FAHRNEY KEEDY SENIOR LIVING COMMUNITY: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FAHRNEY KEEDY SENIOR LIVING COMMUNITY (EIN 52-0610464)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-01
IRS object ID
201302749349300335
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-10-01T16:22:39-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN520783935EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SMITH ELLIOTT KEARNS & COMPANY LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1480 N POTOMAC STREETAddressLine1
CityHAGERSTOWNCity
StateMDState
ZIP Code21740ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN520610464EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FAHRNEY-KEEDY MEMORIAL HOME INCBusinessNameLine1
Business Name Line2AKA FAHRNEY-KEEDY HOME AND VILLAGEBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlFAHRNameControl
Phone3017336284Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18507 MAPLEVILLE ROADAddressLine1
CityBOONSBOROCity
StateMDState
ZIP Code217131844ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWAYNE STOUFFERName
TitleDIRECTOR OF ACCOUNTINGTitle
Phone3017336284Phone
Date Signed2013-09-24DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTIMOTHY E PETERS CPAName
PTINP00957675PTIN
Phone3017335020Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKEITH BRYANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18507 MAPLEVILLE ROADAddressLine1
CityBOONSBOROCity
StateMDState
ZIP Code21713ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13296282GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.FKHV.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1905YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionCONTINUING CARE RETIREMENT COMMUNITY, INDEPENDENT LIVING, ASSISTED LIVING, AND NURSING CAREActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees257TotalNbrEmployees
Total Nbr Volunteers135TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year541331ContributionsGrantsPriorYear
Contributions Grants Current Year444404ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11890509ProgramServiceRevenuePriorYear
Program Service Revenue CY12682251ProgramServiceRevenueCY
Investment Income Prior Year59691InvestmentIncomePriorYear
Investment Income Current Year-177526InvestmentIncomeCurrentYear
Other Revenue Prior Year7691OtherRevenuePriorYear
Other Revenue Current Year9157OtherRevenueCurrentYear
Total Revenue Prior Year12499222TotalRevenuePriorYear
Total Revenue Current Year12958286TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6884535SalariesEtcPriorYear
Salaries Etc Current Year7592262SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year79318TotalFundrsngExpCurrentYear
Other Expense Prior Year4524887OtherExpensePriorYear
Other Expenses Current Year5163221OtherExpensesCurrentYear
Total Expenses Prior Year11409422TotalExpensesPriorYear
Total Expenses Current Year12755483TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1089800RevenuesLessExpensesPriorYear
Revenues Less Expenses CY202803RevenuesLessExpensesCY
Total Assets BOY19123788TotalAssetsBOY
Total Assets EOY20793956TotalAssetsEOY
Total Liabilities BOY6645113TotalLiabilitiesBOY
Total Liabilities EOY9122883TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12478675NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11671073NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE ARE COMMITTED TO ENHANCING THE LIVES OF SENIORS THROUGH CARING QUALITY SERVICES. WE ARE A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) WITH INDEPENDENT LIVING SERVICES, ASSISTED LIVING SERVICES, AND NURSING SERVICES.THE ORGANIZATION HAS 36 INDEPENDENT LIVING COTTAGES, 26 INDEPENDENT LIVING APARTMENTS, 32 ASSISTED LIVING BEDS, AND A 106 BED SKILLED NURSING FACILITY LOCATED IN BOONSBORO, MARYLAND.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6429834Expense
Revenue9742464Revenue
DescriptionNURSING SERVICES TO PRIVATE PAY, MEDICARE, AND MEDICAID RESIDENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense734283Expense
Revenue1738243Revenue
DescriptionASSISTED LIVING SERVICES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense567468Expense
Revenue985071Revenue
DescriptionINDEPENDENT LIVING SERVICES.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense3873705Expense
Revenue216473Revenue
DescriptionALL OTHER SERVICES INCLUDE EXECUTIVE MANAGEMENT SERVICES, BUSINESS SUPPORT SERVICES, OTHER PATIENT CARE EXPENSES, DIETARY SERVICES, AND PROPERTY SERVICES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp3873705TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev216473TotalOfOtherProgramServiceRev
Total Program Service Expense11605290TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109629NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees257NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1WAYNE STOUFFERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3017336284TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18507 MAPLEVILLE ROADAddressLine1
CityBOONSBOROCity
StateMDState
ZIP Code21713ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
LERRY FOGLE
CHAIRMAN8.00XX000
LARRY DEVAN
VICE CHAIRMAN/TREASURER2.00XX000
JOSEPH DAHMS
DIRECTOR2.00X000
ELLEN CATLETT
DIRECTOR2.00X000
WILLIAM WANTZ
DIRECTOR2.00X000
CHARLES WILES
DIRECTOR2.00X000
DONNA RITCHEY MARTIN
DIRECTOR2.00X000
ED BREWER
DIRECTOR2.00X000
LOYAL VANDERVEER
DIRECTOR2.00X000
PHIL ZIMMERMAN
DIRECTOR2.00X000
PAT LINTON
