STRATEGY STUDIO / PUBLIC DATA EXPLORER

LAFAYETTE MANOR INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
LAFAYETTE MANOR INC (EIN 25-1291588)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-11
IRS object ID
202223159349305832
Schema version
2021v4.2
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

FieldValueIRS element (for citing)
Return2022-11-11T15:03:03-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251291588EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LAFAYETTE MANOR INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLAFABusinessNameControlTxt
Phone7244304848PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1147 LAFAYETTE MANOR ROADAddressLine1Txt
CityUNIONTOWNCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR RICHARD J PISHPersonNm
Person TitleBOARD PRESIDENTPersonTitleTxt
Phone7244304848PhoneNum
Signature2022-11-03SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDRPersonFirstNm
Person LastRICHARD J PISHPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDR RICHARD J PISHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1147 LAFAYETTE MANOR ROADAddressLine1Txt
CityUNIONTOWNCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,202,514GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
All Affiliates IncludedYes (1)AllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWWW.LAFAYETTEMANOR.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO PROVIDE SKILLED NURSING CARE AND PERSONAL CARE SERVICES TO FAYETTE COUNTY AND SURROUNDING AREAS.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee202TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,614,012PYContributionsGrantsAmt
CY Contributions Grants$441,697CYContributionsGrantsAmt
PY Program Service Revenue$9,422,015PYProgramServiceRevenueAmt
CY Program Service Revenue$8,603,753CYProgramServiceRevenueAmt
PY Investment Income$121,777PYInvestmentIncomeAmt
CY Investment Income$119,118CYInvestmentIncomeAmt
PY Other Revenue$31,155PYOtherRevenueAmt
CY Other Revenue$37,946CYOtherRevenueAmt
PY Total Revenue$11,188,959PYTotalRevenueAmt
CY Total Revenue$9,202,514CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,230,726PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,152,908CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,172,046PYOtherExpensesAmt
CY Other Expenses$4,324,374CYOtherExpensesAmt
PY Total Expenses$10,402,772PYTotalExpensesAmt
CY Total Expenses$10,477,282CYTotalExpensesAmt
PY Revenues Less Expenses$786,187PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,274,768CYRevenuesLessExpensesAmt
Total Assets BOY$10,267,879TotalAssetsBOYAmt
Total Assets EOY$8,676,130TotalAssetsEOYAmt
Total Liabilities BOY$5,878,107TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,561,126TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,389,772NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,115,004NetAssetsOrFundBalancesEOYAmt
MissionTO OPERATE AND MAINTAIN A SKILLED NURSING FACILITY AND PERSONAL CARE HOME FACILITY FOR THE ELDERLY AND INDIGENT OF FAYETTE COUNTY AND SURROUNDING AREAS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,293,531ExpenseAmt
Revenue$7,093,639RevenueAmt
DescSKILLED NURSING FACILITY SERVICESDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,306,974ExpenseAmt
Revenue$1,667,178RevenueAmt
DescPERSONAL CARE FACILITY SERVICESDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$8,600,505TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee202EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonED RUTLEDGE CFOPersonNm
Phone7244304848PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1147 LAFAYETTE MANOR ROADAddressLine1Txt
CityUNIONTOWNCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15401ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DR RICHARD J PISH
PRESIDENT, BOARD OF DIRECT0.50Yes (X)$0$0$0
MARILYN DUGAN
BOARD OF DIRECTORS0.50Yes (X)$0$0$0
SUE ANN MILSOM
BOARD OF DIRECTORS0.50Yes (X)$0$0$0
ROSEMARY JENDRAL
BOARD OF DIRECTORS0.50Yes (X)$0$0$0
LANCE WINTERHALTER
BOARD OF DIRECTORS0.50Yes (X)$0$0$0
LINDA STUMPF
ADMINISTRATOR40.00$120,938$0$0Yes (X)
EDWARD D RUTLEDGE
CFO40.00$94,224$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$215,162TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CULINARY SERVICES GROUP
1135 BUSINESS PARKWAY SOUTH SUITEWESTMINSTERMD21157DIETARY MANAGEMENT AND FOOD$658,866
FUNCTIONAL PATHWAYS
10133 SHERRILL BOULEVARD SUITE 200KNOXVILLETN32932PT/OT/ST REHAB THERAPY$551,511
DEDICATED NURSING ASSOCIATES
6536 WILLIAM PENN HIGHWAY ROUTE 22DELMONTPA15626NURSE AGENCY SERVICES$442,935
DIAMOND PHARMACY
645 KOLTER DRIVE COMMERCE PARKINDIANAPA15701PHARMACY SERVICES$232,537
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Fundraising$425FundraisingAmt
All Other Contributions$441,272AllOtherContributionsAmt
Total Contributions$441,697TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SKILLED NURSING623000$6,948,301$6,948,301
PERSONAL CARE623000$1,655,452$1,655,452
FieldValueIRS element (for citing)
Total Program Service Revenue$8,603,753TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$119,118TotalRevenueColumnAmt
Related Or Exempt Func Income$119,118RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$425ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$37,946TotalRevenueColumnAmt
Related Or Exempt Func Income$37,946RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$37,946OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,202,514TotalRevenueColumnAmt
Related Or Exempt Func Income$8,760,817RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$215,162TotalAmt
Management And General$215,162ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,712,668TotalAmt
Program Services$4,396,671ProgramServicesAmt
Management And General$315,997ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$95,161TotalAmt
Program Services$76,593ProgramServicesAmt
Management And General$18,568ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$738,249TotalAmt
Program Services$668,216ProgramServicesAmt
Management And General$70,033ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$391,668TotalAmt
Program Services$348,719ProgramServicesAmt
Management And General$42,949ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$52,679TotalAmt
Management And General$52,679ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$49,994TotalAmt
Management And General$49,994ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$795,245TotalAmt
Program Services$776,165ProgramServicesAmt
Management And General$19,080ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$26,918TotalAmt
Management And General$26,918ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$132,976TotalAmt
Program Services$1,676ProgramServicesAmt
Management And General$131,300ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$386,756TotalAmt
Program Services$386,756ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$14,248TotalAmt
Program Services$2,916ProgramServicesAmt
Management And General$11,332ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$168,784TotalAmt
Management And General$168,784ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$490,191TotalAmt
Management And General$490,191ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$221,216TotalAmt
Management And General$221,216ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
REHAB THERAPY$592,025$592,025
MEDICAL SUPPLIES AND CO$391,671$391,671
FOOD AND GROCERY$302,064$302,064
PHARMACY$226,561$226,561

