SUSQUE-VIEW HOME INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SUSQUE-VIEW HOME INC (EIN 25-1313958)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-14
IRS object ID: 201233199349305478
Schema version: 2011v1.2
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	2012-11-14T15:38:38-06:00	Timestamp
Tax Period End Date	2011-12-31	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	2011-01-01	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	2012-11-14	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	2011	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	10554787	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 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	196	TotalNbrEmployees
Total Nbr Volunteers	50	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	10579	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	10304016	ProgramServiceRevenuePriorYear
Program Service Revenue CY	10462486	ProgramServiceRevenueCY
Investment Income Prior Year	17935	InvestmentIncomePriorYear
Investment Income Current Year	1856	InvestmentIncomeCurrentYear
Other Revenue Prior Year	24104	OtherRevenuePriorYear
Other Revenue Current Year	17746	OtherRevenueCurrentYear
Total Revenue Prior Year	10356634	TotalRevenuePriorYear
Total Revenue Current Year	10482088	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	6305183	SalariesEtcPriorYear
Salaries Etc Current Year	6476654	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	3720274	OtherExpensePriorYear
Other Expenses Current Year	3868777	OtherExpensesCurrentYear
Total Expenses Prior Year	10025457	TotalExpensesPriorYear
Total Expenses Current Year	10345431	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	331177	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	136657	RevenuesLessExpensesCY
Total Assets BOY	8273078	TotalAssetsBOY
Total Assets EOY	8451414	TotalAssetsEOY
Total Liabilities BOY	2072760	TotalLiabilitiesBOY
Total Liabilities EOY	2114439	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	6200318	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	6336975	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	9381049	Expense
Revenue	10453944	Revenue
Description	THE SUSQUE-VIEW HOME, INC. PROVIDES EXTENDED CARE 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	9381049	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	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
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	27	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	196	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	1	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		107597	0	0	X
DENNIS STAUFFER
CFO	45.00		63462	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	171059	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	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 (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
SODEXO INC
PO BOX 360170	PITTSBURGH	PA	15251	DIETARY	1413372
ADVANTAGE CORE
5035 CLAIRTON BLVD	PITTSBURGH	PA	15236	THERAPY SERVICES	499894
PREMIERE HEALTHCARE RESOURCES
2009 RENAISSANCE BLVD STE 300	KING OF PRUSSIA	PA	19406	MANAGEMENT CONSULTANT	237184
MILLENIUM PHARMACY SYSTEM
PO BOX 823441	PHILADELPHIA	PA	19182	PHARMACY	224928
LOCK HAVEN HOSPITAL
24 CREE DRIVE	LOCK HAVEN	PA	17745	ELECTRICAL, LAB, X-RAY	161024

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PROGRAM SERVICE REVENU	Description
Business Code	623000	BusinessCode
Total Revenue Column	10462486	TotalRevenueColumn
Related Or Exempt Function Income	10462486	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	10462486	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	28144	TotalRevenueColumn
Exclusion	$28,144	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	46411	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	72699	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-26288	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-26288	TotalRevenueColumn
Related Or Exempt Function Income	-26288	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
BEAUTY SHOP REVENUE	900099	11884	11884
BEAUTY SHOP RENT	900099	5862	5862

Field	Value	IRS element (for citing)
Total Other Revenue	17746	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	10482088	TotalRevenueColumn
Related Or Exempt Function Income	10453944	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$28,144	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	171059	Total
Management And General	171059	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	4356695	Total
Program Services	4197154	ProgramServices
Management And General	159541	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	91188	Total
Program Services	85580	ProgramServices
Management And General	5608	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1534964	Total
Program Services	1440563	ProgramServices
Management And General	94401	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	322748	Total
Program Services	297404	ProgramServices
Management And General	25344	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	242688	Total
Management And General	242688	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	14075	Total
Management And General	14075	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	26413	Total
Management And General	26413	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	5653	Total
Management And General	5653	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1804822	Total
Program Services	1798013	ProgramServices
Management And General	6809	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	19804	Total
Management And General	19804	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	481362	Total
Program Services	421839	ProgramServices
Management And General	59523	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	31515	Total
Program Services	7029	ProgramServices
Management And General	24486	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	359184	Total
Program Services	359184	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	6176	Total
Program Services	586	ProgramServices
Management And General	5590	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	6553	Total
Program Services	4248	ProgramServices
Management And General	2305	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1569	Total
Program Services	1569	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	390202	Total
Program Services	390202	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	100683	Total
Management And General	100683	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
RESIDENT MEDICATIONS	189060	189060
BAD DEBT EXPENSE	90000	90000
OXYGEN	52699	52699
EQUIPMENT MAINTENANCE	46319	45919	400

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	10345431	Total
Program Services	9381049	ProgramServices
Management And General	964382	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	4789	BOY
EOY	0	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2861191	BOY
EOY	1978212	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1320226	BOY
EOY	1059780	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	15125	BOY
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	76841	BOY
EOY	87049	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	11117507	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	8252240	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2849146	BOY
EOY	2865267	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	1145760	BOY
EOY	2461106	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	8273078	BOY
EOY	8451414	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1178657	BOY
EOY	1225588	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	50036	BOY
EOY	44230	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	844067	BOY
EOY	844621	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2072760	BOY
EOY	2114439	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	6200318	BOY
EOY	6336975	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	6200318	BOY
EOY	6336975	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	8273078	BOY
EOY	8451414	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	136657	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
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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	1842	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2040	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2273	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10579	CurrentTaxYearMinus1Year
Total	16734	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9536774	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	9692435	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9812564	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10328120	CurrentTaxYearMinus1Year
Current Tax Year	10480232	CurrentTaxYear
Total	49850125	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9538616	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	9694475	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9814837	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10338699	CurrentTaxYearMinus1Year
Current Tax Year	10480232	CurrentTaxYear
Total	49866859	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	49866859	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	50372	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	29755	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	17712	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	20341	CurrentTaxYearMinus1Year
Current Tax Year	28144	CurrentTaxYear
Total	146324	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	50372	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	29755	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	17712	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	20341	CurrentTaxYearMinus1Year
Current Tax Year	28144	CurrentTaxYear
Total	146324	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9588988	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	9724230	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9832549	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10359040	CurrentTaxYearMinus1Year
Current Tax Year	10508376	CurrentTaxYear
Total	50013183	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99710	PublicSupportPercentage509
Prior Year Support Percentage	0.99650	PriorYearSupportPercentage
Investment Income Percentage	0.00290	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00350	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

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4073466	OtherCostOrOtherBasis
Depreciation	2960894	Depreciation
Book Value	1112572	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6737252	OtherCostOrOtherBasis
Depreciation	5117142	Depreciation
Book Value	1620110	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	306789	OtherCostOrOtherBasis
Depreciation	174204	Depreciation
Book Value	132585	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2865267	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	WC FUND BALANCE AND RESERVE FOR MEDICAL LIABILITY	Description
Amount	$844,621	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	844621	TotalOfAmounts
Total Revenue	10482088	TotalRevenue
Total Expenses	10345431	TotalExpenses
Excess Or Deficit For Year	136657	ExcessOrDeficitForYear
Excess Or Deficit Per FS	136657	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	10826566	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	26715	NetUnrealizedGainsInvestments
Other Revenues	317763	OtherRevenues
Revenue Not Rptd F990	344478	RevenueNotRptdF990
Revenue Subtotal	10482088	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	10482088	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	10663194	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	317763	OtherExpensesIncluded
Expenses Not Rptd F990	317763	ExpensesNotRptdF990
Expenses Subtotal	10345431	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	10345431	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART IV, LINE 2B:

SUSQUE-VIEW HOME HAS CUSTODY OF SOME OF THE RESIDENTS' PERSONAL FUNDS

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 (5 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.
	FORM 990 , PART XII, LINE 2C: THE ORGANIZATION HAS MAINTAINED THE SAME POLICY AS THE PRIOR YEAR.