Form 990 for tax year 2022
Filed by BAPTIST HOMES SOCIETY & BAPTIST HOMES NURSING CTR WORKER COMP.
Totals
- Total revenue
- -$8,075
- Total expenses
- $6,833
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- -$8,075
- Other revenue
- $0
- Total assets, end of year
- $653,658
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $653,658
- Program services expenses (Part IX)
- $6,833
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $6,833
Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
3 · Investment income
total $11,020 · excluded $11,020
-
7a · Gross sales of assets other than inventory
securities $197,405
-
7b · Less cost or other basis and sales expenses
securities $216,500
-
7c · Gain or loss
securities -$19,095
-
7d · Net gain or loss
total -$19,095 · excluded -$19,095
Functional expenses
Part IX, the statement of functional expenses.
-
11a · Fees: management
total $6,833 · program services $6,833
Balance sheet
Part X, book values.
-
11 · Investments: publicly traded securities
beginning of year $517,107 · end of year $608,658
-
15 · Other assets
beginning of year $45,000 · end of year $45,000
Mission and programs · 2022
Mission
TO PROVIDE WORKERS' COMPENSATION BENEFITS TO A RELATED 501(C)(3) ORGANIZATION.
-
THE ORGANIZATION'S PURPOSE IS TO PROVIDE WORKERS' COMPENSATION BENEFITS UNDER A SELF-INSURED PROGRAM TO EMPLOYEES OF A RELATED IRC SEC. 501(C)(3) ORGANIZATION, BAPTIST HOMES SOCIETY. NO OTHER EMPLOYERS WILL PARTICIPATE IN THE TRUST. THE ORGANIZATION RECEIVES CONTRIBUTIONS AS NEEDED FROM BAPTIST HOMES SOCIETY. THE TRUSTEE IS A BANKING INSTITUTION, WHICH WILL INVEST AND REINVEST THE TRUST PRINCIPAL AS AUTHORIZED BY PROVISIONS OF THE TRUST AGREEMENT. ASSETS OF THE TRUST ARE USED TO PAY WORKERS' COMPENSATION BENEFITS, TO PAY REASONABLE EXPENSES OF THE TRUSTEE AND ADMINISTRATOR, AND TO PAY TO THE EMPLOYER ANY INCOME AND/OR PRINCIPAL IN EXCESS OF THE REQUIRED FUNDING AMOUNT, WHEN SO REQUESTED.
Expenses $6,833
As filed on the 2022 return.
Listed in Part VII
-
PncPNC
ASSISTANT VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 0.3
-
Mr Timothy L MyersMR TIMOTHY L MYERS
PRESIDENT & CEO
- Total calculated
- $255,018
- From this org
- $0
- From related orgs
- $227,686
- Other
- $27,332
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $203,646 related
- Bonus
- $0
- Other
- $0 + $24,040 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $27,332 related
- Filer's total
- $0 + $255,018 related
-
Mr Brent V FosterMR BRENT V FOSTER
CFO & ASST. TREASURER
- Total calculated
- $260,350
- From this org
- $0
- From related orgs
- $220,549
- Other
- $39,801
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $175,141 related
- Bonus
- $0 + $26,437 related
- Other
- $0 + $18,971 related
- Deferred
- $0 + $14,168 related
- Nontaxable benefits
- $0 + $25,633 related
- Filer's total
- $0 + $260,350 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- THE RELATED ORGANIZATION USES THE FOLLOWING COMPENSATION METHODS: COMPENSATION COMMITTEE, FORM 990 OF OTHER ORGANIZATIONS, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · HEALTHCARE AND RESIDENTIAL PROVIDER FOR OLDER ADULTS · PA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 23 January 2024
- IRS schema version
- 2022v5.0
- Source object
- 202400299349300800
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