2014-10-20T09:29:10-05:00 2013-12-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2013-01-01 251505478 JEFFCO HEALTH SERVICES INC % RICK GRAHAM CFO JEFF 8148498026 417 ROUTE 28 Suite BROOKVILLE PA 15825 RICK GRAHAM CFO 8148498026 2014-09-06 true Brian D Todd P00422601 8148498026 2013 2015-11-30 17:44:51Z MISTY FLEMING 417 ROUTE 28 BROOKVILLE PA 15825 16016068 false X WWW.JEFFERSONMANOR.NET X 1985 PA JEFFERSON MANOR HEALTH CENTER IS A NON- PROFIT FACILITY, FULLY CERTIFIED TO PARTICIPATE IN THE MEDICARE AND MEDICAL ASSISTANCE PROGRAMS AND ALSO ACCEPTS MAJOR INSURANCE PLANS. 8 8 281 60 0 0 0 0 12136730 12453768 531075 717454 -1059 2520 12666746 13173742 1140 350 0 0 7479495 7593589 0 0 0 4711896 4735525 12192531 12329464 474215 844278 17029462 18124491 3921584 3191740 13107878 14932751 JEFFERSON MANOR HEALTH CENTER IS COMMITTED TO BEING THE MOST CARING AND PROGRESSIVE PROVIDER OF EXTENDED CARE IN THE (WESTERN PENNSYLVANIA) AREA. false false 9984855 350 11240145 JEFFERSON MANOR HEALTH CENTER IS AN INDEPENDENT NOT-FOR-PROFIT ONE HUNDRED SIXTY (160) BED SKILLED NURSING AND REHABILITATION FACILITY. AS SUCH WE PROVIDE CARE FOR MEDICARE AND MEDICAL ASSISTANCE RESIDENTS ALONG WITH MANY FORMS OF INSURANCE AND PRIVATE PAY INDIVIDUALS. WE HAVE TWO DEMENTIA UNITS, A DEDICATED REHAB WING (SPECIALTY CARE UNIT) AND OFFER RESPITE, HOSPICE AND MOST FORMS OF LONG TERM CARE. 871706 1142557 JEFFERSON COURT IS A FORTY EIGHT (48) BED PERSONAL CARE FACILITY LOCATED ADJACENT TO JEFFERSON MANOR. IT IS A TWO STORY BUILDING PROVIDING CARE ON THE FIRST FLOOR FOR THOSE WHO NEED SOME FORM OF ASSISTANCE WITH DAILY LIVING BUT ARE INDEPENDENT ENOUGH TO CARE FOR THEMSELVES. THE SECOND FLOOR HAS TWENTY FOUR BEDS AND IS DESIGNED FOR THOSE WITH EARLY MEMORY LOSS. IT IS A SECURE UNIT AND WE PROVIDE MEALS, LAUNDRY, HOUSEKEEPING, ETC FOR THOSE INDIVIDUALS. 67527 71066 JEFFERSON SUITES IS A NINE (9) UNIT INDEPENDENT LIVING SUITE. THESE INDIVIDUALS ARE RESPONSIBLE FOR THERE OWN CARE BUT HOUSEKEEPING AND MAINTENANCE SERVICES ARE PROVIDED. JEFFERSON SUITES HAS ITS OWN ENTRANCE ALTHOUGH INDIVIDUALS LIVING ON SUITES ARE WELCOME TO PARTICIPATE IN ACTIVITIES AND OTHER EVENTS WITH JEFFERSON MANOR. COMBINED, WE PROVIDE A COMPLETE CONTINUUM OF CARE AND AS SUCH, WE ARE LICENSED TO BE A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) EFFECTIVE FEBRUARY, 2009. 10924088 true false false false false false false false true false true false false false true false true false false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false false true 12 0 true 281 true true true false false false false false false false false false X 8 8 false false false false false false false true true false false true true true true true true true true false PA X RICK GRAHAM CFO 8148498026 417 ROUTE 28 BROOKVILLE PA 15825 JIM CURTIS VICE CHAIRMAN 1.0 X X 0 0 0 JUDY GROMLEY CHAIRWOMAN 1.0 X X 0 0 0 REV WILLIAM SAXMAN TREASURER 1.0 X X 0 0 0 JULIE PEER SECRETARY 1.0 X X 0 0 0 GUY LESTER DIRECTOR 1.0 X 0 0 0 DIANE KIEHL DIRECTOR 1.0 X 0 0 0 JOHN MEESTER DIRECTOR 1.0 X 0 0 0 PAULA SPACK DIRECTOR 1.0 X 0 0 0 RON KING ADMINISTRATOR 40.0 X 132350 0 12432 RICK GRAHAM CFO 40.0 X 94139 0 17545 226489 0 29977 1 false false false FUNCTIONAL PATHWAYS THERAPY MANAGEMENT 1051319 1 0 PATIENT REVENUE 623000 12422449 12422449 OTHER 900099 31319 31319 12453768 233919 233919 0 0 5533 3013 2520 0 2520 2520 3306652 16196 2834483 4830 472169 11366 483535 483535 0 0 0 0 13173742 12453768 719974 X 350 350 0 0 0 256466 256466 0 5698419 5342379 356040 61305 55279 6026 1172372 1077007 95365 405027 365212 39815 0 4906 4906 52660 52660 0 0 37058 37058 1239768 1155247 84521 78993 78993 523139 386188 136951 13161 13161 0 330769 294657 36112 46013 33285 12728 0 16957 785 16172 85196 75852 9344 0 772128 687442 84686 86291 17293 68998 BAD DEBT 117372 117372 DIETARY SUPPLIES 529595 529595 MEDICAL SUPPLIES & DRUGS 708895 708895 PATIENT HEALTH 44003 44003 48621 20086 28535 12329464 10924088 1405376 0 396179 410651 857879 662277 0 0 1893952 1595564 0 0 0 0 0 0 20063 18785 93131 93453 20198851 14767075 6010450 5431776 6950394 9046873 327619 387564 0 0 0 0 479795 477548 17029462 18124491 920858 924643 0 0 13650 9100 2583627 2119730 60094 63267 0 0 0 0 0 0 343355 75000 3921584 3191740 X 13107878 14932751 0 0 0 0 13107878 14932751 17029462 18124491 844278 980595 X false true X true false X 1000 83676 0 0 0 84676 11855564 11703743 12536187 12136730 12453768 60685992 0 0 0 11856564 11787419 12536187 12136730 12453768 60770668 0 0 0 60770668 137993 195268 212127 207827 236439 989654 0 137993 195268 212127 207827 236439 989654 0 0 11994557 11982687 12748314 12344557 12690207 61760322 0.98398 0.98458 0.01602 0.01542 X false true X 0 69309 69309 9573551 7825552 1747999 5576392 2837651 2738741 4600721 3816555 784166 378878 287317 91561 5431776 0 ESTIMATED INSURANCE COSTS 75000 75000 14108926 980595 -37058 943537 13165389 8353 8353 13173742 12284053 -8353 -8353 12292406 37058 37058 12329464 SCHEDULE D, PART IV, LINE 2B CUSTODIAL ACCOUNT RESPONSIBILITY: JEFFCO HEALTH SERVICES IS THE TRUSTEE OF FUNDS RECEIVED ON BEHALF OF VARIOUS RESIDENTS. JEFFCO HAS FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THE BANK ACCOUNTS AND THE DISTRIBUTION OF THE FUNDS TO RESIDENTS. UNDER THIS SERVICE, RESIDENTS CAN DEPOSIT FUNDS WITH JEFFCO FOR HOLDING AND THEN OBTAIN THE FUNDS WHEN NEEDED TO PAY THEIR BILLS. SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $(37,058) INVESTMENT MANAGEMENT FEES SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $( 3,013) RENTAL EXPENSES 11,366 LOSS ON SALE OF FIXED ASSETS -------- $ 8,353 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 3,013 RENTAL EXPENSES (11,366) LOSS ON SALE OF FIXED ASSETS --------- $( 8,353) SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 37,058 INVESTMENT MANAGEMENT FEES A