2017-08-29T09:57:45-05:00 2016-12-31 HW&CO 23240 Chagrin Blvd Suite 700 Cleveland OH 441225450 990 2016-01-01 310802091 JACKSON COUNTY HEALTH FACILITIES INC % DAVID NICHOLS JACK 7403842119 142 JENKINS MEMORIAL ROAD WELLSTON OH 45692 DAVID NICHOLS CFO 7403842119 2017-08-17 true Jordan L Keller CPA P01353255 2168311200 2017-08-14 164.57.159.253 34122420172415000007 2017-08-29 P 00B50CBEBBB9381FE5BF03D16AA7A5FCCB5075A6 C7911C95D58B85BBFDADDB2B364EEE6E7897FDF1 2016 2021-01-29 14:40:06Z William Potter 142 JENKINS MEMORIAL ROAD WELLSTON OH 45692 4994006 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 7 168 9 0 6676 9910 4825142 4925978 21806 27221 127504 30897 4981128 4994006 0 0 0 0 2840645 2955974 0 0 0 1821805 1788077 4662450 4744051 318678 249955 6984280 7343297 377461 486523 6606819 6856774 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 4093569 4956875 HOME FOR AGED 59 BED NURSING FACILITY AND 34 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. 4093569 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 7 0 true 168 true 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 GREG ERVIN BOARD MEMBER 1.0 0.0 X 0 0 0 MARTHA MASSIE SECRETARY 1.0 0.0 X X 0 0 0 Jeff Plummer BOARD MEMBER: FROM 2/1/2016 1.0 0.0 X 0 0 0 RON HAYES Treasurer 1.0 0.0 X X 0 0 0 JENNY MASSIE BOARD MEMBER 1.0 0.0 X 0 0 0 DAN FULKS PRESIDENT 1.0 0.0 X X 0 0 0 DAVID NADLER VICE PRESIDENT 1.0 0.0 X X 0 0 0 DAVID NICHOLS CFO 40.0 0.0 X 91978 0 26948 BILL POTTER ADMINISTRATOR 40.0 0.0 X 95609 0 6729 187587 0 33677 0 false false false GENESIS ELDERCARE REHAB SERVICES PO BOX 7247-6524 PHILADELPHIA PA 19170 PT, OT & ST services 325502 Stockmeister Enterprises 704 East Main St JACKSON OH 45640 Construction of A/L 691881 Limbach 822 Cleveland Avenue COLUMBUS OH 43201 Web control install 101425 3 9910 9910 MEDICARE/MEDICAID 623000 3641405 3641405 RESIDENT REVENUE 623000 1284573 1284573 4925978 27221 27221 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS 623000 30897 30897 30897 4994006 4956875 27221 0 0 0 0 221264 221264 0 2120795 2048340 72455 26161 15441 10720 411875 306390 105485 175879 124943 50936 0 40 40 0 0 0 0 422774 351846 70928 14562 14562 31382 2320 29062 0 0 147493 125369 22124 5022 5022 0 0 0 0 259105 220239 38866 60118 51100 9018 MEDICAL SUPPLIES 329920 329920 FRANCHISE TAX 264442 264442 FOOD EXPENSE 236318 236318 BAD DEBT EXPENSE 16901 16901 4744051 4093569 650482 0 400 400 3931637 3596907 0 0 568405 532917 0 0 0 0 0 0 44347 43145 15861 36786 8188119 5054977 2423630 3133142 0 0 0 0 0 0 0 0 0 0 6984280 7343297 356461 471523 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21000 15000 377461 486523 X 6606819 6856774 0 0 0 0 6606819 6856774 6984280 7343297 249955 X false true X true false X 925 346 1670 6676 9910 19527 4654251 4912466 4752307 4825142 4925978 24070144 0 0 0 4655176 4912812 4753977 4831818 4935888 24089671 76327 76327 93167 107562 66386 66874 103377 437366 93167 107562 66386 66874 179704 513693 23575978 28228 28449 25101 22602 27221 131601 0 28228 28449 25101 22602 27221 131601 0 3168 83766 48867 127504 30896 294201 4686572 5025027 4827945 4981924 4994005 24515473 0.96168 0.96835 0.00537 0.00613 X 0 26965 26965 0 3226285 2342263 884022 0 2064763 1338372 726391 0 2870106 1374342 1495764 3133142 0 RESIDENT DEPOSITS 15000 15000 4994006 4994006 4994006 4744051 4744051 4744051 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.