENT WITH GOD'S LOVE, FOX RUN AT ORCHARD PARK OFFERS AN EXCEPTIONAL LIVING OPTION WHERE SENIORS MAY AGE WITH GRACE AND DIGNITY. WE ARE COMMITTED TO PROVIDING A LIFECARE ENVIRONMENT WHERE OUR RESIDENTS ENJOY SECURITY AND PEACE OF MIND WITHIN A COMMUNITY OF CARING PEOPLE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	246	TotalNbrEmployees
Total Nbr Volunteers	25	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	100000	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	10975029	ProgramServiceRevenuePriorYear
Program Service Revenue CY	12293480	ProgramServiceRevenueCY
Investment Income Prior Year	132920	InvestmentIncomePriorYear
Investment Income Current Year	59510	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	11207949	TotalRevenuePriorYear
Total Revenue Current Year	12352990	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4884539	SalariesEtcPriorYear
Salaries Etc Current Year	5327707	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	9357548	OtherExpensePriorYear
Other Expenses Current Year	8834800	OtherExpensesCurrentYear
Total Expenses Prior Year	14242087	TotalExpensesPriorYear
Total Expenses Current Year	14162507	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-3034138	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-1809517	RevenuesLessExpensesCY
Total Assets BOY	75605377	TotalAssetsBOY
Total Assets EOY	70370380	TotalAssetsEOY
Total Liabilities BOY	90490997	TotalLiabilitiesBOY
Total Liabilities EOY	87821060	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-14885620	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-17450680	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	CONSISTENT WITH GOD'S LOVE, FOX RUN AT ORCHARD PARK OFFERS AN EXCEPTIONAL LIVING OPTION WHERE SENIORS MAY AGE WITH GRACE AND DIGNITY. WE ARE COMMITTED TO PROVIDING A LIFECARE ENVIRONMENT WHERE OUR RESIDENTS ENJOY SECURITY AND PEACE OF MIND WITHIN A COMMUNITY OF CARING PEOPLE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	12517078	Expense
Revenue	12293480	Revenue
Description	OPERATED A CONTINUING CARE RETIREMENT COMMUNITY LOCATED IN ORCHARD PARK, NEW YORK. THE COMMUNITY CONSISTS OF 180 INDEPENDENT LIVING UNITS, A 34 UNIT ASSISTED LIVING FACILITY, AN 18 UNIT MEMORY CARE FACILITY AND A 50 BED SKILLED NURSING FACILITY, ALL LOCATED IN A CAMPUS ENVIRONMENT.	Description
Total Program Service Expense	12517078	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	26	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	246	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	WILLIAM WLODARCZYK	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7166625001	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	ONE FOX RUN LANE	AddressLine1
City	ORCHARD PARK	City
State	NY	State
ZIP Code	14127	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
DAVID DONNER
VICE PRESIDENT	2.00	X	X	0	0	0
JUDY BERGES
SECRETARY	2.00	X	X	0	0	0
DAVID J BLESY
TREASURER	2.00	X	X	0	0	0
JEFFERY KEMP
DIRECTOR	2.00	X		0	0	0
JOHN BOS
DIRECTOR	2.00	X		0	0	0
DANIEL NEWCOMB
PRESIDENT	2.00	X	X	0	0	0
MELINDA DISARE
DIRECTOR	2.00	X		0	0	0
DON HAYES
DIRECTOR	2.00	X		0	0	0
RICHARD HOLMES
DIRECTOR	2.00	X		0	0	0
JILL ORTNER
DIRECTOR	2.00	X		0	0	0
MICHAEL MALONEY
EXECUTIVE DIRECTOR	40.00		X	124592	0	0
WILLIAM WLODARCZAK
CFO	40.00		X	93767	0	0
RICHARD HIGGINS
DIRECTOR OF SALES AND MARKETING	40.00			111538	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	329897	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	2	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MORRISON MANAGEMENT SPECIALISTS	BusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 102289	AddressLine1
City	ATLANTA	City
State	GA	State
ZIP Code	30368	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	DINING SERVICES MANAGEMENT	DescriptionOfServices
Compensation	424574	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET RESIDENT SERVICE R	623000	11223248	11223248
EARNED ENTRANCE FEES	623000	1070232	1070232