DIRECTOR2.00X000
MARK HERR
DIRECTOR2.00X000
GIL CRUMRINE
DIRECTOR2.00X000
KEITH BRYAN
PRESIDENT/CEO40.00X9500400
MICHAEL LEITER
SECRETARY, DIRECTOR OF MARKETING40.00X6873708638
WAYNE STOUFFER
CFO40.00X6398202881
MICHELLE MAHN
VP OF HEALTH SERVICES40.0010536804436X
FieldValueIRS element (for citing)
Total Reportable Comp From Org333091TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation15955TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions444404AllOtherContributions
Total Contributions444404TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE6230001148070711480707
AMORTIZATION OF ENTRANCE FEES623000704952704952
INDEPENDENT LIVING623000280119280119
MISCELLANEOUS PROGRAM SERVICE623000216473216473
FieldValueIRS element (for citing)
Total Program Service Revenue12682251TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column53608TotalRevenueColumn
Exclusion$53,608ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities100000Securities
Other3850Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities100000Securities
Other234984Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other-231134Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-231134TotalRevenueColumn
Exclusion-$231,134ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events12169GrossIncomeFundraisingEvents
Fundraising Direct Expenses3012FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column9157TotalRevenueColumn
Exclusion$9,157ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12958286TotalRevenueColumn
Related Or Exempt Function Income12682251RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$168,369ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total239242Total
Program Services20733ProgramServices
Management And General184308ManagementAndGeneral
Fundraising34201Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5529609Total
Program Services5012061ProgramServices
Management And General475060ManagementAndGeneral
Fundraising42488Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total26736Total
Program Services22264ProgramServices
Management And General4472ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1377354Total
Program Services1318512ProgramServices
Management And General58842ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total419321Total
Program Services371353ProgramServices
Management And General45339ManagementAndGeneral
Fundraising2629Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total38346Total
Program Services38346ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9166Total
Program Services6010ProgramServices
Management And General3156ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total50620Total
Management And General50620ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1830850Total
Program Services1796630ProgramServices
Management And General34220ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total40700Total
Program Services1221ProgramServices
Management And General39479ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total511571Total
Program Services480003ProgramServices
Management And General31568ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total53232Total
Management And General53232ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total512839Total
Program Services495403ProgramServices
Management And General17436ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total39061Total
Program Services36012ProgramServices
Management And General3049ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8767Total
Program Services6624ProgramServices
Management And General2143ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total129760Total
Program Services123090ProgramServices
Management And General6670ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total531486Total
Program Services509250ProgramServices
Management And General22236ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total86606Total
Program Services82154ProgramServices
Management And General4452ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REPAIRS & MAINTENANCE4477024382459457
FOOD COSTS338222338222
PRESCRIPTION DRUGS246049246049
BAD DEBTS211766211766

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total76478Total
Program Services51342ProgramServices
Management And General25136ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12755483Total
Program Services11605290ProgramServices
Management And General1070875ManagementAndGeneral
Fundraising79318Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY480794BOY
EOY499098EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2727414BOY
EOY2741007EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY966084BOY
EOY1156825EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY91030BOY
EOY78722EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19886940LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9532140LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7969878BOY
EOY10354800EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY726035BOY
EOY550875EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY28601BOY
EOY272761EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6133952BOY
EOY5139868EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19123788BOY
EOY20793956EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY702000BOY
EOY734500EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2794612BOY
EOY3040170EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2863246BOY
EOY5003316EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY285255BOY
EOY344897EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6645113BOY
EOY9122883EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6275039BOY
EOY6518096EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6203636BOY
EOY5152977EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12478675BOY
EOY11671073EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19123788BOY
EOY20793956EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses202803ReconcilationRevenueExpenses
Reconciliation Unrealized Invest331914ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment-1342319ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years230779CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years253091CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years264986CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year541331CurrentTaxYearMinus1Year
Current Tax Year444404CurrentTaxYear
Total1734591Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10376080CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10521938CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10674341CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11902907CurrentTaxYearMinus1Year
Current Tax Year12694420CurrentTaxYear
Total56169686Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10606859CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10775029CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10939327CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12444238CurrentTaxYearMinus1Year
Current Tax Year13138824CurrentTaxYear
Total57904277Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50957904277PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years108130CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years61177CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30858CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year63533CurrentTaxYearMinus1Year
Current Tax Year53608CurrentTaxYear
Total317306Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years108130CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years61177CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30858CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year63533CurrentTaxYearMinus1Year
Current Tax Year53608CurrentTaxYear
Total317306Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years136479CurrentTaxYearMinus4Years
Total136479Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10851468CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10836206CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10970185CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12507771CurrentTaxYearMinus1Year
Current Tax Year13192432CurrentTaxYear
Total58358062Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99220PublicSupportPercentage509
Prior Year Support Percentage0.98850PriorYearSupportPercentage
Investment Income Percentage0.00540InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00730PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance754636BeginningOfYearBalance
Investment Earnings Or Losses73902InvestmentEarningsOrLosses
Other Expenditures4902OtherExpenditures
End Of Year Balance823636EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance756179BeginningOfYearBalance
Investment Earnings Or Losses5910InvestmentEarningsOrLosses
Other Expenditures7453OtherExpenditures
End Of Year Balance754636EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance662167BeginningOfYearBalance
Investment Earnings Or Losses94012InvestmentEarningsOrLosses
End Of Year Balance756179EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance510455BeginningOfYearBalance
Investment Earnings Or Losses165112InvestmentEarningsOrLosses
Other Expenditures13400OtherExpenditures
End Of Year Balance662167EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance833894BeginningOfYearBalance
Investment Earnings Or Losses-252115InvestmentEarningsOrLosses
Other Expenditures71324OtherExpenditures
End Of Year Balance510455EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10284OtherCostOrOtherBasis
Book Value10284BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13981846OtherCostOrOtherBasis
Depreciation7610944Depreciation
Book Value6370902BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1684170OtherCostOrOtherBasis
Depreciation1259506Depreciation
Book Value424664BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4210640OtherCostOrOtherBasis
Depreciation661690Depreciation
Book Value3548950BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10354800TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
BENEFICIAL INTEREST IN TRUSTS4152977
OPERATING RESERVE925245
DEFERRED COSTS, NET61646
FieldValueIRS element (for citing)
Total Book Value Other Assets5139868TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ESTIMATED UNREPORTED CLAIMS$188,914
CAPITAL LEASE$155,983
FieldValueIRS element (for citing)
Total Of Amounts344897TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt13293212TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments331914NetUnrealizedGainsInvestments
Other Revenues3012OtherRevenues
Revenue Not Rptd F990334926RevenueNotRptdF990
Revenue Subtotal12958286RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012958286TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12758495TotExpensesEtcAuditedFinclStmt
Other Expenses Included3012OtherExpensesIncluded
Expenses Not Rptd F9903012ExpensesNotRptdF990
Expenses Subtotal12755483ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012755483TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE HOME HAS A DONOR-RESTRICTED ENDOWMENT FUND, OF WHICH THE ORIGINAL PRINCIPAL PORTION OF THE FUND IN THE AMOUNT OF $1,000,000 MAY NOT BE EXPENDED. THE INCOME EARNED ON THE ENDOWMENT FUND, INCLUDING APPRECIATION, IS EXPENDABLE, BUT ONLY FOR THE MAINTENANCE AND REPAIR OF THE HOME'S FACILITIES, AS REQUIRED BY THE DONOR. ASC 958 PROVIDES GUIDANCE ON THE NET ASSET CLASSIFICATION OF DONOR RESTRICTED ENDOWMENT FUNDS FOR A NOT-FOR-PROFIT ORGANIZATION THAT IS SUBJECT TO AN ENACTED VERSION OF THE UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT OF 2006 (UPMIFA). ASC 958 ALSO REQUIRES DISCLOSURES ABOUT AN ORGANIZATION'S ENDOWMENT FUNDS (BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND BOARD DESIGNATED ENDOWMENT FUNDS), WHETHER OR NOT THE ORGANIZATION IS SUBJECT TO UPMIFA. PERMANENTLY RESTRICTED NET ASSETS REPRESENT THE FAIR VALUE OF THE ORIGINAL GIFT AS OF THE GIFT DATE AND THE ORIGINAL VALUE OF SUBSEQUENT GIFTS TO DONOR-RESTRICTED ENDOWMENT FUNDS. ENDOWMENT INVESTMENT AND SPENDING POLICY: THE HOME'S INVESTMENT POLICY IS TO PROVIDE A COMMON INVESTMENT VEHICLE, WHICH WILL GENERAGE A STABLE AND CONTINUOUSLY GROWING INCOME STREAM TO SUPPORT OPERATIONS. THE OVERALL INVESTMENT GOAL IS TO PRESERVE THE PURCHASING POWER OF THE FUTURE STREAM OF ENDOWMENT PAYOUT FOR THOSE FUNDS. OTHER GOALS INCLUDE MAXIMIZING RETURN WITHIN REASONABLE AND PRUDENT LEVELS OF RISK AND MAXIMIZING THE VALUE OF THE ENDOWMENT WHILE MAINTAINING LIQUIDITY NEEDED TO SUPPORT SPENDING IN PROLONGED DOWN MARKETS. THE HOME SEEKS A RETURN ON INVESTMENT CONSISTENT WITH LEVELS OF INVESTMENT RISK THAT ARE PRUDENT AND REASONABLE GIVEN MEDIUM-TO-LONG-TERM CAPITAL MARKET CONDITIONS AND THE INVESTMENT OBJECTIVES. THE HOME HAS BEEN ENABLED BY DONORS TO SPEND THE INTEREST AND DIVIDENDS DERIVED FROM THE ENDOWMENT FUND ON ITS OPERATIONS. FROM TIME TO TIME, THE FAIR VALUE OF ASSETS ASSOCIATED WITH INDIVIDUAL DONOR-RESTRICTED ENDOWMENT FUNDS MAY FALL BELOW THE LEVEL THAT THE DONOR REQUIRES THE HOME TO RETAIN AS A FUND OF PERPETUAL DURATION. IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA, DEFICIENCIES OF THIS NATURE THAT ARE REPORTED IN UNRESTRICTED NET ASSETS WERE $(176,364) AND $(245,364) AS OF DECEMBER 31, 2012 AND 2011, RESPECTIVELY. THESE DEFICIENCIES RESULTED FROM UNFAVORABLE MARKET FLUCTUATIONS THAT OCCURRED SHORTLY AFTER THE INVESTMENT OF NEW PERMANENTLY RESTRICTED CONTRIBUTIONS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE HOME FOLLOWS THE FASB ACCOUNTING STANDARDS CODIFICATION, WHICH PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTERPRISE'S FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2012 AND 2011, THE HOME HAD NO UNCERTAIN TAX POSITIONS THAT REQUIRE EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE HOME'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES ON UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IN THE FINANCIAL STATEMENTS. NO INTEREST AND PENALTIES WERE RECORDED DURING THE YEARS ENDED DECEMBER 31, 2012 AND 2011. GENERALLY, THE TAX YEARS BEFORE 2009 ARE NO LONGER SUBJECT TO EXAMINATION BY FEDERAL, STATE OR LOCAL TAXING AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:DIRECT FUNDRAISING EXPENSE REPORTED ON PART VIII, LINE 8B 3,012.
PART XII, LINE 2D - OTHER ADJUSTMENTS:DIRECT FUNDRAISING EXPENSE REPORTED ON PART VIII, LINE 8B 3,012.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE BOARD MEETS SEMI-MONTHLY AND THE 990 INFORMATION IS PROVIDED AT THEIR NEXT MEETING AFTER THE 990 IS RECEIVED.
FORM 990, PART VI, SECTION B, LINE 12THE ORGANIZATION IS CURRENTLY WORKING ON A WRITTEN CONFLICT OF INTEREST POLICY. CURRENTLY, THERE IS NO WRITTEN POLICY BUT BOARD MEMBERS ARE TO IDENTIFY ANY CONFLICTS OF INTEREST PRIOR TO VOTING.
FORM 990, PART VI, SECTION B, LINE 15ATHE COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS AND SUBMITTED IN A LETTER BY THE PRESIDENT OF THE BOARD OF DIRECTORS TO THE ACCOUNTING DEPARTMNET.
FORM 990, PART VI, SECTION C, LINE 18DOCUMENTS FOR PUBLIC INSPECTION ARE AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION IN THE ACCOUNTING OFFICE AND THE CEO'S OFFICE.
FORM 990, PART IX, LINE 11GOCCUPATIONAL THERAPY - MEDICARE: PROGRAM SERVICE EXPENSES 321,080. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 321,080. PHYSICAL THERAPY - MEDICARE: PROGRAM SERVICE EXPENSES 374,106. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 374,106. SPEECH THERAPY - MEDICARE: PROGRAM SERVICE EXPENSES 64,029. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,029. DIETARY SERVICE: PROGRAM SERVICE EXPENSES 574,551. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 574,551. LAB CHARGES: PROGRAM SERVICE EXPENSES 70,870. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,870. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 391,994. MANAGEMENT AND GENERAL EXPENSES 34,220. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 426,214.OTHER FEES
FORM 990, PART XI, LINE 2C, OVERSIGHT OF AUDIT:UNCHANGED FROM PRIOR YEARS, THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT IS THE RESPONSIBILITY OF THE DIRECTOR OF ACCOUNTING, THE ASSISTANT DIRECTOR OF ACCOUNTING, AND THE SENIOR DIRECTOR OF ADMINISTRATIVE SERVICES.

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