2011-10-27T12:32:24-05:00 2010-12-31 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2010-01-01 231352513 THE PRESBYTERIAN HOME AT 58TH STREET INC PRES 6108341001 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 CYNTHIA E HOFFMAN 6108341001 2011-10-17 1 JULIUS GREEN CPA 2159720701 2010 2016-03-07 17:11:31Z CYNTHIA E HOFFMAN 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 11567473 0 X WWW.PRESBYSINSPIREDLIFE.ORG X 1872 PA PROVIDES COMPASSIONATE CARE FOR SENIORS IN A NURSING AND REHABILITATIVE HEALTH CENTER. 14 13 119 0 0 0 1192047 775786 4734482 4609233 90071 484269 55449 31858 6072049 5901146 0 6683 0 0 2733487 2320999 0 0 0 3060548 3207983 5794035 5535665 278014 365481 17416262 8586864 7720925 752700 9695337 7834164 X WE HONOR LIFE IN ALL ITS FULLNESS AND SEEK TO REFLECT GOD'S LOVE IN ALL WE DO. WE COMMIT TO CREATIVELY MEETING THE NEEDS OF OLDER ADULTS IN A WIDE RANGE OF ECONOMIC CIRCUMSTANCES. WE CULTIVATE EXCELLENCE IN OUR RESIDENTIAL AND SUPPORTIVE CARE COMMUNITIES AND PROGRAMS. WE CELEBRATE DIVERSITY AND PROMOTE THE HEALTH OF BODY, MIND AND SPIRIT AMONG RESIDENTS AND STAFF. 0 1 3741993 6683 4617356 THE ORGANIZATION OFFERS NURSING AND REHABILITATIVE CARE IN THEIR 59 BED COMMUNITY. ADDITIONAL SERVICES OFFERED CONSIST OF RECREATIONAL AND SOCIAL PROGRAMS, BARBER AND BEAUTY CARE, AND OTHER ANCILLARY SERVICES NECESSARY AS PART OF THE RESIDENTS' CARE. THE ORGANIZATION ALSO PROVIDED FINANCIAL ASSISTANCE FOR THE YEAR ENDED DECEMBER 31, 2010, WHICH TOTALED $1,872,590. THE FINANCIAL ASSISTANCE IS THE COST OF PROVIDING CARE TO RESIDENTS WHO ARE MEDICAL ASSISTANCE PROGRAM BENEFICIARIES IN EXCESS OF CONTRACTUAL REIMBURSEMENT. AS OF DECEMBER 31, 2010 THE COMMUNITY HAD SIX RESIDENTS. 3741993 1 1 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 13 0 1 119 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X DIANNA WINTERS 6108341001 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 X REV RANDY BARGE 0.20 X 0 0 0 ROBERT N REEVES JR 0.20 X 0 0 0 DELORES BRISBON 0.20 X 0 0 0 BRUCE L CASTOR ESQ 0.20 X 0 0 0 BRUCE DEARNLEY 0.20 X 0 0 0 HARRY G DITTMAN 0.20 X X 0 0 0 ALAN GRIFFITH 0.20 X 0 0 0 WALTER M KUBIAK 0.20 X 0 0 0 ROSEMARY KUHLMAN 0.20 X 0 0 0 REV DONALD LINCOLN 0.20 X 0 0 0 G ROBERT OVERHISER JR 0.20 X 0 0 0 ELLEN SLOAN 0.20 X 0 0 0 REV PAUL S STAVRAKOS 0.20 X X 0 0 0 WILLIAM G YOUNG JR 0.20 X 0 0 0 JUDEE M BAVARIA 4.00 X 0 369823 52767 CYNTHIA E HOFFMAN 4.00 X 0 247424 39970 GARRY D HENNIS 4.00 X 0 246920 33244 KRYSTEN BROCKINGTON 1.00 X 0 23398 3654 0 887565 129635 0 0 1 0 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 DINING SERVICES 382190 GENESIS REHABILITATION SERVICES PO BOX 7247 PHILADELPHIA PA 19170 THERAPY SERVICES 250143 GENESIS HEALTHCARE RESOURCES INC 2250 HICKORY ROAD PLYMOUTH MEETING PA 19462 TEMPORARY STAFFING 112874 3 631121 144665 775786 NET RESIDENT SVC REV 623000 4609233 4609233 4609233 187497 187497 5963099 5666327 296772 296772 296772 VAN USAGE REIMBURSEMEN 480000 18902 18902 MA DSH PAYMENT 623000 8123 8123 CLASS ACTION SETTLEMEN 900099 2363 2363 2470 2470 31858 5901146 4617356 0 508004 6683 6683 1942295 1721343 220952 16369 14635 1734 219192 196465 22727 143143 126156 16987 388980 388980 7680 7680 750 750 975396 902075 73321 1168 1168 62951 10439 52512 162824 162824 12956 11735 1221 1701 