STRATEGY STUDIO / PUBLIC DATA EXPLORER

PENDLETON MANOR INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
PENDLETON MANOR INC (EIN 55-0547603)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-12
IRS object ID
202413179349307656
Schema version
2023v5.1
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)
Return2024-11-12T15:10:30-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN540504608PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BROWN EDWARDS & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11909 FINANCIAL DRIVEAddressLine1Txt
CityHARRISONBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22801ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN550547603EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PENDLETON MANOR INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPENDBusinessNameControlTxt
Phone3043582322PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 700AddressLine1Txt
CityFRANKLINCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26807ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGREG BOWERSPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3043582322PhoneNum
Signature2024-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES R FRIESPreparerPersonNm
PTINP01320612PTIN
Phone5404346736PhoneNum
Preparation2024-11-11PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGREG BOWERSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 700AddressLine1Txt
CityFRANKLINCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26807ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,804,963GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PENDLETONMANOR.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1974FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionOUR MISSION IS TO SHARE GOD'S WORD IN LOVE AND DEED BY PROVIDING SHELTER AND SUPPORTIVE SERVICES TO OLDER PERSONS AND OTHERS IN NEED BELIEVING THAT IN CHRIST'S LOVE, EVERYONE IS SOMEONE.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee182TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$62,713PYContributionsGrantsAmt
CY Contributions Grants$40,389CYContributionsGrantsAmt
PY Program Service Revenue$10,546,084PYProgramServiceRevenueAmt
CY Program Service Revenue$10,763,834CYProgramServiceRevenueAmt
PY Investment Income-$6,923PYInvestmentIncomeAmt
CY Investment Income$740CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$10,601,874PYTotalRevenueAmt
CY Total Revenue$10,804,963CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,537,852PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,219,212CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,509,178PYOtherExpensesAmt
CY Other Expenses$5,593,580CYOtherExpensesAmt
PY Total Expenses$10,047,030PYTotalExpensesAmt
CY Total Expenses$11,812,792CYTotalExpensesAmt
PY Revenues Less Expenses$554,844PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,007,829CYRevenuesLessExpensesAmt
Total Assets BOY$2,245,443TotalAssetsBOYAmt
Total Assets EOY$2,256,876TotalAssetsEOYAmt
Total Liabilities BOY$582,701TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,305,443TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,662,742NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$951,433NetAssetsOrFundBalancesEOYAmt
MissionOUR MISSION IS TO BUILD A STRONGER COMMUNITY BY IMPROVING AND ENRICHING THE LIVES OF THOSE WHO HAVE EXCEPTIONAL PHYSICAL, DEVELOPMENTAL OR FINANCIAL CHALLENGES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,101,207ExpenseAmt
Revenue$10,772,223RevenueAmt
DescPROVIDE INTERMEDIATE AND SKILLED CARE NURSING SERVICES FOR ELDERLY PATIENTS; 91 BEDS AVAILABLE, 24,634 PATIENT DAYS PROVIDED IN 2023. ALSO PROVIDING APARTMENT LIVING, HOME HEALTH, AND OUTPATIENT THERAPY SERVICES FOR THE COMMUNITY.Desc
Total Program Service Expenses$10,101,207TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document28IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee182EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KRISTY WATSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3043582322PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 700AddressLine1Txt
CityFRANKLINCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26807ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
GREG BOWERS
PRESIDENT0.50Yes (X)Yes (X)$0$0$0
LYNN VANDEVANDER
VICE PRESIDENT0.50Yes (X)Yes (X)$0$0$0
MARSHALL HARPER
TREASURER0.50Yes (X)Yes (X)$0$0$0
PATRICIA SITES
SECRETARY0.50Yes (X)Yes (X)$0$0$0
KAREN STEVENS
DIRECTOR0.50Yes (X)$0$0$0
CARA MITCHELL
DIRECTOR0.50Yes (X)$0$0$0
KENNETH HARPER
DIRECTOR0.50Yes (X)$0$0$0
ANN BENNETT
DIRECTOR0.50Yes (X)$0$0$0
CARY A HEVENER
DIRECTOR0.50Yes (X)$0$0$0
RANDALL KROPP
ADMINISTRATOR40.00Yes (X)$135,294$0$16,927
KRISTY WATSON
CFO40.00Yes (X)$46,154$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$181,448TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$16,927TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MAS MEDICAL STAFFING
135 CANAL STREET SUITE 200MANCHESTERNH03101AGENCY NURSES$1,121,274
ODYSSEY REHABILITATION
415 BENEDUM DRIVEBRIDGEPORTWV26330REHABILITATION SERVICES$884,739
