2011-09-06T10:36:20-05:00 2011-04-30 BAKER NEWMAN & NOYES BOX 507 PORTLAND ME 04112 990 2010-05-01 010211517 CEDARS NURSING CARE CENTER CEDA 2077725456 630 OCEAN AVENUE PORTLAND ME 04103 S JOHN WATSON JR 2077725456 2011-08-29 1 E DREW CHENEY 2078792100 2010 2016-02-24 21:20:13Z KATHRYN CALLNAN 630 OCEAN AVENUE PORTLAND ME 04103 11890707 0 X WWW.THECEDARSPORTLAND.ORG X 1929 ME LONG-TERM CARE 10 9 0 40 0 0 6025 18953 10947920 11274815 35772 53585 82202 71044 11071919 11418397 0 0 0 0 0 0 0 0 0 11089927 11217135 11089927 11217135 -18008 201262 8153267 8121437 6632563 6210923 1520704 1910514 LONG-TERM CARE 0 0 8276600 11345859 PROVISION OF LONG-TERM CARE FOR THE SICK AND ELDERLY. OPERATIONS INCLUDE 63 NURSING HOME BEDS AND 39 REHABILITATION CARE BEDS. ADDITIONAL INFORMATION AVAILABLE UPON REQUEST. 8276600 1 0 0 0 0 0 0 0 1 1 0 0 1 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 1 0 0 0 0 1 9 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X SYLVIA GILL 2077725456 630 OCEAN AVENUE PORTLAND ME 04103 KATHRYN CALLNAN 40.00 X X 0 226124 31974 RENA LEVY BECKER 0.50 X 0 0 0 STEPHEN LEVINE 0.50 X X 0 0 0 STUART GILBERT MD 0.50 X 0 0 0 BERNARD GIVERTZ MD 0.50 X 0 0 0 RICHARD BORTS 0.50 X 0 0 0 BARRY ZIMMERMAN 0.50 X X 0 0 0 LAWRENCE ADRIAN 0.50 X X 0 0 0 SIDNEY GELLER 0.50 X 0 0 0 RENEE GIVNER 0.50 X 0 0 0 ANGELA HUNT 40.00 X 0 107132 30006 S JOHN WATSON JR 40.00 X 0 158699 17256 0 491955 79236 0 0 1 0 JHA MANAGEMENT SERVICES LLC 630 OCEAN AVE PORTLAND ME 04103 MANAGEMENT SERVICES 7816023 1 18953 18953 MEDICAID & MEDICARE 623000 8507465 8507465 RESIDENT SERVICE REVEN 623000 2767350 2767350 11274815 20587 20587 505308 472310 32998 32998 32998 MEALS ON WHEELS 900099 30542 30542 MISCELLANEOUS 900099 22997 22997 VENDING MACHINES 900099 17505 17505 71044 11418397 11345859 0 53585 1945887 1945887 30790 30790 41496 41496 6244890 5353276 891614 3978 3978 28468 28468 357982 357982 4709 4709 311840 311840 360129 360129 35809 35809 RESIDENT CARE SERVICES 1189151 1189151 HEALTH CARE PROVIDER TA 601351 601351 OTHER 31588 5549 26039 PROV FOR BAD DEBT 29067 29067 11217135 8276600 2940535 0 2125 2125 1021290 770773 874966 990641 19753 9876 12725 12623 8684801 4738817 4173717 3945984 1608122 1762684 440569 626731 8153267 8121437 160085 149609 6388873 6049950 83605 11364 6632563 6210923 X 1480704 1870514 40000 40000 1520704 1910514 8153267 8121437 X 201262 188548 X 0 1 1 X 1 1 X 6000 40400 13355 6025 18953 84733 13409158 13790976 10497227 11030122 11345859 60073342 13415158 13831376 10510582 11036147 11364812 60158075 0 0 0 60158075 66076 66714 57019 30773 20587 241169 66076 66714 57019 30773 20587 241169 13481234 13898090 10567601 11066920 11385399 60399244 0.99600 0.99560 0.00400 0.00440 X 40000 40000 40000 40000 40000 40000 1.00000 0 0 683143 683143 7048269 4099375 2948894 20165 19997 168 703511 419591 283920 229713 199854 29859 3945984 DEPOSITS OF RESIDENTS' FUNDS 11364 DEFERRED FINANCING COSTS, NET 243713 OTHER 119207 ESTIMATED 3RD PARTY PAYOR SETTLEMENTS 248309 DUE FROM AFFILIATES 4138 626731 RESIDENTS' FUNDS 11364 11364 11418397 11217135 201262 131682 56866 188548 389810 11550079 131682 131682 11418397 0 11418397 11217135 0 11217135 0 11217135 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION FOR INCOME TAXES AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS INCLUDING UNRELATED BUSINESS INCOME OR TAX STATUS. UNDER GUIDANCE ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD, ASSETS AND LIABILITIES ARE ESTABLISHED FOR UNCERTAIN TAX POSITIONS TAKEN OR POSITIONS EXPECTED TO BE TAKEN IN INCOME TAX RETURNS WHEN SUCH POSITIONS ARE JUDGED TO NOT MEET THE "MORE-LIKELY-THAN-NOT" THRESHOLD, BASED UPON THE TECHNICAL MERITS OF THE POSITION. ESTIMATED INTEREST AND PENALTIES, IF APPLICABLE, RELATED TO UNCERTAIN TAX POSITIONS ARE INCLUDED AS A COMPONENT OF INCOME TAX EXPENSE. CEDARS HAS EVALUATED THE POSITION TAKEN ON ITS FILED TAX RETURNS. CEDARS HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT APRIL 30, 2011. CEDARS' TAX YEARS FROM 2007 THROUGH 2011 ARE OPEN AND SUBJECT TO EXAMINATION. PART XI, LINE 8 - OTHER ADJUSTMENTS: TRANSFER FROM AFFILIATES 56,866. X X 0 0 0 0 0 0 0 0 0 KATHRYN CALLNAN 0 226124 0 0 0 0 0 19348 0 12626 0 258098 0 0 S JOHN WATSON JR 0 158699 0 0 0 0 0 16500 0 756 0 175955 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY THE ORGANIZATION'S OUTSIDE ACCOUNTING FIRM AND THOROUGHLY REVIEWED BY THE CHIEF FINANCIAL OFFICER. FORM 990, PART VI, SECTION B, LINE 12C ON A REGULAR AND CONSISTENT BASIS, THE PRESIDENT AND CFO MONITOR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USED 3 INDEPENDENT SALARY SURVEYS RELATIVE TO THE INDUSTRY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION FULLY COMPLIES WITH ALL LEGAL DISCLOSURE REQUIREMENTS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 131,682. TRANSFER FROM AFFILIATES 56,866. TOTAL TO FORM 990, PART XI, LINE 5: 188,548. JHA SERVICES INC 630 OCEAN AVE PORTLAND ME 04103 010451663 FUNDRAISING & ADMINISTRATIVE SERVICES ME 501(C)(3) 11 I N/A 0 JHA PROPERTIES INC 630 OCEAN AVE PORTLAND ME 04103 010510768 RETIREMENT COMMUNITY FOR THE ELDERLY ME 501(C)(3) 9 N/A 0 JHA ASSISTED LIVING INC 630 OCEAN AVE PORTLAND ME 04103 201590379 ASSISTED LIVING FOR ELDERLY ME 501(C)(3) 9 N/A 0 INN AT CEDARS INC 630 OCEAN AVE PORTLAND ME 04103 205714134 LEASE & OPERATE ASSISTED LIVING FACILITY ME 501(C)(3) 9 N/A 0 CEDARS FOUNDATION INC 630 OCEAN AVE PORTLAND ME 04103 260557737 FUNDRAISING AND FUND MANAGEMENT ME 501(C)(3) 11 I N/A 0 CEDARS CONDOMINIUM OWNERS ASSOCIATION PO BOX 466 PORTLAND ME 04112 208523476 MAINTENANCE OF COMMON AREAS ME N/A C 0 0 0 1 1 0 0 0 0 0 0 1 0 0 1 1 0 1 NA