| FORM 990, PART VI, SECTION A, LINE 1A |
THE BOARD ESTABLISHED AN EXECUTIVE COMMITTEE THAT MAY EXERCISE ALL OF THE POWERS AND AUTHORITY OF THE BOARD BETWEEN BOARD MEETINGS, EXCEPT IT SHALL NOT HAVE ANY POWER OR AUTHORITY AS TO THE FOLLOWING: (A) THE FILLING OF VACANCIES ON THE BOARD, (B) THE ADOPTION, AMENDMENT OR REPEAL OF THE BYLAWS, (C) THE AMENDMENT OR REPEAL OF ANY RESOLUTION OF THE BOARD, (D) ACTION ON MATTERS COMMITTED BY THE BYLAWS OR BY RESOLUTION OF THE BOARD TO ANOTHER COMMITTEE OF THE BOARD. THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR, VICE-CHAIR, SECRETARY AND TWO OTHER MEMBERS OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B |
THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, THEN THE ORGANIZATION'S FINANCE COMMITTEE RECEIVES A DRAFT COPY FOR REVIEW PRIOR TO FILING. THE ORGANIZATION'S FULL BOARD WILL RECEIVE A COPY OF THE FORM 990 BEFORE THE RETURN IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C |
ANNUALLY ALL BOARD MEMBERS AND MANAGEMENT STAFF RECEIVE COPIES OF THE CONFLICT OF INTEREST POLICY AND ARE REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST THAT MAY EXIST. THIS WOULD INCLUDE CONFLICTS DUE TO FAMILY OR OTHER RELATIONSHIPS. ALL COPIES ARE REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND THE HUMAN RESOURCES DIRECTOR. COPIES OF THE SIGNED ACKNOWLEDGEMENTS FOR STAFF ARE RETAINED IN THE HUMAN RESOURCES OFFICE AND FOR BOARD MEMBERS IN THE CHIEF EXECUTIVE OFFICER'S OFFICE. SHOULD ANY BOARD MEMBER HAVE A CONFLICT, HE OR SHE WOULD RECUSE HIMSELF OR HERSELF FROM ANY DISCUSSIONS AND/OR DECISION RELATED TO THE CONFLICT. MONITORING OF PROPOSED OR ONGOING TRANSACTIONS FOR POTENTIAL CONFLICTS IS UNDERTAKEN THROUGH INTERNAL CONTROLS ESTABLISHED IN THE FINANCE DEPARTMENT. SPENDING AUTHORITY POLICIES EXIST TO CONTROL WHO HAS THE AUTHORITY TO ENCUMBER PENNSWOOD VILLAGE AND THE EXTENT TO WHICH THEY ARE ABLE TO DO SO. STAFF WITH SPENDING AUTHORITY ARE REQUIRED TO ANNUALLY COMPLETE CONFLICT OF INTEREST STATEMENTS AND TO DISCLOSE ANY CONFLICTS THAT MAY EXIST. ANY CONCERNS ARE BROUGHT TO THE ATTENTION OF THE CFO FOR REVIEW AND ACTION, IF NECESSARY. IF A CONFLICT IS DETERMINED TO EXIST, THEN THE CONFLICTING PARTIES WILL BE NOTIFIED AND THE TRANSACTION HALTED. GROSS VIOLATIONS OF THE CONFLICT OF INTEREST POLICY MAY RESULT IN DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION. |
| FORM 990, PART VI, SECTION B, LINE 15 |
THE BOARD CONDUCTS AN ANNUAL REVIEW OF THE CHIEF EXECUTIVE OFFICER (CEO) AND SETS COMPENSATION BASED ON PERFORMANCE THAT IS CONSISTENT WITH COMPETITIVE SALARY DATA. ANNUAL SALARY SURVEYS ARE COMPLETED BY HUMAN RESOURCES, A COMPENSATION CONSULTANT IS UTILIZED AS NEEDED AND THE FORM 990 OF OTHER SIMILAR ORGANIZATIONS ARE USED IN THE SALARY DECISIONS. THE ANNUAL REVIEW PROCESS AND FINAL DECISIONS ARE TIMELY DOCUMENTED AND PUT INTO HUMAN RESOURCE FILES. OTHER OFFICER AND KEY EMPLOYEE COMPENSATION, SUCH AS FOR THE CFO AND COO, IS APPROVED BY THE CEO DURING THE ANNUAL REVIEW PROCESS, WHICH IS TIMELY DOCUMENTED AND PUT INTO HUMAN RESOURCE FILES. ANNUAL SALARY SURVEYS ARE COMPLETED BY HUMAN RESOURCES WHICH ARE USED IN THE SALARY DECISIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 |
THE CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS ARE PLACED FOR PUBLIC VIEW IN THE ORGANIZATION'S LIBRARY OR ADMINISTRATIVE OFFICES AND ARE ALSO AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: |
CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -26,062. |
| FORM 990, PAGE 5, PART V, LINE 2 |
THE FILING ENTITY IS THE PARENT IN A GROUP OF NON-PROFIT ENTITIES FOR WHICH IT IS CONSIDERED A COMMON PAY AGENT FOR W-2 REPORTING. PENNSWOOD VILLAGE 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. THE FOLLOWING AFFILIATE HAS W-2 EMPLOYEES LISTED ON THEIR FORM 990 THAT HAVE BEEN REPORTED ON THE FILING ORGANIZATION'S W-3: HOSPICE CARE BY PENNSWOOD 47-1563338 |
Attach to Form 990 or 990-EZ.