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GLEN FLORA: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
GLEN FLORA (EIN 56-0583139)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-03-16
IRS object ID
201830759349300708
Schema version
2016v3.1
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)
Return2018-03-16T11:24:28-04:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560731535PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1S PRESTON DOUGLAS & ASSOCIATES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2339AddressLine1Txt
CityLUMBERTONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP283592339ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN560583139EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTH CAROLINA CANCER INSTITUTEINCBusinessNameLine1Txt
Business Name Line2D/B/A GLENFLORABusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone9107392821PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15701 FAYETTEVILLE ROADAddressLine1Txt
CityLUMBERTONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28360ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN D ROZIER JR MDPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone9107392821PhoneNum
Signature2018-03-02SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN L GRISSOM JRPreparerPersonNm
PTINP00116611PTIN
Phone9107397523PhoneNum
Preparation2018-03-02PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device Id7EAAAA8737DE4B218ECA784B8663C2F42330AC2AAtSubmissionCreationDeviceId
At Submission Filing Device IdDA0BFC1D7EEB97DFC8E3018F2B497D4275FCE6DAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$4,421,073GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1951FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTO PROVIDE HIGH-QUALITY HEALTH CARE SERVICES PRIMARILY TO THE ELDERLY IN WHICH SELF-DETERMINATION, COMPASSION, BENEVOLENCE, INDIVIDUAL DIGNITY, DIVERSITY AND SOCIAL RESPONSIBILITY ARE VALUED.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee118TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$4,377,093PYProgramServiceRevenueAmt
CY Program Service Revenue$4,406,810CYProgramServiceRevenueAmt
PY Investment Income$17,846PYInvestmentIncomeAmt
CY Investment Income$14,263CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$4,394,939PYTotalRevenueAmt
CY Total Revenue$4,421,073CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,809,085PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,900,196CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,036,949PYOtherExpensesAmt
CY Other Expenses$1,897,010CYOtherExpensesAmt
PY Total Expenses$4,846,034PYTotalExpensesAmt
CY Total Expenses$4,797,206CYTotalExpensesAmt
PY Revenues Less Expenses-$451,095PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$376,133CYRevenuesLessExpensesAmt
Total Assets BOY$5,665,690TotalAssetsBOYAmt
Total Assets EOY$5,381,650TotalAssetsEOYAmt
Total Liabilities BOY$1,777,406TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,622,256TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,888,284NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,759,394NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HIGH-QUALITY HEALTH CARE SERVICES PRIMARILY TO THE ELDERLY IN WHICH SELF-DETERMINATION, COMPASSION, BENEVOLENCE, INDIVIDUAL DIGNITY, DIVERSITY AND SOCIAL RESPONSIBILITY ARE VALUED.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$3,414,875ExpenseAmt
Revenue$4,406,810RevenueAmt
DescTHERE WERE 22,462 PATIENT BED DAYS SERVED DURING THE FISCAL YEAR ENDED 9/30/17.Desc
Total Program Service Expenses$3,414,875TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
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 LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
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 Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee118EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 PolicyfalseDocumentRetentionPolicyInd
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)
PersonRANDALL J KROPPPersonNm
Phone9107392821PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15701 FAYETTEVILLEAddressLine1Txt
CityLUMBERTONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28358ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
BRUCE W HUGGINS
DIRECTOR1.00Yes (X)$0$0$0
JOHN D ROZIER JR MD
CHAIRMAN1.00Yes (X)$0$0$0
LARRY R CHAVIS
TREASURER1.00Yes (X)$0$0$0
CHERRY M BEASLEY RN
DIRECTOR1.00Yes (X)$0$0$0
BETTY C EDENS RN
DIRECTOR1.00Yes (X)$0$0$0
DR DE WARD JR
DIRECTOR1.00Yes (X)$0$0$0
NANCY C JESSUP
DIRECTOR1.00Yes (X)$0$0$0
SAMUEL R NOBLE JR
DIRECTOR1.00Yes (X)$0$0$0
DR EVA MEEKINS
DIRECTOR1.00Yes (X)$0$0$0
DRINA HEDGPETH
DIRECTOR1.00Yes (X)$0$0$0
MARCUS BRYANT
DIRECTOR1.00Yes (X)$0$0$0
WANDRE ELKINS
DIRECTOR1.00Yes (X)$0$0$0
RANDALL J KROPP
EXEC DIRECTO40.00$113,464$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$113,464TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
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 Line1PO BOX 8103AddressLine1Txt
CityFORT SMITHCityNm
State AbbreviationARStateAbbreviationCd
ZIP72902ZIPCd
FieldValueIRS element (for citing)
Compensation$449,377CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,406,810TotalRevenueColumnAmt
Related Or Exempt Func Income$4,406,810RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,406,810TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,263TotalRevenueColumnAmt
Related Or Exempt Func Income$14,263RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,421,073TotalRevenueColumnAmt
Related Or Exempt Func Income$4,421,073RelatedOrExemptFuncIncomeAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,108,227TotalAmt
Program Services$1,602,875ProgramServicesAmt
Management And General$505,352ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$62,756TotalAmt
Program Services$41,029ProgramServicesAmt
Management And General$21,727ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$555,160TotalAmt
Program Services$408,609ProgramServicesAmt
Management And General$146,551ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$174,053TotalAmt
Program Services$132,407ProgramServicesAmt
Management And General$41,646ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$26,297TotalAmt
Management And General$26,297ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$164,885TotalAmt
Management And General$164,885ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$17,896TotalAmt
Program Services$9,717ProgramServicesAmt
Management And General$8,179ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$19,435TotalAmt
Management And General$19,435ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$186,400TotalAmt
Program Services$186,400ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$81,869TotalAmt
Program Services$27,066ProgramServicesAmt
Management And General$54,803ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROFESSIONAL FEES$565,879$477,805$88,074
MEDICAL SUPPLIES$415,941$368,587$47,354
OTHER MEDICAL FEES$185,780$25,418$160,362
PHARMACEUTICALS$127,934$127,934

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$104,694TotalAmt
Program Services$7,028ProgramServicesAmt
Management And General$97,666ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,797,206TotalAmt
Program Services$3,414,875ProgramServicesAmt
Management And General$1,382,331ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$59,934BOYAmt
EOY$159,122EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$570,652BOYAmt
EOY$573,344EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$40,440BOYAmt
EOY$35,743EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,747,082LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,916,240LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,895,175BOYAmt
EOY$3,830,842EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,099,489BOYAmt
EOY$782,599EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,665,690BOYAmt
EOY$5,381,650EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$441,271BOYAmt
EOY$561,870EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$381,430BOYAmt
EOY$313,658EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$954,705BOYAmt
EOY$746,728EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,777,406BOYAmt
EOY$1,622,256EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,888,284BOYAmt
EOY$3,759,394EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,888,284BOYAmt
EOY$3,759,394EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,665,690BOYAmt
EOY$5,381,650EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$376,133ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,688NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$249,931OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationNORTH CAROLINA CANCER INSTITUTE, INC D/B/A GLENFLORA IS A 72-BED EXTENDED CARE FACILITY OFFERING ASSISTED LIVING, SKILLED NURSING, REHABILITATION AND HEALTH-RELATED SERVICES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$256,490OtherCostOrOtherBasisAmt
Book Value$256,490BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,892,776OtherCostOrOtherBasisAmt
Depreciation$1,701,290DepreciationAmt
Book Value$3,191,486BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,201,648OtherCostOrOtherBasisAmt
Depreciation$878,790DepreciationAmt
Book Value$322,858BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$396,168OtherCostOrOtherBasisAmt
Depreciation$336,160DepreciationAmt
Book Value$60,008BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,830,842TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLIABILITY FOR PENSION BENEFITSDesc
Amt$746,728Amt
FieldValueIRS element (for citing)
Total Liability$746,728TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$4,418,385TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$2,688NetUnrealizedGainsInvstAmt
Revenue Not Reported-$2,688RevenueNotReportedAmt
Revenue Subtotal$4,421,073RevenueSubtotalAmt
Total Revenue Per Form990$4,421,073TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,797,206TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$4,797,206ExpensesSubtotalAmt
Total Expenses Per Form990$4,797,206TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE EXECUTIVE DIRECTOR AND THE BOARD CHAIRMAN REVIEWED THE FORM 990 BEFORE IT WAS FILED.
FORM 990, PAGE 6, PART VI, LINE 15AWAGE ANALYSIS AND SURVEY STATISTICS WERE SUPPLIED TO THE BOARD OF DIRECTORS DURING THEIR SEARCH FOR A NURSING HOME ADMINISTRATOR.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9249,931 PART XI, LINE 2D - REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 249,931