2011-11-01T09:46:45-05:00 2010-12-31 MOORE STEPHENS LOVELACE PA 1201 S ORLANDO AVENUE SUITE 400 WINTER PARK FL 327897192 990 2010-01-01 591104552 MARY LEE DEPUGH NURSING HOME ASSOCIATION INC MARY 4076446634 550 WEST MORSE BOULEVARD WINTER PARK FL 327894206 ROXWELL ROBINSON JR 4076446634 2011-11-01 1 HARRY E HARP CPA 4077405400 2010 2016-03-07 17:11:31Z ROXWELL ROBINSON JR 550 WEST MORSE BOULEVARD WINTER PARK FL 327894206 2711600 0 X WWW.DEPUGHNURSINGCENTER.ORG X 1954 FL THE MARY LEE DEPUGH CENTER IS DEDICATED TO PROVIDING QUALITY, COMPASSIONATE, INDIVIDUALIZED CARE. 11 11 66 5 0 0 108384 106432 2471601 2593890 5745 5081 1893 6197 2587623 2711600 0 0 0 0 1421165 1574600 0 0 0 1212615 1308418 2633780 2883018 -46157 -171418 4403306 4154933 2083409 2031485 2319897 2123448 X THE MARY LEE DEPUGH CENTER IS DEDICATED TO PROVIDING QUALITY, COMPASSIONATE, INDIVIDUALIZED CARE. 0 0 1972801 2074747 FORTY BED NURSING HOME PROVIDING SKILLED AND INTERMEDIATE LEVELS OF CARE, MEDICARE/MEDICAID SERVICES PROVIDED. 251487 264483 FORTY BED NURSING HOME PROVIDING SKILLED AND INTERMEDIATE LEVELS OF CARE, ROUTINE CARE SERVICES PROVIDED. 152318 160189 FORTY BED NURSING HOME PROVIDING SKILLED AND INTERMEDIATE LEVELS OF CARE, HOSPICE SERVICES PROVIDED. 95722 100668 OTHER PROGRAM SERVICES INCLUDE ANCILLARY AND PRIVATE PAY SERVICES. 95722 100668 2472328 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 14 0 1 66 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 FL X KAREN E NORTHOVER ADMINISTRATORC 4076446634 550 WEST MORSE BOULEVARD WINTER PARK FL 32789 X ROXWELL ROBINSON 1.00 X X 0 0 0 RUDOLPH CERTAIN 1.00 X X 0 0 0 RICHARD BALDWIN 1.00 X X 0 0 0 SAMUEL DERRAR 1.00 X X 0 0 0 KENNETH MURRAH 1.00 X 0 0 0 JANE HAMES 1.00 X 0 0 0 EDWIN WRIGHT 1.00 X 0 0 0 IVAN CASTRO 1.00 X 0 0 0 CLEM BOYER 1.00 X 0 0 0 LISA ARMOUR 1.00 X 0 0 0 HAROLD WILLIAMS 1.00 X 0 0 0 0 0 0 0 0 0 0 AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 72902 THERAPY SERVICE 214945 1 106432 106432 MEDICARE/MEDICAID PAYM 623000 2074747 2074747 ROUTINE CARE 623000 264483 264483 HOSPICE 623000 160189 160189 PRIVATE PAY SERVICE RE 623000 94391 94391 ANCILLARY SERVICES 623000 80 80 2593890 5081 5081 OTHER INCOME 900099 6197 6197 6197 2711600 2600087 0 5081 1445894 1292569 153325 2763 2763 4026 4026 121917 103236 18681 13371 13371 57614 57614 91779 20833 70946 4583 4583 28193 28193 14206 14206 91632 91632 187 187 145660 145660 140844 140844 183265 183265 SUPPLIES 238348 236685 1663 ANCILLARY PATIENT CARE 160618 160618 REPAIRS AND MAINTENANCE 59026 59026 MISCELLANEOUS EXPENSES 22980 2745 20235 EMPLOYEE RECRUITING EXP 12905 12905 43207 23843 19364 2883018 2472328 410690 0 121332 75710 282236 143736 224987 410827 2888 7792 4764784 1341947 3395109 3422837 362136 89164 14618 4867 4403306 4154933 149320 130626 84126 109399 14694 1821311 1790107 13958 1353 2083409 2031485 X 1485318 1474130 834579 649318 2319897 2123448 4403306 4154933 X -171418 -25031 X X 0 1 1 X 0 X 53039 7416 261377 108384 106432 536648 53039 7416 261377 108384 106432 536648 536648 16282 18513 15790 5745 5081 61411 6740 5275 20064 1893 6197 40169 638228 0.84080 0.80220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 14694 6011 20705 0 355604 355604 4039465 1133917 2905548 169934 91958 77976 199781 116072 83709 3422837 EMPLOYEE PENSION CONTRIBUTION 1279 EMPLOYEE LOAN PAYMENTS WITHHELD 74 1353 2711600 2883018 -171418 5176 -30207 -25031 -196449 2716776 5176 5176 2711600 0 2711600 2883018 0 2883018 0 2883018 PART IV, LINE 1B: THE ORGANIZATION OFFERS CASH MANAGEMENT SERVICES TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF THE RESIDENTS AND ARE DISBURSED AS REQUESTED. THE ORGANIZATION ACTS ONLY AS A CUSTODIAN. PART XI, LINE 8 - OTHER ADJUSTMENTS: BEGINNING NET ASSET ADJUSTMENT FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE TAX RETURN IS PRESENTED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BOARD OF DIRECTORS MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ANNUALLY. THE BOARD REVIEWS ACTUAL CONFLICTS OF INTEREST THAT ARE IDENTIFIED BY THE ANNUAL DISCLOSURE PROCESS AND PROHIBITS OFFICERS AND DIRECTORS FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS EXIST. FORM 990, PART VI, SECTION B, LINE 15A AN INDEPENDENT BOARD OF DIRECTORS SETS THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, SECTION C, LINE 19 UPON APPROVAL BY THE BOARD OF DIRECTORS, THE THIRD PARTY IS GRANTED PERMISSION TO REVIEW THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 5,176. BEGINNING NET ASSETS ADJUSTMENT -30,207. TOTAL TO FORM 990, PART XI, LINE 5: -25,031. OVERSIGHT OF AUDIT FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND INTERVIEWS CANDIDATES FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.