FURP.ORG / PUBLIC DATA EXPLORER

WILLIAMSPORT HOME: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WILLIAMSPORT HOME (EIN 24-0795507)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-12
IRS object ID
201203189349300100
Schema version
2011v1.2
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)
Timestamp2012-11-12T22:49:38-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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 Signed2012-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJULIUS C GREEN CPA JDName
PTINP00350393PTIN
Phone5703236023Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts15783802GrossReceipts
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 Employees279TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year79054ContributionsGrantsPriorYear
Contributions Grants Current Year110831ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13347178ProgramServiceRevenuePriorYear
Program Service Revenue CY14278101ProgramServiceRevenueCY
Investment Income Prior Year82685InvestmentIncomePriorYear
Investment Income Current Year139989InvestmentIncomeCurrentYear
Other Revenue Prior Year129366OtherRevenuePriorYear
Other Revenue Current Year130752OtherRevenueCurrentYear
Total Revenue Prior Year13638283TotalRevenuePriorYear
Total Revenue Current Year14659673TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7563432SalariesEtcPriorYear
Salaries Etc Current Year7659370SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5813512OtherExpensePriorYear
Other Expenses Current Year6423150OtherExpensesCurrentYear
Total Expenses Prior Year13376944TotalExpensesPriorYear
Total Expenses Current Year14085520TotalExpensesCurrentYear
Revenues Less Expenses Prior Year261339RevenuesLessExpensesPriorYear
Revenues Less Expenses CY574153RevenuesLessExpensesCY
Total Assets BOY13545314TotalAssetsBOY
Total Assets EOY14071588TotalAssetsEOY
Total Liabilities BOY1422665TotalLiabilitiesBOY
Total Liabilities EOY1453887TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12122649NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12617701NetAssetsOrFundBalancesEOY
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
Expense13076157Expense
Grants3000Grants
Revenue14278101Revenue
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 2011. 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. AN AVERAGE OF 74 RESIDENTS RECEIVED 26,823 MEDICAL ASSISTANCE DAYS OF SERVICE IN THE SKILLED NURSING AND REHABILITATION CENTER DURING 2011.VOLUNTEERING:THE TOTAL NUMBER OF VOLUNTEER HOURS PROVIDED TO THE WILLIAMSPORT HOME FROM COMMUNITY SERVICE VOLUNTEERS IN 2011 EXCEEDED 5,487 HOURS.TWH SKILLED NURSING CENTER PROVIDED VOLUNTEER OPPORTUNITIES TO 5 JUNIOR VOLUNTEERS, 20 LYCOMING COLLEGE STUDENTS AND 6 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 FIVE OTHER COMMUNITY VOLUNTEERS PROVIDED 917.25 HOURS. VOLUNTEERS ASSISTED WITH DELIVERING RESIDENT MAIL, NEWSPAPERS, READING MAIN OR WRITING LETTERS, BOOKS, SPENDING 1/1 TIME WITH RESIDENTS AND TRANSFERRING RESIDENTS IN WHEEL CHAIRS TO THE LOBBY, BEAUTY SHOP OR ACTIVITY PROGRAMMING. TWH APARTMENTS HAVE 60 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 2011, TWH SERVED AS A HOST SITE FOR TWO 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 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 3,328 HOURS AS A HOST SITE.TWH ALSO WORKED WITH THE WILLIAMSPORT AREA SCHOOL DISTRICT AND MONTOURSVILLE SCHOOL DISTRICT TO SERVE AS A HOST SITE FOR TWO (2) STUDENT VOLUNTEERS WHO PROVIDED 400 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 