JEFFCO HEALTH SERVICES INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- JEFFCO HEALTH SERVICES INC (EIN 25-1505478)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-10-14
- IRS object ID
- 201112879349300306
- Schema version
- 2010v3.4
- 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 | 2011-10-14T10:48:01-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | MO | State |
| ZIP Code | 658062523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251505478 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFFCO HEALTH SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | JEFF | NameControl |
| Phone | 8148498026 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 417 ROUTE 28 | AddressLine1 |
| City | BROOKVILLE | City |
| State | PA | State |
| ZIP Code | 15825 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICK GRAHAM | Name |
| Title | CFO | Title |
| Date Signed | 2011-09-16 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Brian D Todd | Name |
| Phone | 4178658701 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RON KING | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 417 ROUTE 28 | AddressLine1 |
| City | BROOKVILLE | City |
| State | PA | State |
| ZIP Code | 15825 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 13862556 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.JEFFERSONMANOR.NET | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 276 | TotalNbrEmployees |
| Total Nbr Volunteers | 19 | TotalNbrVolunteers |
| Total Gross UBI | -3078 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -3078 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1000 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 83676 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 11855564 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 11703743 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 206128 | InvestmentIncomePriorYear |
| Investment Income Current Year | 283812 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -2786 | OtherRevenuePriorYear |
| Other Revenue Current Year | -2678 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 12059906 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12068553 | 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 | 7653279 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7827636 | 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 | 3590162 | OtherExpensePriorYear |
| Other Expenses Current Year | 3919414 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11243441 | TotalExpensesPriorYear |
| Total Expenses Current Year | 11747050 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 816465 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 321503 | RevenuesLessExpensesCY |
| Total Assets BOY | 15532920 | TotalAssetsBOY |
| Total Assets EOY | 15795333 | TotalAssetsEOY |
| Total Liabilities BOY | 4456830 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4132169 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 11076090 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11663164 | NetAssetsOrFundBalancesEOY |
| Mission Description | JEFFERSON MANOR HEALTH CENTER IS COMMITTED TO BEING THE MOST CARING AND PROGRESSIVE PROVIDER OF EXTENDED CARE IN THE (WESTERN PENNSYLVANIA) AREA. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 9540712 | Expense |
| Revenue | 10870743 | Revenue |
| Description | 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 834522 | Expense |
| Revenue | 740901 | Revenue |
| Description | 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 90190 | Expense |
| Revenue | 92099 | Revenue |
| Description | 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 10465424 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | true | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 13 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 276 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RICK GRAHAM CFO | NamePerson |
| Telephone Number | 8148498026 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 417 ROUTE 28 | AddressLine1 |
| City | BROOKVILLE | City |
| State | PA | State |
| ZIP Code | 15825 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (11 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| JACK SISK | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| JIM CURTIS | ||||||
| VICE CHAIRMAN | 1.0 | X | 0 | 0 | 0 | X |
| JUDY GROMLEY | ||||||
| CHAIRWOMAN | 1.0 | X | 0 | 0 | 0 | X |
| REV WILLIAM SAXMAN | ||||||
| TREASURER | 1.0 | X | 0 | 0 | 0 | X |
| JULIE PEER | ||||||
| SECRETARY | 1.0 | X | 0 | 0 | 0 | X |
| GUY LESTER | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| DIANE KIEHL | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| DR AMANDA CHAMBERLIN | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| JOHN MEESTER | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| RON KING | ||||||
| ADMINISTRATOR | 40.0 | 115551 | 0 | 10816 | X | |
| RICK GRAHAM | ||||||
| CFO | 40.0 | 78926 | 0 | 18382 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 194477 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 29198 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | FUNCTIONAL PATHWAYS | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Of Contractor | AddressOfContractor | |
| Description Of Services | THERAPY MANAGEMENT | DescriptionOfServices |
| Compensation | 298531 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Government Grants | 83000 | GovernmentGrants |
| All Other Contributions | 676 | AllOtherContributions |
| Total Contributions | 83676 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICES | 623000 | 11673603 | 11673603 |
| OTHER | 900099 | 30140 | 30140 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 11703743 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 191268 | TotalRevenueColumn |
| Exclusion | $191,268 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4000 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 6678 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -2678 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2678 | TotalRevenueColumn |
| Unrelated Business Revenue | -3078 | UnrelatedBusinessRevenue |
| Exclusion | $400 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1879869 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1787325 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 92544 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 92544 | TotalRevenueColumn |
| Exclusion | $92,544 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12068553 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11703743 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -3078 | UnrelatedBusinessRevenue |
| Exclusion | $284,212 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 223675 | Total |
| Management And General | 223675 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4815934 | Total |
| Program Services | 4541629 | ProgramServices |
| Management And General | 274305 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94555 | Total |
| Program Services | 91987 | ProgramServices |
| Management And General | 2568 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2220974 | Total |
| Program Services | 2038215 | ProgramServices |
| Management And General | 182759 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 472498 | Total |
| Program Services | 432807 | ProgramServices |
| Management And General | 39691 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 298531 | Total |
| Program Services | 298531 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9649 | Total |
| Management And General | 9649 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50986 | Total |
| Management And General | 50986 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 255861 | Total |
| Program Services | 169054 | ProgramServices |
| Management And General | 86807 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82717 | Total |
| Management And General | 82717 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 280096 | Total |
| Program Services | 186730 | ProgramServices |
| Management And General | 93366 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13459 | Total |
| Program Services | 13459 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 406314 | Total |
| Program Services | 361305 | ProgramServices |
| Management And General | 45009 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19091 | Total |
| Program Services | 5695 | ProgramServices |
| Management And General | 13396 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19164 | Total |
| Program Services | 10401 | ProgramServices |
| Management And General | 8763 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 143349 | Total |
| Program Services | 127470 | ProgramServices |
| Management And General | 15879 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 765748 | Total |
| Program Services | 680924 | ProgramServices |
| Management And General | 84824 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70688 | Total |
| Program Services | 17293 | ProgramServices |
| Management And General | 53395 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | 607154 | 607154 | |
| CAFETERIA & VENDING EXPENSE | 463399 | 463399 | |
| BAD DEBT | 268564 | 268564 | |
| PATIENT HEALTH | 122813 | 122813 | |
| LICENSES, DUES & SUBSCRIPTIONS | 9299 | 9299 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32532 | Total |
| Program Services | 27994 | ProgramServices |
| Management And General | 4538 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11747050 | Total |
| Program Services | 10465424 | ProgramServices |
| Management And General | 1281626 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 232258 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1605368 | BOY |
| EOY | 944969 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1528924 | BOY |
| EOY | 2269502 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19695 | BOY |
| EOY | 19790 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110097 | BOY |
| EOY | 112328 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 19582150 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 12467061 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7633708 | BOY |
| EOY | 7115089 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4208451 | BOY |
| EOY | 4966233 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1000 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 425677 | BOY |
| EOY | 135164 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15532920 | BOY |
| EOY | 15795333 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 521691 | BOY |
| EOY | 610631 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3862838 | BOY |
| EOY | 3458513 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72301 | BOY |
| EOY | 63025 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4456830 | BOY |
| EOY | 4132169 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11076090 | BOY |
| EOY | 11663164 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11076090 | BOY |
| EOY | 11663164 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15532920 | BOY |
| EOY | 15795333 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 321503 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 265571 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | 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 | 101578 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10205 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 676 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1000 | CurrentTaxYearMinus1Year |
| Current Tax Year | 83676 | CurrentTaxYear |
| Total | 197135 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10936301 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11214342 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10762057 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11855564 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11703743 | CurrentTaxYear |
| Total | 56472007 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11037879 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11224547 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10762733 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11856564 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11787419 | CurrentTaxYear |
| Total | 56669142 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 56669142 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 118135 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 151050 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 172098 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 137993 | CurrentTaxYearMinus1Year |
| Current Tax Year | 195268 | CurrentTaxYear |
| Total | 774544 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 118135 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 151050 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 172098 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 137993 | CurrentTaxYearMinus1Year |
| Current Tax Year | 195268 | CurrentTaxYear |
| Total | 774544 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11156014 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11375597 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10934831 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11994557 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11982687 | CurrentTaxYear |
| Total | 57443686 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98652 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98766 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01348 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01234 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | true | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 74139 | OtherCostOrOtherBasis |
| Book Value | 74139 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9573551 | OtherCostOrOtherBasis |
| Depreciation | 5938897 | Depreciation |
| Book Value | 3634654 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5397875 | OtherCostOrOtherBasis |
| Depreciation | 3600261 | Depreciation |
| Book Value | 1797614 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4207864 | OtherCostOrOtherBasis |
| Depreciation | 2684608 | Depreciation |
| Book Value | 1523256 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 328721 | OtherCostOrOtherBasis |
| Depreciation | 243295 | Depreciation |
| Book Value | 85426 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 7115089 | TotalOfBookValueLandBuildings |
| Total Revenue | 12068553 | TotalRevenue |
| Total Expenses | 11747050 | TotalExpenses |
| Excess Or Deficit For Year | 321503 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 391354 | NetUnrealizedGLOnInvestments |
| Other | -$125,783 | OtherAmount |
| Total Adjustments | 265571 | TotalAdjustments |
| Excess Or Deficit Per FS | 587074 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 12340802 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 391354 | NetUnrealizedGainsInvestments |
| Other Revenues | -125783 | OtherRevenues |
| Revenue Not Rptd F990 | 265571 | RevenueNotRptdF990 |
| Revenue Subtotal | 12075231 | RevenueSubtotal |
| Other Revenues Not Included | -6678 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -6678 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 12068553 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 11753728 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 6678 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 6678 | ExpensesNotRptdF990 |
| Expenses Subtotal | 11747050 | ExpensesSubtotal |
| Total Expenses Per Form990 | 11747050 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| CUSTODIAL ACCOUNT RESPONSIBILITY | 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 OTHER REVENUE INCLUDED ON AUDITED FINANCIAL STATEMENTS NOT ON FORM 990 SCHEDULE D, PART XI, LINE 8 AND PART XII, LINE 2D (125,783) TRANSFER TO AFFILIATE |
| OTHER REVENUE INCLUDED ON FORM 990 NOT ON AUDITED FINANCIAL STATEMENTS | SCHEDULE D, PART XII, LINE 4B | (6,678) RENT EXPENSES |
| OTHER EXPENSE INCLUDED ON AUDITED FINANCIAL STATEMENTS NOT ON FORM 990 | SCHEDULE D, PART XIII, LINE 2D | 6,678 RENT EXPENSES |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFFERSON COUNTY MUNICIPAL AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 251518584 | IssuerEIN |
| Date Issued | 2010-04-01 | DateIssued |
| Issue Price | 3735372 | IssuePrice |
| Description Of Purpose | LOAN MODIDFICATION - 2003 NOTE | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 3735372 | TotalProceeds |
| Refunding Escrow | 3732016 | RefundingEscrow |
| Issuance Costs From Proceeds | 3356 | IssuanceCostsFromProceeds |
| Year Of Subst Completion | 2010 | YearOfSubstCompletion |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | false | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | false | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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. |
| ORGANIZATION MISSION | FORM 990, PART I, LINE 1 | VISION: JEFFERSON MANOR HEALTH CENTER WILL PROVIDE STATE OF THE ART ACCOMODATIONS 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. MANAGEMENT DUTIES FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION ENTERED INTO A CONTRACT WITH FUNCTIONAL PATHWAYS, A THERAPY MANAGEMENT COMPANY, ON 9/1/2010 TO MANAGE ALL THERAPY SERVICES FOR THE ORGANIZATION. |
| 990 REVIEW PROCESS | FORM 990, PART VI, LINE 11 | 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 COMITTEE ARE REVIEWED AND FOLLOW-UP INFORMATION IS PROVIDED. |
| CONFLICTS OF INTEREST POLICY | FORM 990, PART VI, LINE 12 | 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, LINE 15 A & B | IN 2010, 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, 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 | NET UNREALIZED GAINS/LOSSES 391,354 TRANSFER TO AFFILIATE (125,783) ------------ 265,571 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOME STAFF REFERRALS INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 417 ROUTE 28 | AddressLine1 |
| City | BROOKVILLE | City |
| State | PA | State |
| ZIP Code | 15825 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 841680946 | EIN |
| Primary Activity | HOME HLTH | PrimaryActivity |
| Legal Domicile State | PA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP | TypeOfEntity |
| Share Of Total Income | 0 | ShareOfTotalIncome |
| Share Of EOY Assets | 0 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOME STAFF REFERRALS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionType |
| Amount Involved | 125783 | AmountInvolved |