PRESBYTERIAN HOME OF HAWFIELDS INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- PRESBYTERIAN HOME OF HAWFIELDS INC (EIN 56-1077371)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-05-14
- IRS object ID
- 201941349349305304
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-14T12:43:11-05:00 | ReturnTs |
| Tax Period End | 2018-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560587953 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GILLIAM COBLE & MOSER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 621 | AddressLine1Txt |
| City | BURLINGTON | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 272160621 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561077371 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESBYTERIAN HOME OF HAWFIELDS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PRES | BusinessNameControlTxt |
| Phone | 3365784701 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2502 SOUTH NC 119 | AddressLine1Txt |
| City | MEBANE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27302 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MR MAX KERNODLE | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 3365784701 | PhoneNum |
| Signature | 2019-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | J BRADLEY MOSER | PreparerPersonNm |
| PTIN | P00024209 | PTIN |
| Phone | 3362276283 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 64.88.174.3 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-10 | IPDt |
| IP Tm | 11:04:40 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 350851388B951F062BE95A6C8AA6B4F0FF4CB18B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | ABDE59DB88C79FD89C33A5FF5CE64F164DB373F5 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MR MAX KERNODLE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2502 SOUTH NC 119 | AddressLine1Txt |
| City | MEBANE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27302 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,168,152 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HAWFIELDS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | PHH IS COMMITTED TO PROVIDING THE HIGHEST QUALITY OF LIFE FOR THE RESIDENT. THE HOME STRIVES TO CREATE A CARING LIVING ENVIROMENT WITH EMPHASIS ON MAXIMIZING SELF-MOTIVATION, INDEPENDENCE, AND REHABILITATION. TO BETTER MEET THE NEEDS OF THE RESIDENTS, THE HOME IS DEDICATED TO SELECTING SUPERIOR RESOURCES AND IMPLEMENTING CONTINOUS QUALITY MANAGEMENT STRATEGIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 162 | TotalEmployeeCnt |
| Total Volunteers | 80 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,760 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,278 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,788,746 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,129,261 | CYProgramServiceRevenueAmt |
| PY Investment Income | $858,747 | PYInvestmentIncomeAmt |
| CY Investment Income | $129 | CYInvestmentIncomeAmt |
| PY Other Revenue | $29,551 | PYOtherRevenueAmt |
| CY Other Revenue | $31,484 | CYOtherRevenueAmt |
| PY Total Revenue | $6,678,804 | PYTotalRevenueAmt |
| CY Total Revenue | $6,168,152 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,061,137 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,257,526 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,255,946 | PYOtherExpensesAmt |
| CY Other Expenses | $3,376,383 | CYOtherExpensesAmt |
| PY Total Expenses | $6,317,083 | PYTotalExpensesAmt |
| CY Total Expenses | $6,633,909 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $361,721 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$465,757 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,997,794 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,586,200 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $468,522 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $522,685 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,529,272 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,063,515 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PHH IS COMMITTED TO PROVIDING THE HIGHEST QUALITY OF LIFE FOR THE RESIDENT. THE HOME STRIVES TO CREATE A CARING LIVING ENVIROMENT WITH EMPHASIS ON MAXIMIZING SELF-MOTIVATION, INDEPENDENCE, AND REHABILITATION. TO BETTER MEET THE NEEDS OF THE RESIDENTS, THE HOME IS DEDICATED TO SELECTING SUPERIOR RESOURCES AND IMPLEMENTING CONTINOUS QUALITY MANAGEMENT STRATEGIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,720,878 | ExpenseAmt |
| Revenue | $6,160,745 | RevenueAmt |
| Desc | THE ORGANIZATION OPERATES A NURSING HOME FACILITY WITH 119 NURSING BEDS AND 37 INDEPENDENT LIVING BEDS IN MEBANE, NORTH CAROLINA. | Desc |
| Total Program Service Expenses | $5,720,878 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 162 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAX KERNODLE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3365784701 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2502 SOUTH NC 119 | AddressLine1Txt |
| City | MEBANE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27302 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| JIMMY EVANS | ||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| IRA TROLLINGER | ||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BILL MEBANE | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DANNY THOMPSON | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| HENDERSON SCOTT | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BILL STOCKARD | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARY ERWIN | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MAX KERNODLE | ||||||
| TREASURER/SECRETARY | 70.00 | Yes (X) | $110,087 | $0 | $6,826 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $110,087 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $6,826 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NIGHTINGALE NURSING SERVICES | |||||
| PO BOX 1163 | CARRBORO | NC | 27510 | AGENCY NURSING | $1,347,229 |
| SYSCO FOOD SERVICES | |||||
| PO BOX 129 | SELMA | NC | 27576 | RAW FOODS/SUPPLEMENTS | $406,405 |
| SENECA MEDICAL LLC | |||||
| PO BOX 531846 | ATLANTA | GA | 30353 | NURSING SUPPLIES | $346,557 |
| DIAMOND PAPER | |||||
| 802 MONUMENT ST | DANVILLE | VA | 24541 | PAPER PRODUCTS/HSKING SUPPLIES | $195,297 |
| DHHS ACCOUNTS RECEIVEABLE | |||||
| 2022 MEDICAL SERVICE CENTER | RALEIGH | NC | 27699 | NURSING ASSESMENT FEE | $172,901 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $7,278 | AllOtherContributionsAmt |
| Total Contributions | $7,278 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SKILLED CARE RESIDENT | 632000 | $5,753,365 | $5,753,365 |
| INDEPENDENT LIVING REV | 632000 | $337,947 | $337,947 |
| SPECIAL SERVICES REVEN | 623000 | $37,949 | $37,949 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,129,261 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $129 | TotalRevenueColumnAmt |
| Exclusion | $129 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| LATE PAYMENT INCOME | 900009 | $17,552 | $17,552 |
| DUKE POWER GENERATOR U | 900009 | $9,618 | $9,618 |
| MISCELLANEOUS INCOME | 900009 | $2,269 | $2,269 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,045 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,045 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $31,484 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,168,152 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,160,745 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $129 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,057 | TotalAmt |
| Management And General | $123,057 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,384,344 | TotalAmt |
| Program Services | $2,280,740 | ProgramServicesAmt |
| Management And General | $103,604 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $549,575 | TotalAmt |
| Program Services | $504,454 | ProgramServicesAmt |
| Management And General | $45,121 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,550 | TotalAmt |
| Program Services | $183,392 | ProgramServicesAmt |
| Management And General | $17,158 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,322 | TotalAmt |
| Management And General | $1,322 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,520 | TotalAmt |
| Management And General | $76,520 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,398,200 | TotalAmt |
| Program Services | $1,357,132 | ProgramServicesAmt |
| Management And General | $41,068 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,532 | TotalAmt |
| Management And General | $10,532 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,412 | TotalAmt |
| Management And General | $60,412 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,170 | TotalAmt |
| Program Services | $247,170 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,831 | TotalAmt |
| Program Services | $4,769 | ProgramServicesAmt |
| Management And General | $62 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,995 | TotalAmt |
| Program Services | $3,645 | ProgramServicesAmt |
| Management And General | $350 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $524 | TotalAmt |
| Management And General | $524 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,435 | TotalAmt |
| Program Services | $120,435 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,522 | TotalAmt |
| Management And General | $29,522 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $758,297 | $758,297 | |
| BAD DEBT EXPENSE | $304,975 | $304,975 | |
| THERAPY | $175,916 | $175,916 | |
| FINES AND PENALTIES | $91,316 | $91,316 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,416 | TotalAmt |
| Program Services | $84,928 | ProgramServicesAmt |
| Management And General | $7,488 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,633,909 | TotalAmt |
| Program Services | $5,720,878 | ProgramServicesAmt |
| Management And General | $913,031 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,084 | BOYAmt |
| EOY | $59,006 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,000 | BOYAmt |
| EOY | $100,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $603,178 | BOYAmt |
| EOY | $765,369 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $435,100 | BOYAmt |
| EOY | $155,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,794 | BOYAmt |
| EOY | $37,288 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,136 | BOYAmt |
| EOY | $41,581 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,378,102 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,970,161 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $471,493 | BOYAmt |
| EOY | $407,941 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,009 | BOYAmt |
| EOY | $20,015 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,997,794 | BOYAmt |
| EOY | $1,586,200 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $451,513 | BOYAmt |
| EOY | $502,670 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,009 | BOYAmt |
| EOY | $20,015 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $468,522 | BOYAmt |
| EOY | $522,685 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,429,272 | BOYAmt |
| EOY | $963,515 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,000 | BOYAmt |
| EOY | $100,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,529,272 | BOYAmt |
| EOY | $1,063,515 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,997,794 | BOYAmt |
| EOY | $1,586,200 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$465,757 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,264 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,966 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,465 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,760 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,278 | CurrentTaxYearAmt |
| Total | $23,733 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,320,341 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,804,598 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,098,953 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,788,746 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,129,261 | CurrentTaxYearAmt |
| Total | $30,141,899 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,329,605 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,806,564 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,102,418 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,790,506 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,136,539 | CurrentTaxYearAmt |
