MANOR GROVE INCORPORATED: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- MANOR GROVE INCORPORATED (EIN 43-0679177)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-10
- IRS object ID
- 202401319349305265
- Schema version
- 2022v5.0
- 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) |
|---|---|---|
| Return | 2024-05-10T17:46:29-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 430765316 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RUBINBROWN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7676 FORSYTH BLVD SUITE 2100 | AddressLine1Txt |
| City | SAINT LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 430679177 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MANOR GROVE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MANO | BusinessNameControlTxt |
| Phone | 3149650864 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 SOUTH KIRKWOOD ROAD | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63122 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GEORGE ROLBY | PersonNm |
| Person Title | VICE PRESIDENT | PersonTitleTxt |
| Phone | 3149650864 | PhoneNum |
| Signature | 2024-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | GEORGE | PersonFirstNm |
| Person Last | ROLBY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KIMBERLY A RYAN | PreparerPersonNm |
| PTIN | P00829977 | PTIN |
| Phone | 3142903300 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JENNIFER MCCALLON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 SOUTH KIRKWOOD ROAD | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,949,233 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MANORGROVE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1907 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | TO PRESERVE THE QUALITY OF LIFE & PROVIDE EXPERT CARE FROM A HIGHLY SKILLED MULTIDISCIPLINARY TEAM. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 166 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,902,048 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,161 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,042,713 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,726,869 | CYProgramServiceRevenueAmt |
| PY Investment Income | $554,992 | PYInvestmentIncomeAmt |
| CY Investment Income | $171,306 | CYInvestmentIncomeAmt |
| PY Other Revenue | $48,128 | PYOtherRevenueAmt |
| CY Other Revenue | $9,185 | CYOtherRevenueAmt |
| PY Total Revenue | $10,547,881 | PYTotalRevenueAmt |
| CY Total Revenue | $9,918,521 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,826,014 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,316,514 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,336,472 | PYOtherExpensesAmt |
| CY Other Expenses | $5,176,181 | CYOtherExpensesAmt |
| PY Total Expenses | $10,162,486 | PYTotalExpensesAmt |
| CY Total Expenses | $11,492,695 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $385,395 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,574,174 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,020,752 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,707,634 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $899,375 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,054,765 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,121,377 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,652,869 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PRESERVE THE QUALITY OF LIFE THROUGH COMPASSIONATE, EXPERT CARE FROM A HIGHLY SKILLED MULTIDISCIPLINARY TEAM. WE RECOGNIZE THAT GOOD PEOPLE MAKE THE DIFFERENCE AND ARE THE KEY TO PROVIDING QUALITY CARE TO RESIDENTS WHO COME TO US FOR LONG-TERM CARE. WE ASSIST RESIDENTS IN ACHIEVING THEIR HIGHEST POSSIBLE LEVEL OF PHYSICAL, PSYCHOSOCIAL AND SPIRITUAL POTENTIAL, ALWAYS WORKING TO PROTECT AND ENHANCE THEIR DIGNITY. WE SEEK TO CONTINUALLY IMPROVE THE SERVICES WE PROVIDE TO STAY CURRENT WITH THE CHANGING ENVIRONMENT AND TO MAINTAIN A HOME-LIKE ATMOSPHERE FOR OUR FAMILY OF RESIDENTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $10,215,187 | ExpenseAmt |
| Revenue | $9,726,869 | RevenueAmt |
| Desc | OWNING AND OPERATING A LICENSED 117-BED SKILLED NURSING FACILITY LOCATED IN ST. LOUIS, MISSOURI. RENOVATIONS FROM FISCAL YEAR 2008 ADDED A THERAPY ROOM AND MODIFIED 14 ROOMS FOR MEDICARE RESIDENTS. MANOR GROVE'S HOME-LIKE ENVIRONMENT ASSURES PEACE OF MIND FOR RESIDENTS AND THEIR FAMILIES. IN 2015, A NEW PARKING LOT WAS ADDED ON THE NORTH-WEST SIDE OF THE MAIN BUILDING TO ACCOMODATE PARKING NEEDS OF FAMILY MEMBERS AND EMPLOYEES. IN 2017, THE RENOVATION OF THE SECOND FLOOR TOOK PLACE WHICH MADE THE SECOND FLOOR MUCH MORE ATTRACTIVE AND COMFORTABLE TO THE CURRENT AND PROSPECTIVE RESIDENTS. IN 2018, A NEW NURSES CALL SYSTEM WAS INSTALLED ON THE SECOND FLOOR. IN 2019-2020, A NEW GENERATOR WAS PUT IN PLACE. IN 2020-2021, THE ELEVATOR SYSTEM WAS UPGRADED. IN THE CHANGING LANDSCAPE OF COVID, WE HAVE PUT ESSENTIAL EFFORTS AND RESOURCES INTO KEEPING STAFF, VISITORS AND RESIDENTS AS SAFE AS POSSIBLE. WITH PURCHASES OF STATE OF THE ART EQUIPMENT WE HAVE BEEN ABLE TO KEEP OUR INFECTION RATES LOW AND PRODUCTIVITY HIGH. WE PLAN TO CONTINUE THESE EFFORTS THROUGH THE PANDEMIC, ALWAYS LOOKING FOR NEW OPPORTUNITIES TO BETTER OUR VACCINATION, TESTING AND TREATMENT METHODS. | Desc |
| Total Program Service Expenses | $10,215,187 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 52 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 166 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROZA KOYEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3149650864 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 SOUTH KIRKWOOD ROAD | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63122 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| CAROL EILER | |||||||
| PRESIDENT | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GEORGE ROLBY | |||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHEILA EATON | |||||||
| SECRETARY | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JIM WIRE | |||||||
| CONTROLLER | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JASON APPEL | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTINA CAPIZZI | |||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DIANE KEEFE | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| E LEE POTTS | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANNE ROEHM | |||||||
| MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| PHIL ROUSH | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HARDY WASHINGTON | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER MCCALLON | |||||||
| ADMINISTRATOR | 40.00 | Yes (X) | $88,851 | $0 | $10,444 | ||
| ROZA KOYEN | |||||||
| ACCOUNTANT | 40.00 | Yes (X) | $63,818 | $0 | $12,518 | ||
| EARNESTINE DECASUAL-SMITH | |||||||
| NURSE | 73.00 | $160,515 | $0 | $17 | Yes (X) | ||
| RAYNA WALKER | |||||||
| NURSE | 63.00 | $105,375 | $0 | $13,545 | Yes (X) | ||
| JUDITH WHITE | |||||||
| AIDE | 90.00 | $109,994 | $0 | $11,438 | Yes (X) | ||
| FATIMA ZIADI | |||||||
| AIDE | 80.00 | $105,345 | $0 | $11,321 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $633,898 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $59,283 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| INTEGRITY HEALTH GROUP | |||||
| PO BOX 4729 | WINTER PARK | FL | 327934729 | NURSING STAFFING | $1,330,699 |
| ALLIANCE REHAB STL LLC DBA SYMBRIA | |||||
| 28100 TORCH PARKWAY SUITE 600 | WARRENVILLE | IL | 60555 | THERAPY | $285,507 |
| KEVIN DEPEW DBA SILVERBACK VIDEO LLC | |||||
| 2342 CENTERLINE INSUSTRIAL DR | ST LOUIS | MO | 63146 | MARKETING | $217,707 |
| GRAPE TREE MEDICAL STAFFING LLC | |||||
| PO BOX 5340 | SIOUX FALLS | SD | 571175340 | NURSING STAFFING | $119,239 |
| FORVIS LLP FKA BKD LLP | |||||
| 910 E ST LOUIS ST STE 2 | SPRINGFIELD | MO | 65806 | MEDICARE BILLING | $105,701 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $11,161 | AllOtherContributionsAmt |
| Total Contributions | $11,161 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ELDERLY CARE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $9,726,869 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,726,869 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,726,869 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $114,024 | TotalRevenueColumnAmt |
| Exclusion | $114,024 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,087,994 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,030,712 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $57,282 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $57,282 | TotalRevenueColumnAmt |
| Exclusion | $57,282 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| TRANSPORTATION INCOME | 480000 | $8,078 | $8,078 |
| MISCELLANEOUS INCOME | 621300 | $1,107 | $1,107 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,185 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,918,521 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,726,869 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $180,491 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,434 | TotalAmt |
| Program Services | $32,404 | ProgramServicesAmt |
| Management And General | $153,030 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,171,688 | TotalAmt |
| Program Services | $4,909,122 | ProgramServicesAmt |
| Management And General | $262,566 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,482 | TotalAmt |
| Program Services | $18,293 | ProgramServicesAmt |
| Management And General | $34,189 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $510,908 | TotalAmt |
| Program Services | $461,206 | ProgramServicesAmt |
| Management And General | $49,702 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $396,002 | TotalAmt |
| Program Services | $366,878 | ProgramServicesAmt |
| Management And General | $29,124 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,723 | TotalAmt |
| Program Services | $1,922 | ProgramServicesAmt |
| Management And General | $2,801 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,255 | TotalAmt |
| Management And General | $90,255 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,999 | TotalAmt |
| Management And General | $31,999 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,123,822 | TotalAmt |
| Program Services | $2,123,822 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,147 | TotalAmt |
| Management And General | $220,147 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,915 | TotalAmt |
| Program Services | $352,570 | ProgramServicesAmt |
| Management And General | $29,345 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,871 | TotalAmt |
| Program Services | $272,285 | ProgramServicesAmt |
| Management And General | $3,586 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $624 | TotalAmt |
| Management And General | $624 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,588 | TotalAmt |
| Program Services | $5,308 | ProgramServicesAmt |
| Management And General | $5,280 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $770 | TotalAmt |
| Management And General | $770 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $427,642 | TotalAmt |
| Program Services | $422,083 | ProgramServicesAmt |
| Management And General | $5,559 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $240,002 | TotalAmt |
| Program Services | $230,448 | ProgramServicesAmt |
| Management And General | $9,554 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SERVICE CONTRACTS | $387,808 | $50,067 | $337,741 |
| FOOD SERVICE EXPENSES | $361,422 | $361,422 | |
| MEDICAID NFRA TAX | $336,671 | $336,671 | |
| PHARMACY AND SUPPLEMENT | $111,214 | $111,214 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,708 | TotalAmt |
| Program Services | $159,472 | ProgramServicesAmt |
| Management And General | $11,236 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,492,695 | TotalAmt |
| Program Services | $10,215,187 | ProgramServicesAmt |
| Management And General | $1,277,508 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,966 | BOYAmt |
| EOY | $7,250 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $558,267 | BOYAmt |
| EOY | $677,220 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,715 | BOYAmt |
| EOY | $516,669 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,390 | BOYAmt |
| EOY | $70,940 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,284 | BOYAmt |
| EOY | $72,860 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,297,006 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,109,647 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,302,883 | BOYAmt |
| EOY | $5,187,359 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,371,135 | BOYAmt |
| EOY | $2,769,919 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,112 | BOYAmt |
| EOY | $405,417 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,020,752 | BOYAmt |
| EOY | $9,707,634 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $558,355 | BOYAmt |
| EOY | $614,827 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,101 | BOYAmt |
| EOY | $25,690 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $278,199 | BOYAmt |
| EOY | $290,151 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,720 | BOYAmt |
| EOY | $124,097 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $899,375 | BOYAmt |
| EOY | $1,054,765 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,116,287 | BOYAmt |
| EOY | $8,647,889 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,090 | BOYAmt |
| EOY | $4,980 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,121,377 | BOYAmt |
| EOY | $8,652,869 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,020,752 | BOYAmt |
| EOY | $9,707,634 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,574,174 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $105,666 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,111 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $416,346 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $350,919 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,902,048 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,161 | CurrentTaxYearAmt |
| Total | $2,690,585 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,453,698 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,143,116 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,970,277 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,042,713 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,726,869 | CurrentTaxYearAmt |
| Total | $44,336,673 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $44,453 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $46,800 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $29,200 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,250 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $130,703 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,508,262 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,606,262 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,350,396 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,955,011 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,738,030 | CurrentTaxYearAmt |
| Total | $47,157,961 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,450 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,323 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,828 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,332 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,066 | CurrentTaxYearAmt |
| Total | $38,999 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,450 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,323 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,828 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,332 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,066 | CurrentTaxYearAmt |
| Total | $38,999 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $47,118,962 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $180,340 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $143,339 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $147,083 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $161,744 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $114,024 | CurrentTaxYearAmt |
| Total | $746,530 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $180,340 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $143,339 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $147,083 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $161,744 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $114,024 | CurrentTaxYearAmt |
| Total | $746,530 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,326 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,316 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,376 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $61,382 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,185 | CurrentTaxYearAmt |
| Total | $129,585 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,716,928 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,770,917 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,506,855 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,178,137 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,861,239 | CurrentTaxYearAmt |
| Total | $48,034,076 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98090 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97910 | PublicSupportPY509Pct |
| Investment Income CY | 0.01550 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01680 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2018 AMOUNT: $ 28,326. 2019 AMOUNT: $ 21,316. 2020 AMOUNT: $ 9,376. 2021 AMOUNT: $ 61,382. 2022 AMOUNT: $ 9,185. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $347,080 | OtherCostOrOtherBasisAmt |
| Book Value | $347,080 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,748,859 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,595,995 | DepreciationAmt |
| Book Value | $4,152,864 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,257,315 | OtherCostOrOtherBasisAmt |
| Depreciation | $828,695 | DepreciationAmt |
| Book Value | $428,620 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $943,752 | OtherCostOrOtherBasisAmt |
| Depreciation | $684,957 | DepreciationAmt |
| Book Value | $258,795 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,187,359 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAPITAL LEASE OBLIGATION | Desc |
| Amt | $124,097 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $124,097 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $9,991,418 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $105,666 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$770 | OtherRevenueAmt |
| Revenue Not Reported | $104,896 | RevenueNotReportedAmt |
| Revenue Subtotal | $9,886,522 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $31,999 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $31,999 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $9,918,521 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,459,926 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,459,926 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $31,999 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $770 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $32,769 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,492,695 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | SECURITY DEPOSITS HELD ON BEHALF OF RESIDENTS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | INTEREST EXPENSE -770. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | INTEREST EXPENSE 770. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | EARNESTINE DECASUAL-SMITH | PersonNm |
| Title | NURSE | TitleTxt |
| Base Compensation Filing Org | $160,515 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $17 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $160,532 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT REVIEWS COMPENSATION TO VERIFY AMOUNTS ARE COMPARABLE TO OTHER ENTITIES IN THE SAME REGION AND SIZE AMONG OTHER FACTORS. BOARD OF DIRECTORS REVIEW AND APPROVE COMPENSATION FOR THE ADMINISTRATOR. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE NO COMMITTEES THAT MAY ACT ON BEHALF OF THE FULL BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ADMINISTRATOR WILL REVIEW THE PREPARED FORM 990. THE BOARD WILL REVIEW AND APPROVE THE 990 DURING THEIR FIRST MEETING AFTER THE 990 HAS BEEN PREPARED. BOARD MEMBERS WILL BE ABLE TO VOICE ANY COMMENTS OR CONCERNS, AND DECIDE IF ANY CHANGES NEED TO BE MADE. |
| FORM 990, PART VI, SECTION B, LINE 12C | DIRECTORS OF THE BOARD ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. IF THE ADMINISTRATOR OR THE BOARD MEMBER SUSPECTS A CONFLICT OF INTEREST, IT IS DISCLOSED AT THE NEXT BOARD MEETING. THE BOARD MEMBERS DISCUSS THE ISSUES AND ACCEPT OR DENY THE TRANSACTION. THE DISCLOSURE, DISCUSSION, AND DECISION HAPPEN BEFORE THE TRANSACTION OCCURS. NO RESTRICTIONS HAVE BEEN IMPOSED SO FAR. |
| FORM 990, PART VI, SECTION B, LINE 15A | MANAGEMENT REVIEWS COMPENSATION TO VERIFY AMOUNTS ARE COMPARABLE TO OTHER ENTITIES IN THE SAME REGION AND SIZE AMONG OTHER FACTORS. BOARD OF DIRECTORS REVIEW AND APPROVE COMPENSATION FOR THE ADMINISTRATOR. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION HAS MADE GOVERNING DOCUMENTS, THEIR CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION B, LINE 16B: | INVESTMENT IN SCN, INC. THE ORGANIZATION ADOPTED A POLICY IN 2015 FOR THE MONITORING OF THIS INVESTMENT. DURING THE 2011 TAX YEAR SCN, INC. CONVERTED FROM A NON PROFIT ORGANIZATION TO A FOR PROFIT ORGANIZATION WITH FIVE MEMBERS, ALL OF WHICH ARE 501(C)(3) ORGANIZATIONS. SCN, INC. HAS BEEN ORGANIZED TO ENABLE ITS MEMBERS TO TAKE ADVANTAGE OF GROUP DISCOUNTS WHEN PURCHASING SUPPLIES AND SERVICES NEEDED FOR OPERATION OF THEIR NURSING HOME AND SKILLED-NURSING FACILITIES. |
| FORM 990, PART IX, LINE 11G | THERAPY SERVICES: PROGRAM SERVICE EXPENSES 279,873. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 279,873. PROFESSIONAL NURSING: PROGRAM SERVICE EXPENSES 1,843,949. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,843,949. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |