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Fairmount Long Term Care: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
Fairmount Long Term Care (EIN 23-2746587)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-04-04
IRS object ID
201120949349300512
Schema version
2009v1.3
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

FieldValueIRS element (for citing)
Timestamp2011-04-04T14:18:31-07:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN232746587EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Fairmount Long Term CareBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFAIRNameControl
Phone2156850800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 W Girard AvenueAddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code19130ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJames T ScannapiecoName
TitleAssoc Admin, FinanceTitle
Date Signed2011-04-04DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJames T ScannapiecoNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12100 W Girard AvenueAddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code19130ZIPCode
FieldValueIRS element (for citing)
Gross Receipts37243331GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web Sitewww.fltcpnh.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionFairmount Long Term Care operates the Philadelphia Nursing Home a 451-bed long-term care facility on behalf of the City of Philadelphia. FLTC provides nursing home services primarily to indigent residents of Philadelphia.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees588TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year37739037ProgramServiceRevenuePriorYear
Program Service Revenue CY37241404ProgramServiceRevenueCY
Investment Income Prior Year38890InvestmentIncomePriorYear
Investment Income Current Year1927InvestmentIncomeCurrentYear
Other Revenue Prior Year7815OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year37785742TotalRevenuePriorYear
Total Revenue Current Year37243331TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year23133965SalariesEtcPriorYear
Salaries Etc Current Year25189008SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13710978OtherExpensePriorYear
Other Expenses Current Year11955009OtherExpensesCurrentYear
Total Expenses Prior Year36844943TotalExpensesPriorYear
Total Expenses Current Year37144017TotalExpensesCurrentYear
Revenues Less Expenses Prior Year940799RevenuesLessExpensesPriorYear
Revenues Less Expenses CY99314RevenuesLessExpensesCY
Total Assets BOY8867861TotalAssetsBOY
Total Assets EOY6680471TotalAssetsEOY
Total Liabilities BOY7038881TotalLiabilitiesBOY
Total Liabilities EOY4752177TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1828980NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1928294NetAssetsOrFundBalancesEOY
Mission DescriptionFairmount Long Term Care (FLTC), formerly called Episcopal Long Term Care, operates the Philadelphia Nursing Home on behalf of the City of Philadelphia. FLTC provides nursing home services primarily to indigent residents of Philadelphia. Licensed as a 451-bed long-term care facility, 99.3% of the residents of the nursing home are covered by the Medical Assistance program (Medicaid) or Medicare. In fiscal year 2010 the nursing home provided services to 589 individuals providing 150,467 days of nursing home care. Services that FLTC provides its residents include, daily routine nursing care, physical therapy, speech therapy, occupational therapy, recreational therapy, routine physician services, specialty physician services, and mental health services. Most of the residents at FLTC have very complex psychosocial histories. Many are here with medical problems directly related to substance abuse and/or violence, and many have very little social supports in their lives. The goal is to providMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense35197164Expense
Revenue37241404Revenue
DescriptionFLTC provided long-term care services to approximately 589 residents during the past year. The total days of care provided were 150,467 days. Government programs subsidized the cost of care for almost all of these days. Only a small portion of the cost for care is paid for by private individuals. Medicaid days total 145,130 - 96.5%Medicare days total 2,746 - 1.8%Gov't subs managed care prog. total 1,529 - 1.0%Private pay days total 1,062 - 0.7% -----------Total 150,467Description
Total Program Service Expense35197164TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees588NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJames T ScannapiecoNamePerson
Telephone Number2156850800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12100 W Girard AvenueAddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code19130ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeOfficerOfficer
Theodor Burden MD
Trustee2.00X000
Pansy L Clarke
Registered Nurse57.00166427011829X
Mary K Hess
Executive Direc40.00151051020141X
Maria Julia Florescio
Registered Nurse82.00218007011422X
Kathleen Barron
Secretary2.00X000X
Juliana Joseph-Diggs
Registered Nurse66.00165049017583X
James T Scannapieco
CFO40.00112958014424X
Herbert Long
Chairman2.00X000X
Gene Newton MD
Trustee2.00X000X
Carol Smith
Registered Nurse62.0016076509552X
Arthur Anderson
Treasurer2.00X000X
Annette C Carter
Registered Nurse0.151236012373X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1125493TotalReportableCompFromOrg
Total Other Compensation97324TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
US Security Associates Inc
200 Mansell Court 5th FloorRoswellGA30076Security Services440475
Temple Physicians Inc
2450 W Hunting Park AvenuePhiladelphiaPA19129Physician Services719660
PRN Consultants
941 Durham RdLanghornePA19047Nursing Staffing742982
Genesis Eldercare
1010 East State StKennett SquarePA19348Rehabilitation Servi677055
Clean Tex Services Inc
1420 E Linden AveLindenNJ07036Laundry & Linen Serv423798
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Medicare / Medicaid Payme6230003374140433741404
Fees&contracts Gov Agenci62300035000003500000
FieldValueIRS element (for citing)
Total Program Service Revenue37241404TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1927TotalRevenueColumn
Exclusion$1,927ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column37243331TotalRevenueColumn
Related Or Exempt Function Income37241404RelatedOrExemptFunctionIncome
Exclusion$1,927ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total298574Total
Program Services17119ProgramServices
Management And General281455ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total19013675Total
Program Services18426902ProgramServices
Management And General586773ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total330864Total
Program Services315989ProgramServices
Management And General14875ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3973823Total
Program Services3795170ProgramServices
Management And General178653ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1572072Total
Program Services1501396ProgramServices
Management And General70676ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total113478Total
Management And General113478ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total104124Total
Management And General104124ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5586090Total
Program Services5459450ProgramServices
Management And General126640ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2500Total
Management And General2500ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total170075Total
Program Services80126ProgramServices
Management And General89949ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total72480Total
Management And General72480ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total810144Total
Program Services782250ProgramServices
Management And General27894ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total33332Total
Program Services2075ProgramServices
Management And General31257ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total30336Total
Program Services18053ProgramServices
Management And General12283ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total203570Total
Management And General203570ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Resident Care Supplies4061995404175320242
Equipment, Rental and Maint.76688575688110004