THE PENN COLLEGE SCHOOL OF TECHNOLOGY DURING 2011. ONE STUDENT CONDUCTED A VOLUNTEER INTERNSHIP IN OUR ACTIVITIES DEPARTMENT AND VOLUNTEERED 60 HOURS OF TIME. DURING THE 2011 YEAR WE ALSO HAD THE LYCOMING COLLEGE HOST A SENIOR PROM FOR OUR RESIDENTS AND WE HOSTED A 4-H GROUP FASHION SHOW. EACH MONTH THE S.P.C.A. ALSO VOLUNTEERS BY BRINGING A PET TO VISIT WITH THE RESIDENTS.CLINICAL NURSING SITE:TWH SERVED AS A CLINICAL NURSING SITE FOR THE PENN COLLEGE SCHOOL OF NURSING AND PROVIDED CLINICAL SPACE TO 16 LICENSED PRACTICAL NURSES AND 5 REGISTERED NURSING IN SIX, EIGHT AND SIXTEEN WEEK ROTATIONS.COMMUNITY SUPPORT:TWH DONATED SPACE DURING 2011 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 RAISED OVER $10,000 FOR CAREGIVER AWARENESS AND EDUCATION ASSOCIATED THE MEMORY WALK IN 2011. THE WILLIAMSPORT HOME ALSO SERVES AS HOST SITE FOR THE A 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 RAISING OVER $1,500.Description
Total Program Service Expense13076157TotalProgramServiceExpense
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 Required1ScheduleJRequired
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109623NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees279NumberOfEmployees
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
KATHRYN NASSBERG
PRESIDENT1.00XX000
DAWN LINN
VICE PRESIDENT1.00XX000
LISA LARSON
SECRETARY1.00XX000
VERA ANDERSON
TREASURER1.00XX000
MARY CAMP
DIRECTOR1.00X000
MAUREEN CAREY
DIRECTOR1.00X000
KATE ANDERSON
DIRECTOR1.00X000
WINONA KREMSER
DIRECTOR1.00X000
MARGARET CHAPMAN
DIRECTOR1.00X000
BETH STUBLER
DIRECTOR1.00X000
RUTHANNE CROTTY
DIRECTOR1.00X000
LAURIE BURKHOLDER
DIRECTOR1.00X000
CLAUDIA SACAVAGE
DIRECTOR1.00X000
BRETTE CONFAIR
DIRECTOR1.00X000
JUDY SARETT
DIRECTOR1.00X000
SUE YOUNG
DIRECTOR1.00X000
DONALD S POTE
EXECUTIVE DIRECTOR40.00X990600572
DENISE BOWER
ASSOCIATE DIRECTOR40.00X6065706236
KEN ANGSTADT
DIRECTOR OF FINANCIAL SERV40.00X5324709816
SUSAN GETZ
REGISTERED NURSE68.90145655011126X
SUSAN HOOKER
REGISTERED NURSE62.40126722011147X
FieldValueIRS element (for citing)
Total Reportable Comp From Org485341TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation38897TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FUNCTIONAL PATHWAYS OF TENNESSEE
PO BOX 102426ATLANTAGA303682426THERAPY SERVICES663955
AFFINITY HEALTH SERVICES INC
942 PHILADELPHIA STINDIANAPA15701MANAGEMENT SERVICES583458
SODEXHO OPERATIONS LLC
4880 PAYSHERE CIRCLECHICAGOIL60674FOOD SERVICE DIETARY501666
NEIGHBORCARE PHARMACY
PO BOX 15326NEWARKNJ07192RESIDENT MEDICATIONS378860
DIXON A C & R CORP
3983 W FOURTH STWILLIAMSPORTPA17701HEATING/ AC CONTRACTOR158142
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
All Other Contributions110831AllOtherContributions
Total Contributions110831TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU6230001120547911205479
APARTMENT REVENUE62300030726223072622
FieldValueIRS element (for citing)
Total Program Service Revenue14278101TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column94490TotalRevenueColumn
Exclusion$94,490ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1169628Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1124129Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities45499Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column45499TotalRevenueColumn
Exclusion$45,499ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CABLE TV SERVICES FOR51700074141$74,141
EMPLOYEE AND GUEST MEA72221017162$17,162
BEAUTY/BARBER SHOP SER81290014986$14,986

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column24463TotalRevenueColumn
Exclusion$24,463ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue130752TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14659673TotalRevenueColumn
Related Or Exempt Function Income14278101RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$270,741ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3000Total
Program Services3000ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6200196Total
Program Services5830846ProgramServices
Management And General369350ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total56072Total
Program Services51220ProgramServices
Management And General4852ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total906079Total
Program Services857491ProgramServices
Management And General48588ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total497023Total
Program Services452076ProgramServices
Management And General44947ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total221260Total
Program Services221260ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total22116Total
Management And General22116ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total39690Total
Program Services794ProgramServices
Management And General38896ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1766360Total
Program Services1506080ProgramServices
Management And General260280ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total61004Total
Program Services49272ProgramServices
Management And General11732ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1592944Total
Program Services1471414ProgramServices
Management And General121530ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total625786Total
Program Services625786ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total13854Total
Program Services4620ProgramServices
Management And General9234ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total329Total
Management And General329ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total941925Total
Program Services941925ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total350177Total
Program Services350177ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
EQUIP RENTAL AND REPAIR34092730204338884
MA NURSING HOME ASSESSM220765220765
CABLE TV8990489904
BAD DEBTS4447544475

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total91634Total
Program Services53009ProgramServices
Management And General38625ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14085520Total
Program Services13076157ProgramServices
Management And General1009363ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY500BOY
EOY500EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1160855BOY
EOY1353373EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1074483BOY
EOY1352054EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY36983BOY
EOY39697EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY121717BOY
EOY22896EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20981116LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13744851LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7407737BOY
EOY7236265EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3693442BOY
EOY3934391EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY49597BOY
EOY132412EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13545314BOY
EOY14071588EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1306780BOY
EOY1345960EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY115885BOY
EOY107927EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1422665BOY
EOY1453887EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12048097BOY
EOY12543149EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY74552BOY
EOY74552EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12122649BOY
EOY12617701EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13545314BOY
EOY14071588EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses574153ReconcilationRevenueExpenses
Reconcilation Other Changes-79101ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years2795CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6029CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22097CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year79054CurrentTaxYearMinus1Year
Current Tax Year110831CurrentTaxYear
Total220806Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13419298CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13123077CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13328587CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13347178CurrentTaxYearMinus1Year
Current Tax Year14278101CurrentTaxYear
Total67496241Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13422093CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13129106CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13350684CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13426232CurrentTaxYearMinus1Year
Current Tax Year14388932CurrentTaxYear
Total67717047Total

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 Total50967717047PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years139229CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years96612CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years79440CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year81992CurrentTaxYearMinus1Year
Current Tax Year94490CurrentTaxYear
Total491763Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years139229CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years96612CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years79440CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year81992CurrentTaxYearMinus1Year
Current Tax Year94490CurrentTaxYear
Total491763Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years148921CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years144434CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years136205CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year129366CurrentTaxYearMinus1Year
Current Tax Year130752CurrentTaxYear
Total689678Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13710243CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13370152CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13566329CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13637590CurrentTaxYearMinus1Year
Current Tax Year14614174CurrentTaxYear
Total68898488Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98290PublicSupportPercentage509
Prior Year Support Percentage0.98170PriorYearSupportPercentage
Investment Income Percentage0.00710InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00790PriorYrInvestIncomePercentage
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 Basis15806396OtherCostOrOtherBasis
Depreciation10177538Depreciation
Book Value5628858BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4092395OtherCostOrOtherBasis
Depreciation3049729Depreciation
Book Value1042666BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis911511OtherCostOrOtherBasis
Depreciation517584Depreciation
Book Value393927BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7236265TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
OBLIGATIONS UNDER CAPITAL LEASE$54,982
DEFERRED REVENUE FROM ADVANCE FEES$52,945
FieldValueIRS element (for citing)
Total Of Amounts107927TotalOfAmounts
Total Revenue14659673TotalRevenue
Total Expenses14085520TotalExpenses
Excess Or Deficit For Year574153ExcessOrDeficitForYear
Net Unrealized GL On Investments-79101NetUnrealizedGLOnInvestments
Total Adjustments-79101TotalAdjustments
Excess Or Deficit Per FS495052ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14580572TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-79101NetUnrealizedGainsInvestments
Revenue Not Rptd F990-79101RevenueNotRptdF990
Revenue Subtotal14659673RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99014659673TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14085520TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal14085520ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014085520TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X: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 2011 AND 2010. THE HOME'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX FOR 2010, 2009, AND 2008 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.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

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonSUSAN GETZNamePerson
Base Compensation Filing Org145655BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org11126NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org156781TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

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.
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 XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -79,101.CHANGES IN NET ASSETS OR FUND BALANCES: