2013-07-31T14:50:32-05:00 2012-12-31 410746749 CLIFTONLARSONALLEN LLP 610 WEST GERMANTOWN PIKE SUITE 400 PLYMOUTH MEETING PA 19462 990 2012-01-01 232145152 STAPELEY HALL DBA WESLEY ENHANCED LIVING AT STAPELEY STAP 2153540565 101 E COUNTY LINE ROAD - SUITE 200 HATBORO PA 19040 JEFF DUNKLE 2153540565 2013-07-31 1 MICHAEL SIEGEL P01587323 2156433900 2012 2016-02-24 21:20:13Z JEFF PETTY 101 E COUNTY LINE ROAD - SUITE 200 HATBORO PA 19040 13969817 0 X WWW.WEL.ORG X 1980 PA TO MAKE A COMPELLING DIFFERENCE IN THE LIVES OF OUR RESIDENTS. 3 0 338 4 0 0 137548 223072 6871075 13619701 0 83261 71056 43783 7079679 13969817 0 0 0 0 4408076 8877530 0 0 0 3664934 5339887 8073010 14217417 -993331 -247600 37563104 29893230 29055377 21408999 8507727 8484231 X TO PROVIDE RESIDENTS, WITHOUT REGARD TO THEIR RELIGIOUS, ETHNIC, RACIAL OR ECONOMIC BACKGROUND, A HIGH QUALITY, MODERATELY-PRICED CONTINUUM OF RETIREMENT LIVING SETTINGS AND SERVICES STRONGLY INFLUENCED BY QUAKER PRINCIPLES OF SIMPLICITY AND ACCEPTANCE OF THE INTEGRITY OF EACH INDIVIDUAL. 0 0 11407061 13619701 A CONTINUING CARE RETIREMENT COMMUNITY THAT PROVIDES HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO ELDERLY RESIDENTS THROUGH THE OPERATION OF A FACILITY THAT INCLUDES 120 SKILLED NURSING BEDS, 67 PERSONAL CARE UNITS, AND 43 RESIDENTIAL CARE UNITS. 11407061 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 19 0 1 338 1 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X JEFF DUNKLE 2153540565 101 E COUNTY LINE ROAD SUITE 200 HATBORO PA 19040 KEN FRANIAK 40.00 X X 0 205791 18309 JEFF PETTY 40.00 X X 0 343586 18500 DAVID JOHNSON 40.00 X 116212 0 9212 116212 549377 46021 1 1 1 0 SYSCO PO BOX 6499 PHILADELPHIA PA 19145 FOOD PRODUCTS 434315 ROBINSON ROOFING SERVICES PO BOX 252 ZIEGLERVILLE PA 19492 CONTRACTOR 248241 MILLENIUM PHARMACY 1500 INDUSTRY ROAD SUITE A HATFIELD PA 19440 PHARMACY 200797 US SECURITY ASSOCIATES PO BOX 931703 ATLANTA GA 31193 SECURITY 115907 SHARPS LANDSCAPING 7911 N RADCLIFFE STREET BRISTOL PA 19007 LANDSCAPING 106483 5 223072 223072 MEDICARE/MEDICAID 623000 7406371 7406371 RESIDENT CARE 623000 3736680 3736680 HEALTH CENTER 623000 1833362 1833362 ASSESSMENT REVENUE 623000 404641 404641 ENTRY FEE AMORTIZATION 623000 238647 238647 13619701 83261 83261 OTHER REVENUE 623000 43783 43783 43783 13969817 13619701 0 127044 125424 125424 7051983 6337681 714302 217670 193843 23827 868757 691699 177058 613696 484326 129370 875235 875235 141739 141739 30000 30000 599060 562905 36155 102808 102808 687679 583801 103878 525547 408225 117322 16580 2097 14483 626309 501047 125262 794119 635295 158824 53698 53698 FOOD 570767 570603 164 REPAIRS & MAINTENANCE 208872 208872 BAD DEBT 78755 78755 BARBER & BEAUTY 19922 19922 8797 2566 6231 14217417 11407061 2810356 0 2000 2000 510452 659063 1348738 1468083 69912 93681 19191608 2042518 17180471 17149090 5000267 5024729 13451264 5496584 37563104 29893230 1560991 1497418 837018 601943 25920545 18380080 43862 28682 692961 900876 29055377 21408999 X 5253639 5041471 81050 81050 3173038 3361710 8507727 8484231 37563104 29893230 X -247600 17193 206911 X X 0 1 X 1 0 X 217829 191669 344172 137548 223072 1114290 12449700 13982171 13930793 6871075 13215060 60448799 23115 12425 35540 12690644 14186265 14274965 7008623 13438132 61598629 91662 78295 110154 74446 154813 509370 0 91662 78295 110154 74446 154813 509370 61089259 423771 198463 349907 -13404 83261 1041998 423771 198463 349907 -13404 83261 1041998 29413 13150 500052 71056 448424 1062095 13143828 14397878 15124924 7066275 13969817 63702722 0.95900 0.96440 0.01640 0.02220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 67801 2842 70643 99921 -32120 67801 707932 608011 99921 514289 193643 707932 652870 -138581 514289 1.00000 0 0 1100000 1100000 16724988 1406081 15318907 863478 612519 250959 503142 23918 479224 17149090 BENEFICIAL INTEREST IN PERPETUAL TRUST 3378903 DEBT SERVICE FUND 384403 INTEREST AND CAPITAL CAMPAIGN FUND 458312 DEFERRED FINANCING COSTS, NET 1274966 5496584 PRIORITY LIST DEPOSIT 10000 ANNUITIES PAYABLE 19291 DUE TO AFFILIATES 871585 900876 X 14175682 17193 188672 205865 13969817 0 13969817 14199178 -18239 -18239 14217417 0 14217417 PART IV, LINE 2B: DEPOSITS MADE BY INDIVIDUALS ADMITTED TO AN PERSONAL CARE UNIT OR A SKILLED NURSING UNIT AT A WEL FACILITY. THESE DEPOSITS ARE GENERALLY ONE MONTH'S SERVICES FEES AT THE DAILY RATE WHICH DEPENDS ON THE REQUIRED LEVEL OF CARE. FOR RESIDENTS THAT ARE INITIALLY ADMITTED TO AN INDEPENDENT LIVING UNIT, UPON PERMANENT TRANSFER TO AN PERSONAL CARE UNIT OR A SKILLED NURSING UNIT, THE UNAMORTIZED PORTION OF THE INITIAL ENTRANCE FEE IS TRANSFERRED TO THE ESCROW DEPOSITS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: STAPELEY HAS BEEN RECOGNIZED AS EXEMPT ORGANIZATIONS AS DEFINED BY SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. STAPELEY FOLLOWS THE PROVISIONS OF THE INCOME TAX STANDARD, WHICH DIRECTS THE RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE IMPLEMENTATION OF THE INCOME TAX STANDARD HAD NO IMPACT ON STAPELEY'S FINANCIAL STATEMENTS. STAPELEY'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. STAPELEY IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. STAPELEY IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE YEARS 2009 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN CHARITABLE TRUST REMAINDER INTEREST 188,672. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN ANNUITY VA -18,239. 0 1 0 0 0 0 0 0 0 KEN FRANIAK 0 196263 0 9528 0 0 0 15701 0 2608 0 224100 0 0 JEFF PETTY 0 313536 0 30050 0 0 0 12345 0 6155 0 362086 0 0 DAVID JOHNSON 108812 0 7400 0 0 0 5972 0 3240 0 125424 0 0 0 PART I, LINE 4B KEN FRANIAK RECEIVED $15,701 JEFF PETTY RECEIVED $12,345 DAVID JOHNSON $5,972 A PHILADELPHIA AUTHORITY FOR INDUSTRIAL DEVELOPMENT 232237287 717818Q27 2005-09-08 10363863 PLEASE SEE PART V. 0 0 0 A 6024863 10363863 847533 8304907 207079 1004344 2007 1 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 0 0 0 0 0 A 1 SCHEDULE K SUPPLENTAL INFORMATION PART I, BOX F DESCRIPTION OF PURPOSE: [1] TO REFINANCE SERIES 1994 AND 1996 BONDS. [2] TO PAY THE COSTS OF MISCELLANEOUS ADDITIONAL RENOVATIONS CAPITAL IMPROVEMENTS AND ADDITIONS TO THE FACILITY. [3] TO FUND A DEBT SERVICE RESERVE FUND FOR THE SERIES 2005 BOND, AND [4] TO PAY THE COST OF ISSUANCE ASSOCIATED WITH THE SERIES 2005 BOND. FORM 990, PART VI, SECTION A, LINE 6 MEMBER ORGANIZATION EVANGELICAL SERVICES FOR THE AGING IS SOLE MEMBER OF THE ORGANIZATION FORM 990, PART VI, SECTION A, LINE 7A THE BOD, EXECUTIVE DIRECTORS,/PRESIDENT ARE ELECTED BY EVANGELICAL SERVICES FOR THE AGING, THE MEMBER CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B ACTIONS OF THE BOARD OF DIRECTORS IS VALID UPON WRITTEN APPROVAL OF THE SOLE MEMBER FOR THE ANNUAL BUDGET, INCURRING DEBTS, PURCHASE, SALE OR LEASE OF REAL PROPERTY, CONTRACTING WITH RESIDENTS, TRANSFER OF FUNDS/PROPERTY TO ANY CORPORATIONS OF WHICH EVANGELICAL AGING SERVICES FOR THE AGING IS THE SOLE MEMBER, OR ANY AMENDMENT TO THE ARTICLES OF INCORPORATIONS OR BYLAWS. FORM 990, PART VI, SECTION B, LINE 11 GOVERNING BODY REVIEW OF THE FORM 990 PRIOR TO ITS FILING, A COPY OF THE FINAL FORM 990 IS PROVIDED TO EACH VOTING MEMBER OF THE GOVERNING BOARD FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND KEY STAFF ARE GIVEN A COPY OF THE CONFLICT OF INTEREST POLICY ANNUALLY TO REVIEW DURING THE JANUARY BOARD MEETING. THE POLICY OUTLINES THE GUIDING PRINCIPALS OF THE POLICY AND DISCLOSURE REQUIREMENTS AND PROCEDURES FOR DEALING WITH CONFLICTS OF INTEREST. IN ADDITION, BOARD MEMBERS AND KEY STAFF ARE REQUIRED TO COMPLETE ANNUAL CONFLICTS OF INTEREST AND DISCLOSURE OF RELATED ACTIVITIES STATEMENTS. "RELATED" INDIVIDUALS SHALL NOT BE PLACED IN WEL THROUGH EMPLOYMENT, TRANSFER, OR PROMOTION WHEN SUCH PLACEMENT WILL RESULT IN ONE SUPERVISING ANOTHER AND/OR HAVING THE RESPONSIBILITY TO MAKE OR PARTICIPATE ACTIVELY IN MAKING DECISIONS REGARDING A "RELATED" EMPLOYEE'S EMPLOYMENT STATUS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CEO AND ITS DIRECT REPORTS IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. COMPENSATION STUDIES ARE DONE PERIODICALLY BY AN OUTSIDE COMPENSATION CONSULTANT TO DETERMINE COMPENSATION, USING COMPARATIVE INDEPENDENT DATA. THE CEO IS THE ONLY EMPLOYEE WHO HAS AN EMPLOYMENT CONTRACT. FOR OTHER EMPLOYEES, COMPENSATION REVIEWS ARE COMPLETED INTERNALLY COMPARING COMPENSATION DATA AVAILABLE THROUGH PANPHA AND OTHER BENCHMARKS. THIS WAS LAST COMPLETED IN 2010. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND FORM 990 ARE PROVIDED UPON REQUEST. THEY ARE ALSO AVAILABLE FOR INSPECTION AT THE ORGANIZATION'S OFFICE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN ANNUITY VA 18,239. CHANGE IN CHARITABLE TRUST REMAINDER INTEREST 188,672. FORM 990, PART XI, LINE 2C THE BOARD OF DIRECTORS OF EVANGELICAL SERVICES FOR THE AGING HAS A FINANCE COMMITTEE WHO ASSUMES RESPONSIBILITY FOR THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. EVANGELICAL MANOR C/O 101 E COUNTY LINE ROAD SUITE 20 HATBORO PA 19040 230563550 OPERATE A CCRC PA 501C(3) 9 EVANGELICAL SERVICES FOR THE AGING 0 NEW HERITAGE TOWERS C/O 101 E COUNTY LINE ROAD SUITE 20 HATBORO PA 19040 232366563 OPERATE A CCRC PA 501C(3) 9 EVANGELICAL SERVICES FOR THE AGING 0 NORTH AMERICAN BAPTIST HOME FOR THE AGED C/O 101 E COUNTY LINE ROAD SUITE 20 HATBORO PA 19040 231401533 OPERATE A CCRC PA 501C(3) 9 EVANGELICAL SERVICES FOR THE AGING 0 MAPLE VILLAGE C/O 101 E COUNTY LINE ROAD SUITE 20 HATBORO PA 19040 232810902 OPERATE A CCRC PA 501C(3) 9 EVANGELICAL SERVICES FOR THE AGING 0 WESLEY ENHANCED LIVING AT CHESTNUT HILL MANOR C/O 101 E COUNTY LINE ROAD SUITE 20 HATBORO PA 19040 260760001 OPERATE A CCRC PA 501C(3) 9 EVANGELICAL SERVICES FOR THE AGING 0 EVANGELICAL SERVICES FOR THE AGING FOUNDATION C/O 101 E COUNTY LINE ROAD SUITE 20 HATBORO PA 19040 231971878 FUNDRAISING ARM OF EVANGELICAL SERVICES FOR THE AGING PA 501C(3) 11 EVANGELICAL SERVICES FOR THE AGING 0 EVANGELICAL SERVICES FOR THE AGING C/O 101 E COUNTY LINE ROAD SUITE 20 HATBORO PA 19040 232648022 OPERATE A CCRC PA 501C(3) 11 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0