STRATEGY STUDIO / PUBLIC DATA EXPLORER

LAFAYETTE MANOR INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
LAFAYETTE MANOR INC (EIN 25-1291588)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-12
IRS object ID
202143169349303034
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-12T11:59:42-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

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
Signature2021-11-10SignatureDt

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 Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
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$11,188,959GrossReceiptsAmt
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 Employee194TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$15,063PYContributionsGrantsAmt
CY Contributions Grants$1,614,012CYContributionsGrantsAmt
PY Program Service Revenue$9,468,634PYProgramServiceRevenueAmt
CY Program Service Revenue$9,422,015CYProgramServiceRevenueAmt
PY Investment Income$190,994PYInvestmentIncomeAmt
CY Investment Income$121,777CYInvestmentIncomeAmt
PY Other Revenue$23,096PYOtherRevenueAmt
CY Other Revenue$31,155CYOtherRevenueAmt
PY Total Revenue$9,697,787PYTotalRevenueAmt
CY Total Revenue$11,188,959CYTotalRevenueAmt
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$6,057,813PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,230,726CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,025,163PYOtherExpensesAmt
CY Other Expenses$4,172,046CYOtherExpensesAmt
PY Total Expenses$10,082,976PYTotalExpensesAmt
CY Total Expenses$10,402,772CYTotalExpensesAmt
PY Revenues Less Expenses-$385,189PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$786,187CYRevenuesLessExpensesAmt
Total Assets BOY$9,291,685TotalAssetsBOYAmt
Total Assets EOY$10,267,879TotalAssetsEOYAmt
Total Liabilities BOY$5,688,100TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,878,107TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,603,585NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,389,772NetAssetsOrFundBalancesEOYAmt
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$7,342,929ExpenseAmt
Revenue$7,780,020RevenueAmt
DescSKILLED NURSING FACILITY SERVICESDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,295,811ExpenseAmt
Revenue$1,794,927RevenueAmt
DescPERSONAL CARE FACILITY SERVICESDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$8,638,740TotalProgramServiceExpensesAmt
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 Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee194EmployeeCnt
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 DIRECTORS0.50Yes (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$118,738$0$0Yes (X)
EDWARD D RUTLEDGE
CFO40.00$94,314$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$213,052TotalReportableCompFromOrgAmt
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 (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FUNCTIONAL PATHWAYS
10133 SHERRILL BOULEVARD SUITE 200KNOXVILLETN32932PT/OT/ST REHAB THERAPY$638,885
CULINARY SERVICES GROUP
1135 BUSINESS PARKWAY SOUTH SUITEWESTMINSTERMD21157DIETARY MANAGEMENT AND FOOD$472,608
DIAMOND PHARMACY
645 KOLTER DRIVE COMMERCE PARKINDIANAPA15701PHARMACY SERVICES$326,702
DEDICATED NURSING ASSOCIATES
6536 WILLIAM PENN HIGHWAY ROUTE 22DELMONTPA15626NURSE AGENCY SERVICES$160,040
INTERIM HEALTHCARE
1789 SOUTH BRADDOCK AVENUE SUITE 2PITTSBURGHPA15218NURSE AGENCY SERVICES$107,470
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Fundraising$182FundraisingAmt
All Other Contributions$1,613,830AllOtherContributionsAmt
Total Contributions$1,614,012TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SKILLED NURSING623000$7,641,853$7,641,853
PERSONAL CARE623000$1,780,162$1,780,162
FieldValueIRS element (for citing)
Total Program Service Revenue$9,422,015TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$121,777TotalRevenueColumnAmt
Related Or Exempt Func Income$121,777RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$182ContriRptFundraisingEventAmt
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$31,155TotalRevenueColumnAmt
Related Or Exempt Func Income$31,155RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$31,155OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,188,959TotalRevenueColumnAmt
Related Or Exempt Func Income$9,574,947RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$213,052TotalAmt
Management And General$213,052ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,718,417TotalAmt
Program Services$4,408,133ProgramServicesAmt
Management And General$310,284ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$93,953TotalAmt
Program Services$72,424ProgramServicesAmt
Management And General$21,529ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$804,358TotalAmt
Program Services$757,389ProgramServicesAmt
Management And General$46,969ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$400,946TotalAmt
Program Services$358,535ProgramServicesAmt
Management And General$42,411ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,274TotalAmt
Management And General$9,274ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$49,292TotalAmt
Management And General$49,292ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$486,014TotalAmt
Program Services$459,153ProgramServicesAmt
Management And General$26,861ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$13,726TotalAmt
Management And General$13,726ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$123,803TotalAmt
Program Services$1,588ProgramServicesAmt
Management And General$122,215ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$340,132TotalAmt
Program Services$336,305ProgramServicesAmt
Management And General$3,827ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,053TotalAmt
Program Services$34ProgramServicesAmt
Management And General$1,019ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$176,256TotalAmt
Management And General$176,256ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$488,863TotalAmt
Management And General$488,863ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$195,195TotalAmt
Management And General$195,195ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
REHAB THERAPY$601,150$601,150
MEDICAL SUPPLIES AND CO$573,758$573,758
FOOD AND GROCERY$380,902$380,902
PHARMACY$282,371$282,371

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$450,257TotalAmt
Program Services$406,998ProgramServicesAmt
Management And General$43,259ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,402,772TotalAmt
Program Services$8,638,740ProgramServicesAmt
Management And General$1,764,032ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$540,352BOYAmt
EOY$2,218,089EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$255,693BOYAmt
EOY$379,668EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,747,378BOYAmt
EOY$1,204,882EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$65,119BOYAmt
EOY$55,501EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,196,064LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,734,275LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,849,664BOYAmt
EOY$5,461,789EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$833,479BOYAmt
EOY$947,950EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,291,685BOYAmt
EOY$10,267,879EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$903,273BOYAmt
EOY$1,248,367EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$47,124BOYAmt
EOY$48,475EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,737,703BOYAmt
EOY$4,581,265EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,688,100BOYAmt
EOY$5,878,107EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,568,541BOYAmt
EOY$4,354,546EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$35,044BOYAmt
EOY$35,226EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,603,585BOYAmt
EOY$4,389,772EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,291,685BOYAmt
EOY$10,267,879EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$786,187ReconcilationRevenueExpnssAmt
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$4,471,414DepreciationAmt
Book Value$709,371BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$6,236,877InvestmentCostOrOtherBasisAmt
Depreciation$2,029,115DepreciationAmt
Book Value$4,207,762BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$3,763,402InvestmentCostOrOtherBasisAmt
Depreciation$3,233,746DepreciationAmt
Book Value$529,656BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,461,789TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$11,188,959TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$11,188,959RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,188,959TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,402,772TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$10,402,772ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$10,402,772TotalExpensesPerForm990Amt

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.