2025-11-14T12:28:22-06:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 1000 COMMERCE PARK DR WILLIAMSPORT PA 17701 990 2024-01-01 240795507 THE WILLIAMSPORT HOME WILL 5703238781 1900 RAVINE ROAD WILLIAMSPORT PA 17701 JENNIFER CISNEROS NURSING HOME ADMINISTRATOR 5703238781 2025-11-13 1 1 JAIME L KUNTZ P01272711 5703236023 2025-11-13 2024 2025-03-06 01:10:19Z JENNIFER CISNEROS 1900 RAVINE ROAD WILLIAMSPORT PA 17701 19998061 0 X THEWILLIAMSPORTHOME.COM X 1873 PA PROVIDE NURSING SERVICES IN A 129 BED SKILLED NURSING FACILITY AND HOUSING FOR THE ELDERLY. 14 14 245 11 0 0 69657 76448 18107963 19302657 579405 333164 140836 195976 18897861 19908245 0 193 0 0 9067999 10089080 0 0 0 11007320 9869166 20075319 19958439 -1177458 -50194 18847273 18058498 5163381 4155108 13683892 13903390 X TO PROVIDE THE HIGHEST QUALITY OF CARE TO OUR RESIDENTS WHILE HONORING THEIR INDEPENDENCE AND DIGNITY. 0 0 17835774 193 19302657 THE WILLIAMSPORT HOME (THE HOME) OPERATES A 129-BED SKILLED NURSING AND REHABILITATION CENTER, 2 LICENSED PERSONAL CARE PROGRAMS AND 185 INDEPENDENT LIVING APARTMENTS WHICH SERVE MEN AND WOMEN. THE HOME ALSO OPERATES A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) PROVIDING HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO ELDERLY RESIDENTS. THE HOME WAS APPROVED TO PROVIDE CONGREGATE MEALS, TRANSPORTATION AND ASSISTANCE TO APARTMENT RESIDENTS BY THE DEPARTMENT OF HEALTH AS A HOME CARE PROVIDER ON APRIL 1, 2011.OUR PROGRAMS ARE DESIGNED TO HELP MAINTAIN OUR RESIDENT'S HEALTH, SECURITY AND INDEPENDENCE.CONTINUED ON SCHEDULE OTHE HOME PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOME DOES NOT PURSUE COLLECTIONS OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS REVENUES. THE HOME PROVIDED APPROXIMATELY $28,000 OF CHARITY CARE DURING 2024. ADDITIONALLY, THE HOME PROVIDES SERVICES TO MEDICAL ASSISTANCE BENEFICIARIES AND IS REIMBURSED AT RATES DIFFERENT FROM STANDARD ROOM CHARGES. THE TOTAL DIFFERENCES RELATED TO THESE SERVICES WERE APPROXIMATELY $1,717,000 IN 2024. 17835774 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 14 0 245 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X KAREN FAY DIRECTOR OF FINANCE 5703238781 1900 RAVINE ROAD WILLIAMSPORT PA 17701 CANDACE DEWAR PRESIDENT 1.00 X X 0 0 0 SUSAN EVANS VICE-PRESIDENT 1.00 X X 0 0 0 BRETTE CONFAIR SECRETARY 1.00 X X 0 0 0 RENEE LAYCHUR TREASURER 1.00 X X 0 0 0 SHARON ATHERHOLT DIRECTOR 1.00 X 0 0 0 MAUREEN CAREY DIRECTOR 1.00 X 0 0 0 WINONA KREMSER DIRECTOR 1.00 X 0 0 0 PATRICIA SHIPMAN DIRECTOR 1.00 X 0 0 0 BETH STUBLER DIRECTOR 1.00 X 0 0 0 LAURIE BARCLAY DIRECTOR 1.00 X 0 0 0 CATHERINE PICCOLO DIRECTOR 1.00 X 0 0 0 KATHLEEN PAGANA DIRECTOR 1.00 X 0 0 0 HIEN CONNOLLY DIRECTOR 1.00 X 0 0 0 PAMELA LUNDY DIRECTOR 1.00 X 0 0 0 NICHOLAS MEALE DIRECTOR OF FINANCE (UNTIL 1/25) 40.00 X 68783 0 0 JENNIFER CISNEROS EXECUTIVE DIRECTOR 40.00 X 0 0 0 SUSAN R HOOKER REGISTERED NURSE 65.50 X 127656 0 12102 TERESA BROCK DIRECTOR OF NURSING 40.00 X 109824 0 8523 HOLLY JAMISON REGISTERED NURSE 40.00 X 111016 0 7562 417279 0 28187 3 0 0 0 THE STAFFING FIRM PO BOX 628328 ORLANDO FL 32862 STAFFING 1353842 SODEXO INC & AFFILIATES BOX 360170 PITTSBURGH PA 15251 FOOD SERVICES 1031131 FUNCTIONAL PATHWAYS 10133 SHERRIL BLVD STE 200 KNOXVILLE TN 37932 THERAPY SERVICES 715098 AFFINITY HEALTH SERVICES 942 PHILADELPHIA ST INDIANA PA 15701 MANAGEMENT SERVICES 707983 STAFFQUEST INC PO BOX 75359 CHICAGO IL 60675 STAFFING 122562 6 51579 24869 76448 PATIENT SERVICE REVENUE 623000 15440994 15440994 APARTMENT REVENUE 623000 3861663 3861663 19302657 181067 181067 241913 89816 152097 152097 152097 CABLE TV SERVICES FOR RESIDENTS 517000 43568 43568 BEAUTY/BARBER SHOP REVENUE 812900 27189 27189 TRANSPORTATION FOR RESIDENTS 480000 10409 10409 114810 114810 195976 19908245 19302657 0 529140 X 193 193 8546566 8160541 386025 56857 55916 941 836297 777664 58633 649360 617542 31818 451209 39249 411960 23721 23721 52468 641 51827 3653001 3316177 336824 92968 92634 334 2202765 1903907 298858 711918 711918 82177 72541 9636 98133 98133 897886 897886 414211 127679 286532 BAD DEBT EXPENSE 403108 403108 REPAIRS & MAINTENANCE 248821 150787 98034 MEDICAL SUPPLIES 128636 128636 EDUCATION 89344 89344 318800 191278 127522 19958439 17835774 2122665 0 500 500 376381 304980 2435809 2487735 26774 26774 68676 74376 37932364 28901802 9227271 9030562 6274001 5967375 437861 166196 18847273 18058498 2119483 1722398 9358 5267 1868998 1614312 999891 730956 165651 82175 5163381 4155108 X 13212205 13877835 471687 25555 13683892 13903390 18847273 18058498 -50194 269692 0 X 0 1 X 1 0 X 1273900 2124768 574574 69657 76448 4119347 16918039 15938015 15014547 18107963 19302657 85281221 18191939 18062783 15589121 18177620 19379105 89400568 0 0 0 89400568 115653 140442 187483 200365 181067 825010 115653 140442 187483 200365 181067 825010 82791 96478 96853 140836 195976 612934 18390383 18299703 15873457 18518821 19756148 90838512 0.98420 0.98450 0.00910 0.00930 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: EMPLOYEE AND GUEST MEALS - 2020 AMOUNT: $ 1,888. 2021 AMOUNT: $ 735. 2022 AMOUNT: $ 973. 2023 AMOUNT: $ 2,040. 2024 AMOUNT: $ 2,220. BEAUTY/BARBER SHOP REVENUE - 2020 AMOUNT: $ 6,432. 2021 AMOUNT: $ 6,933. 2022 AMOUNT: $ 15,686. 2023 AMOUNT: $ 29,375. 2024 AMOUNT: $ 27,189. CABLE TV SERVICES FOR RESIDENTS - 2020 AMOUNT: $ 60,620. 2021 AMOUNT: $ 57,400. 2022 AMOUNT: $ 55,638. 2023 AMOUNT: $ 50,191. 2024 AMOUNT: $ 43,568. CONCESSION/VENDING - 2020 AMOUNT: $ -5,485. 2021 AMOUNT: $ 1,355. 2022 AMOUNT: $ 8,746. 2023 AMOUNT: $ 7,788. 2024 AMOUNT: $ 5,364. TRANSPORTATION FOR RESIDENTS - 2020 AMOUNT: $ 4,444. 2021 AMOUNT: $ 5,727. 2022 AMOUNT: $ 3,568. 2023 AMOUNT: $ 14,443. 2024 AMOUNT: $ 10,409. OTHER INCOME - 2020 AMOUNT: $ 14,549. 2021 AMOUNT: $ 24,328. 2022 AMOUNT: $ 11,804. 2023 AMOUNT: $ 36,999. 2024 AMOUNT: $ 89,723. PROFESSIONAL WELLNESS - 2020 AMOUNT: $ 343. 2022 AMOUNT: $ 438. LAUNDRY INCOME - 2024 AMOUNT: $ 17,503. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 796206 796206 27407361 20648241 6759120 6746641 5708166 1038475 2982156 2545395 436761 9030562 FINANCE LEASE OBLIGATIONS 82175 82175 20177937 269692 269692 19908245 0 19908245 19958439 0 19958439 0 19958439 A LYCOMING COUNTY AUTHORITY HEALTHCARE REVENUE NOTE SERIES A OF 2013 236760375 2013-04-12 4400000 SEE PART VI 0 0 0 A 2753888 4400000 43739 4356261 2015 0 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 A 1 SCHEDULE K, PART 1, BOND ISSUES: (A) ISSUER NAME: LYCOMING COUNTY AUTHORITY HEALTHCARE REVENUE NOTE SERIES A OF 2013 (F) DESCRIPTION OF PURPOSE: DESIGN, CONSTRUCTION, AND EQUIPPING OF REHABILITATION UNIT FORM 990, PART VI, SECTION A, LINE 3 THE HOME UTILIZES THE MANAGEMENT SERVICES OF AFFINITY HEALTHCARE SERVICES. AFFINITY EMPLOYS JENNIFER CISNEROS, EXECUTIVE DIRECTOR ($129,799). FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PROVIDED TO AND REVIEWED BY ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, THE BOARD OF DIRECTORS AND MEMBERS OF MANAGEMENT MUST COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. ALL QUESTIONNAIRES ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND MAINTAINED ON FILE. BOARD DIRECTORS WITH POTENTIAL CONFLICTS ARE REQUIRED TO ABSTAIN FROM VOTING ON MATTERS RELATED TO THE CONFLICT AND COULD BE REMOVED FROM THE BOARD IF THE CONFLICT IS SIGNIFICANT. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE EXECUTIVE DIRECTOR AND ALL EMPLOYEES IS CALCULATED BY MANAGEMENT AND THE MANAGEMENT COMPANY, AFFINITY HEALTH SERVICES. MANAGEMENT AND AFFINITY USE DATA FROM LEADING AGE PA AND WAGE/SALARY SURVEYS FROM THE REGION TO COMPARE ORGANIZATIONAL WAGES TO LOCAL AND REGIONAL COMPETITION AS WELL AS OTHER LOCAL MARKETS. THE BOARD OF MANAGERS APPROVES ALL STAFF COMPENSATION (INCLUDING THE EXECUTIVE DIRECTOR AND MANAGEMENT) AT THE TIME THE OPRATING BUDGET IS APROVED. MANAGEMENT DESCRIBES IN DETAIL THE SALARY INCREASES FOR ALL STAFF DURING THE OPERATING BUDGET REVIEW WITH THE BOARD AND THE BOARD APPROVES THE BUDGET AND INCLUDED INCREASES. THE REVIEW AND APPROVAL IS DOCUMENTED VIA BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART IX, LINE 11G THERAPY AND ANCILLARY SERVICES: PROGRAM SERVICE EXPENSES 1,239,752. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,239,752. NURSING: PROGRAM SERVICE EXPENSES 1,598,086. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,598,086. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 435,866. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 435,866. CONSULTANTS: PROGRAM SERVICE EXPENSES 42,386. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,386. CONTRACTORS: PROGRAM SERVICE EXPENSES 87. MANAGEMENT AND GENERAL EXPENSES 336,824. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 336,911.