FOUNDERS PAVILION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: FOUNDERS PAVILION INC (EIN 27-0035416)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201323189349303182
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
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T11:37:49-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	264298079	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EFP ROTENBERG LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	280 KENNETH DRIVE	AddressLine1
City	ROCHESTER	City
State	NY	State
ZIP Code	14623	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	270035416	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FOUNDERS PAVILION INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FOUN	NameControl
Phone	6076542400	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	205 EAST FIRST STREET	AddressLine1
City	CORNING	City
State	NY	State
ZIP Code	14830	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	TONY TRIPENY	Name
Title	BOARD CHAIRMAN	Title
Phone	6076542400	Phone
Date Signed	2013-11-12	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	ROBERT NASSO	Name
PTIN	P00060111	PTIN
Phone	5854278900	Phone
Date Prepared	2013-11-12	DatePrepared

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	TONY TRIPENY	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	205 EAST FIRST STREET	AddressLine1
City	CORNING	City
State	NY	State
ZIP Code	14830	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	10197549	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.FOUNDERSPAVILION.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1970	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	TO DEDICATE OUR RESOURCES TO MEETING THE PHYSICAL AND EMOTIONAL NEEDS OF OUR RESIDENTS, WITH THE UNSHAKABLE BELIEF THAT THEY ARE THE PRIMARY REASON FOR OUR FACILITY'S EXISTENCE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	198	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2474840	ContributionsGrantsPriorYear
Contributions Grants Current Year	3529	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	9102609	ProgramServiceRevenuePriorYear
Program Service Revenue CY	10109460	ProgramServiceRevenueCY
Investment Income Prior Year	3016	InvestmentIncomePriorYear
Investment Income Current Year	929	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	83631	OtherRevenueCurrentYear
Total Revenue Prior Year	11580465	TotalRevenuePriorYear
Total Revenue Current Year	10197549	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	6436690	SalariesEtcPriorYear
Salaries Etc Current Year	4902541	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	3394644	OtherExpensePriorYear
Other Expenses Current Year	4982495	OtherExpensesCurrentYear
Total Expenses Prior Year	9831334	TotalExpensesPriorYear
Total Expenses Current Year	9885036	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1749131	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	312513	RevenuesLessExpensesCY
Total Assets BOY	4876211	TotalAssetsBOY
Total Assets EOY	5896780	TotalAssetsEOY
Total Liabilities BOY	1512863	TotalLiabilitiesBOY
Total Liabilities EOY	2220919	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3363348	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3675861	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO DEDICATE OUR RESOURCES TO MEETING THE PHYSICAL AND EMOTIONAL NEEDS OF OUR RESIDENTS, WITH THE UNSHAKABLE BELIEF THAT THEY ARE THE PRIMARY REASON FOR OUR FACILITY'S EXISTENCE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	1	SignificantChange
Expense	8204579	Expense
Revenue	10110389	Revenue
Description	A RESIDENTIAL HEALTH CARE FACILITY WHICH PROVIDES THE PHYSICAL AND EMOTIONAL NEEDS FOR ITS RESIDENTS.	Description
Total Program Service Expense	8204579	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	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	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	2	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	0	ComplianceWithBackupWitholding
Number Of Employees	198	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
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	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	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	TONY TRIPENY	NamePerson
Telephone Number	6076542400	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	205 EAST FIRST STREET	AddressLine1
City	CORNING	City
State	NY	State
ZIP Code	14830	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
CHARLES CORRAO
BOARD MEMBER	6.00	X	0	0	0
TONY TRIPENY
BOARD MEMBER	10.00	X	0	0	0
FRANCIS AVAGLIANO
BOARD MEMBER	2.00	X	0	0	0
ERICA DARMSTADT
BOARD MEMBER	4.00	X	0	0	0
DIANE PIERRI
BOARD MEMBER	4.00	X	0	0	0
REBECCA BAIR
BOARD MEMBER	2.00	X	0	0	0
GAIL MURRAY
ADMINISTRATOR	40.00		110100	0	6300	X
CINDY HOOD
DIRECTOR OF NURSING	40.00		53654	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	163754	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	6300	TotalOtherCompensation
Number Individuals GT100 K	1	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
REHAB RESOURCES
159 WEST FIRST ST	OSWEGO	NY	13126	PHYSICAL, OCCUPATION, SPEECH THERAPY	866290
HEALTHCARE SERVICES GROUP INC
3220 TILLMAN DR SUITE 300	BENSALEM	PA	19020	DIETARY & HOUSEKEEPING	544739

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K
All Other Contributions	3529	AllOtherContributions
Total Contributions	3529	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID/MEDICARE	623000	8309754	8309754
PRIVATE INSURANCE	623000	1799706	1799706

Field	Value	IRS element (for citing)
Total Program Service Revenue	10109460	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	929	TotalRevenueColumn
Related Or Exempt Function Income	929	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
MISCELLANEOUS	990009	79324	$79,324
TELEPHONE AND RADIO	990009	4307	$4,307

Field	Value	IRS element (for citing)
Total Other Revenue	83631	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	10197549	TotalRevenueColumn
Related Or Exempt Function Income	10110389	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$83,631	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	170054	Total
Management And General	170054	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	3302988	Total
Program Services	2877396	ProgramServices
Management And General	425592	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	151390	Total
Program Services	130883	ProgramServices
Management And General	20507	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	715939	Total
Program Services	594229	ProgramServices
Management And General	121710	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	562170	Total
Program Services	466601	ProgramServices
Management And General	95569	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	160428	Total
Program Services	133155	ProgramServices
Management And General	27273	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	121146	Total
Program Services	100551	ProgramServices
Management And General	20595	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2615452	Total
Program Services	2170825	ProgramServices
Management And General	444627	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	305966	Total
Program Services	253952	ProgramServices
Management And General	52014	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	122580	Total
Program Services	101741	ProgramServices
Management And General	20839	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	39651	Total
Program Services	32910	ProgramServices
Management And General	6741	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	31820	Total
Program Services	26411	ProgramServices
Management And General	5409	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	102991	Total
Program Services	85483	ProgramServices
Management And General	17508	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	84895	Total
Program Services	70463	ProgramServices
Management And General	14432	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
STATE REVENUE ASSESSMEN	419383	348088	71295
FOOD AND CATERING	255656	212194	43462
DRUG EXPENSE	215413	178793	36620
LINENS	168603	139940	28663

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	338511	Total
Program Services	280964	ProgramServices
Management And General	57547	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	9885036	Total
Program Services	8204579	ProgramServices
Management And General	1680457	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	207606	BOY
EOY	585505	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	203780	BOY
EOY	92021	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1527106	BOY
EOY	2561405	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	12342	BOY
EOY	68146	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	2784861	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	296520	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2518331	BOY
EOY	2488341	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	85700	BOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	321346	BOY
EOY	101362	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	4876211	BOY
EOY	5896780	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	731145	BOY
EOY	1327360	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	25397	BOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	55367	BOY
EOY	64988	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	700954	BOY
EOY	828571	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1512863	BOY
EOY	2220919	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2925052	BOY
EOY	3234037	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	364861	BOY
EOY	368389	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	73435	BOY
EOY	73435	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3363348	BOY
EOY	3675861	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4876211	BOY
EOY	5896780	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	312513	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
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 Minus3 Years	52169	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	273666	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	74840	CurrentTaxYearMinus1Year
Current Tax Year	3529	CurrentTaxYear
Total	404204	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	9000293	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9145311	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	9102609	CurrentTaxYearMinus1Year
Current Tax Year	10109460	CurrentTaxYear
Total	37357673	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	9052462	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9418977	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	9177449	CurrentTaxYearMinus1Year
Current Tax Year	10112989	CurrentTaxYear
Total	37761877	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	37761877	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	1004	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1116	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3016	CurrentTaxYearMinus1Year
Current Tax Year	929	CurrentTaxYear
Total	6065	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	1004	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1116	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3016	CurrentTaxYearMinus1Year
Current Tax Year	929	CurrentTaxYear
Total	6065	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	9053466	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9420093	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	9180465	CurrentTaxYearMinus1Year
Current Tax Year	10113918	CurrentTaxYear
Total	37767942	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99980	PublicSupportPercentage509
Prior Year Support Percentage	0.99980	PriorYearSupportPercentage
Investment Income Percentage	0.00020	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00020	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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	200000	OtherCostOrOtherBasis
Book Value	200000	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2273157	OtherCostOrOtherBasis
Depreciation	122302	Depreciation
Book Value	2150855	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	311704	OtherCostOrOtherBasis
Depreciation	174218	Depreciation
Book Value	137486	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2488341	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	DUE TO THIRD-PARTY PAYORS	Description
Amount	$828,571	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	828571	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	10073549	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	10073549	RevenueSubtotal
Other Revenues Not Included	124000	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	124000	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	10197549	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	9761036	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	9761036	ExpensesSubtotal
Other Expenses Not Included	124000	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	124000	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	9885036	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART IV, LINE 2B:	THE FACILITY HOLDS CUSTODY OVER THE RESIDENT'S FUNDS.
PART X, LINE 2:	INCOME TAXES - THE FACILITY IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE FACILITY'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. IN ACCORDANCE WITH ASC 740-10-50, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, THE FACILITY RECOGNIZES THE TAX BENEFITS FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES. MANAGEMENT BELIEVES THAT THE FACILITY IS CURRENTLY OPERATING IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS HAS BEEN INCLUDED IN THE FACILITY'S FINANCIAL STATEMENTS. THE EXEMPT FACILITY'S INFORMATIONAL RETURNS ARE SUBJECTED TO AUDIT BY VARIOUS TAXING AUTHORITIES.	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
	PROVISION FOR BAD DEBT 124,000.	PART XI, LINE 4B - OTHER ADJUSTMENTS:
	PROVISION FOR BAD DEBT 124,000.	PART XII, LINE 4B - OTHER ADJUSTMENTS:

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
CHANGES IN PROGRAM SERVICES	FORM 990, PART III, LINE 3	ON MAY 23, 2012, FOUNDERS ENTERED INTO A CONTRACT FOR THE SALE OF THE FACILITY AND OPERATIONS. IN ACCORDANCE WITH THE SALE AGREEMENT, THE PURCHASING COMPANY CONDUCTED ONGOING OPERATIONS OF THE FACILITY BEGINNING ON JUNE 1, 2012. THE SALE WAS COMPLETED ON JULY 1, 2013.
	FORM 990, PART VI, SECTION B, LINE 11	THE BOARD OF DIRECTORS REVIEWS THE 990 BEFORE IT IS FILED.
	FORM 990, PART VI, SECTION B, LINE 12C	THE FACILITY ROUTINELY REVIEWS ANY EXISTING RELATIONSHIPS AND THE STAFF'S RELATIONSHIPS WITH OTHER CARE PROVIDERS, EDUCATIONAL INSTITUTIONS, AND PAYERS.
	FORM 990, PART VI, SECTION B, LINE 15	THE ADMINISTRATOR'S SALARY OF THE FACILITY IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE ADMINISTRATOR REVIEWS AND APPROVES THE REST OF THE STAFF'S SALARY.
	FORM 990, PART VI, SECTION C, LINE 19	THE FACILITY'S FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
OTHER FEES	FORM 990, PART IX, LINE 11G	PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 862,964. MANAGEMENT AND GENERAL EXPENSES 176,752. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,039,716. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,307,861. MANAGEMENT AND GENERAL EXPENSES 267,875. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,575,736.
	FORM 990, PART XII, LINE 2(C):	NO CHANGE FROM THE PRIOR YEAR.