Field	Value	IRS element (for citing)
Total Program Service Revenue	12293480	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	59510	TotalRevenueColumn
Exclusion	$59,510	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	12352990	TotalRevenueColumn
Related Or Exempt Function Income	12293480	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$59,510	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	218359	Total
Program Services	109179	ProgramServices
Management And General	109180	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	4265153	Total
Program Services	3569015	ProgramServices
Management And General	696138	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	481534	Total
Program Services	399355	ProgramServices
Management And General	82179	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	362661	Total
Program Services	304824	ProgramServices
Management And General	57837	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	114211	Total
Management And General	114211	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	164263	Total
Management And General	164263	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	28280	Total
Management And General	28280	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	678567	Total
Program Services	619628	ProgramServices
Management And General	58939	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	201962	Total
Management And General	201962	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	56151	Total
Program Services	28347	ProgramServices
Management And General	27804	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	35575	Total
Program Services	20392	ProgramServices
Management And General	15183	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	9269	Total
Program Services	2056	ProgramServices
Management And General	7213	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1182175	Total
Program Services	1182175	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	15600	Total
Management And General	15600	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	4179978	Total
Program Services	4179978	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	306773	Total
Program Services	302916	ProgramServices
Management And General	3857	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
UTILITIES	523301	523301
FOOD	482059	482059
REAL ESTATE TAXES	461817	461817
SUPPLIES	237004	234431	2573

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	157815	Total
Program Services	97605	ProgramServices
Management And General	60210	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	14162507	Total
Program Services	12517078	ProgramServices
Management And General	1645429	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	287750	BOY
EOY	3948753	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1182724	BOY
EOY	852111	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	340982	BOY
EOY	320906	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	67069876	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	9187958	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	59974792	BOY
EOY	57881918	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	13819129	BOY
EOY	7366692	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	75605377	BOY
EOY	70370380	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	901013	BOY
EOY	910397	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	6639758	BOY
EOY	6439656	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	52211868	BOY
EOY	44033307	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	30738358	BOY
EOY	36437700	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	90490997	BOY
EOY	87821060	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-14885620	BOY
EOY	-17450680	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-14885620	BOY
EOY	-17450680	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	75605377	BOY
EOY	70370380	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-1809517	ReconcilationRevenueExpenses
Reconcilation Other Changes	-755543	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	100000	CurrentTaxYearMinus1Year
Total	100000	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	260938	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5279738	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9617186	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10975029	CurrentTaxYearMinus1Year
Current Tax Year	12293480	CurrentTaxYear
Total	38426371	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	260938	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5279738	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9617186	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	11075029	CurrentTaxYearMinus1Year
Current Tax Year	12293480	CurrentTaxYear
Total	38526371	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	100000	CurrentTaxYearMinus1Year
Total	100000	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	100000	CurrentTaxYearMinus1Year
Total	100000	Total

Field	Value	IRS element (for citing)
Public Support Total509	38426371	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	105085	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	776012	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	152786	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	132920	CurrentTaxYearMinus1Year
Current Tax Year	59510	CurrentTaxYear
Total	1226313	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	105085	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	776012	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	152786	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	132920	CurrentTaxYearMinus1Year
Current Tax Year	59510	CurrentTaxYear
Total	1226313	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	366023	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6055750	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9769972	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	11207949	CurrentTaxYearMinus1Year
Current Tax Year	12352990	CurrentTaxYear
Total	39752684	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.96660	PublicSupportPercentage509
Prior Year Support Percentage	0.95370	PriorYearSupportPercentage
Investment Income Percentage	0.03080	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.04260	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1839000	OtherCostOrOtherBasis
Book Value	1839000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	58661846	OtherCostOrOtherBasis
Depreciation	7332911	Depreciation
Book Value	51328935	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4190229	OtherCostOrOtherBasis
Depreciation	1214175	Depreciation
Book Value	2976054	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2378801	OtherCostOrOtherBasis
Depreciation	640872	Depreciation
Book Value	1737929	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	57881918	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
ASSETS LIMITED AS TO USE	3916627
DEFERRED FINANCING COSTS, NET	1249561
COSTS OF ACQUIRING INTIAL CONTINUING CARE CONTRACTS, NET	2200504

Field	Value	IRS element (for citing)
Total Book Value Other Assets	7366692	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
DEVELOPMENT FEE PAYABLE	$1,233,500
DEPOSITS FROM PROSPECTIVE RESIDENTS	$403,956
REFUNDABLE ADVANCE FEES	$34,800,244

