2012-11-15T15:30:32-06:00 2011-12-31 251031405 MCGILL POWER BELL & ASSOCIATES LLP 623 STATE STREET MEADVILLE PA 16335 990 2011-01-01 250425760 WESBURY UNITED METHODIST COMMUNITY WESB 8143329000 31 N PARK AVENUE EXT MEADVILLE PA 16335 BRIAN NAGEOTTE 8143329000 2012-11-15 BRUCE LAWRENCE P01329574 8147245890 2011 2016-02-24 21:20:13Z DONALD E CLAWSON 31 N PARK AVENUE EXT MEADVILLE PA 16335 23197610 0 X WWW.WESBURY.COM X 1955 PA PROVISION OF LONG-TERM PERSONAL CARE TO RESIDENTS 19 18 514 223 0 0 0 0 21969584 21869167 126588 165653 38881 19332 22135053 22054152 0 0 0 0 11201715 11368363 0 0 0 8967172 8978836 20168887 20347199 1966166 1706953 38953981 40339981 23978237 24745813 14975744 15594168 PROVIDE INDIVIDUALIZED, PROACTIVE HEALTH CARE AND LIFE ENRICHMENT SERVICES TO ASSIST MATURE ADULTS IN MAINTAINING THEIR INDEPENDENCE, DIGNITY AND SPIRITUAL WHOLENESS IN A SECURE, CHRISTIAN ENVIRONMENT. 0 0 15912558 21910108 CARE OF ELDERLY INDIVIDUALS - 105,832 DAYS 15912558 1 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 57 0 1 514 1 0 0 0 0 0 0 0 0 0 0 X 19 18 1 0 1 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X X ACCOUNTING DEPARTMENT 8143329000 31 NORTH PARK AVE EXTENSION MEADVILLE PA 16335 DONALD C BURCHFIELD 1.00 X X 0 0 0 DORIS HARVEY 1.00 X X 0 0 0 MARSHA RYND 1.00 X X 0 0 0 TIMOTHY J BRACKEN 1.00 X 0 0 0 LANCE A JOHNSON 1.00 X X 0 0 0 ROBERT M MOYERS 1.00 X 0 0 0 BENEDICT MICELI 1.00 X 0 0 0 ROBERT W WAID 1.00 X 0 0 0 RICHARD TEUBERT 1.00 X 0 0 0 RICHARD BURKHARDT 1.00 X X 0 0 0 RONALD J HARNED 1.00 X 0 0 0 CHARLES J SWICK ESQ 1.00 X 0 0 0 WILLIAM C SCHULTZ 1.00 X 0 0 0 ROBERT S WAID 1.00 X 0 0 0 THOMAS H JACKSON 1.00 X 0 0 0 REV CYNTHIA K SCHNEIDER 1.00 X 0 0 0 SHIRLEY MINNIS 1.00 X 0 0 0 DONALD SNYDER 1.00 X 0 0 0 WALLACE IRWIN 1.00 X X 0 0 0 DONALD CLAWSON 40.00 X 249023 0 21270 BRIAN NAGEOTTE 40.00 X 156585 0 7618 405608 0 28888 2 0 1 0 ASSOCIATED CONTRACTORS INC 182 WESTVIEW DRIVE MEADVILLE PA 16335 CONSTRUCTION 2724791 ALLIANCE REHAB HVA 1520 KENSINGTON ROAD OAK BROOK IL 60523 REHABILITATION SERVICES 1280870 SODEXHO INC & AFFILIATES 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 FOOD SERVICES 956082 NORTHWEST PHARMACY SOLUTION 740 NORTH MAIN STREET MEADVILLE PA 16335 PHARMACY SERVICES 474834 NOELKER AND HULL 30 WEST KING ST CHAMBERSBURG PA 17201 ARCHITECTURE/DESIGN 413018 5 CARE OF ELDERLY PEOPLE 623000 21869167 21869167 21869167 144044 144044 17755 0 17755 17755 17755 1165067 1143458 21609 21609 21609 MISCELLANEOUS REVENUE 900099 1577 1577 1577 22054152 21910108 0 144044 412008 412008 8888226 7250460 1637766 242184 188904 53280 1092336 852022 240314 733609 572215 161394 62318 62318 256899 256899 223707 223707 1374912 1221039 153873 2157845 1669079 488766 160331 160331 1376300 1073514 302786 SPECIAL SERVICE EXPENSE 1499279 1499279 FOOD 1235530 1235530 MISCELLANEOUS 349316 108174 241142 REPAIRS 230800 180024 50776 51599 51599 20347199 15912558 4434641 0 1266 1900 5924006 3337792 3200099 3836611 74274 65386 185087 189290 51615029 23969664 24439079 27645365 4456553 4660297 557332 493202 116285 110138 38953981 40339981 1537480 2263022 5775666 5612286 61198 58456 15906528 15335150 697365 1476899 23978237 24745813 X 14975744 15594168 14975744 15594168 38953981 40339981 X 1706953 -1088529 X X 0 1 1 X 0 X 20001968 20693521 21071426 21969584 21869167 105605666 20001968 20693521 21071426 21969584 21869167 105605666 0 0 0 105605666 283337 203720 208504 153042 161799 1010402 283337 203720 208504 153042 161799 1010402 20285305 20897241 21279930 22122626 22030966 106616068 0.99050 0.98970 0.00950 0.01030 X 0 1 3085499 -164377 2921122 2900851 184648 3085499 2430616 111322 358913 2900851 3264007 71676 -905067 2430616 0.81630 0.18370 0 1 1 364400 364400 36851132 14972597 21878535 9697087 7998284 1698803 4702410 998783 3703627 27645365 CAPITAL LEASE OBLIGATIONS 2588 VALUATION OF DERIVATIVE INSTRUMENTS 1474311 1476899 22054152 20347199 1706953 -698529 -390000 -1088529 618424 21355623 -698529 -698529 22054152 0 22054152 20347199 0 20347199 0 20347199 PART IV, LINE 2B: THE ORGANIZATION HOLDS A CASH ACCOUNT FOR RESIDENT FUNDS. THESE FUNDS ARE USED ACCORDING TO RESIDENT'S REQUESTS. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ORGANIZATION USES THE ENDOWEMENT FUNDS TO HELP FURTHER ITS EXEMPT PURPOSE DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: MANAGEMENT HAS DETERMINED THE ORGANIZATION HAD NO ACTIVITIES SUBJECT TO UNRELATED BUSINESS INCOME TAX (UBIT) DURING THE YEARS ENDED DECEMBER 31, 2011 AND 2010. THE ORGANIZATION HAS NOT BEEN SUBJECT TO ANY INCOME TAX PENALTIES OR INTEREST FOR ALL OPEN TAX YEARS. THE OPEN AUDIT PERIODS FOR THE ORGANIZATION ARE 2008, 2009, 2010 AND 2011 FISCAL YEAR ENDS. PART XI, LINE 8 - OTHER ADJUSTMENTS: TRANSFER OF ASSETS TO THE ANNESLEY ASSOCIATION OF SENIOR HEALTH SERVICES -390,000. X 1 1 X X X X 0 1 0 0 0 0 0 0 0 DONALD CLAWSON 246244 0 0 0 2779 0 6416 0 14854 0 270293 0 0 0 BRIAN NAGEOTTE 151087 0 0 0 5498 0 4779 0 2839 0 164203 0 0 0 PART I, LINE 4B DONALD CLAWSON - DIRECTOR - $12,000 BRIAN NAGEOTTE - CFO/COO - $8,900 CRAWFORD COUNTY HOSPITAL AUTHORITY 251535164 2009-11-13 16500000 REDEMPTION OF 1999 BONDS AND NEW CONSTRUCTION. 0 0 0 1164850 4757572 122945 3698445 936182 2012 1 0 1 1 0 1 1 FIRST NATIONAL BANK 10.000000000000 0 0 0 0 0 ASSOCIATED CONTRACTORS INC ENTITY MORE THAN 35% OWNED BY LANCE JOHNSON, BOARD MEMBER 2724791 CONSTRUCTION 0 FORM 990, PART VI, SECTION A, LINE 2 ROBERT W. WAID AND ROBERT S. WAID ARE FATHER AND SON. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION CHANGED THEIR BY-LAWS AS FOLLOWS: DECREASED THE NUMBER OF MEMBERS OF THE BOARD OF DIRECTORS FROM 37 TO 15 AND THE WESTERN PENNSYLVANIA CONFERENCE OF THE UNITED METHODIST CHURCH IS NO LONGER A MEMBER OF THE BOARD OF DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE CFO AND THE CONTROLLER BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES BOARD MEMBERS TO SIGN THE CONFLICT OF INTEREST POLICY FORM EVERY YEAR. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR THE CEO IS DETERMINED BY A COMPENSATION COMMITTEE USING COMPARABLE DATA. THE COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY USING COMPARABLE DATA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -698,529. TRANSFER OF ASSETS TO THE ANNESLEY ASSOCIATION OF SENIOR HEALTH SERVICES -390,000. TOTAL TO FORM 990, PART XI, LINE 5: -1,088,529. FORM 990, PART XII, LINE 2C PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR THE WESBURY FOUNDATION 31 NORTH PARK AVENUE EXTENSION MEADVILLE PA 16335 251778886 RAISING MONIES FOR THE SUPPORT OF WESBURY UNITED METHODIST COMMUNITY PA 501(C)3 LINE 11A, I WESBURY UNITED METHODIST COMMUNITY 1 WESBURY HILLSIDE HOME 535 WILLIAMSON ROAD MEADVILLE PA 16335 250986047 PROVIDING HEALTH CARE SERVICES TO ELDERLY INDIVIDUALS PA 501(C)3 LINE 9 WESBURY UNITED METHODIST COMMUNITY 1 THE ANNESLEY ASSOCIATION OF SENIOR HEALTH SERVICES 31 NORTH PARK AVENUE EXTENSION MEADVILLE PA 16335 251823932 DEVELOPMENT OF PLANS FOR MULTIPLE SENIOR CITIZEN HOUSING PROJECTS PA 501(C)3 LINE 11A, I WESBURY UNITED METHODIST COMMUNITY 1 ALLIANCE VISITING NURSES 149 NORTH MAIN STREET MEADVILLE PA 16335 PROVIDE PROFESSIONAL HOME CARE SERVICES (RN, PT, OT, ST, MSW, HHA) PA 501(C)3 LINE 9 0 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 1 0 THE WESBURY FOUNDATION A 12600 THE ANNESLEY ASSOCIATION OF SENIOR HEALTH SERVICES Q 390000