PRESBYTERIAN HOME OF GREATER JOHNSTOWN: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: PRESBYTERIAN HOME OF GREATER JOHNSTOWN (EIN 25-1101650)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-15
IRS object ID: 201323199349306147
Schema version: 2012v2.3
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
Form 990
Schedule A
Schedule D
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-15T13:00:08-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BARNES SALY & COMPANY LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	637 FERNDALE AVENUE SUITE 100	AddressLine1
City	JOHNSTOWN	City
State	PA	State
ZIP Code	159053999	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	251101650	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PRESBYTERIAN HOME OF GREATER	BusinessNameLine1
Business Name Line2	JOHNSTOWN	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	PRES	NameControl
Phone	8142555539	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	787 GOUCHER STREET	AddressLine1
City	JOHNSTOWN	City
State	PA	State
ZIP Code	15905	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DONNA CAUFFIEL	Name
Title	BOARD PRESIDENT	Title
Phone	8142555539	Phone
Date Signed	2013-11-15	DateSigned
Authorize Third Party	false	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	KEVIN F KROSKIE CPA	Name
Phone	8142881544	Phone
Date Prepared	2013-11-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DONNA CAUFFIEL	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	787 GOUCHER STREET	AddressLine1
City	JOHNSTOWN	City
State	PA	State
ZIP Code	15905	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	4510716	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	PRESBYHOMEJOHNSTOWN.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1963	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	OWNING 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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	111	TotalNbrEmployees
Total Nbr Volunteers	30	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	26205	ContributionsGrantsPriorYear
Contributions Grants Current Year	61001	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	3383298	ProgramServiceRevenuePriorYear
Program Service Revenue CY	3541795	ProgramServiceRevenueCY
Investment Income Prior Year	5905	InvestmentIncomePriorYear
Investment Income Current Year	-792118	InvestmentIncomeCurrentYear
Other Revenue Prior Year	10132	OtherRevenuePriorYear
Other Revenue Current Year	3711	OtherRevenueCurrentYear
Total Revenue Prior Year	3425540	TotalRevenuePriorYear
Total Revenue Current Year	2814389	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2560487	SalariesEtcPriorYear
Salaries Etc Current Year	2505360	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1100142	OtherExpensePriorYear
Other Expenses Current Year	1308568	OtherExpensesCurrentYear
Total Expenses Prior Year	3660629	TotalExpensesPriorYear
Total Expenses Current Year	3813928	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-235089	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-999539	RevenuesLessExpensesCY
Total Assets BOY	4199210	TotalAssetsBOY
Total Assets EOY	2591454	TotalAssetsEOY
Total Liabilities BOY	2111029	TotalLiabilitiesBOY
Total Liabilities EOY	1487645	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2088181	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1103809	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	OWNING 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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	3628285	Expense
Description	LONG-TERM NURSING CARE, PERSONAL CARE AND RELATED PATIENT SERVICES INCLUDING MEDICAL, DIETARY AND PERSONAL CARE SERVICES.	Description
Total Program Service Expense	3628285	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	6	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	111	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	PRESBYTERIAN HOME OF GRT JOHNSTOWN	NamePerson
Telephone Number	8142555539	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	787 GOUCHER STREET	AddressLine1
City	JOHNSTOWN	City
State	PA	State
ZIP Code	15905	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
JOHN NORRIS
DIRECTOR	1.00	X	0	0	0
THOMAS DETER
DIRECTOR	1.00	X	0	0	0
NORMA SMALL
DIRECTOR-SEC	1.00	X	0	0	0	X
RICHARD FELLER
DIRECTOR	1.00	X	0	0	0
JEFF CRAMER
DIRECTOR	1.00	X	0	0	0
STEVE BENZ
DIRECTOR	1.00	X	0	0	0
DONNA CAUFFIEL
DIRECTOR-PRE	5.00	X	0	0	0	X
SUE BENYA
DIRECTOR	1.00	X	0	0	0
ROY GINDLESBERGER
DIRECTOR-TRE	1.00	X	0	0	0	X
ED HUTTONHOWER
DIRECTOR	1.00	X	0	0	0
GARY LICHTENFELS
DIRECTOR-VIC	1.00	X	0	0	0	X
TIMOTHY REEVES
ADMINISTRATO	45.00		49889	0	1478	X
DAVID THOMAS
ADMINISTRATO	45.00		24228	0	1761	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	74117	TotalReportableCompFromOrg
Total Other Compensation	3239	TotalOtherCompensation
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	HEALTHCARE SERVICES GROUP INC	BusinessNameLine1
Business Name Line2	HEALTHCARE SERVICES INC	BusinessNameLine2

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3220 TILLMAN DRIVE SUITE 300	AddressLine1
Address Line2	3220 TILLMAN DRIVE SUITE 300	AddressLine2
City	BENSALEM	City
State	PA	State
ZIP Code	19020	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	HSKP & LAUNDRY	DescriptionOfServices
Compensation	171476	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
All Other Contributions	61001	AllOtherContributions
Total Contributions	61001	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT FEES AND SERVICES	3485836	3485836
RENTAL INCOME-REAL ESTATE	55959	55959

Field	Value	IRS element (for citing)
Total Program Service Revenue	3541795	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4209	TotalRevenueColumn
Exclusion	$4,209	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1717	TotalRevenueColumn
Exclusion	$1,717	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	900000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	1696327	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-796327	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-796327	TotalRevenueColumn
Exclusion	-$796,327	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS	Description
Total Revenue Column	1994	TotalRevenueColumn
Exclusion	$1,994	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1994	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2814389	TotalRevenueColumn
Related Or Exempt Function Income	3541795	RelatedOrExemptFunctionIncome
Exclusion	-$788,407	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	77356	Total
Program Services	38678	ProgramServices
Management And General	38678	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1832107	Total
Program Services	1782882	ProgramServices
Management And General	49225	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	45694	Total
Program Services	44514	ProgramServices
Management And General	1180	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	407311	Total
Program Services	374474	ProgramServices
Management And General	32837	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	142892	Total
Program Services	133067	ProgramServices
Management And General	9825	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	19400	Total
Program Services	16490	ProgramServices
Management And General	2910	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	23752	Total
Program Services	19514	ProgramServices
Management And General	4238	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	5814	Total
Program Services	5814	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	63077	Total
Program Services	53615	ProgramServices
Management And General	9462	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	196769	Total
Program Services	196769	ProgramServices

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	8555	Total
Program Services	8535	ProgramServices
Management And General	20	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	47916	Total
Program Services	40729	ProgramServices
Management And General	7187	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	123400	Total
Program Services	104890	ProgramServices
Management And General	18510	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	35104	Total
Program Services	29838	ProgramServices
Management And General	5266	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
FOOD AND DIETARY	193877	193877
MGMT CONTRACT-HSK & LAUND	174242	174242
MEDICAL & DRUG SUPPLIES	135848	135848
THERAPY COSTS	98530	98530

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	182284	Total
Program Services	175979	ProgramServices
Management And General	6305	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	3813928	Total
Program Services	3628285	ProgramServices
Management And General	185643	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	27474	BOY
EOY	7133	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
EOY	85801	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	389216	BOY
EOY	573120	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	39299	BOY
EOY	5030	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4629534	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2889138	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3568114	BOY
EOY	1740396	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	175107	BOY
EOY	179974	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	4199210	BOY
EOY	2591454	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	281009	BOY
EOY	437185	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	45400	BOY
EOY	79604	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1784620	BOY
EOY	920856	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
EOY	50000	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2111029	BOY
EOY	1487645	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1908267	BOY
EOY	908728	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	179914	BOY
EOY	195081	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2088181	BOY
EOY	1103809	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4199210	BOY
EOY	2591454	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-999539	ReconcilationRevenueExpenses
Reconcilation Other Changes	15167	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	149880	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	205794	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	32367	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	26205	CurrentTaxYearMinus1Year
Current Tax Year	61001	CurrentTaxYear
Total	475247	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3113234	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3207899	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3292304	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3383298	CurrentTaxYearMinus1Year
Current Tax Year	3541795	CurrentTaxYear
Total	16538530	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3263114	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3413693	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3324671	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3409503	CurrentTaxYearMinus1Year
Current Tax Year	3602796	CurrentTaxYear
Total	17013777	Total

Field	Value	IRS element (for citing)
Public Support Total509	17013777	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	36537	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	22330	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	11359	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	9091	CurrentTaxYearMinus1Year
Current Tax Year	5926	CurrentTaxYear
Total	85243	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	36537	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	22330	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	11359	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	9091	CurrentTaxYearMinus1Year
Current Tax Year	5926	CurrentTaxYear
Total	85243	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Current Tax Year	994	CurrentTaxYear
Total	994	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3299651	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3436023	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3336030	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3418594	CurrentTaxYearMinus1Year
Current Tax Year	3609716	CurrentTaxYear
Total	17100014	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99500	PublicSupportPercentage509
Prior Year Support Percentage	0.99260	PriorYearSupportPercentage
Investment Income Percentage	0.00000	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01000	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	3000	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	384887	OtherCostOrOtherBasis
Book Value	387887	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3651582	OtherCostOrOtherBasis
Depreciation	2391371	Depreciation
Book Value	1260211	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	530465	OtherCostOrOtherBasis
Depreciation	471888	Depreciation
Book Value	58577	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	59600	OtherCostOrOtherBasis
Depreciation	25879	Depreciation
Book Value	33721	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1740396	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	BANK LINE OF CREDIT	Description
Amount	$50,000	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	50000	TotalOfAmounts

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

Business Name Line2NameOfInterestedPerson/NameBusiness/BusinessNameLine2	RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
1ST SUMMIT BANK
1ST SUMMIT BANK	JEFF CRAMER IS	45467	MORTGAGE LOAN	false
(no name)
	A BOARD MEMBER		INTEREST	false
(no name)
	& A LOAN OFFICE			false
(no name)
	WITH 1ST SUMMIT	2350	LOC INTEREST	false
(no name)
	BANK			false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	FORM 990 - ORGANIZATION'S MISSION	OWNING 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.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE ADMINISTRATOR 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.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	UNDER 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.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE 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.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	UPON REQUEST, ANY MEMBER OF THE GENERAL PUBLIC CAN BE PROVIDED WITH A COPY OF THE ORGANIZATION'S FORM 990 TAX RETURN.
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 9	CHANGE IN VALUE-INTEREST HELD IN BENEFICIAL TRUST 15,167