2015-08-14T10:12:53-05:00 2014-12-31 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2014-01-01 251255591 BROAD ACRES NURSING HOME ASSOCIATION BROA 5707243913 1883 SHUMWAY HILL ROAD WELLSBORO PA 16901 ROBERT SWINSICK PRESIDENT 5707243913 2015-08-05 1 JAY ADKISSON CPA P01360892 4144319300 2015-08-05 2014 2016-04-25 22:37:26Z ROBERT SWINSICK 111 W MICHIGAN ST MILWAUKEE WI 53203 13278913 0 X WWW.BROADACRESNURSING.COM X 1977 PA LONG TERM NURSING CARE IN A 120 BED NURSING FACILITY AND A 41 UNIT ASSISTED LIVING CENTER. 7 7 251 87 0 0 0 0 12201589 12340619 140483 212852 0 0 12342072 12553471 0 0 0 0 6837074 7125938 0 0 0 5826108 5759781 12663182 12885719 -321110 -332248 13722027 12567610 5070258 4336352 8651769 8231258 LONG TERM NURSING CARE AND OTHER RELATED PATIENT SERVICES AT A 120 BED NURSING FACILITY AND A 41 UNIT ASSISTED LIVING CENTER. 0 0 11243862 12340619 LONG TERM NURSING CARE AND OTHER RELATED PATIENT SERVICES AT A 120 BED NURSING FACILITY AND A 41 UNIT ASSISTED LIVING CENTER. 11243862 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 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 1 37 0 1 251 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 0 1 0 1 1 0 0 1 0 1 1 1 1 0 X EXTENDICARE HEALTH SERVICES 4149088046 111 W MICHIGAN STREET MILWAUKEE WI 53203 KEITH DAY MEMBER 1.00 X 0 0 0 PETE MOSHER MEMBER 1.00 X 0 0 0 ARLENE RUNZO MEMBER 1.00 X 0 0 0 RICHARD TICKNER MEMBER 1.00 X 0 0 0 ROBERT SWINSICK PRESIDENT 1.00 X X 0 0 0 SARA ROUPP VICE PRESIDENT 1.00 X X 0 0 0 ANTHONY NESPOLA MD SECRETARY 1.00 X X 0 0 0 MAUREEN MESSICK ADMINISTRATOR 40.00 X 299437 0 24378 299437 0 24378 1 0 1 0 PROGRESSIVE STEP REHABILITATION 111 W MICHIGAN ST MILWAUKEE WI 53203 THERAPY SERVICES 1171314 EXTENDICARE HEALTH FACILITIES INC 111 W MICHIGAN ST MILWAUKEE WI 53203 MANAGEMENT SERVICES 722427 PHARMSCRIPT LLC 81 GLENDALE AVE EDISON NJ 08817 DRUGS 424148 SYSCO FOOD SERVICE OF CENTRAL PA PO BOX 3641 HARRISBURG PA 17105 FOOD 333220 GULF SOUTH MEDICAL SUPPLY 4345 SOUTHPOINT BLVD JACKSONVILLE FL 32216 MEDICAL SUPPLIES 204489 5 MEDICARE/MEDICAID PAYMENTS 623000 7699436 7699436 ROUTINE SERVICE 623000 4025839 4025839 ANCILLARY 623000 593429 593429 OTHER FOOD SALES 623000 15945 15945 PERSONAL LAUNDRY 623000 5800 5800 170 170 12340619 199988 199988 738306 725442 12864 12864 12864 12553471 12340619 0 212852 X 299437 275841 23596 4094817 3843107 251710 16485 13988 2497 2304673 2093811 210862 410526 383831 26695 341350 341350 11590 11590 55595 55595 1447802 1394528 53274 21878 21878 553656 158684 394972 310703 302539 8164 42000 1350 40650 96881 96881 655234 655234 118330 14509 103821 STATE ASSESSMENTS 980346 980346 MEDICAL SUPPLIES 462402 462402 FOOD PURCHASES 368827 361931 6896 293187 204880 88307 12885719 11243862 1641857 0 1427207 1214300 2172870 1429845 75413 207472 15648603 10560947 5510715 5087656 4369154 4479687 166668 148650 13722027 12567610 1579410 1179692 3490848 3156660 5070258 4336352 X 8651769 8231258 8651769 8231258 13722027 12567610 -332248 -88263 0 X X 0 1 X 1 0 X 10821589 12335017 12723186 12201589 12340619 60422000 10821589 12335017 12723186 12201589 12340619 60422000 0 0 0 60422000 173320 110898 88473 131913 199988 704592 173320 110898 88473 131913 199988 704592 10994909 12445915 12811659 12333502 12540607 61126592 0.98850 0.98840 0.01150 0.01180 X 0 0 0 0 0 0 0 0 1 2621 2621 0 PART II-B, LINE 1: BROAD ACRES NURSING HOME ASSOCATION IS A MEMEBER OF THE PENNSYLVANIA HEALTH CARE ASSOCIATION (PHCA) AND THE CENTER FOR ASSISTED LIVING MANAGEMENT (CALM). OF THE DUES PAID TO PHCA AND CALM 22% ARE FOR LOBBYING EXPENSES ($1895). BROAD ACRES NURSING HOME ASSOCIATION IS ALSO A MEMEBER OF THE AMERICAN HEALTH CARE ASSOCATION (AHCA) AND THE NATIONAL CENTER FOR ASSISTED LIVING (NCAL). OF THE DUES PAID TO AHCA AND NCAL 25% ARE FOR LOBBYING EXPENSES ($726) 4262570 3357430 905140 8016653 4429578 3587075 3363965 2773939 590026 5415 5415 5087656 X 12465208 -88263 -88263 12553471 0 12553471 12885719 0 12885719 0 12885719 PART X, LINE 2: THE ASSOCIATION IS A TAX-EXEMPT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ASSOCIATION IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. ASC TOPIC 740-10, INCOME TAXES, REQUIRES AN ORGANIZATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE THE ASSOCIATION HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS IN 2014 AND 2013. FEDERAL TAX RETURNS FOR THE YEARS 2011 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. 0 0 0 0 0 0 0 0 0 MAUREEN MESSICK ADMINISTRATOR 113917 0 15357 0 170163 0 6973 0 17405 0 323815 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ASSOCIATION IS MANAGED BY EXTENDICARE HEALTH FACILITIES, INC ("EXTENDICARE"). THE ASSOCIATION HAS A MANAGEMENT AGREEMENT WITH EXTENDICARE WHEREBY THE NURSING HOME ADMINISTRATOR, AND ADDITIONAL STAFF, ARE EXTENDICARE EMPLOYEES. IN ADDITION, ALL OF THE BACK OFFICE FUNCTIONS, I.E. ACCOUNTING/REIMBURSEMENT ARE PERFORMED BY EXTENDICARE. FORM 990, PART VI, SECTION A, LINE 7A TWO MEMBERS OF THE BOARD OF DIRECTORS ARE APPOINTED BY AND FROM THE BOARD OF COUNTY COMMISSIONERS OF TIOGA COUNTY, PENNSYLVANIA, AND ONE MEMBER IS APPOINTED BY AND FROM EXTENDED HEALTH FACILITIES, INC., OR ITS SUCCESSOR. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS SENT TO THE BOARD MEMBERS FOR REVIEW AND SIGNATURE PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 15 MARKET STUDIES ARE DONE IN THE REGION TO DETERMINE THE APPROPRIATE AMOUNTS OF COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 260,404. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 260,404. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 220,195. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 220,195. SPEECH THERAPY: PROGRAM SERVICE EXPENSES 110,656. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110,656. MEDICARE PART A REHAB: PROGRAM SERVICE EXPENSES 426,978. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 426,978. HMO THERAPY: PROGRAM SERVICE EXPENSES 176,302. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,302. MEDICADE & PRIVATE: PROGRAM SERVICE EXPENSES 26,919. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,919. LAB FEES & X-RAY: PROGRAM SERVICE EXPENSES 44,672. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,672. PATIENT PHYSICALS: PROGRAM SERVICE EXPENSES 181. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 181. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 83,549. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,549. CONTRACT LAUNDRY & HOUSEKEEPING: PROGRAM SERVICE EXPENSES 32,515. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,515. PROFESSIONAL FEES-MEDICAL: PROGRAM SERVICE EXPENSES 12,157. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,157. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 53,274. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,274. FORM 900, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.