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
SOUDERTON MENNONITE HOMES
Employer identification number
23-1433891
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.") .
249,418
329,388
157,909
53,783
284,552
1,075,050
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......
14,203,739
14,839,883
15,114,336
15,961,127
16,993,816
77,112,901
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
443,126
431,825
469,315
483,246
508,240
2,335,752
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.
14,896,283
15,601,096
15,741,560
16,498,156
17,786,608
80,523,703
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.)
80,523,703
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...
14,896,283
15,601,096
15,741,560
16,498,156
17,786,608
80,523,703
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
161,818
181,469
241,777
347,232
381,964
1,314,260
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
161,818
181,469
241,777
347,232
381,964
1,314,260
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.)
..
42,798
81,344
63,996
99,608
103,604
391,350
13
Total support. (Add lines 9, 10c, 11, and 12.)..
15,100,899
15,863,909
16,047,333
16,944,996
18,272,176
82,229,313
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
97.930 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
98.140 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
1.600 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
1.450 %
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
SOUDERTON MENNONITE HOMES
Employer identification number
23-1433891
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 3
LIVING BRANCHES, A RELATED TAX-EXEMPT ORGANIZATION, PROVIDES MANAGEMENT SERVICES TO THIS ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6
THE SOLE MEMBER OF THE ORGANIZATION IS LIVING BRANCHES, A RELATED TAX-EXEMPT ENTITY.
FORM 990, PART VI, SECTION A, LINE 7A
LIVING BRANCHES, AS THE SOLE MEMBER, HAS THE RIGHT TO APPOINT AND REMOVE THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B
LIVING BRANCHES, AS THE SOLE MEMBER, HAS THE RIGHT TO AMEND THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11
THE 990 WILL BE REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER UPON COMPLETION BY THE TAX PREPARERS. THE 990 IS THEN PRESENTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. A COPY OF THE RETURN IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C
LIVING BRANCHES, THE PARENT ORGANIZATION, HAS A WRITTEN CONFLICT OF INTEREST POLICY BY WHICH ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF ITS AFFILIATES MUST ABIDE. THE CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED ANNUALLY BY ALL BOARD MEMBERS AND OFFICERS. THE BOARD CHAIRMAN REVIEWS THE SIGNED STATEMENTS AND OVERSEES THE PROCEDURES FOR ENSURING ANY POTENTIAL CONFLICTS ARE RESOLVED ACCORDING TO THE WRITTEN POLICY. ANY INTERESTED PARTY TO A CONFLICT WILL REMOVE HIM OR HERSELF FROM ANY DISCUSSIONS AND/OR DECISIONS BASED ON THE CONFLICT. THE CONFLICT POLICY SPECIFICALLY STATES THAT FAMILY AND OR BUSINESS RELATIONSHIPS WITH OTHER BOARD MEMBERS MAY CONSTITUTE A POTENTIAL OR ACTUAL CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15
LIVING BRANCHES IS A RESPECTED LEADER IN CONTINUING CARE, SERVING CULTURALLY AND ECONOMICALLY DIVERSE OLDER ADULTS AND FAMILIES. TO SUPPORT ACHIEVEMENT OF THE MISSION TO CONTINUE PROVIDING SERVICES TO OLDER ADULTS AND FAMILIES ACROSS A WIDE RANGE OF CIRCUMSTANCES AND TO GROW THE SERVICE PROGRAMS, THE BOARD OF DIRECTORS RECOGNIZES THE CRITICAL IMPORTANCE OF EMPLOYING HIGHLY QUALIFIED SENIOR STAFF TO LEAD AND DIRECT THE ORGANIZATION. IN ORDER TO ATTRACT AND RETAIN THE BEST LEADERSHIP TALENT ESSENTIAL TO FULFILLING THE MISSION AND ACHIEVING FINANCIAL PERFORMANCE NECESSARY TO SUSTAIN AND GROW THE ORGANIZATION, THE LIVING BRANCHES BOARD OF DIRECTORS ADOPTED A COMPENSATION PROGRAM FOR ITS SENIOR EXECUTIVE LEADERS. THE COMPENSATION PROGRAM IS DESIGNED TO: PROVIDE COMPETITIVE BENEFITS AND TOTAL CASH COMPENSATION COMPARED TO SIMILARLY SIZED AND SIMILARLY STRUCTURED CONTINUING CARE RETIREMENT COMMUNITIES; ALIGN EXPECTED EXECUTIVE STAFF PERFORMANCE WITH THE MISSION, STRATEGIC OBJECTIVES AND OPERATIONAL GOALS OF THE ORGANIZATION; MOTIVATE HIGH PERFORMANCE AND RECOGNIZE SHARED CONTRIBUTIONS IN A HIGHLY COMPETITIVE AND REGULATED ENVIRONMENT; RECOGNIZE AND INCENTIVIZE THE STABILITY OF THE EXECUTIVE LEADERSHIP TEAM. THE COMPENSATION PROGRAM IS INTENDED TO COMPLY WITH IRS REGULATIONS AND APPLIES SPECIFICALLY TO THE CHIEF EXECUTIVE OFFICER (CEO) WHO IS HIRED, DIRECTED AND EVALUATED BY THE BOARD OF DIRECTORS. OTHER COVERED SENIOR MANAGEMENT STAFF UNDER THE IRS GUIDELINES INCLUDE SENIOR MANAGEMENT PERSONS WHO REPORT DIRECTLY TO THE CEO AND MAY SUBSTANTIALLY INFLUENCE THE FINANCES OF THE ORGANIZATION. IN LIVING BRANCHES STRUCTURE, THIS INCLUDES THE POSITION OF CHIEF FINANCIAL & TECHNOLOGY OFFICER. THE COMPENSATION PLAN, WHILE FOCUSED ON THE CEO POSITION, PROVIDES GUIDANCE FOR THE CEO TO ESTABLISH THE COMPENSATION FOR OTHER EXECUTIVE LEADERS IN LIVING BRANCHES. COMPETITIVE WAGE INFORMATION FOR THE COMPENSATION PLAN IS SOURCED FROM CONTINUING CARE RETIREMENT COMMUNITY (CCRC) COMPENSATION SURVEYS, PRIMARILY THE CHIEF EXECUTIVES OF MULTI-FACILITY ORGANIZATIONS (CEMO) LEADERSHIP COMPENSATION SURVEY. IN ADDITION, THE LEADINGAGE SALARY AND BENEFITS REPORT AND THE LEADINGAGE PA REGIONAL SALARY SURVEY ARE REVIEWED. THE COVERED EXECUTIVE POSITIONS HAVE AN ESTABLISHED SALARY RANGE WITH A THRESHOLD, MIDPOINT AND MAXIMUM SALARY. THE RANGES ARE REVIEWED ANNUALLY WITH THE COMPARATIVE DATA SOURCES AND ARE ESTABLISHED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE TARGET (OR MIDPOINT) SALARY FOR A FULLY QUALIFIED LIVING BRANCHES EXECUTIVE IS GENERALLY AT THE 75TH PERCENTILE FOR SIMILARLY SIZED ORGANIZATIONS FROM THE COMPARATIVE DATA SOURCES. MINIMUM AND MAXIMUM POINTS ARE SET AT 15% BELOW AND ABOVE THE TARGET OR MIDPOINT. THE CURRENT CEO IS COMPENSATED AT 95% OF MIDPOINT TARGET, AND THE CFTO IS COMPENSATED AT 100% OF MIDPOINT TARGET. COMPENSATION INCREASES FOR THE COVERED POSITIONS ARE APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS UPON THE COMPLETION OF ANNUAL PERFORMANCE APPRAISALS AND IN ACCORDANCE WITH THE COMPENSATION PLAN. THE EXECUTIVE COMMITTEE DOCUMENTS ITS DISCUSSIONS AND CONCLUSIONS IN EXECUTIVE COMMITTEE MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:
CONSOLIDATING ELIMINATION ADJUSTMENT -17,864.
FORM 990, PAGE 5, PART V, LINE 1A
THE ORGANIZATION IS A MEMBER OF A CONTROLLED GROUP OF ENTITIES. ALL INDEPENDENT CONTRACTORS RECEIVE 1099 FORMS GENERATED BY THE PARENT COMPANY, LIVING BRANCHES(EIN 23-2125481), WHICH REPORTS ALL FORM 1099 ACTIVITY ON ITS FORM 990.
FORM 990, PAGE 5, PART V, LINE 2
THE FILING ENTITY IS AN AFFILIATE IN A GROUP OF WHICH LIVING BRANCHES (EIN 23-2125481) IS CONSIDERED A COMMON PAY AGENT FOR W-2 REPORTING. LIVING BRANCHES REPORTS ALL EMPLOYEES ON ITS FORM W-3, HOWEVER, EACH AFFILIATE HAS EMPLOYEES ALLOCATED TO THAT ENTITY. PER IRS INSTRUCTIONS, EMPLOYEES LISTED ON PART V, LINE 2A ARE THOSE WHO HAVE BEEN DEEMED TO BE EMPLOYEES OF THIS ORGANIZATION. SOUDERTON MENNONITE HOMES DOES NOT, HOWEVER, REPORT THESE EMPLOYEES ON A SEPARATE W-3 UNDER ITS OWN EIN.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.