FURP.ORG / PUBLIC DATA EXPLORER

WILLIAMSPORT HOME: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WILLIAMSPORT HOME (EIN 24-0795507)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-10
IRS object ID
201123149349301942
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

FieldValueIRS element (for citing)
Timestamp2011-11-10T13:39:59-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-10-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5703236023Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts14230892GrossReceipts
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 Employees262TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year22097ContributionsGrantsPriorYear
Contributions Grants Current Year79054ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13328587ProgramServiceRevenuePriorYear
Program Service Revenue CY13347178ProgramServiceRevenueCY
Investment Income Prior Year57146InvestmentIncomePriorYear
Investment Income Current Year82685InvestmentIncomeCurrentYear
Other Revenue Prior Year136205OtherRevenuePriorYear
Other Revenue Current Year129366OtherRevenueCurrentYear
Total Revenue Prior Year13544035TotalRevenuePriorYear
Total Revenue Current Year13638283TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7701174SalariesEtcPriorYear
Salaries Etc Current Year7563432SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year21733TotalFundrsngExpCurrentYear
Other Expense Prior Year5744293OtherExpensePriorYear
Other Expenses Current Year5813512OtherExpensesCurrentYear
Total Expenses Prior Year13445467TotalExpensesPriorYear
Total Expenses Current Year13376944TotalExpensesCurrentYear
Revenues Less Expenses Prior Year98568RevenuesLessExpensesPriorYear
Revenues Less Expenses CY261339RevenuesLessExpensesCY
Total Assets BOY12951487TotalAssetsBOY
Total Assets EOY13545314TotalAssetsEOY
Total Liabilities BOY1232594TotalLiabilitiesBOY
Total Liabilities EOY1422665TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11718893NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12122649NetAssetsOrFundBalancesEOY
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
Expense12120737Expense
Revenue13347178Revenue
DescriptionPROVIDED 45,137 DAYS OF NURSING SERVICES TO RESIDENTS; 67,347 DAYS OF HOUSING AND ASSISTED LIVING SERVICES TO RESIDENTS IN INDEPENDENT APARTMENTS; AND 9,092 DAYS OF HOUSING AND ASSISTED LIVING SERVICES TO RESIDENTS IN ASSISTED LIVING APARTMENTS. APPROXIMATELY 70% OF OUR RESIDENTS ARE LOW INCOME RESIDENTS AND ARE PROVIDED OUR SERVICES AT A REDUCED REIMBURSEMENT RATE THROUGH MEDICAID. ADDITIONALLY, THE HOME PROVIDED REDUCED FEES FOR ROOM AND BOARD TO 79 OTHER NEEDY RESIDENTS (WHO DID NOT QUALIFY FOR MEDICAID) DURING 2010. OUR PROGRAMS ARE DESIGNED TO HELP MAINTAIN OUR RESIDENTS' HEALTH, SECURITY, AND INDEPENDENCE.THE WILLIAMSPORT HOME ("TWH") PROVIDED BENEVOLENT CARE TO 5 APARTMENT RESIDENTS AND TO 4 RESIDENTS IN OUR DPW LICENSED PERSONAL CARE PROGRAMS. AN AVERAGE OF 79 RESIDENTS RECEIVED OF 28,620 MEDICAL ASSISTANCE DAYS OF SERVICE IN THE SKILLED NURSING AND REHABILITATION DURING 2010.DURING 2010, TWH SERVED AS A HOST SITE FOR FIVE 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. THIS IS THE EIGHTH YEAR TWH HAS PARTICIPATED IN THIS PROGRAM. TWH ALSO WORKED WITH THE WILLIAMSPORT AREA SCHOOL DISTRICT TO SERVE AS A HOST SITE FOR TWO STUDENT VOLUNTEERS WHO PROVIDED 5.5 HOURS OF SERVICE PER DAY TO THE 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 2010. TWO STUDENTS ENROLLED IN THE HEALTH INFORMATION SPECIALIST PROGRAM COMPLETED EIGHT WEEK INTERNSHIPS IN THE SNF MEDICAL RECORDS DEPARTMENT. TWH ALSO SERVED AS A CLINICAL LAB SITE FOR STUDENTS ENROLLED IN THE PENN COLLEGE SCHOOL OF NURSING, INCLUDING 17 LICENSED PRACTICAL NURSES, 5 REGISTERED NURSES AND 6 BACHELOR OF SCIENCE NURSES. TWH SKILLED NURSING CENTER PROVIDED VOLUNTEER OPPORTUNITIES TO 10 JUNIOR VOLUNTEERS, 20 LYCOMING COLLEGE STUDENTS AND 30 ADULT VOLUNTEERS. VOLUNTEERS ASSISTED WITH DELIVERING RESIDENT MAIL, NEWSPAPERS, READING MAIL OR WRITING LETTERS, READING BOOKS, SPENDING 1/1 TIME WITH RESIDENTS AND TRANSFERRING RESIDENTS TO THE LOBBY OR BEAUTY SHOP APPOINTMENTS. TWH APARTMENTS HAVE 60 INDIVIDUALS WHO VOLUNTEERED AND DONATED TIME TO ASSIST WITH SETTING AND CLEARING THE DINING ROOM TABLES DAILY AND ASSIST IN OPERATING THE APARTMENT STORES IN EACH APARTMENT BUILDING.TWH ALSO DONATED SPACE DURING 2010 TO HOST THE SPRING MEETING OF THE DIRECT CARE WORKERS ASSOCIATION PLANNING COMMITTEE AND FOR A MONTHLY ALZHEIMER'S SUPPORT GROUP FOR FAMILY MEMBERS DEALING WITH A FAMILY MEMBER WITH ALZHEIMER'S DISEASE, FACILITATED BY BOB MEACHAM, CONSULTANT PSYCHOLOGIST. ON JANUARY 31, 2010, TWH HOSTED THE NORTH EAST PENNSYLVANIA ALZHEIMER'S ASSOCIATION "MEMORIES IN THE MAKING" ARTIST RECEPTION AND ART WORK DISPLAY.Description
Total Program Service Expense12120737TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 With109619NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees262NumberOfEmployees
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
MINDY FACEY
DIRECTOR1.00X000
WINONA KREMSER
DIRECTOR1.00X000
MARGARET CHAPMAN
DIRECTOR1.00X000
BETH STUBLER
DIRECTOR1.00X000
RUTHANNE CROTTY
DIRECTOR1.00X000
LAURIE BURKHOLDER
DIRECTOR1.00X000
AUDREY ALBRIGHT
DIRECTOR1.00X000
BRETTE CONFAIR
DIRECTOR1.00X000
JUDY SARETT
DIRECTOR1.00X000
SUE YOUNG
DIRECTOR1.00X000
DONALD S POTE
EXECUTIVE DIRECTOR40.00X9797503432
DENISE BOWER
ASSOCIATE DIRECTOR40.00X6319906277
KEN ANGSTADT
DIRECTOR OF FINANCIAL SERV40.00X4977508852
SUSAN GETZ
REGISTERED NURSE70.00145655013023X
SUSAN HOOKER
REGISTERED NURSE60.00129894015204X
FieldValueIRS element (for citing)
Total Reportable Comp From Org486498TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation46788TotalOtherCompensation
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
APPALACHIAN REHAB JEFFREY L MENSINGER
1900 RAVINE ROADWILLIAMSPORTPA17701THERAPY SERVICES586956
SODEXHO OPERATIONS LLC
4880 PAYSHERE CIRCLECHICAGOIL60674FOOD SERVICE DIETARY567122
AFFINITY HEALTH SERVICES INC
942 PHILADELPHIA STINDIANAPA15701MANAGEMENT SERVICES563430
NEIGHBORCARE PHARMACY
PO BOX 15326NEWARKNJ07192RESIDENT MEDICATIONS339209
DIXON A C & R CORP
3983 W FOURTH STWILLIAMSPORTPA17701HEATING/ AC CONTRACTOR164803
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
All Other Contributions79054AllOtherContributions
Total Contributions79054TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU6230001047645610476456
APARTMENT REVENUE62300028707222870722
FieldValueIRS element (for citing)
Total Program Service Revenue13347178TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column81992TotalRevenueColumn
Exclusion$81,992ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities591302Securities
Other2000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities544979Securities
Other47630Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities46323Securities
Other-45630Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column693TotalRevenueColumn
Exclusion$693ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CABLE TV SERVICES FOR51700071454$71,454
EMPLOYEE AND GUEST MEA72221016464$16,464
BEAUTY/BARBER SHOP SER81290015956$15,956