JEFFERSON COUNTY MUNICIPAL AUTHORITY 251518584 2010-04-01 3735372 LOAN MODIFICATION - 2003 NOTE false false false A 0 0 3735372 0 0 3732016 3356 0 0 0 0 0 2010 true false true true A 0 A false true true false 0 false 0 false false A false FORM 990, PART I, LINE 1 ORGANIZATION MISSION: VISION: JEFFERSON MANOR HEALTH CENTER WILL PROVIDE STATE OF THE ART ACCOMMODATIONS FOR ITS CUSTOMERS. THROUGH OUR CONTINUOUS INNOVATIVE, COLLABORATIVE EFFORTS, WITH PRIMARY FOCUS UPON RESIDENT CARE AND EDUCATION OF OUR STAKEHOLDERS, WE WILL BECOME THE RECOGNIZED LEADER IN LONG TERM CARE. THE ORGANIZATION IS DEDICATED TO PROVIDING OUR RESIDENTS WITH PROGRESSIVE QUALITY HEALTH CARE SERVICES. THE ORGANIZATION IS COMMITTED TO THE MEDICAL, PHYSICAL, SPIRITUAL, PSYCHOLOGICAL AND EMOTIONAL WELL BEING OF EVERY RESIDENT, AND IT IS A GOAL TO CREATE AND MAINTAIN A SAFE, HOMELIKE ENVIRONMENT WHERE EACH RESIDENT IS TREATED WITH DIGNITY AND RESPECT. HIGHLY TRAINED PROFESSIONAL STAFF WORKS TOGETHER WITH THE RESIDENT AND FAMILY TO ASSIST THE RESIDENT TO ATTAIN OR MAINTAIN THEIR HIGHEST LEVEL OF INDEPENDENCE. FORM 990, PART I, LINE 6 VOLUNTEERS: THE ORGANIZATION HAS 60 TOTAL VOLUNTEERS - NINE NON-COMPENSATED MEMBERS OF THE BOARD OF DIRECTORS AND FIFTY-ONE AUXILIARY MEMBERS WHO HELP OUT WITH VARIOUS ACTIVITIES. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE ADMINISTRATOR AND CFO PERFORM A THOROUGH REVIEW OF THE RETURN. A DRAFT IS THEN PROVIDED TO THE EXECUTIVE COMMITTEE FOR REVIEW. ANY QUESTIONS RAISED BY THE COMMITTEE ARE REVIEWED AND FOLLOW-UP INFORMATION IS PROVIDED. THE BOARD IS PROVIDED A COPY OF THE FORM 990 PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICTS OF INTEREST POLICY: THE SOLICITOR DRAFTS AN INTERNAL CONTROL POLICY THAT MUST BE SIGNED BY EACH BOARD MEMBER ANNUALLY IN WHICH ALL CONFLICTS MUST BE LISTED. EACH BOARD MEMBER THAT HAS A CONFLICT ABSTAINS FROM VOTING ON MATTERS THAT PERTAIN TO THAT CONFLICT. IN ADDITION, CORPORATE OFFICERS AND KEY EMPLOYEES ARE ALSO REQUIRED TO ANNUALLY DISCLOSE CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINES 15 A & B COMPENSATION: IN 2013, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS PERFORMED A COMPENSATION REVIEW FOR THE ADMINISTRATOR USING COMPARABILITY DATA. THE COMMITTEE'S REVIEW OF COMPENSATION WAS DOCUMENTED IN THE EXECUTIVE COMMITTEE BOARD MINUTES. A COMPENSATION REVIEW FOR OTHER OFFICERS OF THE ORGANIZATION WAS COMPLETED BY THE ADMINISTRATOR AND EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE GROUP USED STATISTICAL COMPARISONS OF OFFICERS WITH SIMILAR DUTIES AND RESPONSIBILITIES FROM LIKE ORGANIZATIONS. THIS REVIEW WAS DOCUMENTED IN THE EXECUTIVE COMMITTEE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: $ 24,759 PROFESSIONAL FEES -MEDICAL 80,757 PROFESSIONAL FEES -MISC 1,055,083 PROFESSIONAL FEES -THERAPY 5,632 CONTRACT SERVICES 1,944 TRANSCRIPTION 22,764 X-RAY EXPENSE 48,829 LAB FEES ---------- $1,239,768