QUARRYVILLE PRESBYTERIAN RETIREMENT COMMUNITY: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
QUARRYVILLE PRESBYTERIAN RETIREMENT COMMUNITY (EIN 23-1314352)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-10
IRS object ID
201121309349300622
Schema version
2009v1.7
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)
Timestamp2011-05-10T09:30:03-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PARENTEBEARD LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1Suite 200 221 W PHILADELPHIA STAddressLine1
CityYORKCity
StatePAState
ZIP Code174012993ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN231314352EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Quarryville Presbyterian Retirement CommunityBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlQUARNameControl
Phone7177867321Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 Robert Fulton HighwayAddressLine1
CityQuarryvilleCity
StatePAState
ZIP Code175661400ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDiane E AstonName
TitleCFOTitle
Phone7177867321Phone
Date Signed2011-05-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMichael S Frey CPAName
Phone7178467000Phone
Date Prepared2011-05-05DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRobert B Hayward JrNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1625 Robert Fulton HighwayAddressLine1
CityQuarryvilleCity
StatePAState
ZIP Code175661400ZIPCode
FieldValueIRS element (for citing)
Gross Receipts35793183GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.quarryville.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1948YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionMaintain and erect facilities for the care of the agedActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees455TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI172117TotalGrossUBI
Net Unrelated Business Txbl Income-1963NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year24936ContributionsGrantsPriorYear
Contributions Grants Current Year269946ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17190771ProgramServiceRevenuePriorYear
Program Service Revenue CY17642312ProgramServiceRevenueCY
Investment Income Prior Year-2051261InvestmentIncomePriorYear
Investment Income Current Year299174InvestmentIncomeCurrentYear
Other Revenue Prior Year1473476OtherRevenuePriorYear
Other Revenue Current Year1609599OtherRevenueCurrentYear
Total Revenue Prior Year16637922TotalRevenuePriorYear
Total Revenue Current Year19821031TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10398079SalariesEtcPriorYear
Salaries Etc Current Year10820308SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8766345OtherExpensePriorYear
Other Expenses Current Year8469732OtherExpensesCurrentYear
Total Expenses Prior Year19164424TotalExpensesPriorYear
Total Expenses Current Year19290040TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2526502RevenuesLessExpensesPriorYear
Revenues Less Expenses CY530991RevenuesLessExpensesCY
Total Assets BOY48510518TotalAssetsBOY
Total Assets EOY48680517TotalAssetsEOY
Total Liabilities BOY44129455TotalLiabilitiesBOY
Total Liabilities EOY43723884TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4381063NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4956633NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide for the spiritual, physical, emotional, and social needs of our residents through high-quality facilities, services, and personal care in a manner faithful to the Bible.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense8779417Expense
Grants0Grants
Revenue10527313Revenue
DescriptionProvide skilled and intermediate nursing facilities and services to elderly persons in a continuing care retirement community setting. 257 individuals were served DURING THE FISCAL YEAR. THERE WERE 99 RESIDENTS AS of 6/30/10.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4807965Expense
Grants0Grants
Revenue3293246Revenue
DescriptionProvide residential (independent living) facilities and services to elderly persons in a continuing care retirement community setting. 231 RESIDENTS WERE SERVED DURING THE FISCAL YEAR WITH 203 residents occupying apartments as of 6/30/10.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3448855Expense
Grants0Grants
Revenue3821753Revenue
DescriptionProvide PERSONAL CARE facilities and services to elderly persons in a continuing care retirement community setting. 115 RESIDENTS WERE SERVED DURING THE FISCAL YEAR WITH 74 individuals were being SERVED as of 6/30/10.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionDiaconal support is provided to residents who have demonstrated the inability to pay and are not eligible for third-party reimbursement. Certain residents qualify for the charity care upon admission or when their financial resources are depleted. it is reported as a reduction of revenue. Diaconal support amounted to $542,256 and $373,768 during the years ended June 30, 2010 and 2009, respectively. Additional benevolent care consists of contract allowance related to Medicare, Medicaid, and supplemental security income programs of $1,487,990 and $1,483,502, respectively.Description
FieldValueIRS element (for citing)
Total Program Service Expense17036237TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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 Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096229NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees455NumberOfEmployees
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
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDiane E Aston CFONamePerson
Telephone Number7177867321TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1625 Robert Fulton HighwayAddressLine1
CityquarryvilleCity
StatePAState
ZIP Code175661400ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Bruce Peters
Chairman3.00XX000
John Render
Vice-Chairman3.00XX000
Leonard Brown
Secretary3.00XX000
Dr Bruce Fiol
Board Member3.00X000
Mark Van Gilst
board Member3.00X000
Dr William Graybill
Board Member3.00X000
George Mackenzie
Board Member3.00X000
Dr Guy Richardson
board Member3.00X000
Dr David Weston
Board Member3.00X000
Robert Hayward Jr
President, CEO40.00XX145323022927
Diane ASTON
CFO40.00X103240017840
Stephen Phillips
Chaplain40.00X6193209328
JOEL CLAUSEN
ADMINISTRATOR40.00X8889704452
FieldValueIRS element (for citing)
Total Reportable Comp From Org399392TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation54547TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Select Rehabilitation Inc
PO box 809056ChicagoIL606809056Rehab Services514642
Aramark Healthcare Support Scs Inc
PO Box 651009CharlotteNC282651009Dining Services201019
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions269946AllOtherContributions
Noncash Contributions172NoncashContributions
Total Contributions269946TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Skilled care services6230001052731210491200$36,112
Personal Care services62300038217533821753
Residential living ser62300032932473278619$14,628
FieldValueIRS element (for citing)
Total Program Service Revenue17642312TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column441106TotalRevenueColumn
Exclusion$441,106ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real56474Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real133073Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-76599Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-76599TotalRevenueColumn
Exclusion-$76,599ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities15697147Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities15653205Securities
Other185874Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities43942Securities
Other-185874Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-141932TotalRevenueColumn
Exclusion-$141,932ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
resident services6230001231138$1,231,138
Other income900099282943$282,943
Farm operation110000172117172117
FieldValueIRS element (for citing)
Total Other Revenue1686198TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19821031TotalRevenueColumn
Related Or Exempt Function Income17591572RelatedOrExemptFunctionIncome
Unrelated Business Revenue172117UnrelatedBusinessRevenue
Exclusion$1,787,396ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total501638Total
Program Services180178ProgramServices
Management And General321460ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7983454Total
Program Services7367073ProgramServices
Management And General616381ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total401272Total
Program Services53766ProgramServices
Management And General347506ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1317652Total
Program Services1176256ProgramServices
Management And General141396ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total616292Total
Program Services559395ProgramServices
Management And General56897ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total46336Total
Management And General46336ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total68082Total
Program Services5550ProgramServices
Management And General62532ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total1033Total
Management And General1033ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total122038Total
Program Services104525ProgramServices
Management And General17513ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1307729Total
Program Services1192204ProgramServices
Management And General115525ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total82055Total
Program Services82055ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2148485Total
Program Services2050721ProgramServices
Management And General97764ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total22817Total
Program Services16225ProgramServices
Management And General6592ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1457352Total
Program Services1447167ProgramServices
Management And General10185ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total39825Total
Program Services33493ProgramServices
Management And General6332ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total26561Total
Program Services14657ProgramServices
Management And General11904ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total212291Total
Program Services212291ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1972953Total
Program Services1840289ProgramServices
Management And General132664ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total153700Total
Program Services101322ProgramServices
Management And General52378ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Diaconal support542256542256
Other Operational Expen1404665681483652
farm expenses125753125753

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19290040Total
Program Services17036237ProgramServices
Management And General2253803ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12784BOY
EOY12165EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3746813BOY
EOY5106916EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1921145BOY
EOY1600624EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY210985BOY
EOY363572EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis66637061LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec33648324LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY33713636BOY
EOY32988737EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY8583941BOY
EOY8352009EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY66552BOY
EOY64327EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY158258BOY
EOY132936EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY96404BOY
EOY59231EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY48510518BOY
EOY48680517EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1814247BOY
EOY2320415EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY7502290BOY
EOY7927756EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY14165000BOY
EOY13770000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
EOY61911EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY20647918BOY
EOY19643802EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY44129455BOY
EOY43723884EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4325143BOY
EOY4887737EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY45920BOY
EOY58896EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10000BOY
EOY10000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4381063BOY
EOY4956633EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY48510518BOY
EOY48680517EOY
FieldValueIRS element (for citing)
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 Years938243CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years476575CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years417088CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24936CurrentTaxYearMinus1Year
Current Tax Year269946CurrentTaxYear
Total2126788Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12947742CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12931387CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14033928CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17141547CurrentTaxYearMinus1Year
Current Tax Year17591572CurrentTaxYear
Total74646176Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1354671CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1863057CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2072896CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1311084CurrentTaxYearMinus1Year
Current Tax Year1281878CurrentTaxYear
Total7883586Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15240656CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15271019CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16523912CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18477567CurrentTaxYearMinus1Year
Current Tax Year19143396CurrentTaxYear
Total84656550Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years6000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9000CurrentTaxYearMinus1Year
Current Tax Year6000CurrentTaxYear
Total21000Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years45273CurrentTaxYearMinus3Years
Total45273Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years45273CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9000CurrentTaxYearMinus1Year
Current Tax Year6000CurrentTaxYear
Total66273Total
FieldValueIRS element (for citing)
Public Support Total50984590277PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years815388CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years780182CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years823742CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year678561CurrentTaxYearMinus1Year
Current Tax Year497579CurrentTaxYear
Total3595452Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years815388CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years780182CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years823742CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year678561CurrentTaxYearMinus1Year
Current Tax Year497579CurrentTaxYear
Total3595452Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16836CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years42647CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years81163CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2386CurrentTaxYearMinus1Year
Total143032Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years135240CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years125052CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year71744CurrentTaxYearMinus1Year
Current Tax Year282943CurrentTaxYear
Total614979Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16208120CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16093848CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17553869CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19230258CurrentTaxYearMinus1Year
Current Tax Year19923918CurrentTaxYear
Total89010013Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95030PublicSupportPercentage509
Prior Year Support Percentage0.94830PriorYearSupportPercentage
Investment Income Percentage0.04040InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.04550PriorYrInvestIncomePercentage
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Other Activities1OtherActivities
Other Activities$1,033OtherActivitiesAmount
Total Lobbying Expenditures IIB1033TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationTHE ORGANIZATION PAYS DUES TO A MEMBER ORGANIZATION DEDICATED TO ISSUES INVOLVING CONTINUING CARE FACILITIES AND HELP AND SUPPORT FOR THE ELDERLY. THE PERCENTAGE OF DUES DEDICATED TO LOBBYING IS 6.5%. THE ORGANIZATION PAID $15,888 IN DUES FOR A TOTAL OF $1,033 DUES ALLOCATED TO LOBBYING.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance12334BeginningOfYearBalance
Investment Earnings Or Losses26InvestmentEarningsOrLosses
End Of Year Balance12360EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance12334BeginningOfYearBalance
End Of Year Balance12334EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.81000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.19000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis14906InvestmentCostOrOtherBasis
Other Cost Or Other Basis900958OtherCostOrOtherBasis
Book Value915864BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis777679InvestmentCostOrOtherBasis
Other Cost Or Other Basis55414447OtherCostOrOtherBasis
Depreciation26630059Depreciation
Book Value29562067BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis11095InvestmentCostOrOtherBasis
Other Cost Or Other Basis8666065OtherCostOrOtherBasis
Depreciation7016515Depreciation
Book Value1660645BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis851911OtherCostOrOtherBasis
Depreciation1750Depreciation
Book Value850161BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings32988737TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Liabilities to Residents$12,590,107
Obligation to provide future services$1,263,000
Accrued Pension Liability$5,790,695
FieldValueIRS element (for citing)
Total Of Amounts19643802TotalOfAmounts
Total Revenue19821031TotalRevenue
Total Expenses19290040TotalExpenses
Excess Or Deficit For Year530991ExcessOrDeficitForYear
Net Unrealized GL On Investments553990NetUnrealizedGLOnInvestments
Other-$509,411OtherAmount
Total Adjustments44579TotalAdjustments
Excess Or Deficit Per FS575570ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt19398872TotRevenueEtcAuditedFinclStmt
Other Revenues137253OtherRevenues
Revenue Not Rptd F990137253RevenueNotRptdF990
Revenue Subtotal19261619RevenueSubtotal
Other Revenues Not Included559412OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt559412RevenueNotRptdOnFinStmt
Total Revenue Per Form99019821031TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18880857TotExpensesEtcAuditedFinclStmt
Other Expenses Included133073OtherExpensesIncluded
Expenses Not Rptd F990133073ExpensesNotRptdF990
Expenses Subtotal18747784ExpensesSubtotal
Other Expenses Not Included542256OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt542256ExpensesNotRptdOnFinStmt
Total Expenses Per Form99019290040TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Part IV, Line 2b:THE FUNDS HELD BELONG TO RESIDENTS WHO ARE NOT ABLE TO MANAGE THEIR OWN FINANCES. THE FUNDS ARE USED TO PAY FOR SERVICES THE ORGANIZATION PROVIDES AND ALSO TO PROVIDE THE RESIDENT WITH FUNDS FOR THEIR OWN PERSONAL NEEDS. THE RESIDENT CAN REQUEST A PAYMENT FROM THE ACCOUNT BY COMPLETING A CHECK REQUEST FORM OR CAN OBTAIN CASH BY COMPLETING A PETTY CASH VOUCHER. THE RESIDENTS RECEIVE A MONTHLY STATEMENT.
Part V, Line 4:ENDOWMENTS FUNDS ARE USED FOR NURSING SCHOLARSHIPS.Description of Intended Use of Endowment Funds:
Part X:The organization follows the provisions of generally accepted accounting standards that clarifies the accounting for uncertainty in income taxes recognized in a company's financial statements, including not-for-profit corporations, and prescribes 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 has been met. The standards also provide guidance on de-recognition, classification, interest and penalties, and disclosure. Management has determined that this standard does not have a material impact on the financial statements. The Federal Form 990, Organization Exempt from Income Tax, for the organization and the Federal Form 990T, Exempt Organization Business Income Tax Return for the years ended June 30, 2009, 2008, and 2007 remain subject to examination by the appropriate taxing authorities.Description of Uncertain Tax Positions Under FIN 48:
Part XI, Line 8 - Other Adjustments:Minimum Pension Liability Adjustment: -509411.
Part XII, Line 2d - Other Adjustments:Rental expenses: 133073. net assets released from restriction: 4180.
Part XII, Line 4b - Other Adjustments:temporarily restricted contributions and interest income: 17156. diaconal support: 542256.
Part XIII, Line 2d - Other Adjustments:Rental expenses: 133073.
Part XIII, Line 4b - Other Adjustments:Diaconal support: 542256.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
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 Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Robert Hayward JrBusinessNameLine1
FieldValueIRS element (for citing)
Base Compensation Filing Org140323BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org5000BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org3949DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org18978NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org168250TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org75047CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 8bThe committees do not have the authority to act on behalf of the board. All matters are taken to full board for approval and action.
Form 990, Part VI, Section B, line 11The audit and finance committee will perform the initial review OF the Form 990. Once approved, each member of the governing body will receive a copy of the Form 990 by e-mail prior to filing the return.
Form 990, Part VI, Section B, line 12cEach year during annual ethics training all employees are required to sign a code of ethics/conflict of interest statement. The Board of Directors also signs the code of ethics/conflict of interest statement annually. There is a place on the form for the disclosure of relationships that could be considered a conflict of interest.
Form 990, Part VI, Section B, line 15The officer's salary is recommended by the Compensation Committee of the Board of Directors and is approved by the full Board. Salary surveys and Form 990's of other Not-for-Profits are used for comparative purposes. The deliberation and decision is documented in the minutes of the Executive Committee. The Finance committee recommends approval of the budget to the full board. The budget includes a maximum percentage increase in salary for all staff, which includes key employees. The job performance of each employee is taken into consideration as part of the performance review process.
Form 990, Part VI, Section C, line 19The Form 990 is available on Guidestar and is also available upon request. The Disclosure Statements as required by the Department of Insurance are also available upon request. The organization does not make the governing documents or conflict of interest policy available for public inspection since it is not required by federal or state law. The organization includes a copy of its financial statements with the state registration filed with the Pennsylvania Department of State, Bureau of Charitable Organizations. These documents are a matter of public record and can be viewed at the bureau office.
Form 990, Part XI, Line 2cThe audit and finance committee board members oversee the selection of the independent auditors, the review of investment statements, and of the audited financial statements. This process has not changed from the prior year.

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