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total37144017Total
Program Services35197164ProgramServices
Management And General1946853ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY13392BOY
EOY852899EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3211065BOY
EOY1383147EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4953029BOY
EOY4085441EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY140318BOY
EOY158161EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY550057BOY
EOY200823EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8867861BOY
EOY6680471EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6518178BOY
EOY4250218EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY520703BOY
EOY501959EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7038881BOY
EOY4752177EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1828980BOY
EOY1928294EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1828980BOY
EOY1928294EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8867861BOY
EOY6680471EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Audit CommitteefalseAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Total0Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34990743CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32806981CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32914679CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37739037CurrentTaxYearMinus1Year
Current Tax Year37241404CurrentTaxYear
Total175692844Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3559536CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3559536CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3559536CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3559536CurrentTaxYearMinus1Year
Current Tax Year3666322CurrentTaxYear
Total17904466Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years38550279CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years36366517CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years36474215CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41298573CurrentTaxYearMinus1Year
Current Tax Year40907726CurrentTaxYear
Total193597310Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509193597310PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60599CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years77999CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years87214CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38890CurrentTaxYearMinus1Year
Current Tax Year1927CurrentTaxYear
Total266629Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60599CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years77999CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years87214CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38890CurrentTaxYearMinus1Year
Current Tax Year1927CurrentTaxYear
Total266629Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total193863939Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99860PublicSupportPercentage509
Prior Year Support Percentage0.99800PriorYearSupportPercentage
Investment Income Percentage0.00140InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00200PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to Resident Trust FundDescription
Amount$501,959Amount
FieldValueIRS element (for citing)
Total Of Amounts501959TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Pansy L Clarke
16642766575172178256
Mary K Hess
151051604214099171192
Maria Julia Florescio
21800755105912229429
Juliana Joseph-Diggs
165049660210981182632
Carol Smith
16076564313121170317
Annette C Carter
15123660496324163609

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Anne B DeLuca
Sis. of M Hess118408Employmentfalse
Stacy Long
Dau. of H Long41551Employmentfalse
Newton and Burden Associates
35%+ owned/Trustee70000Independent contractorfalse
Urban Health
35%+ owned/Trustee365535Independent contractorfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTo the extent required by applicable law, the organization makes its governing documents available to the public upon request.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsOfficers and key employees are required to submit signed conflict of interest disclosure statements annually. Directors, officers, and key employees have an obligation to disclose potential conflicts as matters arise. The Board of Directors evaluates any disclosures and determines whether a conflict of interest exists and how it should be handled. Board Members do not participate in discussions or votes on matters as to which a conflict of interest has been determined to exist.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe 990 was prepared by Staff, with drafts submitted to FLTC Treasurer and outside legal counsel for review and comment. A final draft was submitted to the Board for review and approval prior to submission to the IRS.
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtFairmount Long Term Care utilizes the services of Urban Health, Inc. for quality assurance and medical director services for Philadelphia Nursing Home. Principals for Urban Health are also members of Fairmount Long Term Care's Board of Directors.The Board maintains a conflict of interest policy. All transactions are entered into with Board Members are conducted at arms length and are approved by members of the Board of Directors who do not have a conflict.