Field	Value	IRS element (for citing)
Total Of Amounts	36437700	TotalOfAmounts
Total Revenue	12352990	TotalRevenue
Total Expenses	14162507	TotalExpenses
Excess Or Deficit For Year	-1809517	ExcessOrDeficitForYear
Net Unrealized GL On Investments	403	NetUnrealizedGLOnInvestments
Other	-$755,946	OtherAmount
Total Adjustments	-755543	TotalAdjustments
Excess Or Deficit Per FS	-2565060	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	12353393	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	403	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	403	RevenueNotRptdF990
Revenue Subtotal	12352990	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	12352990	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	14918453	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	755946	OtherExpensesIncluded
Expenses Not Rptd F990	755946	ExpensesNotRptdF990
Expenses Subtotal	14162507	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	14162507	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	THE ORGANIZATION IS A NOT-FOR-PROFIT AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, ACCORDINGLY, IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE TAX YEARS 2008-2010 GENERALLY REMAIN OPEN TO EXAMINATION IN TAXING JURISDICTIONS IN WHICH THE ORGANIZATION IS SUBJECT TO FILING REQUIREMENTS OF THOSE JURISDICTIONS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		WRITE-OFF OF DEFERRED FINANCING COSTS -755,946.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		WRITE-OFF OF DEFERRED FINANCING COSTS 755,946.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
ERIE COUNTY INDUSTRIAL DEVELOPMENT AGENCY-2006A
29509RAF2	2006-04-27	44235000	TO OBTAIN REVENUE TO FINANCE CONSTRUCTION OF THE ORGANIZATION'S FACILITIES	0	0	0
ERIE COUNTY INDUSTRIAL DEVELOPMENT AGENCY-2006B
29509RAG0	2006-04-27	33600000	TO OBTAIN REVENUE TO FINANCE CONSTRUCTION OF THE ORGANIZATION'S FACILITIES	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount RetiredAmountRetired
45540835	466888	45073947	2007	0	0	0	1
33600000	354640	33245360	2007	0	0	0	1	33600000

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	1
0	0	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	0	0	0	0	0
0	0	0	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3	THE ORGANIZATION HAD A MANAGEMENT AGREEMENT WITH NEW LIFE MANAGEMENT, INC. FOR CERTAIN MANAGEMENT AND FINANCIAL SERVICES. THIS AGREEMENT TERMINATED FEBRUARY 27, 2011.
FORM 990, PART VI, SECTION A, LINE 6	THE UNITED CHURCH HOME SOCIETY, INC IS THE SOLE MEMBER OF ORCHARD PARK CCRC, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE MEMBER MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE SOLE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED BY INDEPENDENT ACCOUNTANTS. A DRAFT IS THEN REVIEWED AND APPROVED BY THE CFO AND THE EXECUTIVE DIRECTOR AND IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW. A BOARD VOTE IS TAKEN TO APPROVE THE DRAFT PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	EACH OFFICER, DIRECTOR AND MANAGEMENT EMPLOYEE IS REQUIRED TO DISCLOSE ON AN ANNUAL BASIS, MATERIAL INTERESTS OR AFFILIATIONS THAT COULD POTENTIALLY CONFLICT WITH HIS OR HER DUTIES AS AN OFFICER, DIRECTOR OR MANAGEMENT EMPLOYEE OF THE ORGANIZATION AND TO DISCLOSE ANY SUCH INTERESTS OR AFFILIATIONS AT THE POINT A POTENTIAL CONFLICT OF INTEREST ARISES. THESE STATEMENTS ARE KEPT ON FILE WITH THE ORGANIZATION'S COMPLIANCE OFFICER.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION HAS IN PLACE A PROCESS FOR DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO AND TOP MANAGEMENT OFFICIALS WHICH INCLUDES A REVIEW AND APPROVAL PROCESS AND THE COMPARISON OF COMPENSATION OF SIMILIAR POSITIONS IN THE REGION.
FORM 990, PART VI, SECTION C, LINE 18	THE ORGANIZATION'S FORM 1023 AND FORM 990 ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 403. WRITE-OFF OF DEFERRED FINANCING COSTS -755,946. TOTAL TO FORM 990, PART XI, LINE 5: -755,543.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C	THE ORGANIZATION'S PROCESS FOR MONITORING THE AUDIT AND FOR THE SELECTION OF AN IDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	UNITED CHURCH HOME SOCIETY INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	ONE FOX RUN LANE	AddressLine1
City	ORCHARD PARK	City
State	NY	State
ZIP Code	14127	ZIPCode

Field	Value	IRS element (for citing)
EIN	161157086	EIN
Primary Activities	EXPRESSING GOD'S LOVE IN HUMAN CARE BY OFFERING HOUSING AND RELATED SERVICES	PrimaryActivities
Legal Domicile State	NY	LegalDomicileState
Exempt Code Section	501(C)(3)	ExemptCodeSection
Public Charity Status	LINE 9	PublicCharityStatus
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	0	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg