LYCOMING COMMUNITY CARE INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- LYCOMING COMMUNITY CARE INC (EIN 23-2626796)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-08-02
- IRS object ID
- 201112149349300851
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-02T10:59:12-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARENTEBEARD LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 MARKET STREET | AddressLine1 |
| City | WILLIAMSPORT | City |
| State | PA | State |
| ZIP Code | 17701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232626796 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LYCOMING COMMUNITY CARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LYCO | NameControl |
| Phone | 5704333161 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2140 WARRENSVILLE RD | AddressLine1 |
| City | MONTOURSVILLE | City |
| State | PA | State |
| ZIP Code | 17754 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STEVEN FRY | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 5704333161 | Phone |
| Date Signed | 2011-08-02 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5703236023 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | STEPHEN FRY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2140 WARRENSVILLE RD | AddressLine1 |
| City | MONTOURSVILLE | City |
| State | PA | State |
| ZIP Code | 17754 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 13387192 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.VALLEYVIEW.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1990 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | PROVIDED SKILLED AND INTERMEDIATE NURSING CARE TO THE MEN AND WOMEN OF LYCOMING COUNTY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 316 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 665 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 71680 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 16546 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 14022249 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 12530270 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 22980 | InvestmentIncomePriorYear |
| Investment Income Current Year | -9144 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 27550 | OtherRevenuePriorYear |
| Other Revenue Current Year | 55561 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 14144459 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12593233 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8607140 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8363958 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 2398 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5490036 | OtherExpensePriorYear |
| Other Expenses Current Year | 4708399 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 14097176 | TotalExpensesPriorYear |
| Total Expenses Current Year | 13072357 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 47283 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -479124 | RevenuesLessExpensesCY |
| Total Assets BOY | 10582935 | TotalAssetsBOY |
| Total Assets EOY | 9003605 | TotalAssetsEOY |
| Total Liabilities BOY | 6125222 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4822552 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4457713 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4181053 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDED SKILLED AND INTERMEDIATE NURSING CARE FOR APPROXIMATELY 54,800 RESIDENT DAYS TO THE MEN AND WOMEN OF LYCOMING COUNTY AND SURROUNDING AREAS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 12156243 | Expense |
| Revenue | 12451439 | Revenue |
| Description | PROVIDED SKILLED AND INTERMEDIATE NURSING CARE FOR 54,809 RESIDENT DAYS TO THE MEN AND WOMEN OF LYCOMING COUNTY AND SURROUNDING AREAS. OF THE TOTAL 54,809 RESIDENT DAYS OF NURSING CARE PROVIDED, 37,553 DAYS WERE PROVIDED TO RESIDENTS RECEIVING MEDICAID. THE MEDICAID DAILY REIMBURSEMENT RATE WAS APPROXIMATELY $175 PER DAY COMPARED TO THE DAILY PRIVATE PAY RATE OF $210 FOR SKILLED NURSING AND $216 FOR DEMENTIA CARE. THE ESTIMATED AVERAGE SHORTFALL FOR MEDICAID REIMBURSEMENT IS PROJECTED AT $17.33 PER MEDICAID DAY. BASED ON THIS ESTIMATE, THE ORGANIZATION PROVIDED APPROXIMATELY $650,000 IN CHARITY CARE FOR 2010. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 61075 | Expense |
| Revenue | 78831 | Revenue |
| Description | PROVIDED HOUSING FOR THE ELDERLY AT A SUBSIDIZED RATE IN AN EIGHT UNIT FACILITY DESIGNED TO HELP MAINTAIN THE RESIDENTS' HEALTH, SECURITY AND INDEPENDENCE WHILE ALLOWING THEM TO AGE IN PLACE. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 12217318 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 12 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 316 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEPHEN FRY - CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5704333161 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2140 WARRENSVILLE ROAD | AddressLine1 |
| City | MONTOURSVILLE | City |
| State | PA | State |
| ZIP Code | 17745 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (11 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| STEPHEN E SCHOPFER | ||||||
| PRESIDENT OF THE BOARD | 1.00 | X | X | 0 | 0 | 0 |
| NICHOLAS CATINO | ||||||
| VICE PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| JOSEPH CIPRIANI | ||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| SUE E STACKHOUSE | ||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| JERI DEMEL | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MARGARET P PIPER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| J MICHAEL WILEY | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| WANDA BOWER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| LOUISE EAKIN | ||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 100337 | 0 | 6585 | |
| STEPHEN FRY | ||||||
| CHIEF FINANCIAL OFFICER | 40.00 | X | 83008 | 0 | 1440 | |
| LOUANN SIMPSON | ||||||
| DIRECTOR OF NURSING | 40.00 | X | 78770 | 0 | 1395 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 262115 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 9420 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation | Address Line1AddressOfContractor/AddressForeign/AddressLine1 | CityAddressOfContractor/AddressForeign/City | Province Or StateAddressOfContractor/AddressForeign/ProvinceOrState | CountryAddressOfContractor/AddressForeign/Country |
|---|---|---|---|---|---|---|---|---|---|
| ENDURACARE | |||||||||
| PO BOX 53064 | PHOENIX | AZ | 85072 | REHAB | 766918 | ||||
| SODEXHO | |||||||||
| PO BOX 360170 | PITTSBURGH | PA | 152516170 | FOOD SERVICE | 678694 | ||||
| OMNICARE INC | |||||||||
| PO BOX 631285 | CINCINNATI | OH | 452531285 | PHARMACY | 245204 | ||||
| MOMENTUM HEALTHWARE | |||||||||
| ELECTRONIC HEALTH RECORD SOFTWARE | 104706 | SUITE 308-131 PROVENCHER BLVD | WINNIPEG | MB | CA | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| All Other Contributions | 16546 | AllOtherContributions |
| Total Contributions | 16546 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENU | 623000 | 12451439 | 12451439 |
| RESIDENT SERVICE REVEN | 623000 | 78831 | 78831 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 12530270 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 53789 | TotalRevenueColumn |
| Exclusion | $53,789 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4550 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3351 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1199 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1199 | TotalRevenueColumn |
| Exclusion | $1,199 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 727239 | Securities |
| Other | 375 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 790547 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -63308 | Securities |
| Other | 375 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -62933 | TotalRevenueColumn |
| Exclusion | -$62,933 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 3941 | GrossIncomeGaming |
| Gaming Direct Expenses | 61 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3880 | TotalRevenueColumn |
| Exclusion | $3,880 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| OTHER OPERATING REVENU | 812900 | 14677 | $14,677 |
| BARBER/BEAUTICIAN SERV | 446199 | 14008 | $14,008 |
| TV CABLE | 517000 | 11475 | $11,475 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10322 | TotalRevenueColumn |
| Unrelated Business Revenue | 665 | UnrelatedBusinessRevenue |
| Exclusion | $9,657 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 50482 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12593233 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12530270 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 665 | UnrelatedBusinessRevenue |
| Exclusion | $45,752 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180207 | Total |
| Management And General | 180207 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6337401 | Total |
| Program Services | 5960104 | ProgramServices |
| Management And General | 376357 | ManagementAndGeneral |
| Fundraising | 940 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27189 | Total |
| Program Services | 23001 | ProgramServices |
| Management And General | 4174 | ManagementAndGeneral |
| Fundraising | 14 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1211314 | Total |
| Program Services | 1129834 | ProgramServices |
| Management And General | 81322 | ManagementAndGeneral |
| Fundraising | 158 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 607847 | Total |
| Program Services | 561061 | ProgramServices |
| Management And General | 46715 | ManagementAndGeneral |
| Fundraising | 71 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4918 | Total |
| Management And General | 4918 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26316 | Total |
| Management And General | 26316 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8256 | Total |
| Management And General | 8256 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1027204 | Total |
| Program Services | 962497 | ProgramServices |
| Management And General | 64707 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13375 | Total |
| Program Services | 3572 | ProgramServices |
| Management And General | 9570 | ManagementAndGeneral |
| Fundraising | 233 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 896633 | Total |
| Program Services | 857778 | ProgramServices |
| Management And General | 37873 | ManagementAndGeneral |
| Fundraising | 982 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7174 | Total |
| Program Services | 5915 | ProgramServices |
| Management And General | 1259 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 337665 | Total |
| Program Services | 337665 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34017 | Total |
| Program Services | 34017 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7136 | Total |
| Program Services | 4918 | ProgramServices |
| Management And General | 2218 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 193875 | Total |
| Program Services | 193875 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 683185 | Total |
| Program Services | 683185 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172447 | Total |
| Program Services | 172447 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| MA NURSING HOME ASSESSM | 720551 | 720551 |
| PHARMACY EXPENSE | 286864 | 286864 |
| LAB EXPENSE | 83583 | 83583 |
| PROVISION FOR DOUBTFUL | 61330 | 61330 |
| BARBER AND BEAUTY EXPEN | 53640 | 53640 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90230 | Total |
| Program Services | 81481 | ProgramServices |
| Management And General | 8749 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13072357 | Total |
| Program Services | 12217318 | ProgramServices |
| Management And General | 852641 | ManagementAndGeneral |
| Fundraising | 2398 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39353 | BOY |
| EOY | 36037 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2141668 | BOY |
| EOY | 1796297 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1993194 | BOY |
| EOY | 1374266 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86931 | BOY |
| EOY | 2326 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 12962764 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 9166942 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4253138 | BOY |
| EOY | 3795822 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1447606 | BOY |
| EOY | 1542272 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 581463 | BOY |
| EOY | 427726 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39582 | BOY |
| EOY | 28859 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10582935 | BOY |
| EOY | 9003605 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2020869 | BOY |
| EOY | 1220607 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1658 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4065000 | BOY |
| EOY | 3565000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39353 | BOY |
| EOY | 35287 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6125222 | BOY |
| EOY | 4822552 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4455850 | BOY |
| EOY | 4179190 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1863 | BOY |
| EOY | 1863 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4457713 | BOY |
| EOY | 4181053 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10582935 | BOY |
| EOY | 9003605 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -479124 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 202464 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13441 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 24430 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 23552 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 71680 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16546 | CurrentTaxYear |
| Total | 149649 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13068340 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13503022 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13548498 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14022249 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12530270 | CurrentTaxYear |
| Total | 66672379 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13081781 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13527452 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13572050 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14093929 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12546816 | CurrentTaxYear |
| Total | 66822028 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 66822028 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 172012 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 198940 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 111209 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 39222 | CurrentTaxYearMinus1Year |
| Current Tax Year | 58339 | CurrentTaxYear |
| Total | 579722 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 31558 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 32866 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7813 | CurrentTaxYearMinus1Year |
| Total | 72237 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 172012 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 230498 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 144075 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 47035 | CurrentTaxYearMinus1Year |
| Current Tax Year | 58339 | CurrentTaxYear |
| Total | 651959 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 23741 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 47976 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13781 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19736 | CurrentTaxYearMinus1Year |
| Current Tax Year | 50482 | CurrentTaxYear |
| Total | 155716 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13277534 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13805926 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13729906 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14160700 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12655637 | CurrentTaxYear |
| Total | 67629703 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98810 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98420 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00960 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01020 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8825368 | OtherCostOrOtherBasis |
| Depreciation | 6285632 | Depreciation |
| Book Value | 2539736 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3826914 | OtherCostOrOtherBasis |
| Depreciation | 2710264 | Depreciation |
| Book Value | 1116650 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 310482 | OtherCostOrOtherBasis |
| Depreciation | 171046 | Depreciation |
| Book Value | 139436 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3795822 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PATIENT FUNDS LIABILITY | $32,250 |
| RESIDENT SECURITY DEPOSITS | $3,037 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 35287 | TotalOfAmounts |
| Total Revenue | 12593233 | TotalRevenue |
| Total Expenses | 13072357 | TotalExpenses |
| Excess Or Deficit For Year | -479124 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 202464 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 202464 | TotalAdjustments |
| Excess Or Deficit Per FS | -276660 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 12790792 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 202464 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 202464 | RevenueNotRptdF990 |
| Revenue Subtotal | 12588328 | RevenueSubtotal |
| Investment Expenses Not Included | 8256 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | -3351 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 4905 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 12593233 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 13067452 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 3351 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 3351 | ExpensesNotRptdF990 |
| Expenses Subtotal | 13064101 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 8256 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 8256 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 13072357 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE CORPORATION 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 THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2010 AND 2009. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -3,351. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 3,351. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A DRAFT COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS VIA EMAIL AND THEY WERE GIVEN THE OPPORTUNITY TO DISCUSS ANY QUESTIONS WITH THE CFO. THE PRESIDENT OF THE BOARD REVIEWED THE FORM IN DETAIL WITH THE CFO AND APPROVED THE RETURN FOR RELEASE. | |
| CONFLICT OF INTEREST STATEMENTS ARE REQUIRED TO BE UPDATED AND SIGNED ON AN ANNUAL BASIS BY ALL BOARD MEMBERS AND OFFICERS OF THE CORPORATION. THE STATEMENTS ARE REVIEWED BY THE EXECUTIVE DIRECTOR. THE POLICY REQUIRES THAT NO BOARD MEMBER OR OFFICER MAY ENTER INTO ANY TRANSACTION OR ARRANGEMENT WITH AN OUTSIDE PARTY, EITHER DIRECTLY OR INDIRECTLY, WHICH WILL RESULT IN PERSONAL BENEFIT AT THE EXPENSE OF THE CORPORATION WITHOUT THE KNOWLEDGE AND CONSENT OF THE CORPORATION. INDIVIDUALS WHO VIOLATE THIS POLICY ARE, AMONG OTHER THINGS, SUBJECT TO LOSS OF THEIR ELECTION TO THE BOARD OR THEIR ELECTION AS AN OFFICER. | FORM 990, PART VI, SECTION B, LINE 12C | |
| A PERSONNEL COMMITTEE APPOINTED BY THE BOARD OF DIRECTORS APPROVES SALARIES FOR DEPARTMENT HEAD POSITIONS. THE SALARY RANGES FOR THE VARIOUS POSITIONS ARE COMPARED TO AVAILABLE DATA ON SALARIES FROM OTHER NURSING FACILITIES IN THE STATE. | FORM 990, PART VI, SECTION B, LINE 15 | |
| THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 202,464. | FORM 990, PART XI, LINE 5: |
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