WESTY COMMUNITY CARE HOME INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- WESTY COMMUNITY CARE HOME INC (EIN 48-0809130)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-05-12
- IRS object ID
- 201801329349300940
- Schema version
- 2017v2.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-12T13:37:15-07:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | James R Northcutt CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1337 N Meridian Suite 7 | AddressLine1Txt |
| City | Wichita | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480809130 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Westy Community Care Home Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 7854572801 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Hwy 99 and Main | AddressLine1Txt |
| City | Westmoreland | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66549 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RAYBURN STADEL | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 7854572801 | PhoneNum |
| Signature | 2018-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES R NORTHCUTT CPA | PreparerPersonNm |
| PTIN | P00604418 | PTIN |
| Phone | 3162671898 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 207.178.102.50 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-05-12 | IPDt |
| IP Tm | 13:36:52 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 778A9FCCA165ECCF5C9AF9629D2F191E5234A756 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 778A9FCCA165ECCF5C9AF9629D2F191E5234A756 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RAYBURN STADEL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 19455 Spring Creek Rd | AddressLine1Txt |
| City | Westmoreland | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66549 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,534,309 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | NURSING HOME FOR THE ELDERLY THE ORGANIZATION OWNS AN OPERATES AN INTERMEDIATE CARE NURSING FACILITY FOR THE ELDERLY AND DISABLED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 109 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $4,203 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,262 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,776,894 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,524,817 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,210 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,230 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,789,307 | PYTotalRevenueAmt |
| CY Total Revenue | $2,534,309 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,569,210 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,443,121 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,148,874 | PYOtherExpensesAmt |
| CY Other Expenses | $1,244,180 | CYOtherExpensesAmt |
| PY Total Expenses | $2,718,084 | PYTotalExpensesAmt |
| CY Total Expenses | $2,687,301 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $71,223 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$152,992 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,486,206 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,195,034 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,216,054 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,131,128 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,270,152 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,063,906 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Nursing home for the elderly | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,980,849 | ExpenseAmt |
| Revenue | $2,524,817 | RevenueAmt |
| Desc | OWNS AND OPERATES A 55 BED INTERMEDIATE CARE NURSING FACILITY FOR THE ELDERLY IN WESTMORELAND, KANSAS. | Desc |
| Total Program Service Expenses | $1,980,849 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 18 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 109 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Benton Accounting Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6208554656 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 243 | AddressLine1Txt |
| City | Cimarron | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67835 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|
| ROXIE ZOELLER | |||||||
| Treasurer | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PHYLLIS HUPE | |||||||
| Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JENNI MOORE | |||||||
| Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RAYBURN STADEL | |||||||
| President | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JIM BRADLEY | |||||||
| Vice-president | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY JO EICHMAN | |||||||
| Secretary | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SARAH EISENBARTH | |||||||
| Administrator | 40.00 | $84,675 | $0 | $0 | Yes (X) | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $84,675 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Genesis Rehabilitation Services | |||||
| PO Box 821322 | Philadelphia | PA | 19182 | Therapy services | $150,680 |
| Aegis Therapies Inc | |||||
| PO Box 8103 | Fort Smith | AR | 72902 | Therapy services | $111,091 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $2,262 | AllOtherContributionsAmt |
| Total Contributions | $2,262 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt |
|---|---|---|
| Routine care-private pay | 623000 | $792,285 |
| Routine care-Medicaid | 623000 | $860,500 |
| Routine care-Medicare | 623000 | $636,191 |
| Apartment income | 623000 | $235,841 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,524,817 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,230 | TotalRevenueColumnAmt |
| Exclusion | $7,230 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,534,309 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,524,817 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $7,230 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,675 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $84,675 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,171,161 | TotalAmt |
| Program Services | $1,092,958 | ProgramServicesAmt |
| Management And General | $78,203 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,260 | TotalAmt |
| Program Services | $61,759 | ProgramServicesAmt |
| Management And General | $12,501 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,025 | TotalAmt |
| Program Services | $98,366 | ProgramServicesAmt |
| Management And General | $14,659 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,522 | TotalAmt |
| Program Services | $980 | ProgramServicesAmt |
| Management And General | $10,542 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,954 | TotalAmt |
| Program Services | $4,897 | ProgramServicesAmt |
| Management And General | $2,057 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,852 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $46,852 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,393 | TotalAmt |
| Program Services | $106,757 | ProgramServicesAmt |
| Management And General | $22,636 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,278 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $39,278 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Contracted services | $82,247 | $32,373 | $49,874 | $0 |
| Food | $95,328 | $95,328 | $0 | $0 |
| Repairs/maintenance | $61,116 | $0 | $61,116 | $0 |
| Minor equipment | $14,023 | $0 | $14,023 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $757,467 | TotalAmt |
| Program Services | $487,431 | ProgramServicesAmt |
| Management And General | $270,036 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,687,301 | TotalAmt |
| Program Services | $1,980,849 | ProgramServicesAmt |
| Management And General | $706,452 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,424 | BOYAmt |
| EOY | $184,926 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $793,814 | BOYAmt |
| EOY | $448,005 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,763 | BOYAmt |
| EOY | $369,623 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,755 | BOYAmt |
| EOY | $20,999 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,517,206 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,698,087 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,918,178 | BOYAmt |
| EOY | $1,819,119 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $328,272 | BOYAmt |
| EOY | $352,362 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,486,206 | BOYAmt |
| EOY | $3,195,034 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,054 | BOYAmt |
| EOY | $136,128 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,110,000 | BOYAmt |
| EOY | $995,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,216,054 | BOYAmt |
| EOY | $1,131,128 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,270,152 | BOYAmt |
| EOY | $2,063,906 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,270,152 | BOYAmt |
| EOY | $2,063,906 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,486,206 | BOYAmt |
| EOY | $3,195,034 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$152,992 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$53,254 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Audit Committee | false | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY170 | 0 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,450 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,044 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,374 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,203 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,262 | CurrentTaxYearAmt |
| Total | $12,333 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,261,128 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,320,433 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,324,992 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,776,894 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,524,817 | CurrentTaxYearAmt |
| Total | $15,208,264 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,262,578 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,321,477 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,328,366 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,781,097 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,527,079 | CurrentTaxYearAmt |
| Total | $15,220,597 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $15,220,597 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,714 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,998 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,112 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,210 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,230 | CurrentTaxYearAmt |
| Total | $31,264 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,714 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,998 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,112 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,210 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,230 | CurrentTaxYearAmt |
| Total | $31,264 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,251,861 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99800 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99820 | PublicSupportPY509Pct |
| Investment Income CY | 0.00200 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00180 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $27,037 | InvestmentCostOrOtherBasisAmt |
| Book Value | $27,037 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $3,815,878 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $2,101,688 | DepreciationAmt |
| Book Value | $1,714,190 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $579,773 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $525,529 | DepreciationAmt |
| Book Value | $54,244 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $94,518 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $70,870 | DepreciationAmt |
| Book Value | $23,648 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,819,119 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Escrow account-bonds | $277,844 |
| Unamortized loan costs | $74,518 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $352,362 | TotalBookValueOtherAssetsAmt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | City of Cimmsron | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 486024812 | BondIssuerEIN |
| CUSIP | 96106UAA2 | CUSIPNum |
| Bond Issued | 2009-07-01 | BondIssuedDt |
| Issue Price | $1,785,000 | IssuePriceAmt |
| Purpose | Building | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $1,785,000 | TotalProceedsAmt |
| In Reserve Fund | $233,924 | InReserveFundAmt |
| Issuance Costs From Proceeds | $86,082 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $1,464,994 | CapitalExpendituresAmt |
| Substantial Completion | 2009 | SubstantialCompletionYr |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (26 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | A copy of the IRS Form 990 is reviewed by the board of |
| Pt VI, Line 11b | directors at a regularly scheduled meeting of the board. |
| Pt VI, Line 15a | The compensation of the administrator is set by the board |
| Pt VI, Line 15a | of directors. All other employees are hired by |
| Pt VI, Line 15a | the administrator. |
| Pt VI, Line 19 | The governing documents and IRS Form 990 are made available |
| Pt VI, Line 19 | upon specific written request. |
| Form 990EZ, Part II, Line 24 | Accounts Receivable - Net |
| Form 990EZ, Part II, Line 24 | Prepaids |
| Form 990EZ, Part II, Line 26 | Accounts Payable & Accrued Expenses |
| Form 990EZ, Part II, Line 26 | Bonds, Mortgages & Other Notes |
| Form 990, Part IX, Line 24e | Dues/subscriptions 3036. 0. 3036. 0. |
| Form 990, Part IX, Line 24e | Lawn care/snow removal 2120. 0. 2120. 0. |
| Form 990, Part IX, Line 24e | Utilities 76311. 68680. 7631. 0. |
| Form 990, Part IX, Line 24e | Property taxes 192. 0. 192. 0. |
| Form 990, Part IX, Line 24e | Telephone/communications 10522. 9470. 1052. 0. |
| Form 990, Part IX, Line 24e | Background checks 509. 0. 509. 0. |
| Form 990, Part IX, Line 24e | Training 10964. 10964. 0. 0. |
| Form 990, Part IX, Line 24e | Rent and lease 180. 0. 180. 0. |
| Form 990, Part IX, Line 24e | Medicare expenses 311554. 311554. 0. 0. |
| Form 990, Part IX, Line 24e | Professional fees 46084. 0. 46084. 0. |
| Form 990, Part IX, Line 24e | Resident activities 2798. 2798. 0. 0. |
| Form 990, Part IX, Line 24e | Provider bed tax 40900. 0. 40900. 0. |
| Form 990, Part IX, Line 24e | Consumable supplies 118082. 83965. 34117. 0. |
| Form 990, Part IX, Line 24e | Software updates 13704. 0. 13704. 0. |
| Form 990, Part IX, Line 24e | Fines/penalties 120511. 0. 120511. 0. |