2013-11-14T11:37:49-06:00 2012-12-31 264298079 EFP ROTENBERG LLP 280 KENNETH DRIVE ROCHESTER NY 14623 990 2012-01-01 270035416 FOUNDERS PAVILION INC FOUN 6076542400 205 EAST FIRST STREET CORNING NY 14830 TONY TRIPENY 6076542400 2013-11-12 1 ROBERT NASSO P00060111 5854278900 2013-11-12 2012 2016-02-24 21:20:13Z TONY TRIPENY 205 EAST FIRST STREET CORNING NY 14830 10197549 0 X WWW.FOUNDERSPAVILION.ORG X 1970 NY 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. 8 6 198 0 0 0 2474840 3529 9102609 10109460 3016 929 0 83631 11580465 10197549 0 0 0 0 6436690 4902541 0 0 0 3394644 4982495 9831334 9885036 1749131 312513 4876211 5896780 1512863 2220919 3363348 3675861 X 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. 0 1 8204579 10110389 A RESIDENTIAL HEALTH CARE FACILITY WHICH PROVIDES THE PHYSICAL AND EMOTIONAL NEEDS FOR ITS RESIDENTS. 8204579 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 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 1 2 0 0 198 1 0 0 0 0 0 0 0 0 0 0 X 8 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X TONY TRIPENY 6076542400 205 EAST FIRST STREET CORNING NY 14830 CHARLES CORRAO 6.00 X 0 0 0 TONY TRIPENY 10.00 X 0 0 0 FRANCIS AVAGLIANO 2.00 X 0 0 0 ERICA DARMSTADT 4.00 X 0 0 0 DIANE PIERRI 4.00 X 0 0 0 REBECCA BAIR 2.00 X 0 0 0 GAIL MURRAY 40.00 X 110100 0 6300 CINDY HOOD 40.00 X 53654 0 0 163754 0 6300 1 0 0 0 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 2 3529 3529 MEDICAID/MEDICARE 623000 8309754 8309754 PRIVATE INSURANCE 623000 1799706 1799706 10109460 929 929 MISCELLANEOUS 990009 79324 79324 TELEPHONE AND RADIO 990009 4307 4307 83631 10197549 10110389 0 83631 X 170054 170054 3302988 2877396 425592 151390 130883 20507 715939 594229 121710 562170 466601 95569 160428 133155 27273 121146 100551 20595 2615452 2170825 444627 305966 253952 52014 122580 101741 20839 39651 32910 6741 31820 26411 5409 102991 85483 17508 84895 70463 14432 STATE REVENUE ASSESSMEN 419383 348088 71295 FOOD AND CATERING 255656 212194 43462 DRUG EXPENSE 215413 178793 36620 LINENS 168603 139940 28663 338511 280964 57547 9885036 8204579 1680457 0 207606 585505 203780 92021 1527106 2561405 12342 68146 2784861 296520 2518331 2488341 85700 321346 101362 4876211 5896780 731145 1327360 25397 55367 64988 700954 828571 1512863 2220919 X 2925052 3234037 364861 368389 73435 73435 3363348 3675861 4876211 5896780 312513 0 X X 0 1 X 1 0 X 52169 273666 74840 3529 404204 9000293 9145311 9102609 10109460 37357673 9052462 9418977 9177449 10112989 37761877 0 0 0 37761877 1004 1116 3016 929 6065 1004 1116 3016 929 6065 9053466 9420093 9180465 10113918 37767942 0.99980 0.99980 0.00020 0.00020 X 0 1 X 200000 200000 2273157 122302 2150855 311704 174218 137486 2488341 DUE TO THIRD-PARTY PAYORS 828571 828571 X 10073549 0 10073549 124000 124000 10197549 9761036 0 9761036 124000 124000 9885036 PART IV, LINE 2B: THE FACILITY HOLDS CUSTODY OVER THE RESIDENT'S FUNDS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 124,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 124,000. 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.