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$473,046TotalAmt
Program Services$430,472ProgramServicesAmt
Management And General$42,574ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,477,282TotalAmt
Program Services$8,600,505ProgramServicesAmt
Management And General$1,876,777ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,218,089BOYAmt
EOY$1,225,926EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$379,668BOYAmt
EOY$402,321EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,204,882BOYAmt
EOY$881,417EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$55,501BOYAmt
EOY$60,138EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,286,766LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,224,466LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,461,789BOYAmt
EOY$5,062,300EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$947,950BOYAmt
EOY$1,044,028EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,267,879BOYAmt
EOY$8,676,130EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,248,367BOYAmt
EOY$1,074,718EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$48,475BOYAmt
EOY$67,137EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,581,265BOYAmt
EOY$4,419,271EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,878,107BOYAmt
EOY$5,561,126EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,354,546BOYAmt
EOY$3,079,268EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$35,226BOYAmt
EOY$35,736EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,389,772BOYAmt
EOY$3,115,004EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,267,879BOYAmt
EOY$8,676,130EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,274,768ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$15,000InvestmentCostOrOtherBasisAmt
Book Value$15,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$5,180,785InvestmentCostOrOtherBasisAmt
Depreciation$4,602,554DepreciationAmt
Book Value$578,231BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$6,244,127InvestmentCostOrOtherBasisAmt
Depreciation$2,241,954DepreciationAmt
Book Value$4,002,173BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$3,846,854InvestmentCostOrOtherBasisAmt
Depreciation$3,379,958DepreciationAmt
Book Value$466,896BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,062,300TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$9,202,514TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$9,202,514RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,202,514TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,477,282TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$10,477,282ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$10,477,282TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BBOARD PRESIDENT OR BOARD OFFICER REVIEWS DOCUMENT PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CPOLICY MONITORED AND REVIEWED AT BOARD MEETING ON AN ANNUAL BASIS, OR AS NEEDED. ALSO, PART OF THE CORPORATE COMPLIANCE PROGRAM.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS AVAILABLE UPON REQUEST.