Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
BARCLAY FRIENDS
Employer identification number
23-2088476
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
146,744
168,668
135,100
98,165
966,139
1,514,816
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
11,846,681
12,268,370
13,021,669
12,833,009
12,782,642
62,752,371
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
11,993,425
12,437,038
13,156,769
12,931,174
13,748,781
64,267,187
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
0
c
Add lines 7a and 7b..
0
8
Public support (Subtract line 7c from line 6.)
64,267,187
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
11,993,425
12,437,038
13,156,769
12,931,174
13,748,781
64,267,187
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
211,186
296,582
248,658
291,762
444,942
1,493,130
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
211,186
296,582
248,658
291,762
444,942
1,493,130
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
12,204,611
12,733,620
13,405,427
13,222,936
14,193,723
65,760,317
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
97.730 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
97.940 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
2.270 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
2.060 %
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
BARCLAY FRIENDS
Employer identification number
23-2088476
Return Reference
Explanation
FORM 990, PART III, LINE 1
BARCLAY FRIENDS WAS FOUNDED ON THE PRINCIPLES OF THE RELIGIOUS SOCIETY OF FRIENDS (QUAKERS). OUR MISSION REFLECTS THE QUAKER CONCERN FOR THE ELDERLY BY CONTINUOUSLY IMPROVING THE CARE OF THE AGED ACROSS THE CONTINUUM OF SERVICES WE PROVIDE. BARCLAY FRIENDS ASPIRES TO THE HIGHEST PROFESSIONAL HUMANITARIAN STANDARDS WHILE PROVIDING CARE AND SERVICES IN A SUPPORTIVE AND COMPASSIONATE ATMOSPHERE. IN ACCORD WITH THE PRINCIPLES OF THE QUAKER PHILOSOPHY WE HOLD THE WORTH OF EACH INDIVIDUAL AS CENTRAL, PROMOTE INDEPENDENCE AND DIGNITY FOR ALL RESIDENTS, BELIEVE RESIDENTS ARE BEST SERVED BY A HARMONIOUS WORK FORCE, ARE COMMITTED TO CONTINUING EDUCATION AND SUPPORT, STRIVE TO BE ALERT TO EMERGING NEEDS IN OUR AREA AND INNOVATIVE IN OUR RESPONSES, AND OPERATE ON A NOT-FOR-PROFIT BASIS, MAINTAIN HIGH STANDARDS AND PROVIDE APPROPRIATE COMPENSATION FOR STAFF. BARCLAY FRIENDS, AN AFFILIATE OF THE KENDAL CORPORATION, OPERATES UNDER THE LICENSURE OF THE PENNSYLVANIA DEPARTMENT OF INSURANCE AS A CONTINUING CARE COMMUNITY. OUR HIGHLY-REGARDED SERVICES, WHICH ARE ACCREDITED THROUGH THE JOINT COMMISSION (WWW.JOINTCOMMISSION.ORG), INCLUDE POST-ACUTE REHABILITATION, NURSING CARE, RESIDENTIAL LIVING, RESPITE STAYS, AND PERSONAL CARE. WE CULTIVATE THE ARTS AND GARDENS BY FOCUSING ON MUSIC, THE VISUAL ARTS, AND HORTICULTURAL THERAPY WHICH UTILIZES THE FIVE GARDENS SURROUNDING OUR COMMUNITY. DURING THE YEAR ENDED 12/31/2013, SKILLED NURSING HAD 31,856 RESIDENT DAYS WITH THE FOLLOWING PAYOR MIX: PRIVATE PAY 54%, MEDICAID 29% AND MEDICARE 17%. THERE WERE 13,779 RESIDENT DAYS IN PERSONAL CARE AND 2,217 DAYS FOR RESIDENTIAL LIVING ALL PAID THROUGH PRIVATE PAY.
FORM 990, PART VI, SECTION B, LINE 11
THE FORM 990 WAS DISTRIBUTED FOR REVIEW TO BOTH THE FINANCE COMMITTEE AND THE FULL BOARD OF DIRECTORS BEFORE FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C
EVERY BOARD MEMBER IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM EVERY YEAR. ANY CONFLICTS OF INTEREST ARE BROUGHT TO THE ENTIRE BOARD FOR DISCLOSURE.
FORM 990, PART VI, SECTION B, LINE 15
THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS IN CONSULTATION WITH STAFF OF THE KENDAL CORPORATION. THE COMPENSATION FOR ALL OTHER POSITIONS WITHIN THE ORGANIZATION, INCLUDING OTHER KEY PERSONNEL, ARE DETEREMINED ON AN ANNUAL BASIS BY THE EXECUTIVE DIRECTOR, THE CONTROLLER, AND THE HUMAN RESOURCES DIRECTOR BY UTILIZING COMPARATIVE DATA FROM TRADE ASSOCIATION SALARY SURVEYS AND LOCAL COMPETITORS.
FORM 990, PART VI, SECTION C, LINE 19
THE CONFLICT OF INTEREST POLICY IS INCORPORATED INTO THE CORPORATE COMPLIANCE PROGRAM OF BARCLAY FRIENDS. THE CODE OF CONDUCT, WHICH CAN BE FOUND ON OUR WEBSITE, WWW.BF.KENDAL.ORG, ENCOMPASSES OUR ENTIRE CORPORATE COMPLIANCE PROGRAM, INCLUDING CONFLICT OF INTEREST. BARCLAY FRIENDS DOES PUBLISH AN ANNUAL REPORT WHICH IS MAILED TO CURRENT BENEFACTORS OF BARCLAY FRIENDS AND IS AVAILABLE UPON REQUST TO INTERESTED PARTIES. THE GOVERNING DOCUMENTS ARE SHARED WITH OTHERS ON AN AS NEEDED BASIS.
FORM 990, PART XI, LINE 9:
GAIN ON DERIVATIVE 269,862. NURSING FACILITY ASSESSMENT -4,582. FUNDRAISING INCOME -34,853.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.