INDEPENDENCE HEALTH SYSTEM INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- INDEPENDENCE HEALTH SYSTEM INC (EIN 43-0926316)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-10-02
- IRS object ID
- 202432769349301133
- Schema version
- 2023v5.1
- 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 | 2024-10-02T15:16:49-05:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 WASHINGTON AVENUE SUITE 1800 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 430926316 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDEPENDENCE HEALTH SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INDE | BusinessNameControlTxt |
| Phone | 5735476546 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 SOUTH KINGSHIGHWAY | AddressLine1Txt |
| City | PERRYVILLE | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63775 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANA KORANDO | PersonNm |
| Person Title | ADMINISTRATOR/CEO | PersonTitleTxt |
| Phone | 5735476546 | PhoneNum |
| Signature | 2024-10-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMBER ROGNAN-HAMILTON | PreparerPersonNm |
| PTIN | P01251012 | PTIN |
| Phone | 3149254300 | PhoneNum |
| Preparation | 2024-10-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANA KORANDO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 SOUTH KINGSHIGHWAY | AddressLine1Txt |
| City | PERRYVILLE | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63775 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,415,747 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://WWW.INDEPENDENCEHEALTHSYSTEM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | INDEPENDENCE HEALTH SYSTEM, INC. IS DEDICATED TO DELIVERING EFFECTIVE, EFFICIENT, AND RESPECTFUL CARE TO OUR RESIDENTS WITH INTEGRITY AND ACCOUNTABILITY USING BOTH PROVEN AND INNOVATIVE METHODS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 193 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,400 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,146,594 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,922,146 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,830,163 | CYProgramServiceRevenueAmt |
| PY Investment Income | $702,466 | PYInvestmentIncomeAmt |
| CY Investment Income | $268,007 | CYInvestmentIncomeAmt |
| PY Other Revenue | $52,878 | PYOtherRevenueAmt |
| CY Other Revenue | $35,429 | CYOtherRevenueAmt |
| PY Total Revenue | $8,678,890 | PYTotalRevenueAmt |
| CY Total Revenue | $9,280,193 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,548 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,580,564 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,048,907 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,450,446 | PYOtherExpensesAmt |
| CY Other Expenses | $4,490,743 | CYOtherExpensesAmt |
| PY Total Expenses | $9,033,558 | PYTotalExpensesAmt |
| CY Total Expenses | $9,541,150 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$354,668 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$260,957 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $16,593,629 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,455,335 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $851,029 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $874,552 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,742,600 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,580,783 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE THE ELDERLY WITH RETIREMENT AND HEALTH CARE SERVICES WHICH ARE DEDICATED TO EXCELLENCE, IN AN ENVIRONMENT WHICH PROMOTES LIVING WITH DIGINITY, SECURITY AND INDEPENDENCE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $8,470,252 | ExpenseAmt |
| Grant | $1,500 | GrantAmt |
| Revenue | $7,847,423 | RevenueAmt |
| Desc | PROVIDED LONG TERM CARE FOR THE ELDERLY AT VARIOUS STAGES: SKILLED NURSING FACILITY, 133 LICENSED BEDS; RESIDENTIAL CARE, 95 LICENSED BEDS; INDEPENDENT LIVING, 8 LIVING UNITS CONSISTING OF COTTAGES AND DUPLEXES. ACCEPT MEDICARE, MEDICAID, AND PRIVATE PAY WHERE APPLICABLE.WE PROVIDE CARE FOR OUR RESIDENTS FROM HEAD TO TOE. WE WANT OUR RESIDENTS TO LIVE THEIR BEST LIFE WHILE LIVING HERE. WE TAKE PRIDE IN OUR PROVIDERS THAT COME INTO OUR FACILITY TO PROVIDE CARE SO THE RESIDENTS DON'T HAVE TO LEAVE THE FACILITY.WE ALSO PROVIDE ADDITIONAL CARE WITH THERAPY, FACIALS, MANICURES, PEDICURES, AND BEAUTY SHOP TREATMENT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $0 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | -$17,260 | RevenueAmt |
| Desc | THE SYSTEM ACCEPTS MEDICAID RESIDENTS WITH THE UNDERSTANDING THAT A PORTION OF THESE REVENUES WILL BE UNCOLLECTIBLE. THE CONTRACTUAL ADJUSTMENT IS RECORDED IN NET RESIDENT SERVICE REVENUE. THE SYSTEM CONSIDERS THIS CONTRACTUAL ADJUSTMENT TO BE CHARITABLE CARE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $8,470,252 | 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 | Yes (1) | 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 | Yes (1) | 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 | 0 | 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 | 39 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 193 | 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | Yes (1) | 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANA KORANDO | PersonNm |
| Phone | 5735476546 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 S KINGSHIGHWAY | AddressLine1Txt |
| City | PERRYVILLE | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63775 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| JENNIFER STREILER | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TERRI GREEN | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JUSTIN KOENIG | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| VIDA YAMNITZ | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DONALD PALISCH | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| FRED EGGERS | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BRIAN DREYER | ||||||
| PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JUDITH ERNST | ||||||
| SECRETARY/TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| PATTY WICHERN | ||||||
| VICE PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CASEY ELLIS | ||||||
| ADMINISTRATOR | 40.00 | $38,684 | $0 | $3,888 | Yes (X) | |
| DANA KORANDO | ||||||
| ADMINISTRATOR/CEO | 40.00 | $116,129 | $0 | $9,405 | Yes (X) | |
| RHONDA PFISTER | ||||||
| CFO | 40.00 | $92,205 | $0 | $16,444 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $247,018 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $29,737 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FUSION MEDICAL STAFFING LLC | |||||
| PO BOX 30131 | OMAHA | NE | 681031231 | NURSING STAFF | $1,266,325 |
| MEDICAL SOLUTIONS | |||||
| PO BOX 850737 | MINNEAPOLIS | MN | 554850737 | NURSING STAFF | $323,132 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,146,594 | GovernmentGrantsAmt |
| Total Contributions | $1,146,594 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NURSING REVENUE | 623000 | $7,822,152 | $7,822,152 |
| MEDICARE LEVEL PAYMENTS | 623000 | $8,011 | $8,011 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,830,163 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $322,119 | TotalRevenueColumnAmt |
| Exclusion | $322,119 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,470,817 | SecuritiesAmt |
| Other | $610,625 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,855,403 | SecuritiesAmt |
| Other | $280,151 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$384,586 | SecuritiesAmt |
| Other | $330,474 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$54,112 | TotalRevenueColumnAmt |
| Exclusion | -$54,112 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $277 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $277 | TotalRevenueColumnAmt |
| Exclusion | $277 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MISCELLANEOUS | 623000 | $19,908 | $19,908 |
| BEAUTY SHOP | 623000 | $14,280 | $14,280 |
| EMPLOYEE & GUEST MEALS | 623000 | $964 | $964 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $35,152 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,280,193 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,830,163 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $303,436 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500 | TotalAmt |
| Program Services | $500 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000 | TotalAmt |
| Program Services | $1,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,755 | TotalAmt |
| Management And General | $276,755 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,785,649 | TotalAmt |
| Program Services | $3,090,835 | ProgramServicesAmt |
| Management And General | $694,814 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,436 | TotalAmt |
| Program Services | $66,482 | ProgramServicesAmt |
| Management And General | $1,954 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $435,543 | TotalAmt |
| Program Services | $423,106 | ProgramServicesAmt |
| Management And General | $12,437 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $482,524 | TotalAmt |
| Program Services | $468,746 | ProgramServicesAmt |
| Management And General | $13,778 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7 | TotalAmt |
| Program Services | $7 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,312 | TotalAmt |
| Program Services | $255,793 | ProgramServicesAmt |
| Management And General | $7,519 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,029,026 | TotalAmt |
| Program Services | $2,021,221 | ProgramServicesAmt |
| Management And General | $7,805 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $451 | TotalAmt |
| Program Services | $438 | ProgramServicesAmt |
| Management And General | $13 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,978 | TotalAmt |
| Program Services | $172,017 | ProgramServicesAmt |
| Management And General | $961 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,744 | TotalAmt |
| Program Services | $19,180 | ProgramServicesAmt |
| Management And General | $564 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $392,562 | TotalAmt |
| Program Services | $381,353 | ProgramServicesAmt |
| Management And General | $11,209 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,242 | TotalAmt |
| Program Services | $5,240 | ProgramServicesAmt |
| Management And General | $2,002 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,204 | TotalAmt |
| Management And General | $2,204 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,100 | TotalAmt |
| Program Services | $291,531 | ProgramServicesAmt |
| Management And General | $8,569 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,785 | TotalAmt |
| Program Services | $186,309 | ProgramServicesAmt |
| Management And General | $5,476 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| NFRA AND NFAC FEES | $437,471 | $424,979 | $12,492 |
| FOOD SUPPLIES | $409,701 | $398,002 | $11,699 |
| MEDICAL SUPPLIES | $221,973 | $221,973 | |
| BAD DEBT | $19,527 | $19,527 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,660 | TotalAmt |
| Program Services | $22,013 | ProgramServicesAmt |
| Management And General | $647 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,541,150 | TotalAmt |
| Program Services | $8,470,252 | ProgramServicesAmt |
| Management And General | $1,070,898 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,896 | BOYAmt |
| EOY | $41,079 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $857,357 | BOYAmt |
| EOY | $149,691 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $443,507 | BOYAmt |
| EOY | $1,505,747 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,080 | BOYAmt |
| EOY | $93,076 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,663 | BOYAmt |
| EOY | $171,766 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,669,154 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,918,620 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,252,883 | BOYAmt |
| EOY | $2,750,534 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,702,243 | BOYAmt |
| EOY | $12,727,297 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $16,145 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,593,629 | BOYAmt |
| EOY | $17,455,335 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $829,185 | BOYAmt |
| EOY | $835,819 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,844 | BOYAmt |
| EOY | $22,587 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $16,146 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $851,029 | BOYAmt |
| EOY | $874,552 | 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 | $15,742,600 | BOYAmt |
| EOY | $16,580,783 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,742,600 | BOYAmt |
| EOY | $16,580,783 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,593,629 | BOYAmt |
| EOY | $17,455,335 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$260,957 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,099,140 | 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 | $10,515 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus1 Year | $1,400 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,146,594 | CurrentTaxYearAmt |
| Total | $1,158,509 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,496,119 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,890,555 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,688,488 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,922,146 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,830,163 | CurrentTaxYearAmt |
| Total | $42,827,471 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $10,712 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,244 | CurrentTaxYearAmt |
| Total | $25,956 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,506,634 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,890,555 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,688,488 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,934,258 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,992,001 | CurrentTaxYearAmt |
| Total | $44,011,936 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | 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) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $44,011,936 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,431 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,366 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,772 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $226,283 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $322,119 | CurrentTaxYearAmt |
| Total | $556,971 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,431 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,366 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,772 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $226,283 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $322,119 | CurrentTaxYearAmt |
| Total | $556,971 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $42,166 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,908 | CurrentTaxYearAmt |
| Total | $62,074 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,508,065 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,892,921 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,693,260 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,202,707 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,334,028 | CurrentTaxYearAmt |
| Total | $44,630,981 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98610 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99340 | PublicSupportPY509Pct |
| Investment Income CY | 0.01250 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00570 | 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 | MISCELLANEOUS - 2022 AMOUNT: $ 42,166. 2023 AMOUNT: $ 19,908. | 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 | $44,200 | OtherCostOrOtherBasisAmt |
| Book Value | $44,200 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,381,954 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,974,640 | DepreciationAmt |
| Book Value | $2,407,314 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,243,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $943,980 | DepreciationAmt |
| Book Value | $299,020 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,750,534 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LEASE LIABILITY | Desc |
| Amt | $16,146 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,146 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $10,379,333 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,099,140 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $1,099,140 | RevenueNotReportedAmt |
| Revenue Subtotal | $9,280,193 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $9,280,193 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,541,150 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $9,541,150 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $9,541,150 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE ORGANIZATION HOLDS FUNDS ON BEHALF OF RESIDENTS. |
| PART X, LINE 2: | THE SYSTEM'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE SYSTEM IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE SYSTEM IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAX EXCEPT FOR THOSE THAT ARE ALREADY REPORTED ANNUALLY. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | WE CLOSED INDEPENDENCE SQUARE WHICH WAS A RESIDENTIAL CARE FACILITY ACROSS TOWN. IT HAD A 20-BED LICENSURE AND FAILED TO GAIN ADMISSIONS AND STAFF SINCE COVID. |
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE CONSISTS OF THE PRESIDENT, VICE PRESIDENT AND SECRETARY/TREASURER. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO: A.) APPROVE THE DISSOLUTION OR MERGER OF THE CORPORATION, OR THE SALE, PLEDGE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; B.) APPOINT OR REMOVE DIRECTORS OR FILL VACANCIES ON THE BOARD OR ON COMMITTEES OF THE BOARD; C.) ADOPT, AMEND OR REPEAL THESE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION; D.) AUTHORIZE DISTRIBUTIONS TO DIRECTORS, OFFICERS, EMPLOYEES OR AGENTS OF THE CORPORATION EXCEPT FOR VALUE AND IN ACCORDANCE WITH THE PROVISIONS OF THE MISSOURI NONPROFIT ACT. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. THE ADMINISTRATOR SIGNS AND A COPY IS PRESENTED TO THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | A LETTER AND QUESTIONNAIRE CONCERNING THE POSSIBILITY OF CONFLICTS OF INTEREST IS SENT TO EACH MEMBER OF THE BOARD OF DIRECTORS, THE CEO, AND THE CFO. A LETTER PERTAINING TO CONFLICTS OF INTEREST IS SIGNED BY EACH DEPARTMENT HEAD, RESPONSES ARE REVIEWED BY THE HR DIRECTOR, CFO, AND CEO, DEPENDING ON WHETHER IT IS A BOARD OF DIRECTOR MEMBER OR DEPARTMENT HEAD. BOARD OF DIRECTOR MEMBERS WOULD ABSTAIN FROM ANY VOTE WHERE A POSSIBILE CONFLICT OF INTEREST MIGHT ARISE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD DETERMINES THE CEO AND ADMINISTRATOR'S SALARY. THEY PERFORM AN ANNUAL EVALUATION AND BASE ANY INCREASE ON THEIR PERFORMANCE REVIEW. HR PROVIDES THE BOARD WITH COMPARABLE WAGES FROM LOCAL CEOS AND ADMINISTRATORS. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES AND WAS LAST PERFORMED IN 2024. THE CFO, ADMINISTRATOR, AND HR DIRECTOR REVIEW COMPENSATION FOR THEIR OFFICERS AND KEY EMPLOYEES. ANY CHANGES ARE DOCUMENTED AND BROUGHT TO THE BOARD FOR APPROVAL. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | STAFFING AGENCY: PROGRAM SERVICE EXPENSES 1,399,686. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,399,686. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 120,754. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 120,754. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 118,705. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 118,705. SPEECH THERAPY: PROGRAM SERVICE EXPENSES 56,358. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 56,358. OTHER CONTRACTED FEES: PROGRAM SERVICE EXPENSES 60,162. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,162. PURHASED SERVICES: PROGRAM SERVICE EXPENSES 107,882. MANAGEMENT AND GENERAL EXPENSES 3,171. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 111,053. PAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 73,897. MANAGEMENT AND GENERAL EXPENSES 2,172. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,069. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 83,777. MANAGEMENT AND GENERAL EXPENSES 2,462. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,239. |
| FORM 990, PART XII, LINE 2C | THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |