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VIOLET TSCHETTER MEMORIAL HOME: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
VIOLET TSCHETTER MEMORIAL HOME (EIN 46-0275857)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-01-31
IRS object ID
202030319349300513
Schema version
2018v3.2
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)
Return2020-01-31T09:04:24-06:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN460434947PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ELO PROF LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 951AddressLine1Txt
CityHURONCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57350ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN460275857EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VIOLET TSCHETTER MEMORIAL HOMEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVIOLBusinessNameControlTxt
Phone6053528533PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line150 7TH ST SEAddressLine1Txt
CityHURONCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57350ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSPENCER WHITEPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone6053528533PhoneNum
Signature2020-01-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLUCAS HAUERT CPAPreparerPersonNm
PTINP01980092PTIN
Phone6053528573PhoneNum
Preparation2020-01-29PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.115.209.80IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-01-31IPDt
IP Tm09:04:24IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id725F0A5F6C9BDA4685B8F50C54CA28227E9BAD02AtSubmissionCreationDeviceId
At Submission Filing Device IdE26F38C6856609400D6D4A6E6DF4DFB284A62E34AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSPENCER WHITEPrincipalOfficerNm
Gross Receipts$2,213,970GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1962FormationYr
Legal Domicile StateSDLegalDomicileStateCd
Activity Or MissionPROVIDE NURSING HOME FACILITYActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee76TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$19,117PYContributionsGrantsAmt
CY Contributions Grants$12,476CYContributionsGrantsAmt
PY Program Service Revenue$3,171,167PYProgramServiceRevenueAmt
CY Program Service Revenue$2,201,494CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$25,243PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$3,215,527PYTotalRevenueAmt
CY Total Revenue$2,213,970CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,941,867PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,311,693CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,336,238PYOtherExpensesAmt
CY Other Expenses$1,101,033CYOtherExpensesAmt
PY Total Expenses$3,278,105PYTotalExpensesAmt
CY Total Expenses$2,412,726CYTotalExpensesAmt
PY Revenues Less Expenses-$62,578PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$198,756CYRevenuesLessExpensesAmt
Total Assets BOY$517,462TotalAssetsBOYAmt
Total Assets EOY$277,296TotalAssetsEOYAmt
Total Liabilities BOY$489,116TotalLiabilitiesBOYAmt
Total Liabilities EOY$447,706TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$28,346NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$170,410NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVIDE NURSING HOME FACILITYMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$2,239,376ExpenseAmt
Revenue$2,201,494RevenueAmt
DescPROVIDING A NURSING HOME FACILITY AND SERVICESDesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescPROVIDING A NURSING HOME FACILITIES AND SERVICESDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$2,239,376TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee76EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
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 Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
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 CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSPENCER WHITEPersonNm
Phone6053536805PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1333 DAKOTA AVE SAddressLine1Txt
CityHURONCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57350ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DOREEN BOOMSMA
DIRECTOR1.00Yes (X)$0$0$0
LINDA HAEDER
SECRETARY1.00Yes (X)$0$0$0Yes (X)
SPENCER WHITE
CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
RODNEY FREEMAN
VICE CHAIRMA1.00Yes (X)$0$0$0Yes (X)
JOAN RUSSELL
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AEGIS THERAPIES INCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line17160 DALLAS PARKWAY STE 400AddressLine1Txt
CityPLANOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75024ZIPCd
FieldValueIRS element (for citing)
ServicesTHERAPY SERVICEServicesDesc
Compensation$282,888CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$12,476AllOtherContributionsAmt
Total Contributions$12,476TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID$1,084,246$1,084,246
MEDICARE$617,641$617,641
PRIVATE PAY$448,169$448,169
INSURANCE$25,875$25,875
MISCELLANEOUS$25,563$25,563
FieldValueIRS element (for citing)
Total Program Service Revenue$2,201,494TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,213,970TotalRevenueColumnAmt
Related Or Exempt Func Income$2,201,494RelatedOrExemptFuncIncomeAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,125,172TotalAmt
Program Services$1,084,747ProgramServicesAmt
Management And General$40,425ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$104,874TotalAmt
Program Services$91,714ProgramServicesAmt
Management And General$13,160ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$81,647TotalAmt
Program Services$78,869ProgramServicesAmt
Management And General$2,778ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,870TotalAmt
Management And General$1,870ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,310TotalAmt
Management And General$1,310ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,179TotalAmt
Program Services$7,127ProgramServicesAmt
Management And General$1,052ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,035TotalAmt
Management And General$1,035ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,027TotalAmt
Program Services$468ProgramServicesAmt
Management And General$1,559ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,516TotalAmt
Program Services$8,516ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$41,502TotalAmt
Program Services$41,502ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$48,049TotalAmt
Program Services$47,088ProgramServicesAmt
Management And General$961ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$369,410$369,410
SUPPLIES$264,888$262,021$2,867
MGMT & CONTRACTED FEES$178,067$109,222$68,845
REPAIRS AND MAINTENANCE$58,531$58,531

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$117,649TotalAmt
Program Services$80,161ProgramServicesAmt
Management And General$37,488ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,412,726TotalAmt
Program Services$2,239,376ProgramServicesAmt
Management And General$173,350ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$600BOYAmt
EOY$94EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$73,083BOYAmt
EOY$104,112EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$230,252BOYAmt
EOY$8,615EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,275BOYAmt
EOY$7,725EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,728,570LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,571,820LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$198,252BOYAmt
EOY$156,750EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$517,462BOYAmt
EOY$277,296EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$443,928BOYAmt
EOY$390,511EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$45,188BOYAmt
EOY$57,195EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$489,116BOYAmt
EOY$447,706EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$22,214BOYAmt
EOY-$220,970EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$50,560BOYAmt
EOY$50,560EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,346BOYAmt
EOY-$170,410EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$517,462BOYAmt
EOY$277,296EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$198,756ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
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$20,501CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,237CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,424CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,117CurrentTaxYearMinus1YearAmt
Current Tax Year$12,476CurrentTaxYearAmt
Total$76,755TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,162,995CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,011,139CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,201,138CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,196,410CurrentTaxYearMinus1YearAmt
Current Tax Year$2,201,494CurrentTaxYearAmt
Total$14,773,176TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,183,496CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,024,376CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,212,562CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,215,527CurrentTaxYearMinus1YearAmt
Current Tax Year$2,213,970CurrentTaxYearAmt
Total$14,849,931TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$14,849,931PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,183,496CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,024,376CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,212,562CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,215,527CurrentTaxYearMinus1YearAmt
Current Tax Year$2,213,970CurrentTaxYearAmt
Total$14,849,931TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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)
Other Cost Or Other Basis$5,000OtherCostOrOtherBasisAmt
Book Value$5,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$884,613OtherCostOrOtherBasisAmt
Depreciation$789,261DepreciationAmt
Book Value$95,352BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$833,819OtherCostOrOtherBasisAmt
Depreciation$778,863DepreciationAmt
Book Value$54,956BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,138OtherCostOrOtherBasisAmt
Depreciation$3,696DepreciationAmt
Book Value$1,442BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$156,750TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4DPROVIDING A NURSING HOME FACILITIES AND SERVICES
FORM 990, PAGE 6, PART VI, LINE 11BBOARD REVIEWS TAX RETURN WITH MANAGEMENT BEFORE RETURNING TO ACCOUNTANT TO FILE
FORM 990, PAGE 6, PART VI, LINE 15ABOARD RECEIVES INFORMATION FROM STATE AND TRADE ORGANIZATIONS TO REVIEW AND APPROVE COMPENSATION
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST