2011-11-10T13:39:59-06:00 2010-12-31 PARENTEBEARD LLC 400 MARKET STREET WILLIAMSPORT PA 17701 990 2010-01-01 240795507 THE WILLIAMSPORT HOME WILL 5703238781 1900 RAVINE ROAD WILLIAMSPORT PA 17701 DON POTE 5703238781 2011-10-10 1 5703236023 2010 2016-02-24 21:20:13Z DON POTE 1900 RAVINE ROAD WILLIAMSPORT PA 17701 14230892 0 X THEWILLIAMSPORTHOME.COM X 1873 PA PROVIDE NURSING SERVICES IN A 129 BED SKILLED NURSING FACILITY AND HOUSING FOR THE ELDERLY. 16 16 262 150 0 0 22097 79054 13328587 13347178 57146 82685 136205 129366 13544035 13638283 0 0 0 0 7701174 7563432 0 0 21733 5744293 5813512 13445467 13376944 98568 261339 12951487 13545314 1232594 1422665 11718893 12122649 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 12120737 13347178 PROVIDED 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. 12120737 1 1 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 19 0 1 262 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 MINDY FACEY 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 AUDREY ALBRIGHT 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 97975 0 3432 DENISE BOWER 40.00 X 63199 0 6277 KEN ANGSTADT 40.00 X 49775 0 8852 SUSAN GETZ 70.00 X 145655 0 13023 SUSAN HOOKER 60.00 X 129894 0 15204 486498 0 46788 2 0 1 0 APPALACHIAN REHAB JEFFREY L MENSINGER 1900 RAVINE ROAD WILLIAMSPORT PA 17701 THERAPY SERVICES 586956 SODEXHO OPERATIONS LLC 4880 PAYSHERE CIRCLE CHICAGO IL 60674 FOOD SERVICE DIETARY 567122 AFFINITY HEALTH SERVICES INC 942 PHILADELPHIA ST INDIANA PA 15701 MANAGEMENT SERVICES 563430 NEIGHBORCARE PHARMACY PO BOX 15326 NEWARK NJ 07192 RESIDENT MEDICATIONS 339209 DIXON A C & R CORP 3983 W FOURTH ST WILLIAMSPORT PA 17701 HEATING/ AC CONTRACTOR 164803 7 79054 79054 PATIENT SERVICE REVENU 623000 10476456 10476456 APARTMENT REVENUE 623000 2870722 2870722 13347178 81992 81992 591302 2000 544979 47630 46323 -45630 693 693 CABLE TV SERVICES FOR 517000 71454 71454 EMPLOYEE AND GUEST MEA 722210 16464 16464 BEAUTY/BARBER SHOP SER 812900 15956 15956 25492 25492 129366 13638283 13347178 0 212051 229510 170883 58627 5911547 5571992 320020 19535 56639 50310 6329 873120 840020 33004 96 492616 456697 34368 1551 210276 210276 24288 24288 50640 794 49846 1675582 1209602 465980 56142 43823 12319 1124000 1022716 100907 377 563262 563262 11278 4529 6575 174 4810 4810 875935 875935 373658 373658 EQUIPMENT RENTAL 197608 154847 42761 MA NURSING HOME ASSESSM 155289 155289 BUILDING MAINTENANCE 113481 113481 LAUNDRY FEES 95877 95877 CABLE TV 88301 88301 193085 118445 74640 13376944 12120737 1234474 21733 500 1133761 1160855 1023789 1074483 39844 36983 121750 121717 20212322 12804585 7314892 7407737 1888582 3693442 1379272 49597 49597 12951487 13545314 1194349 1306780 38245 115885 1232594 1422665 X 11644341 12048097 74552 74552 11718893 12122649 12951487 13545314 X 261339 142417 X 0 1 1 X 0 X 13726 2795 6029 22097 79054 123701 13003360 13419298 13123077 13328587 13347178 66221500 13017086 13422093 13129106 13350684 13426232 66345201 0 0 0 66345201 135138 139229 96612 79440 81992 532411 135138 139229 96612 79440 81992 532411 148475 148921 144434 136205 129366 707401 13300699 13710243 13370152 13566329 13637590 67585013 0.98170 0.98040 0.00790 0.00850 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 170814 170814 15335383 9517599 5817784 3943741 2814636 1129105 762384 472350 290034 7407737 OBLIGATIONS UNDER CAPITAL LEASE 85912 DEFERRED REVENUE FROM ADVANCE FEES 29973 115885 13638283 13376944 261339 142417 142417 403756 13780700 142417 142417 13638283 0 13638283 13376944 0 13376944 0 13376944 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 2010. 0 0 0 0 0 0 0 0 0 SUSAN GETZ 145655 0 0 0 0 0 0 0 13023 0 158678 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, POLICIES 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 GAINS ON INVESTMENTS: 142,417.