2011-04-14T15:36:38-07:00 2010-06-30 990 2009-07-01 561855729 CLIVEDEN-MAPLEWOOD CONVALESCENT CENTERS INC CLIV 2159514289 6970 Germantown Avenue Philadelphia PA 19119 Donald Levesque 2159514390 2011-04-14 2009 2016-02-24 21:20:13Z Donald Levesque 6970 Germantown Avenue Philadelphia PA 19119 32235102 0 X www.newcourtland.org X 1998 PA Skilled Nursing Home for the Elderly 6 3 590 0 0 0 994586 1055757 28921593 30878136 90051 3918 0 297291 30006230 32235102 0 0 0 0 18357122 18692747 0 0 0 13922455 14342458 32279577 33035205 -2273347 -800103 24362332 22696956 32608832 31743559 -8246500 -9046603 Skilled Nursing Home for the Elderly 0 0 31955260 0 0 Nursing Home Care: Operates a skilled and intermediate care facility for the elderly (360 residents). 0 0 0 31955260 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 24 0 1 590 1 0 0 0 0 0 6 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 PA X NewCourtland Elder Services Inc 2159514289 6970 Germantown Ave Philadelphia PA 19119 David Auten 1 X 0 0 0 Andrew Seibert 1 X 0 0 0 Freda Lee 1 X 0 0 0 Mary Naylor 1 X 0 0 0 Gail Kass 1 X 0 2074334 33000 Donald Levesque 1 X 0 0 0 Janet McNemar 40 X 141347 0 5654 Yvette Minter 40 X 115621 0 4625 256968 2074334 43279 4 0 1 1 Select Rehabilitation Inc 35338 Eagle Way Chicago IL 60678 Eldercare Therapists 1537466 Courtland II Inc 6970 Germantown Avenue Philadelphia PA 19119 Nursing 2526670 Butera and Jones LLP 130 West Lancaster Avenue Wayne PA 19087 Legal Services 188953 Healthcare Services Group 3220 Tillman Drive - Suite 300 Bensalem PA 19020 Housekeeping Services 358236 Keystone Quality Transport PO Box 2027 Media PA 19063 Medical Transportation 251739 6 0 0 0 0 1055757 0 0 1055757 Medicaid 623000 24730506 24730506 0 0 Medicare 623000 4158476 4158476 0 0 PA State Dis-Apportionment Revenue 623000 563929 563929 0 0 Commercial Insurance 623000 914202 914202 0 0 Direct Patient Revenue 623000 511023 511023 0 0 0 0 0 0 30878136 3918 0 0 3918 0 0 0 0 0 0 0 0 0 0 0 0 0 Meals 623000 3735 3735 0 0 Miscellaneous 623000 293556 293556 0 0 0 0 0 0 297291 32235102 31175427 0 3918 0 0 0 0 0 0 0 0 715545 0 715545 0 0 0 0 0 14045204 14045204 0 0 447875 433564 14311 0 2083183 1997318 85865 0 1400940 1336541 64399 0 121113 0 121113 0 58185 0 58185 0 6648791 6648791 0 0 60727 60727 0 0 7004 7004 0 0 308399 308399 0 0 910414 910414 0 0 20527 0 20527 0 35554 35554 0 0 1414810 1414810 0 0 609616 609616 0 0 Bad Debt 688388 688388 0 0 Worker's Compensation 321045 321045 0 0 Resident Services 1564409 1564409 0 0 Other 1573476 1573476 0 0 33035205 31955260 1079945 0 776552 2062219 4540169 3236642 5783449 5104663 329222 535780 22378690 11162203 12372299 11216487 0 560641 541165 24362332 22696956 4639823 4601659 27969009 27141900 32608832 31743559 X -8246500 -9046603 0 0 0 0 -8246500 -9046603 24362332 22696956 X 0 1 1 X 0 X 1305479 1087774 1332386 994586 1055757 5775982 25489606 27509590 29350344 28921593 30878136 142149269 0 0 0 0 0 0 26795085 28597364 30682730 29916179 31933893 147925251 147925251 30351 62218 163234 90051 3918 349772 30351 62218 163234 90051 3918 349772 3482 4187 3831 0 297291 308791 26828918 28663769 30849795 30006230 32235102 148583814 0.99557 0.99736 0.00235 0.00256 X Meals and miscellaneous 710025 0 710025 9846160 0 5295182 4550978 6713837 0 2956754 3757083 5006174 0 2910267 2095907 102494 0 0 102494 11216487 0 0 0 Resident Funds Held In Trust 387573 Deferred Financing Cost Fees, net 153592 541165 Due to NewCourtland Elder Services (supp org.) 27141900 27141900 32235102 33035205 -800103 0 0 0 0 0 0 -800103 32235102 0 0 0 0 0 32235102 0 0 0 32235102 33035205 0 0 0 0 0 33035205 0 0 0 33035205 SchD_P10_S00_L00 Schedule D, Part X Cliveden-Maplewood Convalescent is a 501(c)(3) organization and is exempt from Federal and State incmoe taxes. X X X X X X 0 0 0 0 0 0 0 0 0 Gail Kass 0 1094192 0 0 0 0 0 980142 0 33000 0 2107334 0 6120301 Janet McNemar 141347 0 0 0 0 0 0 0 5654 0 147001 0 124530 0 Yvette Minter 115621 0 0 0 0 0 0 0 4625 0 120246 0 101623 0 F990_P06_S0B_L11 Form 990, Part VI, Section B, Line 11 The Treasurer reviews the Form 990. Other Board members are provided access to review the Form 990 as well. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c Reviewed by the Board of Directs and management staff of NewCourtland Elder Services, the supporting organization. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The Board of Directors review. Compensation is determined by comparing wage information available from independent industry sources. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Documents are made available upon request. F990_P07_S0A_L05 Form 990, Part VII, Section A, Line 5 Andrew Seibert, Board of Director, and Donald Levesque, Treasurer, and others are employees of Veritas Health Services VHS and Veritas Financial Services VFS. VHS and VFS provides management services to NewCourtland and related affiliated organizations including Cliveden-Maplewood Convalescent Centers, Inc. Total management services fees paid to VHS and VFS for services to NewCourtland and related affiliated organizations during the fiscal year ended June 30, 2010 was $1,585,945. NewCourtland Elder Services 6970 Germantown Avenue Philadelphia PA 19119 232734102 Supporting the mission of The Presbyterian Foundation which is to provide eldercare services PA 501(C)(3) 509(a)(3) NewCourtland Elder Services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 NewCourtland Elder Services q 1040653