Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
REFORMED CHURCH IN AMERICA |
222225288 | 1 | No | 0 | 19,173,118 | |
|
Total 1
|
0 | 19,173,118 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 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 | ||||||
| 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 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| 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. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2020 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2020 |
(iii) Distributable Amount for 2020 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2020 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2020: | ||||
| a From 2015....... | ||||
| b From 2016....... | ||||
| c From 2017....... | ||||
| d From 2018....... | ||||
| e From 2019....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2020 distributable amount | ||||
|
i
Carryover from 2015 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2020 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2020 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2021. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2016..... | ||||
| b Excess from 2017..... | ||||
| c Excess from 2018..... | ||||
| d Excess from 2019..... | ||||
| e Excess from 2020..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART IV, QUESTION 1 | REFORMED CHURCH HOME IS COMMITTED TO THE COMPASSIONATE CARE OF OUR ELDERS IN A SPIRITUAL ENVIRONMENT. TO ESTABLISH, MAINTAIN, AND OPERATE ITS HOME AND PROGRAMS ON BEHALF OF THE AGING MEMBERS OF THE REFORMED CHURCH IN AMERICA ("RCA"). OUR EXCLUSIVE COMMISSION AND PRIORITY IS TO SERVE THE MEMBERSHIP OF THE RCA. IN ADDITION, IT IS ALSO OUR DESIRE TO SERVE THE COMMUNITY AT LARGE AND TO PROVIDE A WITNESS OF OUR COMMITMENT TO REFLECT GOD'S LOVE TO THE WORLD. THE HOME IS COMMITTED TO EXCELLENCE WHILE PROVIDING QUALITY CHRISTIAN HEALTHCARE SERVICE, INCLUDING SKILLED NURSING AND ASSISTED LIVING, AND MAINTAINING THE DIGNITY OF THE RESIDENTS AT WHATEVER LEVEL OF CARE IS REQUIRED IN AN ATMOSPHERE WHICH SPEAKS CLEARLY OF GOD'S LOVE (REGARDLESS OF RACE, COLOR, HANDICAP, OR NATIONAL ORIGIN). ALTHOUGH NOT CONTAINED IN ITS ORGANIZING DOCUMENTS, REFORMED CHURH HOME AND RCA HAVE HAD A HISTORIC AND CONTINUOUS RELATIONSHIP SINCE REFORMED CHURCH HOME'S INCORPORATION. ACCORDINGLY, REFORMED CHURCH SATISFIES THE OPERATIONAL AND ORGANIZATIONAL TESTS OUTLINED IN INTERNAL REVENUE CODE SECTION 509(A)(3)(A). |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| CORE FORM, PART III | HISTORY ======= IN 1890, DR. HENRY REICHERT, A PRESBYTERIAN MINISTER IN NEWARK, BECAME CONVINCED OF THE NEED FOR A HOME FOR THE AGED. HIS DILIGENT LEADERSHIP LED TO THE FORMATION OF THE BETHANY HOME FOR THE AGED IN 1902 ON LAND IN IRVINGTON. THIS WAS THE FIRST HOME FOR THE AGED ESTABLISHED BY A CHURCH GROUP. MANY LOCAL CHURCHES SUPPORTED THIS BETHANY HOME FOR THE AGED FOR MANY YEARS THROUGH VARIOUS STAGES OF GROWTH. RIGHT FROM ITS INCEPTION, THE HOME WAS TOO SMALL. WHEN DENOMINATIONS BEGAN TO ESTABLISH THEIR OWN HOMES IN THE TWENTIES AND THIRTIES, THE BETHANY HOME PERSEVERED THROUGH A PERIOD OF HARD FINANCIAL TIMES. IN AUGUST OF 1998, THE IRVINGTON SITE WAS CLOSED AND A MOVE WAS MADE TO A NEWLY CONSTRUCTED FACILITY IN OLD BRIDGE, WHICH IS SITUATED ON 15 ACRES OF GROUND. THE BEAUTIFUL AND TRANQUIL PARK-LIKE SETTING OFFERS OUTDOOR ENJOYMENT TO RESIDENTS AND VISITORS ALL YEAR LONG. THE GROUNDS ALSO INCLUDE A QUARTER-MILE WALKING PATH, PATIOS, AND OUTSIDE FLOWER AND HERB GARDENS WHERE RESIDENTS CAN ENJOY THE BEAUTY OF NATURE. BOTH ASSISTED LIVING AND SKILLED NURSING CARE ARE OFFERED IN OLD BRIDGE. MISSION STATEMENT ================= THE MISSION OF THE REFORMED CHURCH MINISTRIES TO THE AGING, THE REGIONAL SYNOD OF THE MID-ATLANTICS ("RCH"), IS "COMMITTED TO THE COMPASSIONATE CARE OF OUR ELDERS IN A SPIRITUAL ENVIRONMENT". OUR COMMISSION AND PRIORITY IS TO SERVE THE COMMUNITY AT LARGE AND TO PROVIDE A WITNESS OF OUR COMMITMENT TO REFLECT GOD'S LOVE TO THE WORLD. THE HOME IS COMMITTED TO EXCELLENCE WHILE PROVIDING QUALITY CHRISTIAN HEALTHCARE SERVICE, INCLUDING SKILLED NURSING AND ASSISTED LIVING, AND MAINTAINING THE DIGNITY OF THE RESIDENTS AT WHATEVER LEVEL OF CARE IS REQUIRED IN AN ATMOSPHERE WHICH SPEAKS CLEARLY OF GOD'S LOVE (REGARDLESS OF RACE, COLOR, HANDICAP, RELIGION OR NATIONAL ORIGIN). SERVICES ======== RCH IS DEDICATED TO THE SERVICE OF GOD AND THE CARE OF HIS PEOPLE BY PROVIDING QUALITY RESIDENTIAL AND NURSING SERVICES DESIGNED TO ENHANCE THE INDEPENDENCE, DIGNITY AND PRIVACY OF ITS RESIDENTS THROUGH GOD'S LOVE, SPIRITUAL, SOCIAL, RECREATIONAL AND PHYSICAL PROGRAMS. THE HOME HIRES AND TRAINS A COMPASSIONATE AND TALENTED STAFF THAT UNDERSTANDS RCH'S MISSION AND MAKES EVERY ATTEMPT TO GIVE A WARM AND COMFORTABLE FEELING TO ITS RESIDENTS. RCH'S CARE WORKERS ARE COMMITTED TO PROVIDING EACH RESIDENT WITH THE HIGHEST QUALITY HEALTHCARE, DELIVERED IN A COURTEOUS AND CARING MANNER. ASSISTED LIVING =============== A RESIDENT CAN CHOOSE FROM A SERIES OF RESIDENTIAL SUITES, EACH WITH A DIFFERENT FLOOR PLAN. ALL SUITES INCLUDE A KITCHENETTE, WHICH HAS A SINK, SMALL REFRIGERATOR AND FOOD STORAGE SPACE, ALONG WITH A MICROWAVE OVEN, IF REQUESTED BY THE RESIDENT. IN ADDITION, EACH APARTMENT HAS A PRIVATE FULL BATH, INDIVIDUALLY CONTROLLED HEATING AND CENTRAL AIR CONDITIONING, WALL-TO-WALL CARPET IN THE BEDROOM/LIVING AREAS, VINYL/TILE FLOORING IN THE BATHROOM AND KITCHEN AREAS AND FULL WINDOW TREATMENTS. THERE ARE FOUR APARTMENT DESIGNS AVAILABLE. THEY RANGE IN SIZE FROM A STUDIO TO A LEGACY SUITE MODEL. THE STUDIO IS A ONE ROOM APARTMENT THAT PROVIDES 282 AMPLE SQUARE FEET OF LIVING SPACE. NEXT IN SIZE IS THE ALCOVE/STUDIO DESIGN, WHICH OFFERS 408 SQUARE FEET OF TOTAL LIVING SPACE. THIS FLOOR PLAN IS IDEAL FOR THE RESIDENT LOOKING FOR ADDITIONAL LIVING SPACE OR A MORE AFFORDABLE HOUSING OPTION BY CONVERTING THIS FLOOR PLAN INTO A COMPANION SUITE. THE DELUXE SUITE PROVIDES 437 SQUARE FEET, WHICH HAS A LARGE LIVING ROOM AND A LARGE BEDROOM WITH A WALK-IN CLOSET. IN ADDITION RCH OFFERS A LEGACY SUITE WHICH HAS AN OPEN FLOOR PLAN CONSISTING OF A LIVING ROOM AND KITCHENETTE AREA ALONG WITH A SPACIOUS BEDROOM, WALK-IN CLOSET AND BATHROOM. THERE ARE A TOTAL OF 48 SUITES, PLUS 3 ELEGANT DINING ROOMS, 2 SOLARIUMS FURNISHED WITH WICKER FURNITURE, GYM EQUIPMENT, A RESIDENT KITCHEN AND 1 SCREENED-IN PATIO FOR RELAXING AND READING DURING WARMER WEATHER AND A WELLNESS CENTER. SKILLED NURSING =============== NURSING CARE IS PROVIDED FOR THOSE WHO NEED AROUND-THE-CLOCK ASSISTANCE WITH THE NORMAL ACTIVITIES OF DAILY LIVING SUCH AS DRESSING, BATHING AND FEEDING, AND INCLUDES MORE INTENSIVE NURSING CARE. SKILLED NURSING CARE IS PROVIDED IN RCH'S 108 BED LONG-TERM CARE WING, WHICH IS DIVIDED INTO THREE UNITS. THREE 12-BED CLUSTERS MAKE UP A 36-BED NEIGHBORHOOD WITH ITS OWN DINING, LOUNGE AND ACTIVITIES AREAS. THERE ARE 36 PRIVATE ROOMS AND 72 SEMI-PRIVATE ROOMS. THE SEMI-PRIVATE ROOMS HAVE AN L-SHAPED DESIGN, WHICH AFFORDS EACH OCCUPANT HIS OR HER OWN PERSONAL PRIVATE ROOM. THERE ARE TWO LARGE WINDOWS AND ACCESS TO THE SHARED BATHROOM WITHOUT WALKING THROUGH THE ROOMMATE'S ROOM. THE PRIVATE ROOMS CONTAIN TWO LARGE WINDOWS AND A PRIVATE BATHROOM, SOME WITH PRIVATE SHOWERS. IN ADDITION, THERE ARE TWO SMALL ELEGANT DINING ROOMS PER FLOOR AND A LARGE LOUNGE FOR RESIDENTS TO ENJOY CRAFTS, EACH OTHER'S COMPANY, OR WATCHING TV. THE FACILITY ALSO PROVIDES SMALLER LOUNGE AREAS ON EACH WING FOR FAMILY VISITS AND SOCIALIZING. ADDITIONAL SERVICES =================== OUTLINED BELOW ARE A NUMBER OF RCH'S SERVICES. THE INFORMATION IS NOT INTENDED TO BE ALL-INCLUSIVE BUT RATHER PROVIDES ADDITIONAL INFORMATION THAT FURTHER DEMONSTRATES HOW RCH BENEFITS ITS RESIDENTS IN FURTHERANCE OF ITS CHARITABLE TAX-EXEMPT PURPOSE. 1) BASIC NURSING SERVICES - NURSING ASSESSMENTS. BASIC ASSISTANCE AND LINEN CHANGES INCLUDED IN MONTHLY FEE. 2) DINING SERVICES - PROVIDES THREE NUTRITIONALLY BALANCED MEALS A DAY. 3) MAINTENANCE - STAFF WILL PERFORM ALL APARTMENT MAINTENANCE AND REPAIRS. 4) LAUNDRY - PROVIDES RESIDENT WITH PERSONAL LAUNDRY SERVICES AS WELL AS BED AND BATH LINENS ONCE A WEEK. 5) HOUSEKEEPING - PROVIDES DAILY/WEEKLY CLEANING TO INCLUDE VACUUMING, DUSTING, CLEANING BATHROOMS. 6) ACTIVITIES - FULL-TIME DIRECTOR, PLANNED OUTSIDE EVENTS, CRAFTS, GAMES, GARDENING, SHOPPING, THEATER. HEALTH AND WELLNESS =================== 1) DOCTOR AND NURSE PRACTITIONER ON-CALL 24 HOURS A DAY. 2) EXPERIENCED NURSING STAFF AVAILABLE 24 HOURS A DAY. 3) INDIVIDUALIZED TRANSPORTATION PLANS. 4) EMERGENCY CALL SYSTEM IN EVERY APARTMENT/ROOM. 5) PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY ON-SITE. 6) STATE-OF-THE-ART EXERCISE EQUIPMENT AND EXERCISE PROGRAMS. 7) FULL TIME SOCIAL WORKER TO ASSIST YOU WITH CONCERNS. 8) OTHER MEDICAL SPECIALTY SERVICES AVAILABLE. 9) BEAUTY AND BARBER SALON ON-SITE FOR PAMPERING. 10) 24 HOUR CARE. 11) REGISTERED DIETICIAN. 12) RECREATIONAL STAFF, 7 DAYS A WEEK. 13) FULL-TIME HOUSEKEEPING AND LAUNDRY SERVICE. 14) HOSPICE. 15) RESIDENT COUNCIL. 16) DENTIST, PSHYCOLOGIST/PSYCHIATRIST, EYE DOCTOR AND FOOT DOCTOR ON-SITE. COMMUNITY PRESENTATIONS ======================= THE ORGANIZATION ALSO PROVIDES VARIOUS LECTURES AND SEMINARS TO THE COMMUNITY FREE OF CHARGE |
