2022-07-22T13:15:42-05:00 2021-12-31 HW&CO 23240 Chagrin Blvd Suite 700 Cleveland OH 441225450 990 2021-01-01 310802091 Jackson County Health Facilities Inc % DAVID NICHOLS JACK 7403842119 142 JENKINS MEMORIAL ROAD WELLSTON OH 45692 David Nichols CFO 7403842119 2022-07-15 true David Nichols 999009999 David M Reape CPA P00068117 2168311200 2022-07-12 3 2021 2022-09-23 18:48:47Z WILLIAM POTTER 142 JENKINS MEMORIAL ROAD WELLSTON OH 45692 5295903 false X N/A X 1968 OH TO PROVIDE THE BEST POSSIBLE HEALTH CARE IN AN EFFICIENT AND EFFECTIVE ENVIRONMENT OF LOVING AND CARING AND THE REALIZATION BY ALL, OF THE DIGNITY OF HUMAN LIFE. 7 7 143 8 0 520268 630 5603815 5252084 49253 25678 249786 17511 6423122 5295903 0 0 0 0 3262370 3147343 0 0 0 2223428 2018635 5485798 5165978 937324 129925 9348763 8981372 1084313 586997 8264450 8394375 TO PROVIDE TO THOSE WHO SEEK OUR HELP, THE BEST POSSIBLE HEALTH CARE IN AN EFFICIENT AND EFFECTIVE ENVIRONMENT OF LOVING AND CARING AND THE REALIZATION BY ALL, OF THE DIGNITY OF HUMAN LIFE. false false 4518326 5269595 HOME FOR AGED 59 BED NURSING FACILITY AND 50 BED ASSISTED LIVING FACILITY ALSO OFFERING THE FOLLOWING SERVICES: ONSITE THERAPY SERVICES (PT,OT & ST), ONSITE BEAUTY SHOP, TRANSPORTATION SERVICES, AND MEDICAID ASSISTED LIVING WAIVER PARTICIPATION. 4518326 true false false false false false false false false false true false false false true false true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true 4 0 true 143 true false false false false false false false false false false false false X 7 7 false false false false false false false true true false false true true true true true false true true false OH X DAVID NICHOLS 7403842119 142 JENKINS MEMORIAL ROAD WELLSTON OH 45692 DAVID NICHOLS CFO 40.0 0.0 X 103576 0 32870 BILL POTTER ADMINISTRATOR 40.0 0.0 X 104958 0 12710 GREG ERVIN VICE PRESIDENT 1.0 0.0 X X 0 0 0 MARTHA MASSIE SECRETARY 1.0 0.0 X X 0 0 0 JEFF PLUMMER BOARD MEMBER 1.0 0.0 X 0 0 0 RON HAYES TREASURER 1.0 0.0 X X 0 0 0 BONNIE HOLZAPFEL BOARD MEMBER 1.0 0.0 X 0 0 0 BRIAN LINTALA President 1.0 0.0 X X 0 0 0 JEFFERY SIMMONS BOARD MEMBER 1.0 0.0 X 0 0 0 208534 0 45580 2 false false false GENESIS ELDERCARE REHAB SERVICES PO BOX 7247-6524 PHILADELPHIA PA 19170 PT, OT & ST services 344907 1 630 630 MEDICARE/MEDICAID 623000 3099327 3099327 RESIDENT REVENUE 623000 1770874 1770874 OHIO CORONAVIRUS RELIEF FUNDS 623000 381883 381883 5252084 25678 25678 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS 623000 17511 17511 17511 5295903 5269595 25678 0 0 0 0 254114 254114 0 2275310 2047556 227754 22625 21759 866 395667 379463 16204 199627 191271 8356 0 0 0 0 0 0 498487 403192 95295 17712 16998 714 31484 30250 1234 0 0 166870 160509 6361 2238 2146 92 0 0 3035 2963 72 0 346140 332528 13612 79653 76626 3027 MEDICAL SUPPLIES 366293 360847 5446 FRANCHISE TAX 288905 288905 FOOD EXPENSE 211340 203313 8027 BAD DEBT EXPENSE 6478 6478 5165978 4518326 647652 0 400 400 3947165 3715798 0 0 568688 615293 0 0 0 0 0 0 38365 51871 27433 32252 11136086 6570328 4766712 4565758 0 0 0 0 0 0 0 0 0 0 9348763 8981372 454056 431777 0 0 124104 107406 0 0 0 0 0 0 487153 0 0 0 19000 47814 1084313 586997 X 8264450 8394375 0 0 8264450 8394375 9348763 8981372 129925 X false true X true false X 6270 7420 2207 520268 630 536795 5014676 5179938 5475309 5603815 5252084 26525822 0 0 0 5020946 5187358 5477516 6124083 5252714 27062617 99658 99658 829605 492492 481006 439656 1027495 3270254 829605 492492 481006 439656 1127153 3369912 23692705 23268 32866 58253 49253 25678 189318 0 23268 32866 58253 49253 25678 189318 0 93054 114986 101184 249786 17511 576521 5137268 5335210 5636953 6423122 5295903 27828456 0.85138 0.88363 0.00680 0.00693 X 26965 26965 5673859 2890842 2783017 2721868 1808719 913149 2713394 1870767 842627 4565758 0 RESIDENT DEPOSITS 20000 RATE SETTLEMENT, MEDICARE 27814 47814 5295903 5295903 5295903 5165978 5165978 5165978 FORM 990, PART VI, LINE 11A THE CFO REVIEWS FORM 990 THEN PROVIDES THE FINAL COPY TO ALL BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, LINE 12C THE POLICY PROVIDED REQUIRES ALL STAFF (INCLUDING THE BOARD OF TRUSTEES) TO REPORT ANY POSSIBLE CONFLICTS TO MANAGEMENT WHICH ARE THEN REVIEWED FOR POTENTIAL CONFLICTS. IF A POTENTIAL CONFLICT OF INTEREST IS DISCOVERED IT IS DISCUSSED INITIALLY AMONG MANAGEMENT. IF IT MERITS FURTHER DISCUSSION IT IS DISCUSSED WITH THE FULL BOARD OF DIRECTORS. DURING THE REVIEW OF THE POTENTIAL CONFLICT OF INTEREST PROCESS, A BOARD MEMBER MAY BE ASKED TO EXCUSE HIM/HERSELF FROM ANY AND ALL VOTES THAT THE BOARD DEEMS APPROPRIATE. FORM 990, PART VI, LINE 15A & 15B COMPARABILITY DATA IS USED FROM WAGE STUDIES AND THE COST REPORT FOR ANY NEW HIRES OR SIGNIFICANT WAGE ADJUSTMENTS, ALL DATA IS PROVIDED TO THE BOARD OF DIRECTORS FOR ALL WAGE CHANGES FOR FINAL APPROVAL. COPIES OF ALL WAGE STUDY DOCUMENTS AND ALL WAGE DECISIONS ARE DISCUSSED AND DOCUMENTED IN THE BOARD MINUTES WHICH ARE ALSO RETAINED. FORM 990, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.