SUSQUE-VIEW HOME INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SUSQUE-VIEW HOME INC (EIN 25-1313958)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-14
- IRS object ID
- 201302269349303735
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-14T16:26:11-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 233022325 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ZELENKOFSKE AXELROD LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2370 YORK ROAD SUITE A-5 | AddressLine1 |
| City | JAMISON | City |
| State | PA | State |
| ZIP Code | 18929 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251313958 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUSQUE-VIEW HOME INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SUSQ | NameControl |
| Phone | 5707481784 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22 CREE DRIVE | AddressLine1 |
| City | LOCK HAVEN | City |
| State | PA | State |
| ZIP Code | 17745 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DENNIS STAUFFER | Name |
| Title | CONTROLLER | Title |
| Phone | 5707481784 | Phone |
| Date Signed | 2013-08-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ZELENKOFSKE AXELROD LLC | Name |
| PTIN | P00671750 | PTIN |
| Phone | 2159182277 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DENNIS STAUFFER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22 CREE DRIVE | AddressLine1 |
| City | LOCK HAVEN | City |
| State | PA | State |
| ZIP Code | 17745 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 10580119 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SUSQUEVIEWHOME.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1976 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | SUSQUE-VIEW HOME IS DEDICATED TO MEETING THE NEEDS OF OUR COMMUNITY AS A LEADING REGIONAL RESOURCE FOR COMPREHENSIVE PROGRESSIVE HEALTHCARE. BY PROVIDING EXCELLENT QUALITY CARE IN A VIBRANT HEALTHY ENVIRONMENT, WE SEEK TO HELP OUR CITIZENS LIVE TO THEIR HIGHEST POTENTIAL. SUSQUE-VIEW HOME WILL USE RESOURCES IN A COST EFFECTIVE AND COMMUNITY-RESPONSIVE MANNER, WORKING WITH PHYSICIANS, STAFF, VOLUNTEERS AND OTHER HEALTH PROFESSIONALS. WE WILL CONTINUE TO EXPLORE NEW PROGRAMS AND OPPORTUNITIES IN RESPONSE TO THE NEEDS OF OUR COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 221 | TotalNbrEmployees |
| Total Nbr Volunteers | 25 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 10462486 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 10293295 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1856 | InvestmentIncomePriorYear |
| Investment Income Current Year | 85443 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 17746 | OtherRevenuePriorYear |
| Other Revenue Current Year | 18652 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 10482088 | TotalRevenuePriorYear |
| Total Revenue Current Year | 10397390 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 6476654 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6534124 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3868777 | OtherExpensePriorYear |
| Other Expenses Current Year | 3828905 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 10345431 | TotalExpensesPriorYear |
| Total Expenses Current Year | 10363029 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 136657 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 34361 | RevenuesLessExpensesCY |
| Total Assets BOY | 8451414 | TotalAssetsBOY |
| Total Assets EOY | 8648233 | TotalAssetsEOY |
| Total Liabilities BOY | 2114439 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2276897 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6336975 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6371336 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SUSQUE-VIEW HOME, INC. IS DEDICATED TO MEETING THE NEEDS OF OUR COMMUNITY AS A LEADING REGIONAL RESOURCE FOR COMPREHENSIVE PROGRESSIVE HEALTHCARE. BY PROVIDING EXCELLENT QUALITY CARE IN A VIBRANT HEALTHY ENVIRONMENT, WE SEEK TO HELP OUR CITIZENS LIVE TO THEIR HIGHEST POTENTIAL. SUSQUE-VIEW HOME WILL USE RESOURCES IN A COST-EFFECTIVE AND COMMUNITY-RESPONSIVE MANNER. WORKING WITH PHYSICIANS, STAFF, VOLUNTEERS AND OTHER HEALTH PROFESSIONALS, WE WILL CONTINUE TO EXPLORE NEW PROGRAMS AND OPPORTUNITIES IN RESPONSE TO THE NEEDS OF OUR COMMUNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 9169667 | Expense |
| Revenue | 10368530 | Revenue |
| Description | THE SUSQUE-VIEW HOME, INC. PROVIDES SKILLED NURSING AND REHABILITATION SERVICES TO RESIDENTS OF CLINTON COUNTY AND SURROUNDING AREAS. THE HOME SERVES PRIVATE PAY AND INSURED PATIENTS AS WELL AS BENEFICIARIES OF THE MEDICARE AND MEDICAL ASSISTANCE PROGRAMS. | Description |
| Total Program Service Expense | 9169667 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 11 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 221 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENNIS STAUFFER CONTROLLER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5707481784 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22 CREE DRIVE | AddressLine1 |
| City | LOCK HAVEN | City |
| State | PA | State |
| ZIP Code | 17745 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (5 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| JOEL LONG | ||||||
| BOARD CHAIR | 2.00 | X | 0 | 0 | 0 | |
| PETE SMELTZ | ||||||
| BOARD VICE CHAIR | 2.00 | X | 0 | 0 | 0 | |
| JEFF SNYDER | ||||||
| BOARD SECRETARY/TREASURER | 2.00 | X | 0 | 0 | 0 | |
| VIRGINIA CREVELING | ||||||
| ADMINISTRATOR | 50.00 | 84153 | 0 | 0 | X | |
| DENNIS STAUFFER | ||||||
| CFO | 45.00 | 72322 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 156475 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SIGNIFICA ISURANCE GROUP | |||||
| 1871 SANTA BARBARA DR | LANCASTER | PA | 17764 | HEALTH INSURANCE | 1187488 |
| SODEXO INC | |||||
| 4880 PAYSHERE CIRCLE | CHICAGO | IL | 60674 | DIETARY | 1093562 |
| ADVANTAGE CARE REHABILITATIONINC | |||||
| 5035 CLAIRTON BLVD | PITTSBURGH | PA | 15236 | THERAPY SERVICES | 480184 |
| PREMIERE HEALTHCARE RESOURCES | |||||
| 2009 RENAISSANCE BLVD STE 300 | KING OF PRUSSIA | PA | 19406 | MANAGEMENT CONSULTANT | 243959 |
| MILLENIUM PHARMACY SYSTEM | |||||
| 100 E KENSINGER DR 500 | CRANBERRY TWP | PA | 16066 | PHARMACY | 223913 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROGRAM SERVICE REVENU | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 10293295 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10293295 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 10293295 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28860 | TotalRevenueColumn |
| Exclusion | $28,860 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 239312 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 182729 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 56583 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 56583 | TotalRevenueColumn |
| Related Or Exempt Function Income | 56583 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| BEAUTY SHOP REVENUE | 900099 | 12643 | 12643 |
| BEAUTY SHOP RENT | 900099 | 6009 | 6009 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 18652 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10397390 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10368530 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $28,860 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 156475 | Total |
| Management And General | 156475 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4534562 | Total |
| Program Services | 4098448 | ProgramServices |
| Management And General | 436114 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80701 | Total |
| Program Services | 72940 | ProgramServices |
| Management And General | 7761 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1425977 | Total |
| Program Services | 1288833 | ProgramServices |
| Management And General | 137144 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 336409 | Total |
| Program Services | 304055 | ProgramServices |
| Management And General | 32354 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159597 | Total |
| Management And General | 159597 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22988 | Total |
| Program Services | 15093 | ProgramServices |
| Management And General | 7895 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18250 | Total |
| Management And General | 18250 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8480 | Total |
| Management And General | 8480 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1860510 | Total |
| Program Services | 1858153 | ProgramServices |
| Management And General | 2357 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7363 | Total |
| Management And General | 7363 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 261798 | Total |
| Program Services | 236480 | ProgramServices |
| Management And General | 25318 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48676 | Total |
| Program Services | 6840 | ProgramServices |
| Management And General | 41836 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24000 | Total |
| Program Services | 24000 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6961 | Total |
| Program Services | 5461 | ProgramServices |
| Management And General | 1500 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 422065 | Total |
| Program Services | 422065 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83218 | Total |
| Program Services | 83218 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PURCHASED SERVICES | 596914 | 445996 | 150918 |
| RESIDENT MEDICATIONS | 157549 | 157549 | |
| BAD DEBT EXPENSE | 78000 | 78000 | |
| OXYGEN | 72536 | 72536 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10363029 | Total |
| Program Services | 9169667 | ProgramServices |
| Management And General | 1193362 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1978212 | BOY |
| EOY | 1499803 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1059780 | BOY |
| EOY | 1456939 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87049 | BOY |
| EOY | 103816 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11569204 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 8623205 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2865267 | BOY |
| EOY | 2945999 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2461106 | BOY |
| EOY | 2641676 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8451414 | BOY |
| EOY | 8648233 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1225588 | BOY |
| EOY | 1397052 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44230 | BOY |
| EOY | 47539 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 844621 | BOY |
| EOY | 832306 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2114439 | BOY |
| EOY | 2276897 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6336975 | BOY |
| EOY | 6371336 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6336975 | BOY |
| EOY | 6371336 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8451414 | BOY |
