2012-11-12T22:49:38-06:00 2011-12-31 231973945 PARENTEBEARD LLC 400 MARKET STREET WILLIAMSPORT PA 17701 990 2011-01-01 240795507 THE WILLIAMSPORT HOME WILL 5703238781 1900 RAVINE ROAD WILLIAMSPORT PA 17701 DON POTE 5703238781 2012-11-12 1 JULIUS C GREEN CPA JD P00350393 5703236023 2011 2016-02-24 21:20:13Z DON POTE 1900 RAVINE ROAD WILLIAMSPORT PA 17701 15783802 0 X THEWILLIAMSPORTHOME.COM X 1873 PA PROVIDE NURSING SERVICES IN A 129 BED SKILLED NURSING FACILITY AND HOUSING FOR THE ELDERLY. 16 16 279 150 0 0 79054 110831 13347178 14278101 82685 139989 129366 130752 13638283 14659673 0 3000 0 0 7563432 7659370 0 0 0 5813512 6423150 13376944 14085520 261339 574153 13545314 14071588 1422665 1453887 12122649 12617701 X THE 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. 0 0 13076157 3000 14278101 PROVIDED 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. 13076157 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 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 0 0 0 0 0 1 23 0 1 279 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X AFFINITY HEALTHCARE SERVICES 7244631010 942 PHILADELPHIA STREET INDIANA PA 15701 KATHRYN NASSBERG 1.00 X X 0 0 0 DAWN LINN 1.00 X X 0 0 0 LISA LARSON 1.00 X X 0 0 0 VERA ANDERSON 1.00 X X 0 0 0 MARY CAMP 1.00 X 0 0 0 MAUREEN CAREY 1.00 X 0 0 0 KATE ANDERSON 1.00 X 0 0 0 WINONA KREMSER 1.00 X 0 0 0 MARGARET CHAPMAN 1.00 X 0 0 0 BETH STUBLER 1.00 X 0 0 0 RUTHANNE CROTTY 1.00 X 0 0 0 LAURIE BURKHOLDER 1.00 X 0 0 0 CLAUDIA SACAVAGE 1.00 X 0 0 0 BRETTE CONFAIR 1.00 X 0 0 0 JUDY SARETT 1.00 X 0 0 0 SUE YOUNG 1.00 X 0 0 0 DONALD S POTE 40.00 X 99060 0 572 DENISE BOWER 40.00 X 60657 0 6236 KEN ANGSTADT 40.00 X 53247 0 9816 SUSAN GETZ 68.90 X 145655 0 11126 SUSAN HOOKER 62.40 X 126722 0 11147 485341 0 38897 2 0 1 0 FUNCTIONAL PATHWAYS OF TENNESSEE PO BOX 102426 ATLANTA GA 303682426 THERAPY SERVICES 663955 AFFINITY HEALTH SERVICES INC 942 PHILADELPHIA ST INDIANA PA 15701 MANAGEMENT SERVICES 583458 SODEXHO OPERATIONS LLC 4880 PAYSHERE CIRCLE CHICAGO IL 60674 FOOD SERVICE DIETARY 501666 NEIGHBORCARE PHARMACY PO BOX 15326 NEWARK NJ 07192 RESIDENT MEDICATIONS 378860 DIXON A C & R CORP 3983 W FOURTH ST WILLIAMSPORT PA 17701 HEATING/ AC CONTRACTOR 158142 6 110831 110831 PATIENT SERVICE REVENU 623000 11205479 11205479 APARTMENT REVENUE 623000 3072622 3072622 14278101 94490 94490 1169628 1124129 45499 45499 45499 CABLE TV SERVICES FOR 517000 74141 74141 EMPLOYEE AND GUEST MEA 722210 17162 17162 BEAUTY/BARBER SHOP SER 812900 14986 14986 24463 24463 130752 14659673 14278101 0 270741 3000 3000 6200196 5830846 369350 56072 51220 4852 906079 857491 48588 497023 452076 44947 221260 221260 22116 22116 39690 794 38896 1766360 1506080 260280 61004 49272 11732 1592944 1471414 121530 625786 625786 13854 4620 9234 329 329 941925 941925 350177 350177 EQUIP RENTAL AND REPAIR 340927 302043 38884 MA NURSING HOME ASSESSM 220765 220765 CABLE TV 89904 89904 BAD DEBTS 44475 44475 91634 53009 38625 14085520 13076157 1009363 0 500 500 1160855 1353373 1074483 1352054 36983 39697 121717 22896 20981116 13744851 7407737 7236265 3693442 3934391 49597 132412 13545314 14071588 1306780 1345960 115885 107927 1422665 1453887 X 12048097 12543149 74552 74552 12122649 12617701 13545314 14071588 X 574153 -79101 X 0 1 1 X 0 X 2795 6029 22097 79054 110831 220806 13419298 13123077 13328587 13347178 14278101 67496241 13422093 13129106 13350684 13426232 14388932 67717047 0 0 0 67717047 139229 96612 79440 81992 94490 491763 139229 96612 79440 81992 94490 491763 148921 144434 136205 129366 130752 689678 13710243 13370152 13566329 13637590 14614174 68898488 0.98290 0.98170 0.00710 0.00790 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 170814 170814 15806396 10177538 5628858 4092395 3049729 1042666 911511 517584 393927 7236265 OBLIGATIONS UNDER CAPITAL LEASE 54982 DEFERRED REVENUE FROM ADVANCE FEES 52945 107927 14659673 14085520 574153 -79101 -79101 495052 14580572 -79101 -79101 14659673 0 14659673 14085520 0 14085520 0 14085520 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE 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. X 0 0 0 0 0 0 0 0 0 SUSAN GETZ 145655 0 0 0 0 0 0 0 11126 0 156781 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE HOME UTILIZES THE MANAGEMENT SERVICES OF AFFINITY HEALTHCARE SERVICES. FORM 990, PART VI, SECTION B, LINE 11 THE 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 12C ON 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 15 COMPENSATION 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 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -79,101.