2024-11-04T14:22:33-06:00 2023-12-31 341630230 RW CORWIN & COMPANY INC PO BOX 690 WADSWORTH OH 442820690 990 2023-01-01 310802091 JACKSON COUNTY HEALTH FACILITY INC JACK 7403842119 142 JENKINS MEMORIAL ROAD WELLSTON OH 45692 WILLIAM POTTER ADMINISTRATOR 7403842119 2024-10-29 1 0 RUSSELL W CORWIN CPA P01209087 3303361004 2024-10-29 2023 2024-10-15 13:58:12Z JENKINS CARE COMMUNITY WILLIAM POTTER 142 JENKINS MEMORIAL ROAD WELLSTON OH 45692 5994736 0 X N/A X 1968 OH TO PROVIDE THE BEST POSSIBLE HEALTH CARE IN AN EFFICIENT AND EFFECTIVE ENVIROMENT OF LOVING AND CARING AND THE REALIZATION BY ALL, OF THE DIGNITY OF HUMAN LIFE. 7 7 133 8 0 0 1696111 200452 5508352 5416421 12343 367054 22674 10809 7239480 5994736 0 0 0 0 3440757 3438816 0 0 0 2275125 2002745 5715882 5441561 1523598 553175 10282356 10922457 364383 451309 9917973 10471148 TO PROVIDE TO THOSE WHO SEEK OUR HELP, THE BEST POSSIBLE HEALTH CARE IN AN EFFICIENT AND EFFECTIVE ENVIROMENT OF LOVING AND CARING AND THE REALIZATION BY ALL, OF THE DIGNITY OF HUMAN LIFE. 0 0 4779881 5416421 HOME FOR AGED 59 BED NURSING FACILITY AND 50 BED ASSISTED LIVING FACILITY ALSO OFFERING THE FOLLOWING SERVICES: ONSITE THERAPY SERVICES (PT, OT & ST). ONSITE BEAUTY SHOP, TRANSPORTION SERVICES, AND MEDICAID ASSITED LVIING WAIVER PARTICIPATION. 4779881 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 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 8 0 133 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 OH X DAVID NICHOLS 7403842119 142 JENKINS MEMORIAL ROAD WELLSTON OH 45692 GREG ERVIN PRESIDENT 1.00 0.00 X X 0 0 0 JEFFERY SIMMONS VICE PRESIDENT 1.00 0.00 X X 0 0 0 RON HAYES TREASURER 1.00 0.00 X X 0 0 0 MARTHA MASSIE SECRETARY 1.00 0.00 X X 0 0 0 BONNIE HOLZAPFEL BOARD MEMBER 1.00 0.00 X 0 0 0 DAN FULKS BOARD MEMBER 1.00 0.00 X 0 0 0 MICHELE FURBEE BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM POTTER ADMINISTRATOR 40.00 0.00 X 115886 0 14145 DAVID NICHOLS CHIEF FINANCIAL OFFICER 40.00 0.00 X 109261 0 36206 225147 0 50351 2 0 0 0 POWERBACK REHABILITATION 101 E STATE STREET KENNETT SQUARE PA 19348 THERAPY SERVICES 357892 1 199137 1315 200452 MEDICARE/MEDICAID 623000 3862711 3862711 RESIDENT REVENUE 623000 1553710 1553710 5416421 367054 367054 MISCELLANEOUS 623000 10809 10809 10809 5994736 5416421 0 377863 225147 184621 40526 2581282 2116651 464631 28191 27063 1128 389027 373467 15560 215169 206562 8607 80497 67617 12880 403828 339216 64612 18497 17708 789 42326 40693 1633 181952 175027 6925 1181 1146 35 362760 348462 14298 93331 89784 3547 BED TAX 301169 301169 DIETARY FOOD AND SUPPLI 253103 245510 7593 PHARMACY AND MEDICAL SU 144680 141786 2894 MAINTENANCE AND REPAIRS 61205 58839 2366 58216 44560 13656 5441561 4779881 661680 0 400 11913 3723899 6228075 2131125 412662 46938 48904 30953 41316 11310570 7297829 4349041 4012741 0 166846 10282356 10922457 347383 388219 17000 63090 364383 451309 X 9917973 10471148 9917973 10471148 10282356 10922457 553175 0 X 0 1 X 1 0 X 2207 520268 630 1696111 200452 2419668 5475309 5603815 5252084 5508352 5416421 27255981 5477516 6124083 5252714 7204463 5616873 29675649 99658 101814 201472 0 99658 101814 201472 29474177 58253 49253 25678 12343 367054 512581 58253 49253 25678 12343 367054 512581 101184 249786 17511 22674 10809 401964 5636953 6423122 5295903 7239480 5994736 30590194 0.96350 0.86990 0.01680 0.00600 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 26965 26965 8134678 5024344 3110334 2732531 1961638 770893 416396 311847 104549 4012741 RESIDENT DEPOSITS 22000 RATE SETTLEMENT, MEDICARE 41090 63090 X 5994736 0 5994736 0 5994736 5441561 0 5441561 0 5441561 PART X, LINE 2: JCC IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR FEDERAL, STATE, OR LOCAL INCOME TAXES HAVE BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE FINANCIAL ACCOUNTING STANDARDS BOARD HAS PROVIDED GUIDANCE FOR HOW UNCERTAIN TAX POSITIONS SHOULD BE RECOGNIZED, MEASURED, DISCLOSED AND PRESENTED IN THE FINANCIAL STATEMENTS. THIS REQUIRES THE EVALUATION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING JCC'S TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE MORE-LIKELY-THAN-NOT TO BE SUSTAINED WHEN CHALLENGED OR WHEN EXAMINED BY THE APPLICABLE TAXING AUTHORITY. THERE ARE NO UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION. FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWS FORM 990 THEN PROVIDES THE FINAL COPY TO ALL BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY PROVIDED REQUIRES ALL STAFF (INCLUDING THE BOARD OF TRUSTEES) TO REPORT ANY POSSIBLE CONFLICTS TO MANAGEMENT WHICH ARE THEN REVIEWED FOR POTENTIAL CONFLICTS. IF A POTENITAL CONFLICT OF INTEREST IS DISCOVERED IT IS DISCUSSED INITIALLY AMONG MANAGEMENT. IF IT MERITS FURTHER DISCUSSION IT IS DISCUSSED WITH THE FULL BOARD OF DIRECTORS. DURING THE REVIEW OF THE POTENTIAL CONFLICT OF INTEREST PROCESS, A BOARD MEMBER MAY BE ASKED TO EXCUSE HIM/HERSELF FROM ANY AND ALL VOTES THAT THE BOARD DEEMS APPRORIATE. FORM 990, PART VI, SECTION B, LINE 15 COMPARABILITY DATA IS USED FROM WAGE STUDIES AND THE COST REPORT FOR ANY NEW HIRES OR SIGNIFICANT WAGE ADJUSTMENTS, ALL DATA IS PROVIDED TO THE BOARD OF DIRECTORS FOR ALL WAGE CHANGES FOR FINAL APPROVAL. COPIES OF ALL WAGE STUDY DOCUEMNTS AND ALL WAGE DECISIONS ARE DISCUSSED AND DOCUMENTED IN TEH BAORD MINUTES WHICH ARE ALSO RETAINED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATMENTS ARE AVAILABLE UPON REQUEST.