| EOY | 8648233 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 34361 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2040 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2273 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10579 | CurrentTaxYearMinus2Years |
| Total | 14892 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9692435 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9812564 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10328120 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10480232 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10311947 | CurrentTaxYear |
| Total | 50625298 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9694475 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9814837 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10338699 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10480232 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10311947 | CurrentTaxYear |
| Total | 50640190 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 50640190 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 29755 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 17712 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20341 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 28144 | CurrentTaxYearMinus1Year |
| Current Tax Year | 28860 | CurrentTaxYear |
| Total | 124812 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 29755 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 17712 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20341 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 28144 | CurrentTaxYearMinus1Year |
| Current Tax Year | 28860 | CurrentTaxYear |
| Total | 124812 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9724230 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9832549 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10359040 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10508376 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10340807 | CurrentTaxYear |
| Total | 50765002 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99750 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99710 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00250 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00290 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
| Explanation In Part XIII | X | ExplanationInPartXIII |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4214208 | OtherCostOrOtherBasis |
| Depreciation | 3056669 | Depreciation |
| Book Value | 1157539 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 247030 | OtherCostOrOtherBasis |
| Depreciation | 187627 | Depreciation |
| Book Value | 59403 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6827957 | OtherCostOrOtherBasis |
| Depreciation | 5230469 | Depreciation |
| Book Value | 1597488 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 280009 | OtherCostOrOtherBasis |
| Depreciation | 148440 | Depreciation |
| Book Value | 131569 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2945999 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | WC FUND BALANCE AND RESERVE FOR MEDICAL LIABILITY | Description |
| Amount | $832,306 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 832306 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 10657565 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 304555 | OtherRevenues |
| Revenue Not Rptd F990 | 304555 | RevenueNotRptdF990 |
| Revenue Subtotal | 10353010 | RevenueSubtotal |
| Other Revenues Not Included | 44380 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 44380 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 10397390 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 10667584 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 304555 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 304555 | ExpensesNotRptdF990 |
| Expenses Subtotal | 10363029 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 10363029 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 2B: | SUSQUE-VIEW HOME HAS CUSTODY OF SOME OF THE RESIDENTS' PERSONAL FUNDS | |
| REFUNDING OF COUNTY'S MEDICAL ASSISTANCE FUNDING | PART XI, LINE 2D - OTHER ADJUSTMENTS: | |
| NET UNREALIZED GAIN ON INVESTMENTS | PART XI, LINE 4B - OTHER ADJUSTMENTS: | |
| REFUNDING OF COUNTY'S MEDICAL ASSISTANCE FUNDING | PART XII, LINE 2D - OTHER ADJUSTMENTS: | |
| PART X - LIABILITY UNDER FIN 48 FOOTNOTE INCOME TAXES - THE HOME IS NON-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES. FASB CLARIFIES THE ACCOUNTING OF UNCERTAINTY IN INCOMES TAXES BY PRESCRIBING THE RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. THIS WAS EFFECTIVE FOR FISCAL YEARS BEGINNING AFTER DECEMBER 15 ,2008 AND WAS ADOPTED BY THE HOME FOR THE YEAR ENDING DECEMBER 31, 2009. PART XII LINE 2D - RECONCILIATION OF CHANGES - OTHER COUNTY MEDICAL ASSISTANCE FUNDING REFUND PART XIII LINE 2D - RECONCILIATION OF CHANGES - OTHER COUNTY MEDICAL ASSISTANCE FUNDING REFUND |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | SUSQUE-VIEW HOME IS MANAGED BY PREMIER HEALTHCARE RESOURCES, INC., WHICH PROVIDES MANAGEMENT AND ADMINISTRATIVE SERVICES TO SUSQUE-VIEW HOME. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATIONS CFO REVIEWS THE FORM 990 WITH THE BOARD OF DIRECTORS AT THE MONTHLY BOARD MEETINGS PRIOR TO FILING |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS REVIEWS AND UPDATES THE POLICY ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST,EITHER HAND DELIVERED OR MAILED (CERTIFIED) |