| Total | $30,165,632 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $90 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $65 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $130 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $250 | CurrentTaxYearMinus1YearAmt |
| Total | $535 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $90 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $65 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $130 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $250 | CurrentTaxYearMinus1YearAmt |
| Total | $535 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $30,165,097 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,023 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,799 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,482 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,468 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,681 | CurrentTaxYearAmt |
| Total | $79,453 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,023 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,799 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,482 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,468 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,681 | CurrentTaxYearAmt |
| Total | $79,453 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,991 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,080 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,520 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,174 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,932 | CurrentTaxYearAmt |
| Total | $87,697 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,353,619 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,841,443 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,149,420 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,820,148 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,168,152 | CurrentTaxYearAmt |
| Total | $30,332,782 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99450 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99460 | PublicSupportPY509Pct |
| Investment Income CY | 0.00260 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00240 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | EMPLOYEE/GUESTS MEALS - 2013 AMOUNT: $ 2,546. 2014 AMOUNT: $ 3,767. 2015 AMOUNT: $ 10,386. 2016 AMOUNT: $ 6,443. 2017 AMOUNT: $ 2,045. DUKE POWER GENERATOR - 2013 AMOUNT: $ 9,089. 2014 AMOUNT: $ 9,920. 2015 AMOUNT: $ 9,987. 2016 AMOUNT: $ 8,672. 2017 AMOUNT: $ 9,618. OTHER REVENUE - 2013 AMOUNT: $ 356. 2014 AMOUNT: $ -607. 2015 AMOUNT: $ 8,147. 2016 AMOUNT: $ 5,059. 2017 AMOUNT: $ 2,269. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $66,878 | OtherCostOrOtherBasisAmt |
| Book Value | $66,878 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,026,575 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,777,099 | DepreciationAmt |
| Book Value | $249,476 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $940,818 | OtherCostOrOtherBasisAmt |
| Depreciation | $852,857 | DepreciationAmt |
| Book Value | $87,961 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $343,831 | OtherCostOrOtherBasisAmt |
| Depreciation | $340,205 | DepreciationAmt |
| Book Value | $3,626 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $407,941 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENT TRUST FUNDS | Desc |
| Amt | $20,015 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $20,015 | TotalLiabilityAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE SEVERAL COMMITTEES IN PLACE THAT REPORT TO THE GOVERNING BOARD AND MINUTES ARE RECORDED FOR THEIR PARTICULAR MEETINGS. THESE COMMITTEES DO NOT HAVE THE RIGHTS TO ACT ON BEHALF OF THE GOVERNING BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF FORM 990 WILL BE DISTRIBUTED AND REVIEWED AT THE MAY BOARD MEETING. ANY CHANGES WILL BE MADE PRIOR TO FILING THE FORM 990 WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD REVIEWS ANNUALLY AND SIGNS-OFF ON DOCUMENTS WHICH ARE RECORDED IN THE MEETING MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15 | RECOMMENDATIONS ARE MADE AND DISCUSSED THROUGH THE FINANCE COMMITTEE. THE BOARD OF DIRECTORS THEN APPROVE ANY RECOMMENDATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL OTHER APPLICABLE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | SK - CONTRACT OUT SERV : PROGRAM SERVICE EXPENSES 54,402. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,402. SK - CONTRACT OUT-MED DIR : PROGRAM SERVICE EXPENSES 5,100. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,100. SK - CONTRACT OUT-RN : PROGRAM SERVICE EXPENSES 267,806. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 267,806. SK - CONTRACT OUT-LPN : PROGRAM SERVICE EXPENSES 300,127. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 300,127. SK - CONTRACT OUT-CNA : PROGRAM SERVICE EXPENSES 655,281. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 655,281. PHARMACY - CONTRACT OUT SERV : PROGRAM SERVICE EXPENSES 2,808. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,808. ACTIVITY - CONTRACT OUT SERV : PROGRAM SERVICE EXPENSES 2,249. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,249. TRANSP - CONTRACT OUT SERV : PROGRAM SERVICE EXPENSES 1,736. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,736. B & B - CONTRACT OUT SERV : PROGRAM SERVICE EXPENSES 13,318. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,318. DIET - CONTRACT OUT SERV : PROGRAM SERVICE EXPENSES 27,651. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,651. LAUND - CONTRACT OUT SERV : PROGRAM SERVICE EXPENSES 1,838. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,838. HK - CONTRACT OUT SERV : PROGRAM SERVICE EXPENSES 976. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 976. MAINT - CONTRACT OUT SERV : PROGRAM SERVICE EXPENSES 13,368. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,368. IL - CONTRACT OUT SERV : PROGRAM SERVICE EXPENSES 10,472. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,472. CONTRACT OUT SERV : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 36,328. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,328. DATA PROCESSING - CONTRACT OUT SERV : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,740. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,740. |