2012-08-15T13:15:50-05:00 2011-09-30 O'CONNOR DAVIES MUNNS & DOBBINS LLP ONE STAMFORD LANDING STAMFORD CT 06902 990 2010-10-01 066077232 BISHOP WICKE HEALTH AND REHABILITATION CENTER INC BISH 2039448285 580 LONG HILL AVENUE SHELTON CT 06484 DAVID M LAWLOR 2039448285 2012-08-14 1 VINCENT RUOCCO 2033232400 2010 2016-02-24 21:20:13Z DAVID M LAWLOR 580 LONG HILL AVENUE SHELTON CT 06484 13927861 0 X UMH.ORG X 1968 CT TO PROVIDE A CONTINUUM OF SERVICES THAT SUPPORTS HEALTH, INDEPENDENCE, AND DIGNITY. WE BUILD THIS CONTINUUM ON THE BELIEF THAT A RELATIONSHIP - CENTERED PHILOSOPHY BEST SUSTAINS BODY, MIND, AND SPIRIT. 5 0 250 74 0 0 0 0 13209355 13927535 630 326 1125 0 13211110 13927861 0 0 0 0 8048779 7973675 0 0 0 5340599 5920506 13389378 13894181 -178268 33680 10570194 9368973 11602127 10367226 -1031933 -998253 TO PROVIDE A CONTINUUM OF SERVICES THAT SUPPORTS HEALTH, INDEPENDENCE, AND DIGNITY. WE BUILD THIS CONTINUUM ON THE BELIEF THAT A RELATIONSHIP - CENTERED PHILOSOPHY BEST SUSTAINS BODY, MIND, AND SPIRIT 0 0 10382112 13927535 THROUGH ITS PARENT COMPANY, UNITED METHODIST HOMES, INC., TO PROVIDE NURSING CARE AND ACCOMODATIONS TO THOSE IN NEED. 10382112 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 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 1 0 0 0 0 1 8 0 1 250 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 0 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CT X X DAVID LAWLOR 2039448285 580 LONG HILL AVENUE SHELTON CT 06484 ROBERT L CLAPP 1.00 X X 0 598615 26068 RONALD BUCCI 1.00 X 0 144002 6409 VICTORIA DOMPIERRE 1.00 X X 0 50475 5680 DAVID M LAWLOR 1.00 X X 0 280040 19212 STEPHEN W KEGLER 1.00 X X 0 150888 23419 0 1224020 80788 0 0 1 0 0 NET RESIDENT REVENUE 623000 13720835 13720835 OUTPATIENT THERAPY 623000 206700 206700 13927535 326 326 13927861 13927535 0 326 6128547 5953296 175251 426736 104585 322151 957851 234751 723100 460541 435362 25179 1601561 1601561 1175288 1120248 55040 10351 7590 2761 129985 31857 98128 473108 463646 9462 643 158 485 5421 1329 4092 382088 382088 258390 253222 5168 90673 22222 68451 PROVIDER TAX EXPENSE 485912 476194 9718 DIETARY SUPPLIES 450044 450044 NURSING SUPPLIES 411152 411152 SUPPORT SERVICES 259764 259764 THERAPIES 124643 124643 61483 32049 29434 13894181 10382112 3512069 0 455 455 117780 111795 2129011 2254731 16289 13661 163882 360506 7794434 5026329 2864714 2768105 5278063 3859720 10570194 9368973 3147305 2201462 8184882 7934688 269940 231076 11602127 10367226 X -1031933 -998253 -1031933 -998253 10570194 9368973 33680 0 X X 0 1 1 X 0 X 12951336 12961595 13467168 13209355 13927532 66516986 12951336 12961595 13467168 13209355 13927532 66516986 0 0 0 66516986 5652 3422 1698 630 326 11728 5652 3422 1698 630 326 11728 161352 185921 2877 1125 351275 13118340 13150938 13471743 13211110 13927858 66879989 0.99460 0.99390 0.00020 0.00030 X 24213 24213 5806151 3168361 2637790 1964070 1857968 106102 2768105 DEFERRED FINANCING 139891 DUE FROM AFFILIATE 3634169 RESERVE FOR REPLACEMENT 44854 RESIDENT FUNDS 40806 3859720 SECURITY DEPOSTIS PAYABLE 190570 DUE TO RESIDENTS PERSONAL FUNDS 40506 231076 13927861 13894181 33680 0 33680 13927861 0 13927861 0 13927861 13894181 0 13894181 0 13894181 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE FACILITY RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. MANAGEMENT HAS DETERMINED THAT THAT FACILITY HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE FACILITY IS NO LONGER SUBJECT TO AUDITS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIOD PRIOR TO 2008. X X X 0 0 0 0 0 0 0 0 0 ROBERT L CLAPP 0 598615 0 0 0 0 0 22643 0 3425 0 624683 0 0 RONALD BUCCI 0 144002 0 0 0 0 0 4320 0 2089 0 150411 0 0 VICTORIA DOMPIERRE 0 50475 0 0 0 0 0 3924 0 1756 0 56155 0 0 DAVID M LAWLOR 0 280040 0 0 0 0 0 14518 0 4694 0 299252 0 0 STEPHEN W KEGLER 0 150888 0 0 0 0 0 19397 0 4022 0 174307 0 0 FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT OF THE FACILITY IS PERFORMED BY UNITED METHODIST HOMES, INC WHICH IS THE PARENT ENTITY OF THE FACILITY FORM 990, PART VI, SECTION B, LINE 11 AN INTERNAL REVIEW IS DONE BY SENIOR MANAGEMENT AND THE BOARD OF DIRECTORS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C IT IS REVIEWED BY THE CORPORATE COMPLIANCE OFFICERS ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF MANAGEMENT AND KEY EMPLOYEES IS DETERMINED BY A COMPENSATION COMMITTEE AND/OR SENIOR MANAGEMENT, INCLUDING THE HUMAN RESOURCES DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 UNITED METHODIST HOMES, INC., A RELATED PARTY, ISSUES AN ANNUAL REPORT THAT IS MAILED TO MEMBERS AND THE FORM 990 IS AVAILABLE TO THE PUBLIC ONLINE. THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. OVERSIGHT OF THE AUDIT 990 PAGE 12, PART XII, LINE 2C EXPLANATION THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CARELINK CORPORATION 580 LONG HILL AVENUE SHELTON CT 06484 061501849 ASSISTED LIVING SERVICES CT 501(C)(3) LINE 9 UNITED METHODIST HOMES INC 0 CROSBY COMMONS INC 580 LONG HILL AVENUE SHELTON CT 06484 061505334 SENIOR RESIDENTIAL CARE FACILITY CT 501(C)(3) LINE 9 UNITED METHODIST HOMES INC 0 MIDDLEWOODS OF NEWINGTON INC 580 LONG HILL AVENUE SHELTON CT 06484 743080603 ASSISTED LIVING SERVICES CT 501(C)(3) LINE 9 UNITED METHODIST HOMES INC 0 THE UNITED METHODIST HOME OF SHARON INC 580 LONG HILL AVENUE SHELTON CT 06484 061607026 SKILLED NURSING FACILITY CT 501(C)(3) LINE 9 UNITED METHODIST HOMES INC 0 UNITED METHODIST HOMES INC 580 LONG HILL AVENUE SHELTON CT 06484 060987394 HEALTH CARE SERVICES CT 501(C)(3) LINE 7 NONE 0 WESLEY HEIGHTS INC 580 LONG HILL AVENUE SHELTON CT 06484 066077231 SENIOR RETIREMENT HOUSING CT 501(C)(3) LINE 9 UNITED METHODIST HOMES INC 0 WESLEYAN FOUNDATION FOR HEALTH AND AGING INC 580 LONG HILL AVENUE SHELTON CT 06484 060606530 RAISE AND DISTRIBUTE FUNDS TO AFFILIATES CT 501(C)(3) LINE 11B, II UNITED METHODIST HOMES INC 0 WESLEYAN HOMES OF CONNECTICUT INC 580 LONG HILL AVENUE SHELTON CT 06484 262789298 SENIOR RETIREMENT HOUSING CT 501(C)(3) LINE 9 UNITED METHODIST HOMES INC 0 WESLEYAN HOMES OF INDIANA INC 580 LONG HILL AVENUE SHELTON CT 06484 205526452 SKILLED NURSING FACILITY CT 501(C)(3) LINE 9 UNITED METHODIST HOMES INC 0 WESLEYAN HOMES OF TENNESSEE INC 580 LONG HILL AVENUE SHELTON CT 06484 203533871 SKILLED NURSING FACILITY CT 501(C)(3) LINE 9 UNITED METHODIST HOMES INC 0 THE LONG HILL COMPANY 580 LONG HILL AVENUE SHELTON CT 06484 061534724 CT C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 UNITED METHODIST HOMES INC L 1601561 UNITED METHODIST HOMES INC O 7973675