1220 481 45028 45028 224346 224346 147571 3859 143712 MEDICAID BED ASSESSMENT 491035 491035 BAD DEBT EXPENSE 304452 304452 SUPPLIES & MATERIALS 291608 273233 18375 SUBSCRIPTIONS/FEES/DUES 24511 15904 8607 REPAIRS & MAINTENANCE 21249 21249 43777 4799 38978 5535665 3741993 1793672 0 1855 1855 1986162 1375249 967362 655675 13521 44761 3857941 2429186 3800180 1428755 7766710 2400523 2880472 2680046 17416262 8586864 635336 664409 4760000 2325589 88291 7720925 752700 X 7237820 5205226 151534 144340 2305983 2484598 9695337 7834164 17416262 8586864 X 365481 -2226654 X 0 1 1 X 0 X 1053689 865705 876189 1192047 775786 4763416 4302396 4784958 4759659 4734482 4617356 23198851 5356085 5650663 5635848 5926529 5393142 27962267 7000 7000 0 7000 7000 27955267 185393 586707 229751 124453 187497 1313801 185393 586707 229751 124453 187497 1313801 16937 69014 66989 86740 23735 263415 5558415 6306384 5932588 6137722 5604374 29539483 0.94640 0.94810 0.04450 0.04340 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: SPECIAL EVENTS CAFETERIA & MEALS VAN USAGE REIMBURSEMENT REFUNDS/REIMBURSEMENTS MISCELLANEOUS/ALL OTHER MISC RESIDENT RCPTS PROCESSING FEES CATERING - IN HOUSE MINING RIGHTS REV ANCILLARY SERVICES COST REPORT REFUND CLASS ACTION SETTLEMENT RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2457517 46198 183410 58187 2628938 2014402 63488 404149 24522 2457517 2946895 35642 -909805 58330 2014402 0.00000 0.94510 0.05490 0 0 21107 21107 3139309 1852942 1286367 668770 576244 92526 28755 28755 1428755 DUE FROM AFFILIATES 58392 BENEFICIAL INT IN SPLIT INT AGREEMENTS AND PERPETUAL TRUSTS 2516884 RESTRICTED FUNDS 93945 OTHER RECEIVABLE 45 OTHER ASSETS 10780 2680046 DUE TO AFFILIATES 82828 REFUNDABLE ENTRANCE FEES AND DEPOSITS 5463 88291 5901146 5535665 365481 -71901 -2154753 -2226654 -1861173 6012655 -71901 183410 111509 5901146 0 5901146 7873828 2338163 2338163 5535665 0 5535665 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: ASSIST THE NEEDIEST OF RESIDENTS AND MOST VULNERABLE MEMBERS OF OUR COMMUNITIES WITH FINANCIAL ASSISTANCE, OFFER UPDATED MEDICAL EQUIPMENT, AND OFFER ENHANCED COMFORT TO THE RESIDENTS' SURROUNDINGS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2010 AND 2009. PART XI, LINE 8 - OTHER ADJUSTMENTS: VALUATION GAIN, SPLIT INTEREST AGREEMENTS 4,795. VALUATION GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS 178,615. WRITEDOWN OF PROPERTY AND EQUIPMENT DUE TO IMPAIRMENT -2,338,163. PART XII, LINE 2D - OTHER ADJUSTMENTS: VALUATION GAIN, SPLIT INTEREST AGREEMENTS 4,795. VALUATION GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS 178,615. PART XIII, LINE 2D - OTHER ADJUSTMENTS: WRITEDOWN OF PROPERTY AND EQUIPMENT DUE TO IMPAIRMENT 2,338,163. 0 PHILADELPHIA PRESBYTERY HOMES INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 231547587 501(C)(3) 6683 CHARITABLE OPERATIONS 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION DOES NOT ROUTINELY PROVIDE GRANTS OR ASSISTANCE TO OUTSIDE ORGANIZATIONS. GRANTS AND ASSISTANCE ARE PROVIDED TO ITS RELATED, TAX-EXEMPT AFFILIATES TO PROVIDE FINANCIAL ASSISTANCE TO NEEDY RESIDENTS AND TO FURTHER THE ORGANIZATION'S MISSION. X X X X 0 0 0 0 0 0 0 0 0 JUDEE M BAVARIA 0 314610 0 37760 0 17453 0 31799 0 20968 0 422590 0 0 CYNTHIA E HOFFMAN 0 210315 0 25173 0 11936 0 17853 0 22117 0 287394 0 0 GARRY D HENNIS 0 208877 0 25173 0 12870 0 17795 0 15449 0 280164 0 0 CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 IN NOVEMBER 2010, THE ORGANIZATION ANNOUNCED THE FUTURE CLOSURE OF THE SKILLED NURSING FACILITY. FORM 990, PART VI, SECTION A, LINE 3 PHILADELPHIA PRESBYTERY HOMES, INC., A RELATED PARTY, PROVIDES MANAGEMENT AND OTHER SUPPORTIVE SERVICES TO THE ORGANIZATION UNDER A MANAGEMENT AGREEMENT. FORM 990, PART VI, SECTION B, LINE 11 THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE FORM 990. THE FORM 990 IS THEN SENT TO ALL BOARD MEMBERS FOR THEIR REVIEW PRIOR TO FINALIZING AND FILING THE TAX RETURN. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES OF THE ORGANIZATION ARE REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST VIA COMPLETION OF A CONFLICTS FORM. THOSE INDIVIDUALS ARE REQUIRED TO DISCLOSE ANY AND ALL ONGOING ISSUES THAT ARISE DURING THE COURSE OF THE YEAR. SIGNED CONFLICT OF INTEREST STATEMENTS ARE GIVEN TO THE BOARD AND REVIEWED AND MAINTAINED BY THE ORGANIZATION'S COMPLIANCE OFFICER. ANY INDIVIDUAL WITH A CONFLICT OF INTEREST MUST ABSTAIN FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 PHILADELPHIA PRESBYTERY HOMES AND SERVICES FOR THE AGING, INC. HAS AN EXECUTIVE COMPENSATION PROGRAM DEVELOPED BY MEMBERS OF THE EXECUTIVE COMPENSATION COMMITTEE WHICH IS COMPRISED OF BOARD MEMBERS. THE COMMITTEE CONTRACTS WITH MERCER ANNUALLY TO CONDUCT MARKET STUDIES WHICH ARE USED TO ENSURE THAT SALARIES OF KEY EMPLOYEES ARE COMMENSURATE WITH SIMILARLY SIZED SENIOR LIVING ORGANIZATIONS. THE COMPENSATION PROGRAM HAS BEEN DEVELOPED TO COMPLY WITH ALL REGULATORY AND STATUTORY REQUIREMENTS AFFECTING EXECUTIVE COMPENSATION IN A NOT-FOR-PROFIT CONTEXT. ALL COMPENSATION RECOMMENDATIONS AND PROGRAM DESIGN ELEMENTS FOR THE EXECUTIVES AND KEY EMPLOYEES ARE REVIEWED BY MERCER AND THE EXECUTIVE COMPENSATION COMMITTEE TO ENSURE FULL COMPLIANCE WITH THESE REQUIREMENTS. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT PERSONS, AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS ARE AVAILABLE TO THE PUBLIC. AVERAGE HOURS PER WEEK FORM 990, PART VII AVERAGE HOURS PER WEEK LISTED IN PART VII ARE FOR THIS LEGAL ENTITY ONLY. BOARD MEMBERS AND OFFICERS ALSO DEVOTE TIME TO THE RELATED ORGANIZATIONS LISTED ON SCHEDULE R. TOTAL AVERAGE HOURS PER WEEK FOR ALL RELATED ORGANIZATIONS ARE AS FOLLOWS: BOARD MEMBERS - 1 HOUR PER WEEK PRESIDENT & CEO JUDEE M. BAVARIA - 50 HOURS PER WEEK EXECUTIVE VP & CFO/TREASURER CYNTHIA E. HOFFMAN - 50 HOURS PER WEEK EXECUTIVE VP & COO/SECRETARY GARRY D. HENNIS - 50 HOURS PER WEEK ASSISTANT SECRETARY KRYSTEN BROCKINGTON - 35 HOURS PER WEEK CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -71,901. VALUATION GAIN, SPLIT INTEREST AGREEMENTS 4,795. VALUATION GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS 178,615. WRITEDOWN OF PROPERTY AND EQUIPMENT DUE TO IMPAIRMENT -2,338,163. TOTAL TO FORM 990, PART XI, LINE 5: -2,226,654. PHILADELPHIA PRESBYTERY HOMES INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 231547587 PROVIDE SENIOR LIVING OPTIONS, FUNDRAISING & SUPPORT PA 501(C)(3) LINE 9 N/A 0 PHILADELPHIA PRESBYTERY APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232081651 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 9 N/A 0 PHILADELPHIA PRESBYTERY APARTMENTS OF MORRISVILLE INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 222466663 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 9 N/A 0 TIOGA PRESBYTERIAN APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232763902 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 9 N/A 0 SOUTHWEST PHILADELPHIA PRESBYTERY APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232700459 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 9 N/A 0 OLD CITY PRESBYTERIAN APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232778769 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 9 N/A 0 PRESBYTERIAN APARTMENTS AT 58TH STREET INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232605582 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 9 N/A 0 GERMANTOWN INTERFAITH HOUSING INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232211053 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 9 N/A 0 MAKEMIE AT WHITELAND 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 208523793 DEVELOPMENT STAGE CONTINUING CARE RETIREMENT COMMUNITY PA 501(C)(3) LINE 9 N/A 0 AVENUE OF THE ARTS PRESBYTERIAN - PSC APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 233027613 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 9 N/A 0 BALA PRESBYTERIAN HOME FOUNDATION 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232834398 FUNDRAISING & SUPPORT PA 501(C)(3) LINE 11B, II N/A 0 SOUTH PHILADELPHIA PRESBYTERIAN APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 460477271 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 9 N/A 0 GREENWAY PRESBYTERIAN APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 861063722 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 9 N/A 0 MANTUA PRESBYTERIAN APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 205006775 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 7 N/A 0 SOUTHWEST PHILADELPHIA NEIGHBORHOOD RENEWAL PROGRAM 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 233066741 INACTIVE PA 501(C)(3) PF N/A 0 PRESBYSERVICES 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 233000326 MASTER PAYROLL COMPANY PA 501(C)(3) LINE 11B, II N/A 0 PHILADELPHIA PRESBYTERIAN HOMES AND SERVICES FOR THE AGING 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232828862 PARENT ENTITY PA 501(C)(3) LINE 9 N/A 0 GRACE COURT INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232299928 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 9 N/A 0 PHILADELPHIA PRESBYTERY HOMES WC TRUST 985 OLD EAGLE SCHOOL RD WAYNE PA 19087 237816031 WORKERS COMPENSATION TRUST PA 501(C)(3) LINE 9 N/A 0 BENSALEM SENIOR APARTMENTS LP 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 233015495 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA N/A RIVERSIDE SENIOR APARTMENTS LP 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 204952357 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA N/A PRESBYHOUSING INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 233015067 INVESTMENT PA N/A C PRESBY RIVERSIDE HOUSING INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 204893872 INVESTMENT PA N/A C PRESBY HOMES DEVELOPMENT CORP 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 203999872 INACTIVE PA N/A C 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0