FURP.ORG / PUBLIC DATA EXPLORER

WILLIAMSPORT HOME: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WILLIAMSPORT HOME (EIN 24-0795507)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-08
IRS object ID
201333129349301343
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)
Timestamp2013-11-08T15:50:49-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN231973945EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PARENTEBEARD LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1400 MARKET STREETAddressLine1
CityWILLIAMSPORTCity
StatePAState
ZIP Code17701ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN240795507EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE WILLIAMSPORT HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWILLNameControl
Phone5703238781Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 RAVINE ROADAddressLine1
CityWILLIAMSPORTCity
StatePAState
ZIP Code17701ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDON POTEName
TitleEXECUTIVE DIRECTORTitle
Phone5703238781Phone
Date Signed2013-11-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJULIUS C GREEN CPA JDName
PTINP00350393PTIN
Phone5703236023Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDON POTENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11900 RAVINE ROADAddressLine1
CityWILLIAMSPORTCity
StatePAState
ZIP Code17701ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14819760GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteTHEWILLIAMSPORTHOME.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1873YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE NURSING SERVICES IN A 129 BED SKILLED NURSING FACILITY AND HOUSING FOR THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees280TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year110831ContributionsGrantsPriorYear
Contributions Grants Current Year169386ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14278101ProgramServiceRevenuePriorYear
Program Service Revenue CY13956301ProgramServiceRevenueCY
Investment Income Prior Year139989InvestmentIncomePriorYear
Investment Income Current Year136107InvestmentIncomeCurrentYear
Other Revenue Prior Year130752OtherRevenuePriorYear
Other Revenue Current Year107383OtherRevenueCurrentYear
Total Revenue Prior Year14659673TotalRevenuePriorYear
Total Revenue Current Year14369177TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY191GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7659370SalariesEtcPriorYear
Salaries Etc Current Year7783815SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6423150OtherExpensePriorYear
Other Expenses Current Year6375908OtherExpensesCurrentYear
Total Expenses Prior Year14085520TotalExpensesPriorYear
Total Expenses Current Year14159914TotalExpensesCurrentYear
Revenues Less Expenses Prior Year574153RevenuesLessExpensesPriorYear
Revenues Less Expenses CY209263RevenuesLessExpensesCY
Total Assets BOY14071588TotalAssetsBOY
Total Assets EOY14550387TotalAssetsEOY
Total Liabilities BOY1453887TotalLiabilitiesBOY
Total Liabilities EOY1614472TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12617701NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12935915NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE WILLIAMSPORT HOME HAS AS ITS MISSION TO PROVIDE ITS RESIDENTS WITH THE HIGHEST QUALITY OF CARE HONORING THEIR INDEPENDENCE AND DIGNITY. WE WILL REMAIN THE CAMPUS OF CHOICE IN OUR COMMUNITY COMPRISED OF DEDICATED STAFF WHO STRIVE TO PROVIDE QUALITY, COMPASSIONATE CARE AND SERVICES TO OUR RESIDENTS. THE WILLIAMSPORT HOME VALUES ITS TRADITION OF CARING. OUR HIGHLY TRAINED STAFF ARE EMPOWERED TO SERVE RESIDENTS AND FAMILIES WITH PROFESSIONAL SERVICES, DELIVERED ON A CONTINUUM OF CARE CAMPUS WHILE MAINTAINING RESIDENT AND FAMILY SATISFACTION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12934956Expense
Grants191Grants
Revenue13956301Revenue
DescriptionPROVIDED 44,431 DAYS OF NURSING SERVICES TO RESIDENTS; 67,566 DAYS OF HOUSING TO RESIDENTS IN INDEPENDENT APARTMENTS; AND 9,916 DAYS OF HOUSING AND ASSISTANCE IN LIVING SERVICES TO RESIDENTS ON OUR ASSISTANCE IN LIVING PROGRAM LICENSED BY THE DPW AS PERSONAL CARE. APPROXIMATELY 61% OF OUR RESIDENTS ARE LOW INCOME RESIDENTS AND ARE PROVIDED SERVICES AT A REDUCED REIMBURSEMENT RATE THROUGH MEDICAID. ADDITIONALLY, THE TWH PROVIDED REDUCED FEES FOR ROOM AND BOARD TO 54 OTHER NEEDY RESIDENTS (WHO DID NOT QUALIFY FOR MEDICAID) DURING THE YEAR. OUR PROGRAMS ARE DESIGNED TO HELP MAINTAIN OUR RESIDENT'S HEALTH, SECURITY AND INDEPENDENCE.THE WILLIAMSPORT HOME PROVIDED BENEVOLENT CARE TO FIVE (5) APARTMENT RESIDENTS AND TO THREE (3) RESIDENTS IN OUR DPW LICENSED PERSONAL CARE PROGRAMS. 117 RESIDENTS RECEIVED 26,786 MEDICAL ASSISTANCE DAYS OF SERVICE IN THE SKILLED NURSING AND REHABILITATION CENTER DURING 2012.VOLUNTEERING:THE TOTAL NUMBER OF VOLUNTEER HOURS PROVIDED TO THE WILLIAMSPORT HOME FROM COMMUNITY SERVICE VOLUNTEERS IN 2012 EXCEEDED 6,000 HOURS.TWH SKILLED NURSING CENTER PROVIDED VOLUNTEER OPPORTUNITIES TO 3 JUNIOR VOLUNTEERS, 20 LYCOMING COLLEGE STUDENTS AND 7 ADULT VOLUNTEERS (THIS EXCLUDES NUMEROUS CHURCH GROUPS AND THE SPCA WHO PROVIDE SERVICE TO OUR RESIDENTS). 