2011-07-06T13:06:59-05:00 2010-12-31 SMITH ELLIOTT KEARNS & COMPANY LLC 480 N POTOMAC STREET HAGERSTOWN MD 21740 990 2010-01-01 520610464 FAHRNEY-KEEDY MEMORIAL HOME INC AKA FAHRNEY-KEEDY HOME AND VILLAGE FAHR 3017336284 8507 MAPLEVILLE ROAD BOONSBORO MD 217131844 WAYNE STOUFFER 3017336284 2011-06-29 1 EDWARD L BUCHANAN IV CPA 3017335020 2010 2016-03-07 17:11:31Z KEITH BRYAN 8507 MAPLEVILLE ROAD BOONSBORO MD 21713 10970185 0 X WWW.FKHV.ORG X 1905 MD CONTINUING CARE RETIREMENT COMMUNITY, INDEPENDENT LIVING, ASSISTED LIVING, AND NURSING CARE 11 11 255 112 0 0 253091 264986 10513523 10663901 59095 25860 6167 6340 10831876 10961087 0 0 0 0 7018635 6842259 0 0 26800 3487989 3729325 10506624 10571584 325252 389503 16227226 17610450 5344522 5810643 10882704 11799807 X WE ARE COMMITTED TO ENHANCING THE LIVES OF SENIORS THROUGH CARING QUALITY SERVICES. WE ARE A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) WITH INDEPENDENT LIVING SERVICES, ASSISTED LIVING SERVICES, AND NURSING SERVICES. THE ORGANIZATION HAS 35 INDEPENDENT LIVING COTTAGES, 26 INDEPENDENT LIVING APARTMENTS, 32 ASSISTED LIVING BEDS, AND A 97 BED SKILLED NURSING FACILITY LOCATED IN BOONSBORO, MARYLAND. 0 0 5143534 8265654 NURSING SERVICES TO PRIVATE PAY, MEDICARE, AND MEDICAID RESIDENTS 669665 1564864 ASSISTED LIVING SERVICES 356767 707682 INDEPENDENT LIVING SERVICES 3341915 125701 ALL OTHER SERVICES INCLUDE EXECUTIVE MANAGEMENT SERVICES, BUSINESS SUPPORT SERVICES, OTHER PATIENT CARE EXPENSES, DIETARY SERVICES, AND PROPERTY SERVICES. 3341915 125701 9511881 1 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 32 0 255 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 1 1 0 0 MD X WAYNE STOUFFER 3017336284 8507 MAPLEVILLE ROAD BOONSBORO MD 21713 EDWARD BREWER 2.00 X X 0 0 0 RACHEL BLACK 2.00 X X 0 0 0 KEITH BRYAN 40.00 X X 66650 0 0 LINDA JACOBY 2.00 X 0 0 0 JOSEPH DAHMS 2.00 X 0 0 0 KAREN KILEY 2.00 X 0 0 0 DAVID MCGAHA 2.00 X 0 0 0 PAUL REID 2.00 X 0 0 0 CHARLES WILES 2.00 X 0 0 0 ELLEN CATLETT 2.00 X 0 0 0 WILLIAM WANTZ 2.00 X 0 0 0 JAY SHELL 40.00 X 10347 0 615 MICHAEL LEITER 40.00 X 56670 0 6216 WAYNE STOUFFER 40.00 X 52554 0 723 186221 0 7554 0 0 0 0 CIGNAGREAT-WEST HEALTHCARE 900 COTTAGE GROVE ROAD BLOOMFIELD CT 06002 HEALTH INSURANCE 956928 SNYDER ENVIRONMENTAL SERVICES INC 270 INDUSTRIAL BLVD KEARNEYSVILLE WV 25430 WATER TREATMENT CONTRACTOR 636484 CURA HOSPITALITY 2970 CORPORATE COURT SUITE 5 OREFIELD PA 18069 CONTRACTED DIETARY SERVICES 425868 FLAGSHIP REHAB SERVICES 157 BALTIMORE STREET SUITE 102 CUMBERLAND MD 21502 SKILLED NURSING REHABILITATION SERVICES 311735 CULINARY SERVICES GROUP LLC 15 E MAIN STREET SUITE 224 WESTMINSTER MD 21157 FOOD SERVICE MANAGEMENT 309663 5 264986 264986 PATIENT SERVICE 623000 9830518 9830518 AMORTIZATION OF ENTRAN 623000 500762 500762 INDEPENDENT LIVING 623000 206920 206920 MISCELLANEOUS PROGRAM 623000 125701 125701 10663901 30858 30858 4998 -4998 -4998 -4998 10440 4100 6340 6340 10961087 10663901 0 32200 193775 4884 188891 5282273 4808865 447491 25917 7839 6457 1382 963376 872973 90403 394996 351132 42981 883 45620 45620 -12133 -12132 -1 34300 34300 959740 911705 48035 33359 1161 32198 435667 405475 30192 45344 45344 566952 546815 20137 120341 112902 7439 5056 3967 1089 3646 3436 210 472262 452154 20108 81659 77560 4099 FOOD COSTS 292072 292072 REPAIRS & MAINTENANCE 266036 258054 7982 BAD DEBTS 211728 211728 PRESCRIPTION DRUGS 107295 107295 OVER THE COUNTER DRUGS 38627 38627 21754 11131 10623 10571584 9511881 1032903 26800 64479 6195 2060485 2192187 745415 957628 95541 138682 16260060 9226117 6573432 7033943 402295 706215 259872 49964 6025707 6525636 16227226 17610450 554080 583654 2914232 2972520 1748593 2185797 127617 68672 5344522 5810643 X 4732862 5216377 6149842 6583430 10882704 11799807 16227226 17610450 X 389503 527600 X X 0 1 0 X 0 X 235250 589160 230779 253091 264986 1573266 9371558 9859278 10376080 10521938 10674341 50803195 9606808 10448438 10606859 10775029 10939327 52376461 0 0 0 52376461 96169 142286 108130 61177 30858 438620 96169 142286 108130 61177 30858 438620 70158 97062 136479 303699 9773135 10687786 10851468 10836206 10970185 53118780 0.98600 0.97970 0.00830 0.00960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 662167 94012 756179 510455 165112 13400 662167 833894 -252115 71324 510455 0 0 10284 10284 13781541 7166978 6614563 1627410 1408067 219343 840825 651072 189753 7033943 BENEFICIAL INTEREST IN TRUSTS 5583430 OPERATING RESERVE 901147 DEFERRED COSTS, NET 41059 6525636 ESTIMATED UNREPORTED CLAIMS 68672 68672 10961087 10571584 389503 527600 527600 917103 11492787 527600 4100 531700 10961087 0 10961087 10575684 4100 4100 10571584 0 10571584 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: PROCEEDS FROM THE TRUST ARE TO BE USED ONLY FOR MAINTENANCE OF THE FACILITY. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE HOME IS EXEMPT FROM FEDERAL INCOME TAXES UNDER IRC SECTION 501(C)(3). ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THESE FINANCIAL STATEMENTS. INCOME WHICH IS NOT RELATED TO EXEMPT PURPOSES, LESS APPLICABLE DEDUCTIONS, IS SUBJECT TO FEDERAL AND STATE CORPORATE INCOME TAXES. THE HOME HAD NO NET UNRELATED BUSINESS INCOME FOR THE YEARS ENDED DECEMBER 31, 2010 AND 2009. THE HOME FOLLOWS THE FASB ACCOUNTING STANDARDS CODIFICATION, WHICH PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTERPRISE'S FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2010, THE HOME HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. GENERALLY, THE TAX YEARS BEFORE 2007 ARE NO LONGER SUBJECT TO EXAMINATION BY FEDERAL, STATE OR LOCAL TAXING AUTHORITIES. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSE REPORTED ON PART VIII, LINE 8B 4,100. PART XIII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSE REPORTED ON PART VIII, LINE 8B 4,100. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD MEETS SEMI-MONTHLY AND THE 990 INFORMATION IS PROVIDED AT THEIR NEXT MEETING AFTER THE 990 IS RECEIVED. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS AND SUBMITTED IN A LETTER BY THE PRESIDENT OF THE BOARD OF DIRECTORS TO THE ACCOUNTING DEPARTMNET. FORM 990, PART VI, SECTION C, LINE 18 DOCUMENTS FOR PUBLIC INSPECTION ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION IN THE ACCOUNTING OFFICE AND THE CEO'S OFFICE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 527,600. FORM 990, PART XI, LINE 2C, OVERSIGHT OF AUDIT: UNCHANGED FROM PRIOR YEARS, THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT IS THE RESPONSIBILITY OF THE DIRECTOR OF ACCOUNTING, THE ASSISTANT DIRECTOR OF ACCOUNTING, AND THE SENIOR DIRECTOR OF ADMINISTRATIVE SERVICES.