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column25492TotalRevenueColumn
Exclusion$25,492ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue129366TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13638283TotalRevenueColumn
Related Or Exempt Function Income13347178RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$212,051ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total229510Total
Program Services170883ProgramServices
Management And General58627ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5911547Total
Program Services5571992ProgramServices
Management And General320020ManagementAndGeneral
Fundraising19535Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total56639Total
Program Services50310ProgramServices
Management And General6329ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total873120Total
Program Services840020ProgramServices
Management And General33004ManagementAndGeneral
Fundraising96Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total492616Total
Program Services456697ProgramServices
Management And General34368ManagementAndGeneral
Fundraising1551Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total210276Total
Program Services210276ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total24288Total
Management And General24288ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total50640Total
Program Services794ProgramServices
Management And General49846ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1675582Total
Program Services1209602ProgramServices
Management And General465980ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total56142Total
Program Services43823ProgramServices
Management And General12319ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1124000Total
Program Services1022716ProgramServices
Management And General100907ManagementAndGeneral
Fundraising377Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total563262Total
Program Services563262ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total11278Total
Program Services4529ProgramServices
Management And General6575ManagementAndGeneral
Fundraising174Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total4810Total
Management And General4810ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total875935Total
Program Services875935ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total373658Total
Program Services373658ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
EQUIPMENT RENTAL19760815484742761
MA NURSING HOME ASSESSM155289155289
BUILDING MAINTENANCE113481113481
LAUNDRY FEES9587795877
CABLE TV8830188301

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total193085Total
Program Services118445ProgramServices
Management And General74640ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13376944Total
Program Services12120737ProgramServices
Management And General1234474ManagementAndGeneral
Fundraising21733Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY500EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1133761BOY
EOY1160855EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1023789BOY
EOY1074483EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY39844BOY
EOY36983EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY121750BOY
EOY121717EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20212322LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12804585LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7314892BOY
EOY7407737EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1888582BOY
EOY3693442EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1379272BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY49597BOY
EOY49597EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12951487BOY
EOY13545314EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1194349BOY
EOY1306780EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY38245BOY
EOY115885EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1232594BOY
EOY1422665EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11644341BOY
EOY12048097EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY74552BOY
EOY74552EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11718893BOY
EOY12122649EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12951487BOY
EOY13545314EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses261339ReconcilationRevenueExpenses
Reconcilation Other Changes142417ReconcilationOtherChanges
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 Years13726CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2795CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6029CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22097CurrentTaxYearMinus1Year
Current Tax Year79054CurrentTaxYear
Total123701Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13003360CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13419298CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13123077CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13328587CurrentTaxYearMinus1Year
Current Tax Year13347178CurrentTaxYear
Total66221500Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13017086CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13422093CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13129106CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13350684CurrentTaxYearMinus1Year
Current Tax Year13426232CurrentTaxYear
Total66345201Total

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 Total50966345201PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years135138CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years139229CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years96612CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year79440CurrentTaxYearMinus1Year
Current Tax Year81992CurrentTaxYear
Total532411Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years135138CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years139229CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years96612CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year79440CurrentTaxYearMinus1Year
Current Tax Year81992CurrentTaxYear
Total532411Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years148475CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years148921CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years144434CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year136205CurrentTaxYearMinus1Year
Current Tax Year129366CurrentTaxYear
Total707401Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13300699CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13710243CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13370152CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13566329CurrentTaxYearMinus1Year
Current Tax Year13637590CurrentTaxYear
Total67585013Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98170PublicSupportPercentage509
Prior Year Support Percentage0.98040PriorYearSupportPercentage
Investment Income Percentage0.00790InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00850PriorYrInvestIncomePercentage
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 Basis15335383OtherCostOrOtherBasis
Depreciation9517599Depreciation
Book Value5817784BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3943741OtherCostOrOtherBasis
Depreciation2814636Depreciation
Book Value1129105BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis762384OtherCostOrOtherBasis
Depreciation472350Depreciation
Book Value290034BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7407737TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
OBLIGATIONS UNDER CAPITAL LEASE$85,912
DEFERRED REVENUE FROM ADVANCE FEES$29,973
FieldValueIRS element (for citing)
Total Of Amounts115885TotalOfAmounts
Total Revenue13638283TotalRevenue
Total Expenses13376944TotalExpenses
Excess Or Deficit For Year261339ExcessOrDeficitForYear
Net Unrealized GL On Investments142417NetUnrealizedGLOnInvestments
Total Adjustments142417TotalAdjustments
Excess Or Deficit Per FS403756ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13780700TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments142417NetUnrealizedGainsInvestments
Revenue Not Rptd F990142417RevenueNotRptdF990
Revenue Subtotal13638283RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99013638283TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13376944TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal13376944ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013376944TotalExpensesPerForm990

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 2010.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 Org13023NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org158678TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
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 12C
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 B, LINE 15
THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 142,417.FORM 990, PART XI, LINE 5: