2022-11-14T11:12:19-06:00 2021-12-31 232108173 RKL LLP 1330 BROADCASTING ROAD WYOMISSING PA 196106008 990 2021-01-01 231312627 THE SHOOK HOME SHOO 7172646815 55 SOUTH SECOND STREET CHAMBERSBURG PA 17201 JEFFREY TRUHAN CEO/ADMINISTRATOR 7172646815 2022-11-11 1 JEFFREY TRUHAN 999009999 STEPHANIE E KANE CPA P01275157 6103761595 2022-11-11 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JEFFREY TRUHAN 55 SOUTH SECOND STREET CHAMBERSBURG PA 17201 24417487 0 X WWW.SHOOKHOME.ORG X 1918 PA PROVIDING QUALITY CARE AND SERVICES TO INDIVIDUALS IN A HOME-LIKE ENVIRONMENT. 13 12 209 15 0 0 706123 1416554 8331418 8330224 490593 3761065 323978 405629 9852112 13913472 0 0 0 0 6740099 6633231 0 0 0 3723531 4200234 10463630 10833465 -611518 3080007 25359747 25432316 5745640 4816579 19614107 20615737 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 9564681 8716271 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 18,967 RESIDENT DAYS FOR SKILLED NURSING CARE, 9,804 RESIDENT DAYS FOR PERSONAL CARE AND 730 RESIDENT DAYS FOR INDEPENDENT LIVING. 9564681 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 1 0 0 0 0 0 0 0 0 0 0 0 1 9 0 1 209 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 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 ELBIN PRESIDENT 1.00 X X 0 0 0 MARK LONG 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 DEBRA BRECHBILL END 0321 DIRECTOR 1.00 X 0 0 0 JANYCE COLLIER DIRECTOR 1.00 X 0 0 0 SUMMER FRANZONI DIRECTOR 1.00 X 0 0 0 TROY GARMANEND 0321 DIRECTOR 1.00 X 0 0 0 THEODORE GUARRIELLOEND 921 DIRECTOR 1.00 X 0 0 0 KATHLEEN JACOBSON DIRECTOR 1.00 X 0 0 0 LANCE KEGERREIS DIRECTOR 1.00 X 0 0 0 LUKE MARTINEND 1221 DIRECTOR 1.00 X 0 0 0 LORETTA MCCLURE 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 131290 0 14191 BARBARA LAW CFO 40.00 X 108553 0 4065 MARJORIE LONARDO RN SUPERVISOR 51.00 X 116569 0 10343 ANGELA CANARY RN SUPERVISOR 46.00 X 101763 0 20227 MARY RUTHRAUFF RN SUPERVISOR 49.00 X 103451 0 22052 561626 0 70878 5 0 0 0 TRINITY REHABILITATION SERVICES LLC 510 WASHINGTON AVENUE GLEN DALE WV 26038 PATIENT THERAPY 906289 PROMINET MEDICAL STAFFING INC 651 MARKET TREET SUITE C LEMOYNE PA 17043 AGENCY STAFFING 199519 MAXIM HEALTHCARE STAFFING SERVICES INC 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 AGENCY STAFFING 144033 CARE OPTIONS RX 219 N BALTIMORE STREET MT HOLLY SPRINGS PA 17065 PHARMACY SERVICES 140858 PRIME TIME HEALTHCARE LLC PO BOX 3544 OMAHA NE 68103 AGENCY STAFFING 128115 5 1388354 28200 1416554 PRIVATE PAY REVENUE 623000 3310606 3310606 MEDICARE 623000 1982417 1982417 MEDICAL ASSISTANCE 623000 1727448 1727448 PERSONAL CARE 623000 1174445 1174445 COMMERCIAL INSURANCE 623000 135308 135308 8330224 308080 308080 13957000 10500493 3522 3456507 -3522 3452985 3452985 PRESCRIPTION DRUGS 623000 126075 126075 MEDICAL SUPPLIES 623000 122401 122401 MISCELLANEOUS REVENUE 623000 70359 70359 86794 67212 19582 405629 13913472 8716271 0 3780647 X 258867 229571 29296 4905235 4349738 555497 59908 53186 6722 1030208 914619 115589 379013 336488 42525 17887 17887 23046 23046 36090 36090 1639283 1591468 47815 10695 3431 7264 253101 207245 45856 75548 41983 33565 465660 428806 36854 3491 3491 2797 2038 759 389393 326233 63160 15401 15401 ANCILLARY EXPENSES 685491 685491 FOOD AND DIETARY 259508 259508 REPAIRS AND MAINTENANCE 162929 131385 31544 ADMINISTRATIVE EXPENSE 159914 0 159914 10833465 9564681 1268784 0 2778 2500 364835 339521 712706 525516 136889 57142 15168220 6934562 8587973 8233658 12561342 13087803 2993224 3186176 25359747 25432316 405111 633688 52272 31135 4146345 3944162 14547 9436 1127365 198158 5745640 4816579 X 15300391 16337833 4313716 4277904 19614107 20615737 25359747 25432316 X 3080007 -2271329 192952 X X 0 1 X 1 0 X 134478 138427 25118 35069 28200 361292 7484106 8332807 8325963 8612097 8716271 41471244 7618584 8471234 8351081 8647166 8744471 41832536 84 3419 3420 3399 10322 0 84 3419 3420 3399 10322 41822214 407340 344487 460775 421108 308080 1941790 407340 344487 460775 421108 308080 1941790 42667 19582 62249 8025924 8815721 8811856 9110941 9072133 43836575 0.95400 0.94950 0.04430 0.04380 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 9807545 2445 1026264 102813 10733441 8821425 9145 1102123 127034 9807545 7550915 13445 1434402 175451 8823311 8325820 6019 -673504 107420 7550915 7368360 10960 1010891 64391 8325820 0.60410 0.39590 0.00000 1 0 1831482 1831482 11741339 5888037 5853302 1328433 931724 396709 266966 114801 152165 8233658 THIRD PARTY TRUST ACCOUNTS 3186176 3186176 X 11799005 -2271329 192952 -2078377 13877382 36090 36090 13913472 10797375 0 10797375 36090 36090 10833465 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 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 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE - THIRD PARTY TRUST 192,952. A BOROUGH OF CHAMBERSBURG 251742939 2015-12-21 4900000 CONSTRUCTION 0 0 0 A 955838 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 MIKE KUGLER TREASURER BOARD MEMBER OF KEYSTONE HEALTH CENTER 12210 INFECTIOUS DISEASE CONSULTING 0 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 528,323. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 528,323. CONTRACTED THERAPY: PROGRAM SERVICE EXPENSES 951,092. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 951,092. CONSULTANTS: PROGRAM SERVICE EXPENSES 70,053. MANAGEMENT AND GENERAL EXPENSES 47,815. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 117,868. 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 192,952. 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.