3 APARTMENT RESIDENTS VOLUNTEERED IN OUR SKILLED NURSING CENTER AND 7 OTHER COMMUNITY VOLUNTEERS PROVIDED 1782 HOURS. VOLUNTEERS ASSISTED WITH DELIVERING RESIDENT MAIL, NEWSPAPERS, READING MAIL OR WRITING LETTERS, BOOKS, SPENDING 1/1 TIME WITH RESIDENTS AND TRANSFERRING RESIDENTS IN WHEEL CHAIRS TO THE LOBBY, BEAUTY SHOP OR ACTIVITY PROGRAMMING AND PLANTING FLOWERS/WEEDING FLOWER BEDS.TWH APARTMENTS HAVE 65 INDIVIDUALS WHO VOLUNTEERED AND DONATED TIME TO ASSIST WITH SETTING AND CLEARING THE DINING ROOM TABLES EACH DAY AND ASSIST IN OPERATING THE APARTMENT STORES IN EACH APARTMENT BUILDING.DURING 2012, TWH SERVED AS A HOST SITE FOR THREE EXPERIENCE WORK WORKERS. THE EXPERIENCE WORKS PROGRAM IS DESIGNED TO GIVE INCOME QUALIFIED INDIVIDUALS OVER THE AGE OF 60 AN OPPORTUNITY TO BE PLACED IN A WORK SETTING FOR UP TO 20 HOURS A WEEK OF ON THE JOB TRAINING THAT MAY LEAD TO FULL TIME EMPLOYMENT. TWH SERVED AS A HOST SITE FOR THE NINTH YEAR AND WE PROVIDED 2,160 HOURS AS A HOST SITE.TWH ALSO WORKED WITH THE WILLIAMSPORT AREA SCHOOL DISTRICT TO SERVE AS A HOST SITE FOR TWO (2) STUDENT VOLUNTEERS WHO PROVIDED 288 HOURS OF COMMUNITY SERVICE IN THE TWH ACTIVITY DEPARTMENT DURING THE ACADEMIC SCHOOL YEAR.IN ADDITION, TWH SERVED AS A HOST CLINICAL SITE FOR SEVERAL STUDENTS FROM LYCOMING COLLEGE, MCCANN BUSINESS SCHOOL AND PENN COLLEGE SCHOOL OF TECHNOLOGY DURING 2012 PROVIDING 575 INTERNSHIP HOURS.EACH MONTH TWH RECEIVES ONGOING SUPPORT THE FOLLOWING GROUPS: THE S.P.C.A. SPONSORS PET VISITS, 4-H MEMBERS VOLUNTEERED TIME FOR A FASHION SHOW, AND THE CIRCLE K CHORUS GROUP. COMMUNITY SUPPORT:TWH DONATED SPACE DURING 2012 TO SPONSOR A MONTHLY ALZHEIMER'S SUPPORT GROUP MEETING FACILITATED BY BOB MEACHAM, CONSULTANT PSYCHOLOGIST TO HELP FAMILY MEMBERS COPE WITH UNDERSTANDING AND CARING FOR A PERSON DIAGNOSED WITH DEMENTIA. TWH ALSO SUPPORTED AND/OR ROSE OVER $9,600 FOR CAREGIVER AWARENESS AND EDUCATION ASSOCIATED THE MEMORY WALK IN 2012. THE WILLIAMSPORT HOME STAFF VOLUNTEERED OVER 120 HOURS, RAISING AWARENESS ABOUT ALZHEIMER'S DISEASE. THE WILLIAMSPORT HOME ALSO SERVED AS HOST SITE FOR THE PEER TRAINING AND QUARTERLY MEETING OF THE CLINTON-LYCOMING BI-COUNTY OFFICE ON AGING. FINALLY, TWH PARTICIPATED IN SUPPORTING THE LYCOMING COUNTY SALVATION ARMY FESTIVAL OF TREE CELEBRATION RISING OVER $1,000.Description
Total Program Service Expense12934956TotalProgramServiceExpense
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 Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
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 With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees280NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
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 Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1AFFINITY HEALTHCARE SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7244631010TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1942 PHILADELPHIA STREETAddressLine1
CityINDIANACity
StatePAState
ZIP Code15701ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DAWN LINN
PRESIDENT1.00XX000
VERA ANDERSON
VICE-PRESIDENT1.00XX000
MARUEEN CAREY
TREASURER1.00XX000
LISA LARSON
SECRETARY1.00XX000
KATE ANDERSON
DIRECTOR1.00X000
LAURIE BURKHOLDER
DIRECTOR1.00X000
MARY CAMP
DIRECTOR1.00X000
MARGARET CHAPMAN
DIRECTOR1.00X000
BRETTE CONFAIR
DIRECTOR1.00X000
RUTHANNE CROTTY
DIRECTOR1.00X000
WINNIE KREMSER
DIRECTOR1.00X000
KATHRYN NASSBERG
DIRECTOR1.00X000
CLAUDIA SACAVAGE
DIRECTOR1.00X000
JUDY SARETT
DIRECTOR1.00X000
BETH STUBLER
DIRECTOR1.00X000
SUE YOUNG
DIRECTOR1.00X000
DONALD S POTE
EXECUTIVE DIRECTOR45.00X1004850577
DENISE BOWER
ASST. EXECUTIVE DIRECTOR40.00X6980206320
KEN ANGSTADT
CFO40.00X54326012735
SUSAN GETZ
RN67.70129137011629X
SUSAN HOOKER
RN62.50118399011580X
FieldValueIRS element (for citing)
Total Reportable Comp From Org472149TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation42841TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXHO INC & AFFILIATES
4880 PAYSHERE CIRCLECHICAGOIL60674FOOD SERVICE DIETARY798293
FUNCTIONAL PATHWAYS OF TENNESSEE
PO BOX 102426ATLANTAGA303682426THERAPY SERVICES709586
AFFINITY HEALTH SERVICES INC
942 PHILADELPHIA STINDIANAPA15701MANAGEMENT SERVICES603428
OMNICARE INC
PO BOX 415276COLUMBUSOH432715276RESIDENT MEDICATIONS304835
CABLE SERVICES COMPANY INC
2113 MARYDALE AVENUEWILLIAMSPORTPA17701CONSTRUCTION/TELECOMMUNICATIONS149487
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
All Other Contributions169386AllOtherContributions
Total Contributions169386TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE6230001088935710889357
APARTMENT REVENUE62300030669443066944
FieldValueIRS element (for citing)
Total Program Service Revenue13956301TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column101848TotalRevenueColumn
Exclusion$101,848ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities484842Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities450583Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities34259Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column34259TotalRevenueColumn
Exclusion$34,259ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CABLE TV SERVICES FOR RESIDENTS51700056732$56,732
BEAUTY/BARBER SHOP SERVICES FOR R81290014546$14,546
TRANSPORTATION FOR RESIDENTS4800007661$7,661

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column28444TotalRevenueColumn
Exclusion$28,444ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue107383TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14369177TotalRevenueColumn
Related Or Exempt Function Income13956301RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$243,490ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total191Total
Program Services191ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6287802Total
Program Services5907623ProgramServices
Management And General380179ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total28865Total
Program Services24031ProgramServices
Management And General4834ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total942612Total
Program Services886043ProgramServices
Management And General56569ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total524536Total
Program Services486004ProgramServices
Management And General38532ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total506862Total
Program Services231848ProgramServices
Management And General275014ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total21016Total
Management And General21016ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total40500Total
Program Services810ProgramServices
Management And General39690ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1428000Total
Program Services1428000ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total55850Total
Program Services45940ProgramServices
Management And General9910ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1555536Total
Program Services1408509ProgramServices
Management And General147027ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total598005Total
Program Services598005ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total12847Total
Program Services5356ProgramServices
Management And General7491ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total133Total
Management And General133ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1011498Total
Program Services1011498ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total340323Total
Program Services169681ProgramServices
Management And General170642ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
EQUIP RENTAL AND REPAIR36574632132044426
MA NURSING HOME ASSESSM297634297634
BAD DEBTS3858838588
CABLE TV2739727397

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total75973Total
Program Services46478ProgramServices
Management And General29495ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14159914Total
Program Services12934956ProgramServices
Management And General1224958ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY500BOY
EOY500EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1353373BOY
EOY804431EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1352054BOY
EOY1696901EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY39697BOY
EOY34681EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY22896BOY
EOY103707EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis22185523LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec14627788LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7236265BOY
EOY7557735EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3934391BOY
EOY4139382EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY132412BOY
EOY213050EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14071588BOY
EOY14550387EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1345960BOY
EOY1550095EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY52945BOY
EOY38039EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY54982BOY
EOY26338EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1453887BOY
EOY1614472EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12543149BOY
EOY12861363EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY74552BOY
EOY74552EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12617701BOY
EOY12935915EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14071588BOY
EOY14550387EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses209263ReconcilationRevenueExpenses
Reconciliation Unrealized Invest108951ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
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 Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6029CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22097CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years79054CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year110831CurrentTaxYearMinus1Year
Current Tax Year169386CurrentTaxYear
Total387397Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13123077CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13328587CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13347178CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14278101CurrentTaxYearMinus1Year
Current Tax Year13956301CurrentTaxYear
Total68033244Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13129106CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13350684CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13426232CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14388932CurrentTaxYearMinus1Year
