STRATEGY STUDIO / PUBLIC DATA EXPLORER

CAVE CITY NURSING HOME INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CAVE CITY NURSING HOME INC (EIN 71-0648680)
Tax period
2021-07-01 to 2022-06-30
Filed
2022-11-14
IRS object ID
202203189349317330
Schema version
2021v4.0
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

FieldValueIRS element (for citing)
Return2022-11-14T15:00:05-08:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN710623618PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Welch Couch & Company PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1410 Barnett DrAddressLine1Txt
CityBatesvilleCityNm
State AbbreviationARStateAbbreviationCd
ZIP72501ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710648680EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAVE CITY NURSING HOMEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCAVEBusinessNameControlTxt
Phone8702835313PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 60AddressLine1Txt
CityCAVE CITYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72521ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVE JARVISPersonNm
Person TitleADMINISTRATORPersonTitleTxt
Signature2022-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDAVEPersonFirstNm
Person LastJARVISPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWILLIAM T COUCHPreparerPersonNm
PTINP00183609PTIN
Phone8707935231PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 60AddressLine1Txt
CityCAVE CITYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72521ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,664,061GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.cavecitynursinghome.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionLONG-TERM HEALTHCARE-THE NURSING HOME OPERATES A 90-BED FACILITY THAT PROVIDES LONG-TERM HEALTHCARE SERVICES FOR THE ELDERLY AND DISABLED RESIDENTS OF SHARP COUNTY ARKANSAS AND THE SURROUNDING AREA.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee221TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$610,429PYContributionsGrantsAmt
CY Contributions Grants$132,781CYContributionsGrantsAmt
PY Program Service Revenue$5,606,092PYProgramServiceRevenueAmt
CY Program Service Revenue$7,359,297CYProgramServiceRevenueAmt
PY Investment Income$15,228PYInvestmentIncomeAmt
CY Investment Income$13,695CYInvestmentIncomeAmt
PY Other Revenue$512,944PYOtherRevenueAmt
CY Other Revenue$158,288CYOtherRevenueAmt
PY Total Revenue$6,744,693PYTotalRevenueAmt
CY Total Revenue$7,664,061CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,156,696PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,227,897CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,765,208PYOtherExpensesAmt
CY Other Expenses$2,582,745CYOtherExpensesAmt
PY Total Expenses$6,921,904PYTotalExpensesAmt
CY Total Expenses$6,810,642CYTotalExpensesAmt
PY Revenues Less Expenses-$177,211PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$853,419CYRevenuesLessExpensesAmt
Total Assets BOY$3,601,993TotalAssetsBOYAmt
Total Assets EOY$4,020,147TotalAssetsEOYAmt
Total Liabilities BOY$1,658,385TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,223,120TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,943,608NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,797,027NetAssetsOrFundBalancesEOYAmt
MissionLONG-TERM HEALTHCARE-THE NURSING HOME OPERATES A 90-BED FACILITY THAT PROVIDES LONG-TERM HEALTHCARE SERVICES FOR THE ELDERLY AND DISABLED RESIDENTS OF SHARP COUNTY ARKANSAS AND THE SURROUNDING AREA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,544,389ExpenseAmt
DescLONG-TERM HEALTHCARE SERVICES FOR THE ELDERLY AND DISABLED.Desc
Total Program Service Expenses$4,544,389TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee221EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonANNETTA MAUPINPersonNm
Phone8702835313PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 60AddressLine1Txt
CityCAVE CITYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72521ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DAVE JARVIS
ADMINSTRATOR40.000.00Yes (X)$112,794$0$0
FRANNIE WRIGHT
DON40.000.00$92,196$0$0
ANNETTA MAUPIN
ASST ADMIN40.000.00Yes (X)$92,124$0$0
MELANIE WESTMORELAND
ASST DON40.000.00$87,217$0$0
DALE WOOLDRIDGE
Director1.000.00$0$0$0Yes (X)
ANITA LANDERS
Vice President1.000.00Yes (X)$0$0$0Yes (X)
JOEY CARPENTER
Director1.000.00$0$0$0Yes (X)
JOSH MATTHEWS
Director1.000.00$0$0$0Yes (X)
VICKIE JONES
Director1.000.00$0$0$0Yes (X)
JULIE JOHNSON
Secretary1.000.00$0$0$0Yes (X)
GARY FARMER
President1.000.00Yes (X)$0$0$0Yes (X)
STEVEN GREEN
Director1.000.00$0$0$0Yes (X)
JERAL HASTINGS
Director1.000.00$0$0$0Yes (X)
KATHY HODGES
Director1.000.00$0$0$0Yes (X)
ANNETTEA SHREVE
Director1.000.00$0$0$0Yes (X)
BOBBY SANDERS
Director1.000.00$0$0$0Yes (X)
ARBRA PERKEY
Director1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$384,331TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$132,781AllOtherContributionsAmt
Total Contributions$132,781TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT SERVICESDesc
Total Revenue Column$7,359,297TotalRevenueColumnAmt
Related Or Exempt Func Income$7,359,297RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$7,359,297TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,695TotalRevenueColumnAmt
Exclusion$13,695ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$158,288TotalRevenueColumnAmt
Related Or Exempt Func Income$158,288RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$158,288OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,664,061TotalRevenueColumnAmt
Related Or Exempt Func Income$7,517,585RelatedOrExemptFuncIncomeAmt
Exclusion$13,695ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$384,331TotalAmt
Management And General$384,331ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,300,885TotalAmt
Program Services$2,705,247ProgramServicesAmt
Management And General$595,638ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$542,681TotalAmt
Program Services$362,813ProgramServicesAmt
Management And General$179,868ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$46,364TotalAmt
Management And General$46,364ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$181,433TotalAmt
Management And General$181,433ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$1,938,025$1,097,286$840,739
PURCHASED SERVICES$416,923$379,043$37,880

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,810,642TotalAmt
Program Services$4,544,389ProgramServicesAmt
Management And General$2,266,253ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$822,895BOYAmt
EOY$1,490,857EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$523,267BOYAmt
EOY$271,156EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$410,107BOYAmt
EOY$507,487EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$182,973BOYAmt
EOY$217,064EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$18,229BOYAmt
EOY$20,068EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,739,231LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,225,716LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,644,522BOYAmt
EOY$1,513,515EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,601,993BOYAmt
EOY$4,020,147EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$446,950BOYAmt
EOY$349,229EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$933,431BOYAmt
EOY$826,170EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$278,004BOYAmt
EOY$47,721EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,658,385BOYAmt
EOY$1,223,120EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,943,608BOYAmt
EOY$2,797,027EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,943,608BOYAmt
EOY$2,797,027EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,601,993BOYAmt
EOY$4,020,147EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$853,419ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,270CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,140CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,886CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$610,429CurrentTaxYearMinus1YearAmt
Current Tax Year$132,781CurrentTaxYearAmt
Total$809,506TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,557,205CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,341,967CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,014,782CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,606,092CurrentTaxYearMinus1YearAmt
Current Tax Year$7,359,297CurrentTaxYearAmt
Total$28,879,343TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,581,475CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,345,107CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,053,668CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,216,521CurrentTaxYearMinus1YearAmt
Current Tax Year$7,492,078CurrentTaxYearAmt
Total$29,688,849TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$29,688,849PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,219CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,942CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,179CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,677CurrentTaxYearMinus1YearAmt
Current Tax Year$13,695CurrentTaxYearAmt
Total$80,712TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,219CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,942CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,179CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,677CurrentTaxYearMinus1YearAmt
Current Tax Year$13,695CurrentTaxYearAmt
Total$80,712TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,598,694CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,362,049CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,070,847CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,232,198CurrentTaxYearMinus1YearAmt
Current Tax Year$7,505,773CurrentTaxYearAmt
Total$29,769,561TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99730PublicSupportCY509Pct
Public Support PY5090.99710PublicSupportPY509Pct
Investment Income CY0.00270InvestmentIncomeCYPct
Investment Income PY0.00290InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,739,231OtherCostOrOtherBasisAmt
Depreciation$3,225,716DepreciationAmt
Book Value$1,513,515BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,513,515TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
OTHER LIABILITIES$22,721
OTHER LIABILITIES$25,000
FieldValueIRS element (for citing)
Total Liability$47,721TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$7,673,810TotalRevEtcAuditedFinclStmtAmt
Other Revenue$9,749OtherRevenueAmt
Revenue Not Reported$9,749RevenueNotReportedAmt
Revenue Subtotal$7,664,061RevenueSubtotalAmt
Total Revenue Per Form990$7,664,061TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,810,642TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$6,810,642ExpensesSubtotalAmt
Total Expenses Per Form990$6,810,642TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X : FIN48 FootnoteMANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS TAKEN AND HAS DETERMINED THAT THERE IS NO IMPACT ON THE NURSING HOME
Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990NET ASSETS RELEASED FROM RESTRICTIONS $9749

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessNO REVIEW WAS OR WILL BE CONDUCTED
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGoverning docuements, policies, and financial statements are available upon request from the Office.