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RIDDLE VILLAGE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
RIDDLE VILLAGE (EIN 23-2613942)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-11
IRS object ID
201231329349301603
Schema version
2010v3.4
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)
Timestamp2012-05-11T10:29:38-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1610 WGERMANTOWN PIKESTE 400AddressLine1
CityPLYMOUTH MTGCity
StatePAState
ZIP Code19462ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN232613942EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RIDDLE VILLAGEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRIDDNameControl
Phone6108913777Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11048 W BALTIMORE PIKEAddressLine1
CityMEDIACity
StatePAState
ZIP Code19063ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT BERTOLETTE CEOName
TitlePRESIDENT/CEOTitle
Phone6108913777Phone
Date Signed2012-05-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES D WATSONName
Phone2156433900Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT BERTOLETTENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11048 WEST BALTIMORE PIKEAddressLine1
CityMEDIACity
StatePAState
ZIP Code19063ZIPCode
FieldValueIRS element (for citing)
Gross Receipts25698656GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.RIDDLEVILLAGE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTO ENRICH THE VALUE OF RETIREMENT LIVING FOR RESIDENTS & LIVES OF THOSE WHO SUPPORT THEM.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees428TotalNbrEmployees
Total Nbr Volunteers46TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year50526ContributionsGrantsPriorYear
Contributions Grants Current Year47426ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24321791ProgramServiceRevenuePriorYear
Program Service Revenue CY25513077ProgramServiceRevenueCY
Investment Income Prior Year297917InvestmentIncomePriorYear
Investment Income Current Year138153InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year24670234TotalRevenuePriorYear
Total Revenue Current Year25698656TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10469854SalariesEtcPriorYear
Salaries Etc Current Year10562925SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13886768OtherExpensePriorYear
Other Expenses Current Year14773883OtherExpensesCurrentYear
Total Expenses Prior Year24356622TotalExpensesPriorYear
Total Expenses Current Year25336808TotalExpensesCurrentYear
Revenues Less Expenses Prior Year313612RevenuesLessExpensesPriorYear
Revenues Less Expenses CY361848RevenuesLessExpensesCY
Total Assets BOY54044482TotalAssetsBOY
Total Assets EOY52267793TotalAssetsEOY
Total Liabilities BOY95487117TotalLiabilitiesBOY
Total Liabilities EOY93327555TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-41442635NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-41059762NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO ENRICH THE VALUE OF RETIREMENT LIVING FOR OUR RESIDENTS AND THE LIVES OF THOSE WHO SUPPORT THEM.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11418196Expense
Revenue16802637Revenue
DescriptionINDEPENDENT LIVING-INDEPENDENT LIVING FACILITY, CONSISTING OF 365 UNITS, IS DESIGNED TO ALLOW EACH RESIDENT TO LIVE THEIR LIFE TO THE FULLEST WITHOUT THE CONCERNS ASSOCIATED WITH POSSIBLE FUTURE HEALTHCARE NEEDS. THE ORGANIZATION PROVIDES MEALS, HOUSEKEEPING, ACTIVITIES, WELLNESS, 24 HOUR NURSE AVAILABILITY AND A FITNESS CENTER THAT ENCOURAGES RESIDENTS TO REMAIN AS ACTIVE AS POSSIBLE. AS A CCRC, RIDDLE VILLAGE PROVIDES SUBSIDIES TO ANY RESIDENT WHO IS UNABLE TO MEET THEIR FINANCIAL OBLIGATIONS TO THE COMMUNITY. THE ORGANIZATION CURRENTLY HAS AT LEAST TWO RESIDENTS WHO ARE IN NEED OF THIS SUBSIDY WITH OTHERS REQUESTING ASSISTANCE RECENTLY DUE TO THE DOWNTURN IN THE ECONOMY. RIDDLE VILLAGE HOSTS MANY COMMUNITY EVENTS, IS A VOTING CENTER DURING ELECTIONS AND SUPPORTS THE OVERALL COMMUNITY BY PARTICIPATING IN THE PAYMENT OF LOCAL, COUNTY AND SCHOOL TAXES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3217124Expense
Revenue4545334Revenue
DescriptionPERSONAL CARE UNIT-CONSISTS OF 49 APARTMENTS BOTH STUDIO AND ONE-BEDROOMS. THERE WAS A RECENT EXPANSION AND REFURBISHING PROJECT FOR BOTH PERSONAL CARE UNIT AND SKILLED NURSING FACILITY TO ALLOW FOR A MORE HOME LIKE ENVIRONMENT, MORE GATHERING PLACES FOR RESIDENTS, FAMILY AND FRIENDS AND KITCHEN FACILITIES TO BETTER SERVE OUR RESIDENTS. IT IS OUR PHILOSOPHY THAT EACH RESIDENTS CARE, PHYSICAL AND EMOTIONAL HEALTH IS EQUALLY IMPORTANT. THIS UNIT CONSISTS OF BOTH LIFECARE RESIDENTS AND PRIVATE PAY RESIDENTS. ALL LIFECARE RESIDENTS ARE GUARANTEED CARE REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense6730144Expense
Revenue4249945Revenue
DescriptionSKILLED NURSING FACILITY-CONSISTS OF 86 SKILLED BEDS. THE FACILITY IS DESIGNED TO PROVIDE A HOME LIKE ATMOSPHERE TO ENSURE THAT RESIDENTS ARE COMFORTABLE IN ALL STAGES OF THEIR LIFE. THIS FACILITY ALSO CARES FOR LIFECARE RESIDENTS AND PRIVATE PAY RESIDENTS. WE ALSO PROVIDE FOR MEDICARE AND OTHER THIRD PARTY BILLING RESIDENTS. ALL LIFECARE RESIDENTS ARE GUARANTEED CARE REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES.Description
FieldValueIRS element (for citing)
Total Program Service Expense21365464TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109629NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees428NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KIMBERLY ROGUSZEWSKIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6108913777TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11048 WEST BALTIMORE PIKEAddressLine1
CityMEDIACity
StatePAState
ZIP Code19063ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
ROBERT F FISCHER
CHAIR1.00X000
DANIEL BUTLER
DIRECTOR1.00X000
JON D HELMS
DIRECTOR1.00X000
DANIEL KENNEDY
CHAIRMAN1.00X000
SOPHIA T WISNIEWSKA
DIRECTOR1.00X000
ROBERT G BERTOLETTE
PRESIDENT/CEO40.00214053025669X
KIMBERLY FOSTER-ROGUSZEWSKI
VICE PRESIDENT/CFO40.00151210022542X
RONALD WATERMAN
CHIEF OPERATING OFFICER40.0014320200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org508465TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation48211TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHAB CARE GROUP INC
PO BOX 503534ST LOUISMO63150THERAPY928378
ELWYN PHARMACY & MEDICAL EQUIPMENT
194 S NEW MIDDLETOWN RDMEDIAPA19063PHARMACY504554
SYSCO FOOD SERVICES
PO BOX 6499PHILADELPHIAPA19145RAWFOOD SUPPLIES454185
ALOYSIUS BUTLER & CLARK
PO BOX 672WILMINGTONDE19899PRINTING/ADVERTISING430098
US FOOD SERVICE
PO BOX 820050PHILADELPHIAPA19182RAWFOOD SUPPLIES265946
FieldValueIRS element (for citing)
Number Of Contractors GT100 K16NumberOfContractorsGT100K
All Other Contributions47426AllOtherContributions
Total Contributions47426TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE RE6230001159112511591125
RESIDENT CARE62300088306298830629
EARNED ENTRANCE FEE62300050291485029148
PROCESSING FEE62300063256325

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column55850TotalRevenueColumn
Related Or Exempt Function Income55850RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue25513077TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column138153TotalRevenueColumn
Exclusion$138,153ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25698656TotalRevenueColumn
Related Or Exempt Function Income25513077RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$138,153ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total508465Total
Program Services508465ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8211148Total
Program Services6942578ProgramServices
Management And General1268570ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1191018Total
Program Services1071916ProgramServices
Management And General119102ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total652294Total
Program Services587065ProgramServices
Management And General65229ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1490493Total
Management And General1490493ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3477713Total
Program Services3129942ProgramServices
Management And General347771ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1720797Total
Program Services1548717ProgramServices
Management And General172080ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3886909Total
Program Services3498218ProgramServices
Management And General388691ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NURSING19460811946081
DINING SERVICES13710161371016
PLANT AND MAINTENANCE659988540580119408
ACTIVITIES AND SOCIAL S121098121098
HOUSEKEEPING SERVICES9978899788

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25336808Total
Program Services21365464ProgramServices
Management And General3971344ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1046730BOY
EOY1598195EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY922445BOY
EOY971957EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3327722BOY
EOY4307638EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY154450BOY
EOY121327EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1517168BOY
EOY1390444EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis89493741LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec56697420LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY35337472BOY
EOY32796321EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11738495BOY
EOY11081911EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY54044482BOY
EOY52267793EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1263697BOY
EOY1462748EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY40983258BOY
EOY38620393EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY50300000BOY
EOY49345000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
EOY1223875EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY714286BOY
EOY571428EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2225876BOY
EOY2104111EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY95487117BOY
EOY93327555EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-42372740BOY
EOY-42039253EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY199827BOY
EOY201787EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY730278BOY
EOY777704EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-41442635BOY
EOY-41059762EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY54044482BOY
EOY52267793EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses361848ReconcilationRevenueExpenses
Reconcilation Other Changes21025ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5469488CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years105972CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50526CurrentTaxYearMinus1Year
Current Tax Year47426CurrentTaxYear
Total5673412Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15651519CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22569566CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23164757CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24321791CurrentTaxYearMinus1Year
Current Tax Year25513077CurrentTaxYear
Total111220710Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21121007CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22569566CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23270729CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24372317CurrentTaxYearMinus1Year
Current Tax Year25560503CurrentTaxYear
Total116894122Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509116894122PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years827351CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years907507CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years608646CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year297917CurrentTaxYearMinus1Year
Current Tax Year138153CurrentTaxYear
Total2779574Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years827351CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years907507CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years608646CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year297917CurrentTaxYearMinus1Year
Current Tax Year138153CurrentTaxYear
Total2779574Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21948358CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23477073CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23879375CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24670234CurrentTaxYearMinus1Year
Current Tax Year25698656CurrentTaxYear
Total119673696Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97680PublicSupportPercentage509
Prior Year Support Percentage0.97430PriorYearSupportPercentage
Investment Income Percentage0.02320InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02570PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance730278BeginningOfYearBalance
Contributions47426Contributions
End Of Year Balance777704EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance679752BeginningOfYearBalance
Contributions50526Contributions
End Of Year Balance730278EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance578173BeginningOfYearBalance
Contributions101579Contributions
End Of Year Balance679752EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis53326525OtherCostOrOtherBasis
Depreciation28344013Depreciation
Book Value24982512BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5892148OtherCostOrOtherBasis
Depreciation5059367Depreciation
Book Value832781BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis29880336OtherCostOrOtherBasis
Depreciation22918058Depreciation
Book Value6962278BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis394732OtherCostOrOtherBasis
Depreciation375982Depreciation
Book Value18750BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings32796321TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED MARKETING AND DEVELOPMENT1185224
BOND FUNDS9896687
FieldValueIRS element (for citing)
Total Book Value Other Assets11081911TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionINTEREST RATE SWAP AGREEMENTSDescription
Amount$2,104,111Amount
FieldValueIRS element (for citing)
Total Of Amounts2104111TotalOfAmounts
Total Revenue25698656TotalRevenue
Total Expenses25336808TotalExpenses
Excess Or Deficit For Year361848ExcessOrDeficitForYear
Net Unrealized GL On Investments-100740NetUnrealizedGLOnInvestments
Other$121,765OtherAmount
Total Adjustments21025TotalAdjustments
Excess Or Deficit Per FS382873ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt25719681TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-100740NetUnrealizedGainsInvestments
Other Revenues121765OtherRevenues
Revenue Not Rptd F99021025RevenueNotRptdF990
Revenue Subtotal25698656RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99025698656TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt25336808TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal25336808ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99025336808TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:THE ORGANIZATION HAS BEEN HOLDING DEPOSITS RECEIVED FROM PROSPECTIVE RESIDENTS THAT ARE FULLY REFUNDABLE UNTIL THEY SIGN A RESIDENT AGREEMENT, AT WHICH TIME THE DEPOSITS ARE APPLIED TOWARD THE RESIDENTS' ENTRANCE FEE.
PART X:RIDDLE VILLAGE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REQUIRED. THE VILLAGE FOLLOWS THE PROVISIONS OF THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE VILLAGE BELIEVES THAT THERE IS NO UNCERTAINTY IN THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND THESE PROVISIONS HAVE NO IMPACT ON THE VILLAGE'S FINANCIAL STATEMENTS. THE VILLAGE'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE VILLAGE IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE VILLAGE 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 2008 TO 2010 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
CHANGE IN FAIR VALUE OF SWAP AGREEMENT 121,765.PART XI, LINE 8 - OTHER ADJUSTMENTS:
CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 121,765.PART XII, LINE 2D - OTHER ADJUSTMENTS:
FIN 48 FOOTNOTE: RIDDLE VILLAGE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REQUIRED. THE VILLAGE FOLLOWS THE PROVISIONS OF THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE VILLAGE BELIEVES THAT THERE IS NO UNCERTAINTY IN THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND THESE PROVISIONS HAVE NO IMPACT ON THE VILLAGE'S FINANCIAL STATEMENTS. THE VILLAGE'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE VILLAGE IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE VILLAGE 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 2007 TO 2010 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT G BERTOLETTE
2056030008450047820208870239722000
KIMBERLY FOSTER-ROGUSZEWSKI
1486100002600016550208870173752000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
DELAWARE COUNTY AUTHORITY
231973437245913HF82005-06-158230000TO PROVIDE FUNDS TO MAKE THE LOAN FOR PURPOSES OF PAYING CONSTRUCTION COSTS000
DELAWARE COUNTY AUTHORITY
231973437245913HK72006-10-0145270000TO PROVIDE FUNDS TO MAKE THE LOAN FOR PURPOSES OF PAYING CONSTRUCTION COSTS000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
823000079426782348365248620360111
4527000036496917602374817070920371011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000000.000000.000000.000001
000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
SOVEREIGN
11110.00000000000000000
SOVEREIGN
01110.00000000000000000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 7AONE DIRECTOR SHALL BE NOMINATED BY THE RIDDLE HEALTH CARE FOUNDATION, AND PROVIDED THAT SUCH NOMINEE IS OTHERWISE QUALIFIED UNDER THESE BYLAWS AND APPLICABLE LAW, SUCH NOMINEE SHALL BE ELECTED BY THE BOARD TO SERVE FOR A TERM OF ONE YEAR, AND SHALL BE ELIGIBLE FOR SUCCEEDING ONE-YEAR TERMS WITHOUT LIMIT. AT ALL TIMES, A MAJORITY OF ALL OF THE DIRECTOS SHALL BE NON-RESIDENTS OF RIDDLE VILLAGE. NO DIRECTOR, EXCEPT THE DIRECTOR NOMINATED BY THE RIDDLE HEALTH CARE FOUNDATION, MAY SERVE MORE THAN TWO CONSECUTIVE FULL TERMS.
FORM 990, PART VI, SECTION B, LINE 11ALL MEMBERS OF THE BOARD REVIEW THE FORM PRIOR TO THE FILING THEREOF.
CURRENTLY, ALL MEMBERS OF THE BOARD REVIEW THE CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. THEY CONFIRM THAT THEY HAVE NO SUCH CONFLICT IF APPROPRIATE. IF CONFLICT WERE TO EXIST, THE BOARD AS A WHOLE WOULD REVIEW EACH POTENTIAL CONFLICT AND DETERMINE THE APPROPRIATENESS OF THE ACTION. ANY BOARD MEMBER INVOLVED IN A CONFLICT WOULD BE UNABLE TO VOTE ON ANY ACTION, PURCHASE OR DECISION BEING MADE. IN ADDITION, EACH SENIOR MANAGEMENT REPRESENTATIVE SIGNS A SIMILAR STATEMENT. DIRECTORS WITH A POTENTIAL CONFLICT ARE EXCLUDED FROM DECISION MAKING IN THAT AREA.FORM 990, PART VI, SECTION B, LINE 12C
COMPENSATION IS MAINLY DETERMINED BASED ON EXTERNAL SALARY SURVEYS. WORK PERFORMANCE AND EXPANDED JOB RESPONSIBILITIES ARE ALSO CONSIDERED. THE PRESIDENT/CEO USES THE TOOLS MENTIONED ABOVE TO DETERMINE THE SALARIES OF KEY EMPLOYEES. THE INFORMATION IS THEN SHARED WITH THE COMPENSATION COMMITTEE FOR DISCUSSION. THE BOARD OF DIRECTORS CONDUCT INDEPENDENT SALARY SURVEYS AT LEAST EVERY OTHER YEAR AND 990'S ARE USED FOR OTHER COMPARISON AS WELL.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE ORGANIZATIONS FINANCIAL STATEMENTS ARE DISTRIBUTED TO RESIDENTS & FILED WITH THE PA INSURANCE DEPARTMENT. THEY ARE ALSO MADE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -100,740. CHANGE IN FAIR VALUE OF SWAP AGREEMENT 121,765. TOTAL TO FORM 990, PART XI, LINE 5: 21,025.FORM 990, PART XI, LINE 5:
THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.FORM 990, PART XI, LINE 2C
RIDDLE VILLAGE LEASES THE LAND ON WHICH THEIR FACILITY IS SITUATED FROM RIDDLE HEALTHCARE FOUNDATION. THESE ENTITIES ALSO HAVE A BOARD MEMBER IN COMMON. RIDDLE HEALTHCARE FOUNDATION DOES NOT HAVE CONTROL OR AN ABILITY TO ELECT A MAJORITY OF THE BOARD MEMBERS OF RIDDLE VILLAGE. THEREFORE, THESE TWO PARTIES ARE NOT CONSIDERED RELATED.RELATED PARTY EXPLANATION
THE EXECUTIVE COMMITTEE SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD, TO THE EXTENT PERMITTED BY APPLICABLE LAW, BETWEEN MEETINGS OF THE BAORD. MEETINGS OF THE EXECUTIVE COMMITTEE MAY BE CALLED AT ANY TIME BY THE CHAIR OF COMMITTEE, BY THE CHAIR OF THE BOARD OR BY ANY TWO MEMBERS OF THE COMMITTEE. NOTICE OF SPECIAL MEETINGS OF THE EXECUTIVE COMMITTEE SHALL BE GIVEN AT LEAST TWO DAYS BEFORE SUCH MEETING, BUT WRITTEN NOTICE SHALL NOT BE REQUIRED.FORM 990, PART VI, LINE 1

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1RIDDLE VILLAGE DEVELOPMENT LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11048 WEST BALTIMORE PIKEAddressLine1
CityMEDIACity
StatePAState
ZIP Code19063ZIPCode
FieldValueIRS element (for citing)
EIN262397145EIN
Primary ActivitiesIMPLEMENTING DEVELOPMENT OF ADDITIONAL FACILITIESPrimaryActivities
Legal Domicile StatePALegalDomicileState
Total Income0TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1RIDDLE VILLAGEBusinessNameLine1