Current Tax Year14125687CurrentTaxYear
Total68420641Total

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 Total50968420641PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years96612CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years79440CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years81992CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year94490CurrentTaxYearMinus1Year
Current Tax Year101848CurrentTaxYear
Total454382Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years96612CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years79440CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years81992CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year94490CurrentTaxYearMinus1Year
Current Tax Year101848CurrentTaxYear
Total454382Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years144434CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years136205CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years129366CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year130752CurrentTaxYearMinus1Year
Current Tax Year107383CurrentTaxYear
Total648140Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13370152CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13566329CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13637590CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14614174CurrentTaxYearMinus1Year
Current Tax Year14334918CurrentTaxYear
Total69523163Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98410PublicSupportPercentage509
Prior Year Support Percentage0.98290PriorYearSupportPercentage
Investment Income Percentage0.00650InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00710PriorYrInvestIncomePercentage
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis170814OtherCostOrOtherBasis
Book Value170814BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16305849OtherCostOrOtherBasis
Depreciation10867588Depreciation
Book Value5438261BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4340693OtherCostOrOtherBasis
Depreciation3194290Depreciation
Book Value1146403BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1368167OtherCostOrOtherBasis
Depreciation565910Depreciation
Book Value802257BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7557735TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOBLIGATIONS UNDER CAPITAL LEASEDescription
Amount$26,338Amount
FieldValueIRS element (for citing)
Total Of Amounts26338TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt14478128TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments108951NetUnrealizedGainsInvestments
Revenue Not Rptd F990108951RevenueNotRptdF990
Revenue Subtotal14369177RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99014369177TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14159914TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal14159914ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014159914TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE HOME ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2012 AND 2011. THE HOME'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX FOR 2011, 2010, AND 2009 REMAIN SUBJECT TO EXAMINATION BY THE IRS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3THE HOME UTILIZES THE MANAGEMENT SERVICES OF AFFINITY HEALTHCARE SERVICES. AFFINITY EMPLOYS DONALD POTE ($100,485) AND DENISE BOWER ($69,802).
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITEE OF THE WILLIAMSPORT HOME BOARD OF MANAGERS REVIEWED THE 990 IN DETAIL DURING A REGULARLY SCHEDULED MEETING. THE 990 WAS ALSO REVIEWED AND OPENED FOR QUESTION/DISCUSSION AT THE GENERAL BOARD MEETING PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CON AN ANNUAL BASIS, THE BOARD OF DIRECTORS AND MEMBERS OF MANAGEMENT MUST COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. ALL QUESTIONNAIRES ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND MAINTAINED ON FILE. BOARD DIRECTORS WITH POTENTIAL CONFLICTS ARE REQUIRED TO ABSTAIN FROM VOTING ON MATTERS RELATED TO THE CONFLICT AND COULD BE REMOVED FROM THE BOARD IF THE CONFLICT IS SIGNIFICANT.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION FOR THE EXECUTIVE DIRECTOR AND ALL EMPLOYEES IS CALCULATED BY MANAGEMENT AND THE MANAGEMENT COMPANY, AFFINITY HEALTHCARE SERVICES. THE BOARD APPROVES ALL STAFF COMPENSATION (INCLUDING THE EXECUTIVE DIRECTOR AND MANAGEMENT) AT THE TIME THE OPERATING BUDGET IS APPROVED. MANAGEMENT DESCRIBES IN DETAIL THE SALARY INCREASES FOR ALL STAFF DURING THE OPERATING BUDGET REVIEW MEETING WITH THE BOARD AND THE BOARD APPROVES THE BUDGET AND INCLUDED INCREASES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART IX, LINE 11GDIETARY: PROGRAM SERVICE EXPENSES 260,164. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 260,164. THERAPY AND ANCILLARY SERVICES: PROGRAM SERVICE EXPENSES 809,246. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 809,246. NURSING: PROGRAM SERVICE EXPENSES 258,457. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 258,457. LAUNDRY AND HOUSEKEEPING: PROGRAM SERVICE EXPENSES 100,133. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100,133.OTHER FEES