OWSLEY COUNTY HEALTH CARE CENTER INC: Form 990, tax year 2016
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- Organization
- OWSLEY COUNTY HEALTH CARE CENTER INC (EIN 61-0984463)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2017-12-12
- IRS object ID
- 201743469349300809
- Schema version
- 2016v3.0
- 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 | 2017-12-12T09:24:58-06:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 610420207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JONES NALE & MATTINGLY PLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 642 SOUTH FOURTH ST STE 300 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 610984463 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OWSLEY COUNTY HEALTH CARE CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OWSL | BusinessNameControlTxt |
| Phone | 6065936302 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 COUNTRY BARN RD | AddressLine1Txt |
| City | BOONEVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41314 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TRAVIS SMITH | PersonNm |
| Person Title | BOARD CHAIR | PersonTitleTxt |
| Phone | 6065936302 | PhoneNum |
| Signature | 2017-12-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID R PRICE | PreparerPersonNm |
| PTIN | P01272254 | PTIN |
| Phone | 5025830248 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 74.142.8.82 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-12-04 | IPDt |
| IP Tm | 18:05:58 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 491D8443DD78A9A9C5F0EA70207DD1C7E0A1BF34 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 62C59505314FEBC823BB9799FB43D1223D544DF3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TRAVIS SMITH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 COUNTRY BARN RD | AddressLine1Txt |
| City | BOONEVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 413140250 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,383,456 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1980 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | HEALTH CARE FACILITY FOR THE PUBLIC. TO MEET THE SPECIFIC INDIVIDUAL NEEDS OF EACH OF OUR RESIDENTS SO THEY WILL RESIDE IN THE CENTER WITH DIGNITY AND AN IMPROVED QUALITY OF LIFE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 148 | TotalEmployeeCnt |
| Total Volunteers | 2 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,607,561 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,351,632 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,843 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,944 | CYInvestmentIncomeAmt |
| PY Other Revenue | $25,251 | PYOtherRevenueAmt |
| CY Other Revenue | $29,880 | CYOtherRevenueAmt |
| PY Total Revenue | $5,634,655 | PYTotalRevenueAmt |
| CY Total Revenue | $6,383,456 | 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 | $2,747,177 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,014,131 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,679,881 | PYOtherExpensesAmt |
| CY Other Expenses | $3,162,598 | CYOtherExpensesAmt |
| PY Total Expenses | $5,427,058 | PYTotalExpensesAmt |
| CY Total Expenses | $6,176,729 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $207,597 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $206,727 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,678,807 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,977,581 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $776,106 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $868,153 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,902,701 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,109,428 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO MEET THE SPECIFIC INDIVIDUAL NEEDS OF EACH OF OUR RESIDENTS SO THEY WILL RESIDE IN THE CENTER WITH DIGNITY AND AN IMPROVED QUALITY OF LIFE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,039,234 | ExpenseAmt |
| Revenue | $5,908,154 | RevenueAmt |
| Desc | NURSING SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $988,764 | ExpenseAmt |
| Revenue | $443,478 | RevenueAmt |
| Desc | ANCILLARY SERVICES - PHARMACY, OCCUPATIONAL, PHYSICAL & SPEECH THERAPIES, LAB, OXYGEN, AND ENTERAL NUTRITION PROGRAM. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,040,988 | ExpenseAmt |
| Revenue | $8,214 | RevenueAmt |
| Desc | GENERAL SERVICES - DIETARY, HOUSEKEEPING, LAUNDRY, RECREATIONAL ACTIVITIES, SOCIAL SERVICES, MEDICAL RECORDS, AND PLANT OPERATIONS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,072,380 | ExpenseAmt |
| Revenue | $21,666 | RevenueAmt |
| Desc | ADMINISTRATIVE SERVICES OTHER COSTS INCURRED AS A RESULT OF PROVIDING RESIDENTS WITH CARE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,072,380 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $21,666 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $5,141,366 | 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 | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | 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 | 19 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 148 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | Yes (1) | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | KY | 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 | OWSLEY COUNTY HEALTH CARE CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6065936302 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 COUNTRY BARN RD | AddressLine1Txt |
| City | BOONEVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 413140250 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| DALE BISHOP | ||||||
| SECRETARY/TREASURER | 5.00 | Yes (X) | $2,600 | $0 | $0 | |
| PHYLLIS REFFITT | ||||||
| MEMBER | 1.00 | Yes (X) | $100 | $0 | $0 | |
| ROGER ROBERTS | ||||||
| MEMBER | 1.00 | Yes (X) | $150 | $0 | $0 | |
| BOBBY SMITH | ||||||
| MEMBER | 1.00 | Yes (X) | $150 | $0 | $0 | |
| TRAVIS SMITH | ||||||
| CHAIRMAN | 1.00 | Yes (X) | $150 | $0 | $0 | |
| ARNOLD WILSON | ||||||
| MEMBER | 1.00 | Yes (X) | $150 | $0 | $0 | |
| JASON WILSON | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JUDY TERRY | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| WHITTNEY YOUNTS | ||||||
| ADMINISTRATOR | 40.00 | $74,542 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $77,842 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HERITAGE HEALTHCARE INC | |||||
| 536 OLD HOWELL ROAD | GREENVILLE | SC | 29615 | THERAPY PROVIDER | $402,582 |
| HEALTH SYSTEMS OF KENTUCKY LLC | |||||
| 329 TOWNEPARK CIRCLE | LOUISVILLE | KY | 40243 | MANAGEMENT SERVICES | $296,366 |
| MED CARE PHARMACY | |||||
| 350 ARISTOCRAT DRIVE | FLORENCE | KY | 41042 | PHARMACY PROVIDER | $213,142 |
| MCKESSON MEDICAL-SURGICAL | |||||
| PO BOX 630693 | CINCINNATI | OH | 452630693 | MEDICAL SUPPLY VENDOR | $117,136 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT HEALTH CARE | 623000 | $5,908,154 | $5,908,154 |
| REHABILITATION/SPEECH | 623000 | $380,952 | $380,952 |
| MEDICAL SUPP, OXYGEN | 623000 | $46,684 | $46,684 |
| PHARMACY | 623000 | $15,842 | $15,842 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,351,632 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,944 | TotalRevenueColumnAmt |
| Exclusion | $1,944 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MISCELLANEOUS | 623000 | $21,666 | $21,666 |
| EMPLOYEE MEALS | 623000 | $8,214 | $8,214 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $29,880 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,383,456 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,381,512 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,944 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,015 | TotalAmt |
| Management And General | $82,015 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,495,922 | TotalAmt |
| Program Services | $2,334,319 | ProgramServicesAmt |
| Management And General | $161,603 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,781 | TotalAmt |
| Program Services | $12,564 | ProgramServicesAmt |
| Management And General | $2,217 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,148 | TotalAmt |
| Program Services | $180,326 | ProgramServicesAmt |
| Management And General | $31,822 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,265 | TotalAmt |
| Program Services | $177,875 | ProgramServicesAmt |
| Management And General | $31,390 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,317 | TotalAmt |
| Management And General | $205,317 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,193 | TotalAmt |
| Management And General | $129,193 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,442 | TotalAmt |
| Management And General | $68,442 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,291 | TotalAmt |
| Management And General | $4,291 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,402 | TotalAmt |
| Management And General | $42,402 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,536 | TotalAmt |
| Management And General | $14,536 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,414 | TotalAmt |
| Program Services | $115,414 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,039 | TotalAmt |
| Program Services | $16,473 | ProgramServicesAmt |
| Management And General | $133,566 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| ANCILLARY SERVICES | $988,764 | $988,764 | |
| GENERAL SERVICES | $585,403 | $585,403 | |
| OTHER ADMIN | $445,915 | $334,922 | $110,993 |
| NURSING SERVICES | $200,144 | $200,144 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,738 | TotalAmt |
| Program Services | $195,162 | ProgramServicesAmt |
| Management And General | $17,576 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,176,729 | TotalAmt |
| Program Services | $5,141,366 | ProgramServicesAmt |
| Management And General | $1,035,363 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,157,681 | BOYAmt |
| EOY | $1,367,701 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $649,992 | BOYAmt |
| EOY | $615,769 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,446 | BOYAmt |
| EOY | $24,524 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,959 | BOYAmt |
| EOY | $61,692 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,825,217 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,917,322 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $792,664 | BOYAmt |
| EOY | $907,895 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,065 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,678,807 | BOYAmt |
| EOY | $2,977,581 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $447,001 | BOYAmt |
| EOY | $561,535 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,105 | BOYAmt |
| EOY | $306,618 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $776,106 | BOYAmt |
| EOY | $868,153 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,902,701 | BOYAmt |
| EOY | $2,109,428 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,902,701 | BOYAmt |
| EOY | $2,109,428 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,678,807 | BOYAmt |
| EOY | $2,977,581 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $206,727 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,124,582 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,150,221 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,279,155 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,607,561 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,351,632 | CurrentTaxYearAmt |
| Total | $27,513,151 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,124,582 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,150,221 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,279,155 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,607,561 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,351,632 | CurrentTaxYearAmt |
| Total | $27,513,151 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | 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) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $27,513,151 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,507 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,862 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,809 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,843 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,944 | CurrentTaxYearAmt |
| Total | $9,965 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,507 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,862 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,809 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,843 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,944 | CurrentTaxYearAmt |
| Total | $9,965 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $42,873 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,418 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,053 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,251 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,880 | CurrentTaxYearAmt |
| Total | $143,475 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,169,962 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,180,501 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,298,017 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,634,655 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,383,456 | CurrentTaxYearAmt |
| Total | $27,666,591 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99450 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99400 | PublicSupportPY509Pct |
| Investment Income CY | 0.00040 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00050 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,852,999 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,571,514 | DepreciationAmt |
| Book Value | $281,485 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,158,795 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $738,778 | DepreciationAmt |
| Book Value | $420,017 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $744,187 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $607,030 | DepreciationAmt |
| Book Value | $137,157 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $69,236 | InvestmentCostOrOtherBasisAmt |
| Book Value | $69,236 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $907,895 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $6,383,456 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $6,383,456 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $6,383,456 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,176,729 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $6,176,729 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $6,176,729 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE CENTER'S ACCOUNTING POLICY PROVIDES THAT A TAX EXPENSE/BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THE CENTER HAS NO UNCERTAIN TAX POSITIONS RESULTING IN AN ACCRUAL OF TAX EXPENSE OR BENEFIT. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | ARNOLD WILSON (DIRECTOR) IS THE FATHER OF JASON WILSON (DIRECTOR). BOBBY SMITH (DIRECTOR) IS THE FATHER OF TRAVIS SMITH (PRESIDENT/CHAIRMAN OF THE BOARD). |
| FORM 990, PART VI, SECTION B, LINE 11B | ADMINISTRATOR WHITTNEY YOUNTS WILL PROVIDE A COPY OF THE 990 TO ALL BOARD MEMBERS AND WILL REQUIRE THEM TO SIGN A STATEMENT AFFIRMING THAT THEY HAVE REVIEWED THE FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT AFFIRMING COMPLIANCE. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE 990 IS AVAILABLE THROUGH WWW.GUIDESTAR.ORG AND BY REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS WILL BE MADE AVIALABLE TO THE PUBLIC UPON REQUEST. |