2012-10-04T16:25:23-05:00 2011-12-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2011-01-01 251505478 JEFFCO HEALTH SERVICES INC % RICK GRAHAM CFO JEFF 8148498026 417 ROUTE 28 BROOKVILLE PA 15825 RICK GRAHAM 2012-07-24 true Brian D Todd 4178658701 2011 2016-02-24 21:20:13Z RON KING 417 ROUTE 28 BROOKVILLE PA 15825 13506065 false X WWW.JEFFERSONMANOR.NET X 1985 PA JEFFERSON MANOR HEALTH CENTER IS A NONPROFIT FACILITY, FULLY CERTIFIED TO PARTICIPATE IN THE MEDICARE AND MEDICAL ASSISTANCE PROGRAMS AND ALSO ACCEPTS MANY MAJOR INSURANCE PLANS. SEE SCHEDULE O FOR DETAILS. 9 9 291 19 -1999 -1999 83676 0 11703743 12536187 283812 199661 -2678 -1999 12068553 12733849 0 968 0 0 7827636 7468318 0 0 0 3919414 4502348 11747050 11971634 321503 762215 15795333 16016445 4132169 3778840 11663164 12237605 JEFFERSON MANOR HEALTH CENTER IS COMMITTED TO BEING THE MOST CARING AND PROGRESSIVE PROVIDER OF EXTENDED CARE IN THE (WESTERN PENNSYLVANIA) AREA. false false 9822115 968 11691677 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. 739867 0 772841 JEFFERSON COURT IS A FORTY EIGHT (48) BED ASSISTED LIVING 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. 71012 0 71669 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. 0 0 0 10632994 true false false false false false false true false true false false false false false false true 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 false true 13 0 true 291 true true true false false false false false false false false false X 9 9 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 JACK SISK 1.0 X 0 0 0 JIM CURTIS 1.0 X X 0 0 0 JUDY GROMLEY 1.0 X X 0 0 0 REV WILLIAM SAXMAN 1.0 X X 0 0 0 JULIE PEER 1.0 X X 0 0 0 GUY LESTER 1.0 X 0 0 0 DIANE KIEHL 1.0 X 0 0 0 DR AMANDA CHAMBERLIN 1.0 X 0 0 0 JOHN MEESTER 1.0 X 0 0 0 RON KING 40.0 X 120141 0 10387 RICK GRAHAM 40.0 X 82795 0 18460 202936 0 28847 1 false false false FUNCTIONAL PATHWAYS THERAPY MANAGEMENT 941375 1 0 PATIENT REVENUE 623000 12503928 12503928 OTHER 900099 32259 32259 12536187 208627 208627 0 0 3500 5499 -1999 -1999 -1999 753751 4000 725236 41481 28515 -37481 -8966 -8966 0 0 0 0 12733849 12536187 -1999 199661 968 968 0 0 0 231783 231783 0 5552097 5202602 349495 60226 54410 5816 1229047 1129958 99089 395165 357004 38161 0 4759 4759 48000 48000 0 0 30615 30615 1230029 1111113 118916 74978 74978 397736 288910 108826 10596 10596 0 285497 253806 31691 181823 166942 14881 0 26271 9723 16548 122173 108472 13701 0 794106 705050 89056 79532 17293 62239 MEDICAL SUPPLIES & DRUGS 577988 577988 CAFETERIA & VENDING 494299 494299 BAD DEBT 77256 77256 PATIENT HEALTH 49539 49539 17151 17065 86 11971634 10632994 1338640 0 232258 465006 944969 492785 0 0 2269502 1510809 0 0 0 0 0 0 19790 25312 112328 110287 19829304 13237008 7115089 6592296 4966233 6627858 0 0 0 0 0 0 135164 192092 15795333 16016445 606406 667637 0 0 4225 16250 3458513 3030060 63025 64893 0 0 0 0 0 0 0 0 4132169 3778840 X 11663164 12237605 0 0 0 0 11663164 12237605 15795333 16016445 X 762215 -187774 X false true true X false X 10205 676 1000 83676 0 95557 11214342 10762057 11855564 11703743 12536187 58071893 11224547 10762733 11856564 11787419 12536187 58167450 58167450 151050 172098 137993 195268 212127 868536 151050 172098 137993 195268 212127 868536 11375597 10934831 11994557 11982687 12748314 59035986 0.98529 0.98652 0.01471 0.01348 X false true 74139 74139 9573551 7162777 2410774 5484258 2299633 3184625 4346013 3530108 815905 351343 244490 106853 6592296 12733849 11971634 762215 -187774 -187774 574441 12558440 -187774 -30615 -218389 12776829 -42980 -42980 12733849 11983999 42980 42980 11941019 30615 30615 11971634 CUSTODIAL ACCOUNT RESPONSIBILITY SCHEDULE D, PART IV, LINE 2B 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. UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 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. RECONCILING ITEMS SCHEDULE D, PART XII, LINE 4B AND PART XIII, LINE 2D $ 5,499 RENTAL EXPENSES 37,481 LOSS ON SALE OF FIXED ASSETS -------------- $ 42,980 SCHEDULE D, PART XII, LINE 2D AND PART XIII, LINE 4B $ 30,615 INVESTMENT MANAGEMENT FEES JEFFERSON COUNTY MUNICIPAL AUTHORITY 251518584 2010-04-01 3735372 LOAN MODIFICATION - 2003 NOTE false false false 0 0 3735372 0 0 3732016 3356 0 0 0 0 0 2010 true false true true 0 false true false 0 false 0 false false ORGANIZATION MISSION FORM 990, PART I, LINE 1 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. VOLUNTEERS FORM 990, PART I, LINE 6 THE ORGANIZATION HAS 19 TOTAL VOLUNTEERS - NINE NON-COMPENSATED MEMBERS OF THE BOARD OF DIRECTORS AND TEN AUXILIARY MEMBERS WHO HELP OUT WITH VARIOUS ACTIVITIES. 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B 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. CONFLICTS OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C 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. COMPENSATION FORM 990, PART VI, SECTION B, LINE 15 A & B IN 2011, 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. DOCUMENT DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 $( 187,774) NET UNREALIZED LOSSES