UNITED HEALTHCARE
990 BREN RD EMINNETONKAMN55343EMPLOYEE GROUP HEALTH INSURANCE$558,334
247 MEDICAL BILLING
2028 E BEN WHITE BLVDAUSTINTX78741THIRD PARTY BILLING PROVIDER$203,227
IT DECISIONS
3200 HANOVER RDJOHNSON CITYTN37604TECHNOLOGY HARDWARE PROVIDER AND SERVICE$120,987
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
All Other Contributions$40,389AllOtherContributionsAmt
Total Contributions$40,389TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE623000$10,289,916$10,289,916
SPECIAL CARE SERVICES623000$439,662$439,662

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,256TotalRevenueColumnAmt
Related Or Exempt Func Income$34,256RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$10,763,834TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$740TotalRevenueColumnAmt
Exclusion$740ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,804,963TotalRevenueColumnAmt
Related Or Exempt Func Income$10,763,834RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$740ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,773,778TotalAmt
Program Services$3,957,443ProgramServicesAmt
Management And General$816,335ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$167,403TotalAmt
Program Services$138,776ProgramServicesAmt
Management And General$28,627ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$903,177TotalAmt
Program Services$748,730ProgramServicesAmt
Management And General$154,447ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$374,854TotalAmt
Program Services$310,752ProgramServicesAmt
Management And General$64,102ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$140,801TotalAmt
Management And General$140,801ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,088TotalAmt
Management And General$1,088ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$97,233TotalAmt
Management And General$97,233ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,747,239TotalAmt
Program Services$2,664,822ProgramServicesAmt
Management And General$82,417ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$9,091TotalAmt
Program Services$91ProgramServicesAmt
Management And General$9,000ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$27,244TotalAmt
Management And General$27,244ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$652,006TotalAmt
Program Services$652,006ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,576TotalAmt
Program Services$595ProgramServicesAmt
Management And General$3,981ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,593TotalAmt
Management And General$1,593ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$53,531TotalAmt
Management And General$53,531ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$83,006TotalAmt
Management And General$83,006ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$899,079$830,415$68,664
TAXES AND LICENSES$555,287$505,931$49,356
PATIENT SERVICES$146,837$146,837
TRANSPORTATION$62,359$62,359

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$112,610TotalAmt
Program Services$82,450ProgramServicesAmt
Management And General$30,160ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,812,792TotalAmt
Program Services$10,101,207ProgramServicesAmt
Management And General$1,711,585ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$100BOYAmt
EOY$100EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$753,261BOYAmt
EOY$186,997EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,067,939BOYAmt
EOY$1,627,124EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$22,999BOYAmt
EOY$29,121EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$75,813BOYAmt
EOY$20,525EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,199,425LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$860,397LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$325,331BOYAmt
EOY$339,028EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$53,981EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,245,443BOYAmt
EOY$2,256,876EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$549,884BOYAmt
EOY$645,386EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,180BOYAmt
EOY$35,975EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$19,958BOYAmt
EOY$17,602EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,679BOYAmt
EOY$606,480EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$582,701BOYAmt
EOY$1,305,443EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,658,364BOYAmt
EOY$926,437EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,378BOYAmt
EOY$24,996EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,662,742BOYAmt
EOY$951,433EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,245,443BOYAmt
EOY$2,256,876EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,007,829ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$296,520OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,528CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$44,646CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$71,139CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$62,713CurrentTaxYearMinus1YearAmt
Current Tax Year$32,000CurrentTaxYearAmt
Total$242,026TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,390,017CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,991,046CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,054,909CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,509,875CurrentTaxYearMinus1YearAmt
Current Tax Year$10,729,578CurrentTaxYearAmt
Total$53,675,425TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$65,625CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,405CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$44,207CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$36,209CurrentTaxYearMinus1YearAmt
Current Tax Year$42,645CurrentTaxYearAmt
Total$246,091TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,487,170CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,093,097CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,170,255CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,608,797CurrentTaxYearMinus1YearAmt
Current Tax Year$10,804,223CurrentTaxYearAmt
Total$54,163,542TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$5,300CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,250CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,575CurrentTaxYearMinus1YearAmt
Current Tax Year$40,389CurrentTaxYearAmt
Total$61,514TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$5,300CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,250CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,575CurrentTaxYearMinus1YearAmt
Current Tax Year$40,389CurrentTaxYearAmt
Total$61,514TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$54,102,028PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$93CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$316CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$523CurrentTaxYearMinus1YearAmt
Current Tax Year$740CurrentTaxYearAmt
Total$1,672TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$93CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$316CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$523CurrentTaxYearMinus1YearAmt
Current Tax Year$740CurrentTaxYearAmt
Total$1,672TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,487,170CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,093,190CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,170,571CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,609,320CurrentTaxYearMinus1YearAmt
Current Tax Year$10,804,963CurrentTaxYearAmt
Total$54,165,214TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99880PublicSupportCY509Pct
Public Support PY5090.99950PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$960,100OtherCostOrOtherBasisAmt
Depreciation$764,118DepreciationAmt
Book Value$195,982BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$239,325OtherCostOrOtherBasisAmt
Depreciation$96,279DepreciationAmt
Book Value$143,046BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$339,028TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
RESIDENT TRUST FUNDS$9,038
ACCRUED LIABILITIES$597,442
FieldValueIRS element (for citing)
Total Liability$606,480TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonRANDALL KROPPPersonNm
TitleADMINISTRATORTitleTxt
Base Compensation Filing Org$135,294BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$16,927NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$152,221TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY HAS BEEN HIRED BY PENDLETON MANOR TO PROVIDE MANAGEMENT SERVICES.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE ADMINISTRATOR AND THE BOARD OF DIRECTORS, AND THE FINANCIAL DATA ARE VERIFIED BY THE ACCOUNTING DEPARTMENT AND MANAGEMENT.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT-OF-INTEREST POLICY IS REVIEWED PERIODICALLY BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15ATHE WAGE FOR THE ADMINISTRATOR IS SET BY THE MANAGING AGENCY - EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.
FORM 990, PART VI, SECTION C, LINE 19ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACT SERVICES: PROGRAM SERVICE EXPENSES 2,664,822. MANAGEMENT AND GENERAL EXPENSES 82,417. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,747,239.
FORM 990, PART XI, LINE 9:TRANSFER TO PENDLETON, INC. TRANSFER TO PENDLETON APARTMENTS, INC. TRANSFER FROM PENDLETON VILLAGE, INC. PASSTHROUGH OF CONTRIBUTIONS TO PENDLETON VILLAGE -3,480. TRANFER FROM PENDLETON VILLAGE 300,000.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
PENDLETON APARTMENTS INC
PO BOX 700FRANKLINWV26807311130225TO PROVIDE HOUSING TO ELDERLY PERSONSWV501(C)(3)LINE 10PENDLETON VILLAGE INC0
PENDLETON VILLAGE INC
PO BOX 700FRANKLINWV26807261339734ACT AS MANAGEMENT COMPANY FOR THE OTHER ENTITIESWV501(C)(3)LINE 12B, II0N/A
THE PENDLETON INC
PO BOX 700FRANKLINWV26807261339779REAL ESTATE AND EQUIPMENT HOLDING COMPANY FOR RELATED ORGANIZATIONS.WV501(C)(2)PENDLETON VILLAGE INC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtMethod Of Amount DeterminationMethodOfAmountDeterminationTxtInvolvedInvolvedAmt
THE PENDLETON INC
BCASH
PENDLETON APARTMENTS INC
BCASH
PENDLETON VILLAGE INC
CCASH$300,000
THE PENDLETON INC
KCASH