MENNONITE HOME ASSOCIATION INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MENNONITE HOME ASSOCIATION INC (EIN 43-0730924)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-15
- IRS object ID
- 202242279349304194
- Schema version
- 2020v4.2
- 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 | 2022-08-15T17:05:14-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | 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 | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 430730924 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MENNONITE HOME ASSOCIATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MENN | BusinessNameControlTxt |
| Phone | 5732216000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2500 PLEASANT STREET | AddressLine1Txt |
| City | HANNIBAL | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63401 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KERRI LAUTERBACH | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 5732216000 | PhoneNum |
| Signature | 2022-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KERRI | PersonFirstNm |
| Person Last | LAUTERBACH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMBER ROGNAN-HAMILTON | PreparerPersonNm |
| PTIN | P01251012 | PTIN |
| Phone | 3149254300 | PhoneNum |
| Preparation | 2022-08-12 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KERRI LAUTERBACH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2500 PLEASANT STREET | AddressLine1Txt |
| City | HANNIBAL | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,523,603 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BETHAVEN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1957 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | MENNONITE HOME ASSOCIATION PROVIDES QUALITY CARE IN A SUPPORTIVE CHRISTIAN COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 205 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $451,564 | PYContributionsGrantsAmt |
| CY Contributions Grants | $706,623 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,950,200 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,662,592 | CYProgramServiceRevenueAmt |
| PY Investment Income | $73,203 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,295 | CYInvestmentIncomeAmt |
| PY Other Revenue | $90,263 | PYOtherRevenueAmt |
| CY Other Revenue | $86,093 | CYOtherRevenueAmt |
| PY Total Revenue | $8,565,230 | PYTotalRevenueAmt |
| CY Total Revenue | $8,467,603 | 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 | $4,492,784 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,726,115 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,576,577 | PYOtherExpensesAmt |
| CY Other Expenses | $4,272,616 | CYOtherExpensesAmt |
| PY Total Expenses | $9,069,361 | PYTotalExpensesAmt |
| CY Total Expenses | $8,998,731 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$504,131 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$531,128 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,449,991 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,824,256 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,657,668 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,489,423 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,792,323 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,334,833 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDE QUALITY CARE IN A SUPPORTIVE CHRISTIAN COMMUNITY. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,434,746 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $6,159,989 | RevenueAmt |
| Desc | BETH HAVEN NURSING HOME IS A 105 BED SKILLED NURSING FACILITY THAT IS HOME TO THOSE WHO NEED SHORT OR LONG-TERM CARE. FOR SOME, IT'S A SHORT STAY WHILE THEY REHABILITATE FOLLOWING HOSPITALIZATION. FOR OTHERS, IT'S A DECISION TO LIVE HERE AS A PERMANENT RESIDENT BECAUSE THEY NEED ROUND THE CLOCK ASSISTANCE, MEDICAL ATTENTION OR SECURITY. OUR ENTIRE FACILITY IS MEDICARE AND MEDICAID CERTIFIED. OUR PRIMARY CARE NURSING PROGRAM ENSURES THAT OUR STAFF CARE FOR THE SAME RESIDENT AND TRULY COME TO KNOW THEIR NEEDS AND DESIRES.OUR HEALTHCARE STAFF COMBINE WITH LICENSED THERAPISTS IN PHYSICAL, OCCUPATIONAL AND SPEECH PATHOLOGY TO TAILOR EACH PLAN OF CARE TO THE RESIDENT'S SPECIFIC NEEDS WITH A GOAL OF ATTAINING THE HIGHEST LEVEL OF FUNCTION POSSIBLE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,340,684 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,283,438 | RevenueAmt |
| Desc | BETH HAVEN'S PLEASANT VIEW ASSISTED LIVING IS PERFECT FOR INDIVIDUALS WHO ARE CAPABLE OF LIVING INDEPENDENTLY WITH SOME ASSISTANCE AND SUPERVISION. IF YOU ARE SEEKING AN ENHANCED LEVEL OF HEALTH AND WELL-BEING THROUGH READY ACCESS TO SERVICES, GENTLE ENCOURAGEMENT, MOTIVATION AND REASSURANCE FROM OUR 24-HOUR STAFF, PLEASANT VIEW IS THE NEIGHBORHOOD FOR YOU.IN PLEASANT VIEW, LIFE IS ABOUT PROVIDING EACH RESIDENT WITH AS MUCH INDIVIDUALITY AS POSSIBLE. THE RESIDENTIAL-STYLE SETTING FOSTERS A SENSE OF COMMUNITY, WHERE FAMILY AND FRIENDS ARE ALWAYS WELCOME. INDIVIDUALS CAN SELECT FROM TWO FLOOR PLANS AND ARE ENCOURAGED TO BRING THEIR FAVORITE FURNISHINGS TO PERSONALIZE THEIR RESIDENCE.ACTIVITIES AT BETH HAVEN PROMOTE PERSONAL GROWTH. WE BELIEVE THAT SENIORS NEVER STOP GROWING AND LEARNING, AND WE TAKE CARE TO HELP THEM CONTINUE THEIR PERSONAL JOURNEY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $0 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $219,165 | RevenueAmt |
| Desc | MANAGEMENT FEES AND REIMBURSEMENTS FOR CERTAIN MANAGEMENT EMPLOYEES FOR SERVICES PERFORMED FOR BETH HAVEN GROUP HOMES AND BETH HAVEN TERRACE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $7,775,430 | 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 | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | 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 | Yes (1) | 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 | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 205 | 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 | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KERRI LAUTERBACH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5732216000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2500 PLEASANT STREET | AddressLine1Txt |
| City | HANNIBAL | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63401 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| RACHEL SHEPHERD | |||||||
| DIRECTOR | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |
| PHIL SMITH | |||||||
| CHAIRMAN | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| PAUL RICHARDS | |||||||
| TREASURER | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CONNIE BENSON | |||||||
| DIRECTOR | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |
| CAROL HARVEY | |||||||
| DIRECTOR (TERM ENDED) | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |
| SHARON MOORE | |||||||
| DIRECTOR | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |
| MARK ALBEE | |||||||
| DIRECTOR | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |
| STEWART MCINTYRE | |||||||
| DIRECTOR | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |
| BILL BAKER | |||||||
| DIRECTOR | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |
| PAUL EWERT | |||||||
| PAST CEO, ASSISTANT SECRETARY | 30.00 | 10.00 | $89,844 | $0 | $16,986 | Yes (X) | |
| KERRI LAUTERBACH | |||||||
| CEO | 30.00 | 10.00 | $29,376 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $119,220 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $16,986 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FRESH IDEAS | |||||
| 3320 VANDIVER DRIVE | COLUMBIA | MO | 65202 | DIETARY SERVICES | $1,112,060 |
| EUROFINS VIRACOR | |||||
| 1001 NW TECHNOLOGY DR | LEES SUMMIT | MO | 64086 | COVID TESTING AND PROCESSING | $397,800 |
| AEGIS THERAPY | |||||
| PO BOX 936653 | ATLANTA | GA | 311936653 | THERAPY SERVICES | $346,076 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $702,710 | GovernmentGrantsAmt |
| All Other Contributions | $3,913 | AllOtherContributionsAmt |
| Total Contributions | $706,623 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SKILLED NURSING HEALTH | 623000 | $6,159,989 | $6,159,989 |
| INDEPENDENT & ASSISTED | 623000 | $1,283,438 | $1,283,438 |
| MANAGEMENT FEES | 561499 | $219,165 | $219,165 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,662,592 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,212 | TotalRevenueColumnAmt |
| Exclusion | $11,212 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $21,540 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $21,540 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,540 | TotalRevenueColumnAmt |
| Exclusion | $21,540 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $57,083 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $56,000 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,083 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,083 | TotalRevenueColumnAmt |
| Exclusion | $1,083 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MEAL INCOME | 722320 | $32,695 | $32,695 |
| TRANSPORTATION INCOME | 480000 | $14,160 | $14,160 |
| MISC INCOME | 900099 | $14,128 | $14,128 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,570 | TotalRevenueColumnAmt |
| Exclusion | $3,570 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $64,553 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,467,603 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,662,592 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $98,388 | 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 | $64,965 | TotalAmt |
| Management And General | $64,965 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,518,421 | TotalAmt |
| Program Services | $3,113,091 | ProgramServicesAmt |
| Management And General | $405,330 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,102 | TotalAmt |
| Program Services | $16,011 | ProgramServicesAmt |
| Management And General | $1,091 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $844,636 | TotalAmt |
| Program Services | $790,759 | ProgramServicesAmt |
| Management And General | $53,877 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,991 | TotalAmt |
| Program Services | $263,068 | ProgramServicesAmt |
| Management And General | $17,923 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,844 | TotalAmt |
| Program Services | $53,860 | ProgramServicesAmt |
| Management And General | $5,984 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,531 | TotalAmt |
| Management And General | $11,531 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,450 | TotalAmt |
| Management And General | $64,450 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,547,705 | TotalAmt |
| Program Services | $1,426,920 | ProgramServicesAmt |
| Management And General | $120,785 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,573 | TotalAmt |
| Management And General | $35,573 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,129,481 | TotalAmt |
| Program Services | $980,189 | ProgramServicesAmt |
| Management And General | $149,292 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $261,296 | TotalAmt |
| Program Services | $247,752 | ProgramServicesAmt |
| Management And General | $13,544 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,823 | TotalAmt |
| Management And General | $10,823 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,563 | TotalAmt |
| Program Services | $1,890 | ProgramServicesAmt |
| Management And General | $4,673 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,070 | TotalAmt |
| Program Services | $97,728 | ProgramServicesAmt |
| Management And General | $5,342 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,456 | TotalAmt |
| Program Services | $265,919 | ProgramServicesAmt |
| Management And General | $14,537 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,457 | TotalAmt |
| Management And General | $142,457 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| NFRA MONTHLY FEE | $458,060 | $458,060 | |
| BAD DEBTS | $60,183 | $60,183 | |
| MISCELLANEOUS | $45,661 | $45,661 | |
| DUES & SUBSCRIPTIONS | $43,137 | $43,137 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,326 | TotalAmt |
| Management And General | $12,326 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,998,731 | TotalAmt |
| Program Services | $7,775,430 | ProgramServicesAmt |
| Management And General | $1,223,301 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,770 | BOYAmt |
| EOY | $53,953 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,258,265 | BOYAmt |
| EOY | $1,118,133 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $570,621 | BOYAmt |
| EOY | $372,828 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,248 | BOYAmt |
| EOY | $52,316 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,845 | BOYAmt |
| EOY | $187,742 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,791,529 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,809,834 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,215,495 | BOYAmt |
| EOY | $3,981,695 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,426 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,321 | BOYAmt |
| EOY | $57,589 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,449,991 | BOYAmt |
| EOY | $5,824,256 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $801,612 | BOYAmt |
| EOY | $794,559 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,702 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,767 | BOYAmt |
| EOY | $22,358 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,025,992 | BOYAmt |
| EOY | $1,786,400 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $639,595 | BOYAmt |
| EOY | $886,106 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,657,668 | BOYAmt |
| EOY | $3,489,423 | 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 | $2,792,323 | BOYAmt |
| EOY | $2,334,833 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,792,323 | BOYAmt |
| EOY | $2,334,833 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,449,991 | BOYAmt |
| EOY | $5,824,256 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$531,128 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $73,638 | 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 | 0 | FSAuditedInd |
| 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 | $5,649 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,232 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,228 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $451,564 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $706,623 | CurrentTaxYearAmt |
| Total | $1,201,296 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,179,751 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,508,478 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,034,947 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,950,200 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,662,592 | CurrentTaxYearAmt |
| Total | $38,335,968 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,185,400 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,539,710 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,041,175 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,401,764 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,369,215 | CurrentTaxYearAmt |
| Total | $39,537,264 | 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 | $39,537,264 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $48,626 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $38,524 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,033 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $37,864 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,752 | CurrentTaxYearAmt |
| Total | $198,799 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $48,626 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $38,524 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,033 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $37,864 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,752 | CurrentTaxYearAmt |
| Total | $198,799 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $59,168 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $70,404 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $83,624 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $70,063 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $64,553 | CurrentTaxYearAmt |
| Total | $347,812 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,293,194 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,648,638 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,165,832 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,509,691 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,466,520 | CurrentTaxYearAmt |
| Total | $40,083,875 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98640 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98580 | PublicSupportPY509Pct |
| Investment Income CY | 0.00500 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00530 | 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 - 2016 AMOUNT: $ 13,267. 2017 AMOUNT: $ 15,506. 2018 AMOUNT: $ 19,930. 2019 AMOUNT: $ 7,004. 2020 AMOUNT: $ 14,128. TRANSPORTATION - 2016 AMOUNT: $ 8,808. 2017 AMOUNT: $ 12,218. 2018 AMOUNT: $ 14,721. 2019 AMOUNT: $ 13,014. 2020 AMOUNT: $ 14,160. MEAL/VENDING - 2016 AMOUNT: $ 34,108. 2017 AMOUNT: $ 39,335. 2018 AMOUNT: $ 45,523. 2019 AMOUNT: $ 44,105. 2020 AMOUNT: $ 32,695. LAUNDRY INCOME - 2016 AMOUNT: $ 2,985. 2017 AMOUNT: $ 3,345. 2018 AMOUNT: $ 3,450. 2019 AMOUNT: $ 3,945. 2020 AMOUNT: $ 3,570. MANAGEMENT SALARY INCOME - 2019 AMOUNT: $ 1,995. | 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 | $171,565 | OtherCostOrOtherBasisAmt |
| Book Value | $171,565 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,992,194 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,477,883 | DepreciationAmt |
| Book Value | $3,514,311 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $562,293 | OtherCostOrOtherBasisAmt |
| Depreciation | $390,558 | DepreciationAmt |
| Book Value | $171,735 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,065,477 | OtherCostOrOtherBasisAmt |
| Depreciation | $941,393 | DepreciationAmt |
| Book Value | $124,084 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,981,695 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $805,960 |
| SECURITY DEPOSITS | $9,785 |
| ASSET RETIREMENT OBLIGATION | $70,361 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $886,106 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, LINE 2B: | FormAndLineReferenceDesc |
| Explanation | THE ASSOCIATION MAINTAINS SAVINGS ACCOUNTS ON BEHALF OF CERTAIN RESIDENTS. THE ASSOCIATION ACTS AS TRUSTEE OF THESE FUNDS WHICH ARE MAINTAINED FOR THE PERSONAL USE OF THOSE RESIDENTS. THE FUNDS ARE EXPENDED AT THE DIRECTION OF THE RESIDENTS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | THE RELATED FOR-PROFIT ENTITY BETH HAVEN MANAGEMENT SERVICES DISSOLVED AND MENNONITE HOME ASSOCIATION BECAME THE MANAGEMENT COMPANY AND RECEIVES A MANAGEMENT FEE AND REIMBURSEMENT FOR CERTAIN MANAGEMENT EMPLOYEES FOR SERVICES PERFORMED FOR BETH HAVEN GROUP HOMES AND BETH HAVEN TERRACE. |
| FORM 990, PART VI, SECTION A, LINE 1 | ORGANIZATION HAS AN EXECUTIVE COMMITTEE TO THE FULL BOARD. EXECUTIVE COMMITTEE PROPOSES NEW DIRECTORS FOR THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE MANAGEMENT AND BOARD OF DIRECTORS WILL BE PROVIDED A DRAFT OF THE 990 FOR REVIEW PRIOR TO BEING FILED. THE BOARD WILL AGAIN REVIEW IT AT THE NEXT REGULAR MEETING FOLLOWING THE FILING. MANAGEMENT WILL REVIEW IT WITH THE BOARD WHERE THEY WILL RECEIVE A SUMMARY DURING THE MEETING AND PROVIDED A COPY FOR REVIEW ON THEIR OWN. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, IN JANUARY THE BOARD OF DIRECTORS AND KEY MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST. THESE POTENTIAL CONFLICTS OF INTEREST ARE DISCLOSED TO THE ENTIRE BOARD. DURING A BOARD MEETING IF A POTENTIAL CONFLICT OF INTEREST ARISES THE BOARD MEMBER IS TO DISCLOSE THE POTENTIAL CONFLICT AND REMOVE THEMSELVES FROM THE BOARD DISCUSSION AND VOTING. |
| FORM 990, PART VI, SECTION B, LINE 15 | PRIOR TO HIRING AN AREA WIDE REVIEW OF COMPARABLE POSITIONS IS CONDUCTED. ANNUALLY A SURVEY OF NORTHEAST MISSOURI NURSING HOMES IS CONDUCTED TO COMPARE SIMILAR POSITIONS. DURING THE ANNUAL REVIEW AN EVALUATION OF CURRENT MARKET CONDITIONS, COMPARABLE POSITIONS, AND FACILITY OPERATIONAL FORECASTS ARE CONSIDERED IN DETERMINING COMPENSATION. SALARY LEVELS FOR OFFICERS AND KEY EMPLOYEES ARE SET BY THE BOARD OF DIRECTORS. THIS PROCESS WAS LAST UNDERTAKEN IN 2020. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES THE CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | DIETARY: PROGRAM SERVICE EXPENSES 609,302. MANAGEMENT AND GENERAL EXPENSES 33,308. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 642,610. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 12,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,000. LAB/PHARMACY/THERAPY: PROGRAM SERVICE EXPENSES 430,739. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 430,739. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 374,879. MANAGEMENT AND GENERAL EXPENSES 87,477. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 462,356. |
| FORM 990, PAGE 12, PART XII, LINE 2C | THE ORGANIZATION HAS NOT CHANGED ITS PROCESS FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BETH HAVEN GROUP HOMES | ||||||||||
| 2518 PLEASANT ST | HANNIBAL | MO | 63401 | 431580486 | HOME FOR HANDICAPPED | MO | 501(C)(3) | PF | N/A | 0 |
| BETH HAVEN TERRACE | ||||||||||
| 901 CENTRAL AVE | HANNIBAL | MO | 63401 | 431162094 | ELDERLY APARTMENTS | MO | 501(C)(3) | LINE 10 | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |