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PRESBYTERIAN HOME OF GREATER JOHNSTOWN: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
PRESBYTERIAN HOME OF GREATER JOHNSTOWN (EIN 25-1101650)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201403219349309140
Schema version
2013v3.1
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)
Return2014-11-17T14:53:40-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN364775872PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BARNES SALY & COMPANY PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1637 FERNDALE AVENUE SUITE 100AddressLine1
CityJOHNSTOWNCity
StatePAState
ZIP Code159053999ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251101650EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRESBYTERIAN HOME OF GREATERBusinessNameLine1
Business Name Line2JOHNSTOWNBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlPRESBusinessNameControlTxt
Phone8142555539PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1787 GOUCHER STREETAddressLine1
CityJOHNSTOWNCity
StatePAState
ZIP Code15905ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDONNA CAUFFIELPersonNm
Person TitleBOARD PRESIDENTPersonTitleTxt
Phone8142555539PhoneNum
Signature2014-11-17SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKEVIN F KROSKIE CPAPreparerPersonNm
PTINP00440517PTIN
Phone8142881544PhoneNum
Preparation2014-11-17PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDONNA CAUFFIELPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1787 GOUCHER STREETAddressLine1
CityJOHNSTOWNCity
StatePAState
ZIP Code15905ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$3,758,821GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressPRESBYHOMEJOHNSTOWN.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionOWNING AND OPERATING A LONG-TERM CARE AND PERSONAL CARE FACILITY. THE ORGANIZATION OWNS AND OPERATES A 41 BED NURSING FACILITY, A 34 BED PERSONAL CARE FACILITY, 12 APARTMENTS AND 3 TOWNHOUSES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee143TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$61,001PYContributionsGrantsAmt
CY Contributions Grants$20,968CYContributionsGrantsAmt
PY Program Service Revenue$3,541,795PYProgramServiceRevenueAmt
CY Program Service Revenue$3,675,626CYProgramServiceRevenueAmt
PY Investment Income-$792,118PYInvestmentIncomeAmt
CY Investment Income$54,283CYInvestmentIncomeAmt
PY Other Revenue$3,711PYOtherRevenueAmt
CY Other Revenue$4,944CYOtherRevenueAmt
PY Total Revenue$2,814,389PYTotalRevenueAmt
CY Total Revenue$3,755,821CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,505,360PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,538,952CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,308,568PYOtherExpensesAmt
CY Other Expenses$1,358,618CYOtherExpensesAmt
PY Total Expenses$3,813,928PYTotalExpensesAmt
CY Total Expenses$3,897,570CYTotalExpensesAmt
PY Revenues Less Expenses-$999,539PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$141,749CYRevenuesLessExpensesAmt
Total Assets BOY$2,591,454TotalAssetsBOYAmt
Total Assets EOY$2,659,057TotalAssetsEOYAmt
Total Liabilities BOY$1,487,645TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,687,777TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,103,809NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$971,280NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOWNING AND OPERATING A LONG-TERM CARE AND PERSONAL CARE FACILITY. THE ORGANIZATION OWNS AND OPERATES A 41 BED NURSING FACILITY, A 34 BED PERSONAL CARE FACILITY, 12 APARTMENTS AND 3 TOWNHOUSES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$3,743,456ExpenseAmt
DescLONG-TERM NURSING CARE, PERSONAL CARE AND RELATED PATIENT SERVICES INCLUDING MEDICAL, DIETARY AND PERSONAL CARE SERVICES.Desc
Total Program Service Expenses$3,743,456TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee143EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPRESBYTERIAN HOME OF GRT JOHNSTOWNPersonNm
Phone8142555539PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1787 GOUCHER STREETAddressLine1
CityJOHNSTOWNCity
StatePAState
ZIP Code15905ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
JOHN NORRIS
DIRECTOR2.00Yes (X)$0$0$0
THOMAS DETER
DIRECTOR2.00Yes (X)$0$0$0
NORMA SMALL
DIRECTOR-SEC2.00Yes (X)$0$0$0Yes (X)
RICHARD FELLER
DIRECTOR2.00Yes (X)$0$0$0
JEFF CRAMER
DIRECTOR4.00Yes (X)$0$0$0
STEVE BENZ
DIRECTOR2.00Yes (X)$0$0$0
DONNA CAUFFIEL
DIRECTOR-PRE4.00Yes (X)$0$0$0Yes (X)
SUE BENYA
DIRECTOR2.00Yes (X)$0$0$0
ROY GINDLESBERGER
DIRECTOR-TRE2.00Yes (X)$0$0$0Yes (X)
ED HUTTONHOWER
DIRECTOR2.00Yes (X)$0$0$0
GARY LICHTENFELS
DIRECTOR-VIC2.00Yes (X)$0$0$0Yes (X)
DAVID THOMAS
ADMINISTRATO45.00$52,491$0$5,975Yes (X)
JAMES NEELY
ADMINISTRATO45.00$21,687$0$1,650Yes (X)
SANDRA LINT
ADMINISTRATO45.00$8,345$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$82,523TotalReportableCompFromOrgAmt
Total Other Compensation$7,625TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTHCARE SERVICES GROUP INCBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line13220 TILLMAN DRIVE SUITE 300AddressLine1
CityBENSALEMCity
StatePAState
ZIP Code19020ZIPCode
FieldValueIRS element (for citing)
ServicesHSKP & LAUNDRYServicesDesc
Compensation$120,814CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$20,968AllOtherContributionsAmt
Total Contributions$20,968TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT FEES AND SERVICES$3,658,764$3,658,764
RENTAL INCOME-REAL ESTATE$16,862$16,862
FieldValueIRS element (for citing)
Total Program Service Revenue$3,675,626TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,024TotalRevenueColumnAmt
Exclusion$3,024ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,982TotalRevenueColumnAmt
Exclusion$1,982ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$54,259OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$3,000OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$51,259OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$51,259TotalRevenueColumnAmt
Exclusion$51,259ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Total Revenue Column$2,962TotalRevenueColumnAmt
Exclusion$2,962ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,962OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,755,821TotalRevenueColumnAmt
Related Or Exempt Func Income$3,675,626RelatedOrExemptFuncIncomeAmt
Exclusion$59,227ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$90,148TotalAmt
Program Services$45,075ProgramServicesAmt
Management And General$45,073ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,827,406TotalAmt
Program Services$1,785,611ProgramServicesAmt
Management And General$41,795ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$54,092TotalAmt
Program Services$53,681ProgramServicesAmt
Management And General$411ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$423,725TotalAmt
Program Services$415,759ProgramServicesAmt
Management And General$7,966ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$143,581TotalAmt
Program Services$133,283ProgramServicesAmt
Management And General$10,298ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,258TotalAmt
Program Services$21,469ProgramServicesAmt
Management And General$3,789ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$19,597TotalAmt
Program Services$19,396ProgramServicesAmt
Management And General$201ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,299TotalAmt
Program Services$6,299ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$84,289TotalAmt
Program Services$71,646ProgramServicesAmt
Management And General$12,643ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$224,131TotalAmt
Program Services$224,131ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$11,570TotalAmt
Program Services$11,232ProgramServicesAmt
Management And General$338ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$35,403TotalAmt
Program Services$30,093ProgramServicesAmt
Management And General$5,310ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$104,143TotalAmt
Program Services$88,522ProgramServicesAmt
Management And General$15,621ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$39,317TotalAmt
Program Services$33,419ProgramServicesAmt
Management And General$5,898ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
FOOD AND DIETARY$189,787$189,787
THERAPY COSTS$150,349$150,349
MEDICAL & DRUG SUPPLIES$139,872$139,872
MGMT CONTRACT-HSK & LAUND$129,991$129,991

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$198,612TotalAmt
Program Services$193,841ProgramServicesAmt
Management And General$4,771ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,897,570TotalAmt
Program Services$3,743,456ProgramServicesAmt
Management And General$154,114ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,133BOYAmt
EOY$117,998EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$85,801BOYAmt
EOY$17,414EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$573,120BOYAmt
EOY$647,505EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,030BOYAmt
EOY$24,169EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,635,210LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,993,280LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,740,396BOYAmt
EOY$1,641,930EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$179,974BOYAmt
EOY$189,194EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$20,847EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,591,454BOYAmt
EOY$2,659,057EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$437,185BOYAmt
EOY$341,753EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$79,604BOYAmt
EOY$59,364EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$920,856BOYAmt
EOY$1,286,660EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,487,645BOYAmt
EOY$1,687,777EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$908,728BOYAmt
EOY$766,979EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$195,081BOYAmt
EOY$204,301EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,103,809BOYAmt
EOY$971,280EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,591,454BOYAmt
EOY$2,659,057EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$141,749ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$9,220OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$205,794CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,367CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,205CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$61,001CurrentTaxYearMinus1YearAmt
Current Tax Year$20,968CurrentTaxYearAmt
Total$346,335TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,207,899CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,292,304CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,383,298CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,541,795CurrentTaxYearMinus1YearAmt
Current Tax Year$3,675,626CurrentTaxYearAmt
Total$17,100,922TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,413,693CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,324,671CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,409,503CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,602,796CurrentTaxYearMinus1YearAmt
Current Tax Year$3,696,594CurrentTaxYearAmt
Total$17,447,257TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$17,447,257PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,330CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,359CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,091CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,926CurrentTaxYearMinus1YearAmt
Current Tax Year$5,006CurrentTaxYearAmt
Total$53,712TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,330CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,359CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,091CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,926CurrentTaxYearMinus1YearAmt
Current Tax Year$5,006CurrentTaxYearAmt
Total$53,712TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$994CurrentTaxYearMinus1YearAmt
Current Tax Year$1,962CurrentTaxYearAmt
Total$2,956TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,436,023CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,336,030CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,418,594CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,609,716CurrentTaxYearMinus1YearAmt
Current Tax Year$3,703,562CurrentTaxYearAmt
Total$17,503,925TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99680PublicSupportCY509Pct
Public Support PY5090.99500PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.01000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$384,887OtherCostOrOtherBasisAmt
Book Value$384,887BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,655,359OtherCostOrOtherBasisAmt
Depreciation$2,476,741DepreciationAmt
Book Value$1,178,618BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$535,364OtherCostOrOtherBasisAmt
Depreciation$486,687DepreciationAmt
Book Value$48,677BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$59,600OtherCostOrOtherBasisAmt
Depreciation$29,852DepreciationAmt
Book Value$29,748BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,641,930TotalBookValueLandBuildingsAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Business Name Line2NameOfInterested/BusinessName/BusinessNameLine2Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
1ST SUMMIT BANK
1ST SUMMIT BANKJEFF CRAMER IS$33,708MORTGAGE LOANfalse
(no name)
A BOARD MEMBERINTERESTfalse
(no name)
& A LOAN OFFICEfalse
(no name)
WITH 1ST SUMMIT$1,606LOC INTERESTfalse
(no name)
BANKfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONOWNING AND OPERATING A LONG-TERM CARE AND PERSONAL CARE FACILITY. THE ORGANIZATION OWNS AND OPERATES A 41 BED NURSING FACILITY, A 34 BED PERSONAL CARE FACILITY, 12 APARTMENTS AND 3 TOWNHOUSES.
FORM 990, PAGE 6, PART VI, LINE 11BTHE BOARD PRESIDENT OF THE ORGANIZATION WILL REVIEW AND APPROVE THE FORM 990 PRIOR TO SIGNING THE FORM 990 AND FILING WITH THE INTERNAL REVENUE SERVICE. THE BOARD OF DIRECTORS ARE PROVIDED A COPY OF THE FORM 990 FOR REVIEW.
FORM 990, PAGE 6, PART VI, LINE 12CUNDER THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, EVERY BOARD MEMBER IS GIVEN A COPY OF THE POLICY AS WELL AS A FORM THAT MUST BE COMPLETED ON AN ANNUAL BASIS. THROUGHOUT THE YEAR, BOARD MEMBERS MUST NOTIFY THE BOARD PRESIDENT IF A NEW CONFLICT OF INTEREST HAS DEVELOPED.
FORM 990, PAGE 6, PART VI, LINE 15ATHE COMPENSATION FOR THE ADMINISTRATOR OF THE ORGANIZATION IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. ANNUAL COMPENSATION IS DETERMINED BASED ON COMPLETION OF GOALS ESTABLISHED ANNUALLY AND COMPARISON WITH COMPENSATION PROVIDED TO ADMINISTRATORS OF SIMILARLY SIZED ORGANIZATIONS WITHIN THE STATE OF PENNSYLVANIA.
FORM 990, PAGE 6, PART VI, LINE 19UPON REQUEST, ANY MEMBER OF THE GENERAL PUBLIC CAN BE PROVIDED WITH A COPY OF THE ORGANIZATION'S FORM 990 TAX RETURN.
FORM 990, PART XI, LINE 9CHANGE IN VALUE-INTEREST HELD IN BENEFICIAL TRUST 9,220