2012-11-08T06:44:08-06:00 2011-12-31 311543240 CBIZ MHM LLC 401 PLYMOUTH ROAD SUITE 200 PLYMOUTH MEETING PA 19462 990 2011-01-01 251352326 DUBOIS CONTINUUM OF CARE COMMUNITY INC DUBO 2154417700 200 SOUTH EIGHTH STREET DUBOIS PA 15801 DENISE LUCAS 2154417700 2012-11-05 1 JOSEPH G SULLIVAN P00360476 6108622249 2011 2016-02-24 21:20:13Z DENISE LUCAS 200 SOUTH EIGHTH STREET DUBOIS PA 15801 14019004 0 X WWW.DUBOISCCCI.COM X 1977 PA THE ORGANIZATION OPERATES A CONTINUING CARE RETIREMENT COMMUNITY, WITH 140 NURSING BEDS, 60 ASSISTED LIVING BEDS AND 14 INDEPENDENT LIVING UNITS. 9 9 362 100 0 0 59610 132500 13435179 13838529 3226 2571 58251 45404 13556266 14019004 0 0 0 0 7872589 8153655 0 0 0 4928184 5377168 12800773 13530823 755493 488181 11840830 17775818 4291124 9728024 7549706 8047794 THE ORGANIZATION OPERATES A CONTINUING CARE RETIREMENT COMMUNITY, WITH 140 NURSING BEDS, 60 ASSISTED LIVING BEDS AND 14 INDEPENDENT LIVING UNITS. 0 0 9851731 0 12125424 THIS ORGANIZATION OPERATES A 140 BED NURSING CARE FACILITYAND A 14 UNIT INDEPENDENT LIVING AREA. THEY PROVIDEDNURSING CARE, ROOM AND BOARD, AND PHARMACY SERVICES. 1619439 0 1713105 THIS ORGANIZATION OPERATES 60 BED ASSISTED LIVING FACILITY.THEY PROVIDED PERSONAL CARE, ROOM AND BOARD, AND PHARMACYSERVICES. 24762 0 0 THIS ORGANIZATION OPERATES A 14-UNIT INDEPENDENT LIVING AREA. 11495932 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 362 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 PA X COMPLETE HEALTHCARE RESOURCES 2154417700 120 GIBRALTAR ROAD HORSHAM PA 19044 X JOHN ADAMS 1.00 X 0 0 0 DENISE LUCAS 1.00 X 0 0 0 TOM ALLSHOUSE 1.00 X X 0 0 0 BILL FITZPATRICK 1.00 X X 0 0 0 RUSSELL ORNER 1.00 X 0 0 0 A KEITH SMITH 1.00 X 0 0 0 JOHN MICKS 1.00 X X 0 0 0 DENNIS MARTELLA 1.00 X X 0 0 0 JOE KIRK 1.00 X 0 0 0 GEORGE HEIGEL 1.00 X 0 0 0 0 0 0 0 0 0 0 HALLSTROM CONSTRUCTION INC PO BOX 648 DUBOIS PA 15801 CONTRACTOR 4784937 REHABCARE GROUP INC 7733 FORSYTH BLVD STE 2300 ST LOUIS MO 63105 THERAPY 1072493 DIAMOND PHARMACY SERVICES 645 KOLTER DRIVE INDIANA PA 15701 PHARMACY SERVICES 509387 COMPLETE HEALTHCARE RESOURCES 200 DRYDEN RD SUITE 100 DRESHER PA 190251049 MANAGEMENT/ADMINISTR 477244 4 60000 72500 132500 PATIENT SERVICES 900099 13838529 13838529 13838529 2571 2571 35688 0 35688 35688 35688 VENDING MACHINE & FOOD 900099 3322 3322 TRANSPORTATION 900099 2945 2945 WELLNESS PROGRAM 900099 2895 2895 554 554 9716 14019004 13838529 0 47975 6598599 5606240 992359 1046906 889462 157444 508150 431730 76420 22132 18804 3328 24025 20412 3613 100676 85535 15141 142289 120890 21399 26989 22930 4059 491760 417805 73955 29285 24881 4404 442757 376171 66586 274796 233470 41326 CONTRACTED SERVICES 1315560 1117714 197846 SUPPLIES 714586 607120 107466 ALL OTHER EXPENSES 576748 490011 86737 UTILITIES, TELELPHONE, 486843 413627 73216 728722 619130 109592 13530823 11495932 2034891 0 314682 663804 968530 1044472 1630144 1481745 448525 498569 21096618 10081585 5512911 11015033 1599405 1734285 100992 105306 1265641 1232604 11840830 17775818 936510 1474972 154545 16231 1776070 6784808 1423999 1452013 4291124 9728024 X 7547996 8046084 1710 1710 7549706 8047794 11840830 17775818 X 488181 9907 X X 0 1 1 X 0 X 72591 2199 59610 132500 266900 10693573 12405206 13187975 13435179 13838529 63560462 10766164 12405206 13190174 13494789 13971029 63827362 0 0 0 63827362 109218 79589 56306 47693 38259 331065 109218 79589 56306 47693 38259 331065 10591 43812 15781 13784 9716 93684 10885973 12528607 13262261 13556266 14019004 64252111 0.99340 0.99150 0.00520 0.00710 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 230188 230188 17090203 7315588 9774615 3414466 2644898 769568 361761 121099 240662 11015033 INVESTMENTS 1734285 F 1734285 DUE FROM AFFILIATE 1232604 1232604 RESIDENT FUNDS & SERCURITY DEP 220407 DUE TO AFFILIATE 1231606 1452013 14019004 13530823 488181 9907 9907 498088 14028911 9907 9907 14019004 0 14019004 13530823 0 13530823 0 13530823 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATIONS ARE NOT-FOR-PROFIT ORGANIZATIONS AND ARE RECOGNIZED AS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE COMMONWEALTH ACT OF MAY 5, 1933, KNOWN AS THE NONPROFIT ORGANIZATIONS LAW AND, ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. THE ORGANIZATIONS ACCOUNT FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A MORE LIKELY THAN NOT THRESHOLD APPLIED TO THE RECOGNITION OF THE TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX BENEFIT IS ESTIMATED BASED ON A CUMULATIVE PROBABILITY ASSESSMENT THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR ALL UNCERTAIN TAX POSITIONS. INTEREST AND PENALTIES ASSESSED, IF ANY, ARE ACCRUED AS INCOME TAX EXPENSE. THE ORGANIZATIONS HAVE IDENTIFIED THEIR TAX STATUS AS TAX-EXEMPT ENTITIES AS A TAX POSITION; HOWEVER, THE ORGANIZATIONS HAVE DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2008. JOHN ADAMS BOARD MEMBER 72827 JOHN ADAMS, BOARD MEMBER OF FILING ORGANIZATION, IS EMPLOYED BY KTH ARCHITECTS WHICH HAD A CONSTRUCTION AND RENOVATION CONTRACT WITH THE FILING ORGANIZATION DURING 2011. 0 FORM 990, PART VI, SECTION A, LINE 8B NO SUCH COMMITTEE EXISTS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PRESENTED TO THE BOARD PRESIDENT FOR REVIEW AND SIGNATURE PRIOR TO FILING THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMEBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. THE DISCLOSURES ARE REVIEWED ANNUALLY BY THE BOARD AND AS NEW CONFLICTS ARISE. FORM 990, PART VI, SECTION B, LINE 15 OFFICERS ARE NOT COMPENSATED. COMPENSATION TO KEY EMPLOYEES IS RECOMMENDED TO THE BOARD BY THE MANAGEMENT COMPANY. THE BOARD DECIDES TO ACCEPT THE RECOMMENDATION OR NOT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE, UPON IN-PERSON, VERBAL OR WRITTEN REQUEST, DOCUMENTS RELATING TO THE GOVERNANCE, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC. THE FORM 990 IS PRESENTED TO THE BOARD PRESIDENT FOR REVIEW AND SIGNATURE PRIOR TO FILING THE RETURN WITH THE IRS. THE BOARD MEMEBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. THE DISCLOSURES ARE REVIEWED ANNUALLY BY THE BOARD AND AS NEW CONFLICTS ARISE. OFFICERS ARE NOT COMPENSATED. COMPENSATION TO KEY EMPLOYEES IS RECOMMENDED TO THE BOARD BY THE MANAGEMENT COMPANY. THE BOARD DECIDES TO ACCEPT THE RECOMMENDATION OR NOT. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 9,907. AUDIT OVERSIGHT FORM 990, PART XII, LINE 2C THERE HAS BEEN NO CHANGE FROM THE PRIOR YEAR IN THE OVERSIGHT OF THE ORGANIZATION'S AUDIT OF ITS FINANCIAL STATEMENTS OR IN THE SELECTION OF INDEPENDET ACCOUNTANTS. DUBOIS CONTINUUM OF CARE FOUNDATION 212 SOUTH EIGHTH STREET DUBOIS PA 15801 510513213 CHAR FOUND'N PA 510(C)(3) TYPE I NONE 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 DUBOIS CONTINUUM OF CARE FOUNDATION C 60000 FMV