2014-08-14T11:41:27-05:00 2013-12-31 233022325 ZELENKOFSKE AXELROD LLC 2370 YORK ROAD SUITE A-5 JAMISON PA 18929 990 2013-01-01 251313958 SUSQUE-VIEW HOME INC SUSQ 5707481784 22 CREE DRIVE LOCK HAVEN PA 17745 DENNIS STAUFFER CONTROLLER 5707481784 2014-08-14 1 ZELENKOFSKE AXELROD LLC P00671750 2159182277 2013 2015-11-30 17:44:51Z DENNIS STAUFFER 22 CREE DRIVE LOCK HAVEN PA 17745 12575309 0 X WWW.SUSQUEVIEWHOME.COM X 1976 PA SUSQUE-VIEW HOME IS DEDICATED TO MEETING THE NEEDS OF OUR COMMUNITY AS A LEADING REGIONAL RESOURCE FOR COMPREHENSIVE HEALTHCARE. BY PROVIDING EXCELLENT QUALITY CARE IN A VIBRANT HEALTHY ENVIRONMENT, WE SEEK TO HELP OUR CITIZENS LIVE TO THEIR HIGHEST POTENTIAL. SUSQUE-VIEW HOME WILL USE RESOURCES IN A COST EFFECTIVE AND COMMUNITY-RESPONSIVE MANNER, WORKING WITH PHYSICIANS, STAFF, VOLUNTEERS AND OTHER HEALTH PROFESSIONALS. WE WILL CONTINUE TO EXPLORE NEW PROGRAMS AND OPPORTUNITIES IN RESPONSE TO THE NEEDS OF OUR COMMUNITY. 3 3 231 25 0 0 0 0 10293295 10660901 85443 143708 18652 19645 10397390 10824254 0 0 0 0 6534124 6554490 0 0 0 3828905 4092326 10363029 10646816 34361 177438 8648233 8861205 2276897 2312431 6371336 6548774 X SUSQUE-VIEW HOME, INC. IS DEDICATED TO MEETING THE NEEDS OF OUR COMMUNITY AS A LEADING REGIONAL RESOURCE FOR COMPREHENSIVE HEALTHCARE. BY PROVIDING EXCELLENT QUALITY CARE IN A VIBRANT HEALTHY ENVIRONMENT, WE SEEK TO HELP OUR CITIZENS LIVE TO THEIR HIGHEST POTENTIAL. SUSQUE-VIEW HOME WILL USE RESOURCES IN A COST-EFFECTIVE AND COMMUNITY-RESPONSIVE MANNER. WORKING WITH PHYSICIANS, STAFF, VOLUNTEERS AND OTHER HEALTH PROFESSIONALS, WE WILL CONTINUE TO EXPLORE NEW PROGRAMS AND OPPORTUNITIES IN RESPONSE TO THE NEEDS OF OUR COMMUNITY. 0 0 9051000 10801629 THE SUSQUE-VIEW HOME, INC. PROVIDES SKILLED NURSING AND REHABILITATION SERVICES TO RESIDENTS OF CLINTON COUNTY AND SURROUNDING AREAS. THE HOME SERVES PRIVATE PAY AND INSURED PATIENTS AS WELL AS BENEFICIARIES OF THE MEDICARE AND MEDICAL ASSISTANCE PROGRAMS. 9051000 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 14 0 1 231 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 PA X DENNIS STAUFFER CONTROLLER 5707481784 22 CREE DRIVE LOCK HAVEN PA 17745 JOEL LONG BOARD CHAIR 2.00 X 0 0 0 PETE SMELTZ BOARD VICE CHAIR 2.00 X 0 0 0 JEFF SNYDER BOARD SECRETARY/TREASURER 2.00 X 0 0 0 VIRGINIA CREVELING ADMINISTRATOR 50.00 X 107324 0 0 DENNIS STAUFFER CFO 45.00 X 76430 0 25297 183754 0 25297 1 0 0 0 SODEXO INC 9801 WASHINGTON BLCD 1 GAITHERSBURG MD 20278 DIETARY 1200612 ADVANTAGE CARE REHABILITATIONINC 5035 CLAIRTON BLVD PITTSBURGH PA 15236 THERAPY SERVICES 583067 PREMIERE HEALTHCARE RESOURCES 2009 RENAISSANCE BLVD STE 300 KING OF PRUSSIA PA 19406 MANAGEMENT CONSULTANT 253853 SEIU HEALTHCARE PENNSYLVANIA 1706 RACE STREET PHILADELPHIA PA 19103 HEALTH INSURANCE 241094 SIGNIFICA ISURANCE GROUP 19 NORTH STREET WILKESBARRE PA 18711 HEALTH INSURANCE 205691 15 PROGRAM SERVICE REVENUE 623000 10660901 10660901 10660901 22625 22625 1872138 1751055 121083 121083 121083 BEAUTY SHOP REVENUE 900099 13498 13498 BEAUTY SHOP RENT 900099 6147 6147 19645 10824254 10801629 0 22625 X 76430 76430 4634009 4101758 532251 75291 65562 9729 1426085 1241807 184278 342675 304958 37717 316547 316547 5217 5217 18615 18615 13077 13077 1764397 1530298 234099 14705 14705 301415 268561 32854 58270 50260 8010 24000 24000 5648 5648 398959 398959 81563 81563 PURCHASED SERVICES 396850 342299 54551 UTILITIES & MAINTENANCE 378932 326844 52088 RESIDENT MEDICATIONS 157194 157194 BAD DEBT EXPENSE 90000 90000 66937 66937 10646816 9051000 1595816 0 1 1499803 910374 1456939 1523373 103816 111262 12110544 9021757 2945999 3088787 2641676 3227408 8648233 8861205 1397052 1451981 47539 49149 832306 811301 2276897 2312431 X 6371336 6548774 6371336 6548774 8648233 8861205 177438 0 X 0 1 X 1 0 X 2273 10579 12852 9812564 10328120 10480232 10311947 10680546 51613409 9814837 10338699 10480232 10311947 10680546 51626261 0 0 0 51626261 17712 20341 28144 28860 22625 117682 17712 20341 28144 28860 22625 117682 9832549 10359040 10508376 10340807 10703171 51743943 0.99770 0.99750 0.00230 0.00250 X 0 1 X 4413853 3156261 1257592 311980 204540 107440 7269938 5660956 1608982 114773 114773 3088787 WC FUND BALANCE AND RESERVE FOR MEDICAL LIABILITY 811301 811301 X 11046272 298582 298582 10747690 76564 76564 10824254 10945398 298582 298582 10646816 0 10646816 PART IV, LINE 2B: SUSQUE-VIEW HOME HAS CUSTODY OF SOME OF THE RESIDENTS' PERSONAL FUNDS. PART X, LINE 2: INCOME TAXES - THE HOME IS A NON-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES. PART XI, LINE 2D - OTHER ADJUSTMENTS: REFUNDING OF COUNTY'S MEDICAL ASSISTANCE FUNDING PART XI, LINE 4B - OTHER ADJUSTMENTS: NET UNREALIZED GAIN ON INVESTMENTS PART XII, LINE 2D - OTHER ADJUSTMENTS: REFUNDING OF COUNTY'S MEDICAL ASSISTANCE FUNDING SUSQUE-VIEW HOME HAS CUSTODY OF SOME OF THE RESIDENTS' PERSONAL FUNDS. PART X - LIABILITY UNDER FIN 48 FOOTNOTE INCOME TAXES - THE HOME IS NON-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES. FASB CLARIFIES THE ACCOUNTING OF UNCERTAINTY IN INCOMES TAXES BY PRESCRIBING THE RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. THIS WAS EFFECTIVE FOR FISCAL YEARS BEGINNING AFTER DECEMBER 15 ,2008 AND WAS ADOPTED BY THE HOME FOR THE YEAR ENDING DECEMBER 31, 2009. PART XII LINE 2D - RECONCILIATION OF CHANGES - OTHER COUNTY MEDICAL ASSISTANCE FUNDING REFUND PART XIII LINE 2D - RECONCILIATION OF CHANGES - OTHER COUNTY MEDICAL ASSISTANCE FUNDING REFUND FORM 990, PART VI, SECTION A, LINE 3 SUSQUE-VIEW HOME IS MANAGED BY PREMIER HEALTHCARE RESOURCES, INC. WHICH PROVIDES MANAGEMENT AND ADMINISTRATIVE SERVICES TO SUSQUE-VIEW HOME. FORM 990, PART VI, SECTION B, LINE 11 THE CFO REVIEWS THE FORM 990 WITH THE ORGANIZATION'S BOARD OF DIRECTORS AT THE MONTHLY BOARD MEETINGS PRIOR TO FILING THE 990 RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS REVIEWS AND UPDATES THE POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST,EITHER HAND DELIVERED OR MAILED (CERTIFIED) FORM 990, PART IX, LINE 11G EQUIPMENT PURCHASES & RENTALS: PROGRAM SERVICE EXPENSES 61,376. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,376. OTHER: PROGRAM SERVICE EXPENSES 1,468,922. MANAGEMENT AND GENERAL EXPENSES 234,099. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,703,021.