| CORE FORM, PART VI, SECTION A; QUESTION 2 | LINDA K. SOLEY AND REVEREND JOSEPH WOODS - FAMILY RELATIONSHIP. |
| CORE FORM, PART VI, SECTION A; QUESTION 7A | EACH VOTING MEMBER OF THE BOARD OF TRUSTEES HAS THE POWER AND RIGHT TO ELECT NEW MEMBERS TO THE BOARD OF TRUSTEES. |
| CORE FORM, PART VI, SECTION B; QUESTION 11B | THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO THE TREASURER OF THE ORGANIZATION'S BOARD OF TRUSTEES FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THEREAFTER, THE FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S FINANCE COMMITTEE FOR REVIEW PRIOR TO FILING WITH THE IRS. THE REFORMED CHURCH HOME BOARD OF TRUSTEES HAS DELEGATED TO THE EXECUTIVE COMMITTEE THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE OF THE FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE TREASURER OF THE ORGANIZATION'S BOARD OF TRUSTEES AND, THEREAFTER, TO THE ORGANIZATION'S FINANCE COMMITTEE. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 | THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE SECRETARY OF THE ORGANIZATION'S BOARD OF TRUSTEES FOR REVIEW. THEREAFTER THE SECRETARY PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THE SECRETARY THEN PRESENTS THIS SUMMARY TO THE EXECUTIVE COMMITTEE FOR ITS REVIEW AND DISCUSSION. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 | THE ORGANIZATION'S BOARD OF TRUSTEES HAS A PERSONNEL COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE REFORMED CHURCH HOME'S SENIOR MANAGEMENT, INCLUDING THE ADMINISTRATOR. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE COMMITTEE PRESENTS ITS RECOMMENDED "TOTAL COMPENSATION" TO THE ORGANIZATION'S EXECUTIVE COMMITTEE FOR ITS REVIEW AND APPROVAL. THE EXECUTIVE COMMITTEE HAS THE RESPONSIBILITY TO REVIEW AND APPROVE THE PERSONNEL COMMITTEE'S RECOMMENDATIONS AND TO THEN PRESENT THIS TO THE ORGANIZATION'S FULL BOARD OF TRUSTEES FOR ITS REVIEW AND APPROVAL. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE ADMINISTRATOR. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION.THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HEALTHCARE EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOMES, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE PERSONNEL COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE ADMINISTRATOR. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE ADMINISTRATOR WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF TREASURY. |
| CORE FORM, PART XI; QUESTION 9 | CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST; $62,262 |
| CORE FORM, PART XII; QUESTION 2 | AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE TAXPAYER FOR THE YEARS ENDED DECEMBER 31, 2020 AND DECEMBER 31, 2019; RESPECTIVELY, AND ISSUED A CERTIFIED AUDITED FINANCIAL STATEMENT. AN UNMODIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM EACH YEAR. THE ORGANIZATION'S BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE ITS FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT AUDITOR. |
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