2023-11-15T07:59:53-06:00 2022-12-31 232108173 RKL LLP 1330 BROADCASTING ROAD WYOMISSING PA 196106008 990 2022-01-01 231312627 THE SHOOK HOME SHOO 7172646815 55 SOUTH SECOND STREET CHAMBERSBURG PA 17201 JEFFREY TRUHAN CEO/ADMINISTRATOR 7172646815 2023-11-14 1 JEFFREY TRUHAN 999009999 1 STEPHANIE E KANE CPA P01275157 6103761595 2023-11-13 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z JEFFREY TRUHAN 55 SOUTH SECOND STREET CHAMBERSBURG PA 17201 19402258 0 X WWW.SHOOKHOME.ORG X 1918 PA PROVIDING QUALITY CARE AND SERVICES TO INDIVIDUALS IN A HOME-LIKE ENVIRONMENT. 15 15 198 15 0 0 1416554 235903 8330224 8762782 3761065 -367378 405629 326010 13913472 8957317 0 0 0 0 6633231 6580779 0 0 0 4200234 5658521 10833465 12239300 3080007 -3281983 25432316 20717460 4816579 5569682 20615737 15147778 WE ARE COMMITTED TO PROVIDING QUALITY HEALTH CARE AND REHABILITATION SERVICES TO EMPOWER INDIVIDUALS TO ACHIEVE THEIR HIGHEST LEVEL OF INDEPENDENCE, DIGNITY, AND SELF-WORTH IN A HOME-LIKE ENVIRONMENT. 0 0 10905872 9088792 THE ORGANIZATION IS A LICENSED CONTINUING CARE RETIREMENT COMMUNITY (CCRC) OFFERING SKILLED NURSING (65 BEDS), PERSONAL CARE (45 BEDS), RESIDENTIAL LIVING, AND OUTPATIENT PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. AS SUCH, THE FACILITY PROVIDES ROOM & BOARD, NURSING CARE, MEDICAL & THERAPY SERVICES, ETC., TO ITS RESIDENTS AND OUTPATIENT CLIENTS AS APPLICABLE. THE ORGANIZATION PROVIDED 19,560 RESIDENT DAYS FOR SKILLED NURSING CARE, 11,230 RESIDENT DAYS FOR PERSONAL CARE AND 630 RESIDENT DAYS FOR INDEPENDENT LIVING. 10905872 1 1 0 0 0 0 0 0 1 1 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 16 0 1 198 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X THE SHOOK HOME 7172646815 55 SOUTH SECOND STREET CHAMBERSBURG PA 17201 JOHN BRET ELBINTILL 0322 PRESIDENT 1.00 X X 0 0 0 MARK LONG VICE PRESIDENT/PRESIDENT 1.00 X X 0 0 0 LANCE KEGERREIS DIRECTOR/VICE PRESIDENT 1.00 X X 0 0 0 ROXI SEILHAMER SECRETARY 1.00 X X 0 0 0 MICHAEL KUGLER TREASURER 1.00 X X 0 0 0 JACQUELINE BERKSTRESSER DIRECTOR 1.00 X 0 0 0 STEPHEN CHRISTIAN START 322 DIRECTOR 1.00 X 0 0 0 JANYCE COLLIER DIRECTOR 1.00 X 0 0 0 MONICA DIEHL START 322 DIRECTOR 1.00 X 0 0 0 SUMMER FRANZONI DIRECTOR 1.00 X 0 0 0 KATHLEEN JACOBSON DIRECTOR 1.00 X 0 0 0 LORETTA MCCLURE DIRECTOR 1.00 X 0 0 0 KARA SHINDLE START 522 DIRECTOR 1.00 X 0 0 0 EVAN SMITH DIRECTOR 1.00 X 0 0 0 CELESTE SNAVELY DIRECTOR 1.00 X 0 0 0 GEORGE ED WENGER DIRECTOR 1.00 X 0 0 0 JEFFREY TRUHAN CEO/ADMINISTRATOR 40.00 X 132308 0 9729 BARBARA LAW CFO 40.00 X 105518 0 16779 BRITTNEY BAUTISTA SKILLED NURSE 58.00 X 119008 0 0 KELLY KUHN SKILLED NURSE 52.00 X 112402 0 6025 FURAHA MUTISYA SKILLED NURSE 68.00 X 136619 0 9863 605855 0 42396 5 0 0 0 PROMINET MEDICAL STAFFING INC 651 MARKET TREET SUITE C LEMOYNE PA 17043 AGENCY STAFFING 1447805 TRINTY REHABILITATION SERVICES LLC 510 WASHINGTON AVE GLEN DALE WV 26038 CONTRACTED THERAPY SERVICES 920246 SYSCO FOOD SERVICES OF CENTRAL PO BOX 3641 HARRISBURG PA 17105 FOOD AND FOOD PRODUCTS/KITCHEN SUPPLIES 320111 BRECHBIL & HELMAN CONSTRUCTION CO INC 1115 SHELLAR AVENUE CHAMBERSBURG PA 17201 CONSTRUCTION SERVICES 212814 PRIME TIME HEALTHCARE LLC PO BOX 3544 OMAHA NE 68103 AGENCY STAFFING 184990 7 198158 37745 235903 PRIVATE PAY REVENUE 623000 3251134 3251134 MEDICARE 623000 2038137 2038137 MEDICAL ASSISTANCE 623000 1975336 1975336 PERSONAL CARE 623000 1410243 1410243 COMMERCIAL INSURANCE 623000 87932 87932 8762782 329189 329189 9748374 10444561 380 -696187 -380 -696567 -696567 MEDICAL SUPPLIES 623000 119008 119008 PRESCRIPTION DRUGS 623000 103459 103459 ANCILLARY SERVICES 623000 48504 48504 55039 55039 326010 8957317 9088792 0 -367378 X 264874 233720 31154 5296822 4674056 622766 82775 73008 9767 529377 466911 62466 406931 358913 48018 21472 21472 22350 22350 32363 32363 2833453 2782483 50970 30505 30505 242280 195056 47224 88076 50605 37471 587382 528287 59095 13886 13586 300 2458 2458 355797 298087 57710 33946 33946 ANCILLARY EXPENSES 737829 737829 FOOD AND DIETARY 308259 308259 REPAIRS AND MAINTENANCE 206230 182614 23616 ADMINISTRATIVE EXPENSE 142235 142235 12239300 10905872 1333428 0 2500 2500 339521 54501 525516 706241 57142 127684 15630200 7246598 8233658 8383602 13087803 8875744 3186176 2567188 25432316 20717460 633688 1721262 31135 26537 3944162 3736545 9436 9575 198158 75763 4816579 5569682 X 16337833 11729152 4277904 3418626 20615737 15147778 25432316 20717460 X -3281983 -1566988 -618988 X X 0 1 X 1 0 X 138427 25118 35069 28200 235903 462717 8332807 8325963 8612097 8716271 9088792 43075930 8471234 8351081 8647166 8744471 9324695 43538647 3419 3420 3399 10238 0 3419 3420 3399 10238 43528409 344487 460775 421108 308080 329189 1863639 344487 460775 421108 308080 329189 1863639 42667 19582 62249 8815721 8811856 9110941 9072133 9653884 45464535 0.95740 0.95400 0.04100 0.04430 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 10733441 500 -1934376 120765 8678800 9807545 2445 1026264 102813 10733441 8821425 9145 1102123 127034 9807545 7550915 13445 1434402 175451 8823311 8325820 6019 -673504 107420 7550915 0.60680 0.39320 0.00000 1 0 1831482 1831482 12079756 6182697 5897059 236815 127008 109807 1442287 936893 505394 39860 39860 8383602 PERPETUAL TRUSTS HELD BY THIRD-PARTIES 2567188 2567188 X 6738978 -1566988 -618988 -2185976 8924954 32363 32363 8957317 12206937 0 12206937 32363 32363 12239300 PART IV, LINE 2B: THE ORGANIZATION IS CUSTODIAN FOR RESIDENT TRUST FUNDS FOR SOME OF THE FACILITY'S RESIDENTS. PART V, LINE 4: ENDOWMENT FUNDS ARE USED BY THE ORGANIZATION FOR BENEVOLENT CARE AND GENERAL TAX-EXEMPT PURPOSES. PART X, LINE 2: THE HOME RECOGNIZES PENALTIES AND INTEREST ACCRUED RELATED TO INCOME TAX LIABILITIES IN THE PROVISION(BENEFIT) FOR INCOME TAXES IN IN ITS STATEMENT OF ACTIVITIES. FOR THE YEAR ENDED DECEMBER 31, 2022, THERE WERE NO ACCRUALS FOR THE PAYMENT OF PENALTIES AND INTEREST. THE HOME FOLLOWS THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ACCORDING TO THE PRINCIPLES OF FASB ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTABLE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOME, INCLUDING WHETHER THE ENTITY IS EXEMPT FROM INCOME TAXES. MANAGEMENT EVALUATED THE TAX POSITIONS TAKEN AND CONCLUDED THAT THE HOME HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAVE BEEN INCLUDED IN THE FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, THE HOME IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL AUTHORITIES FOR YEARS ENDING PRIOR TO 2019. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE - THIRD PARTY TRUST -618,988. A BOROUGH OF CHAMBERSBURG 251742939 2015-12-21 4900000 CONSTRUCTION 0 0 0 A 1163455 4900000 787 90779 1200000 3608434 2017 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 2 STEPHEN CHRISTIAN, DIRECTOR, AND LANCE KEGERREIS, VICE-PRESIDENT, HAVE A BUSINESS RELATIONSHIP. MIKE KUGLER, TREASURER, AND JEFFREY TRUHAN, CEO, HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS, THE CEO AND THE CFO FOR COMPLETENESS AND ACCURACY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REMINDED PERIODICALLY TO UPDATE THE FACILITY WITH ANY CONFLICTS OF INTEREST. THE FACILITY MONITORS VENDORS PAID FOR GOODS AND SERVICES FOR RELATED PARTY TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICAL: PERFORMANCE EVALUATIONS ARE COMPLETED BY EACH MEMBER OF THE BOARD OF DIRECTORS ANNUALLY. COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS BASED UPON THESE EVALUATIONS. COMPENSATION PROCESS FOR OFFICERS: PERFORMANCE EVALUATIONS ARE COMPLETED BY THE CEO ANNUALLY. RECOMMENDED COMPENSATION, BASED ON THESE EVALUATIONS AND BOARD APPROVED PARAMETERS, IS PRESENTED TO THE BOARD PRESIDENT AND HR COMMITTEE CHAIR FOR FINAL APPROVAL. ANNUAL WAGE SURVEY PROVIDED BY LEADINGAGE OF PA IS USED AS A TOOL IN DETERMINING APPROPRIATE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G NURSING PROFESSIONAL: PROGRAM SERVICE EXPENSES 1,752,945. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,752,945. CONTRACTED THERAPY: PROGRAM SERVICE EXPENSES 915,678. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 915,678. CONSULTANTS: PROGRAM SERVICE EXPENSES 71,860. MANAGEMENT AND GENERAL EXPENSES 50,970. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 122,830. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 42,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,000. FORM 990, PART XI, LINE 9: CHANGE IN VALUE-THIRD PARTY TRUST -618,988. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW, OR COMPILATION OF ITS FINANCIAL STATMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.