CARMEL MANOR INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CARMEL MANOR INC (EIN 61-0523290)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-08-10
- IRS object ID
- 201712229349301476
- 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 | 2017-08-10T14:28:51-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 310905417 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VONLEHMAN & COMPANY INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 810 WRIGHTS SUMMIT PARKWAY SUITE | AddressLine1Txt |
| Address Line2 | 300 | AddressLine2Txt |
| City | FORT WRIGHT | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 410112993 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 610523290 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARMEL MANOR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CARM | BusinessNameControlTxt |
| Phone | 8597815111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CARMEL MANOR ROAD | AddressLine1Txt |
| City | FORT THOMAS | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41075 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SR DIANE MACK | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 8597815111 | PhoneNum |
| Signature | 2017-08-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KERRI L RICHARDSON | PreparerPersonNm |
| PTIN | P00636119 | PTIN |
| Phone | 8593313300 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 69.61.206.123 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-08-07 | IPDt |
| IP Tm | 10:30:43 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | AF89ED51A4A17D397C599AF7871C7C883557ED69 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2D92DA20BECA3EFBCF5E102943AFE4BCDEB5550F | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SR DIANE MACK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CARMEL MANOR ROAD | AddressLine1Txt |
| City | FORT THOMAS | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41075 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,307,838 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CARMELITESYSTEM.ORG/FACILITES/CARMEL_MANOR.HT | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1949 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF THE HOME IS TO PROVIDE CARE AND SERVICES TO THE COMMUNITY IN CONFORMANCE WITH THE THEOLOGY; PHILOSOPHY; TEACHINGS AND DOCTRINES OF THE ROMAN CATHOLIC CHURCH, RESPECTING AND BUILDING ON THE MISSION, PHILOSOPHY AND VALUES OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 262 | TotalEmployeeCnt |
| Total Volunteers | 48 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $430,853 | PYContributionsGrantsAmt |
| CY Contributions Grants | $331,329 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,430,018 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,883,724 | CYProgramServiceRevenueAmt |
| PY Investment Income | $204,168 | PYInvestmentIncomeAmt |
| CY Investment Income | $253,610 | CYInvestmentIncomeAmt |
| PY Other Revenue | $161,414 | PYOtherRevenueAmt |
| CY Other Revenue | $182,826 | CYOtherRevenueAmt |
| PY Total Revenue | $8,226,453 | PYTotalRevenueAmt |
| CY Total Revenue | $7,651,489 | 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 | $5,016,521 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,485,895 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,384,004 | PYOtherExpensesAmt |
| CY Other Expenses | $2,659,136 | CYOtherExpensesAmt |
| PY Total Expenses | $7,400,525 | PYTotalExpensesAmt |
| CY Total Expenses | $8,145,031 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $825,928 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$493,542 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $28,304,082 | TotalAssetsBOYAmt |
| Total Assets EOY | $31,536,154 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $19,208,222 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,749,690 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,095,860 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,786,464 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CARMEL MANOR OPERATES A NURSING HOME AND A PERSONAL CARE HOME IN FORT THOMAS, KENTUCKY. THE HOME PROVIDES PROFESSIONAL AND PERSONAL SERVICES IN A COMPASSIONATE AND CARING MANNER TO MEMBERS OF THE FORT THOMAS AND SURROUNDING COMMUNITIES AND OTHER LOCATIONS THAT SEEK OUR SERVICES. DURING 2016 THE HOME SERVED HUNDREDS OF OUR NEIGHBORS AND THEIR FAMILIES WITHOUT REGARD TO THEIR ETHNIC BACKGROUND, RELIGION, OR FINANCIAL CIRCUMSTANCES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,585,934 | ExpenseAmt |
| Revenue | $4,927,050 | RevenueAmt |
| Desc | CARMEL MANOR IS A SKILLED NURSING FACILITY WHICH SERVES THE NEEDS OF UP TO 145 INDIVIDUALS.NURSING SERVICES | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,464,902 | ExpenseAmt |
| Revenue | $1,978,274 | RevenueAmt |
| Desc | GENERAL SERVICES | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $912,576 | ExpenseAmt |
| Desc | DIETARY SERVICES | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $6,963,412 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | Yes (1) | 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 | 15 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 262 | 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 |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SR DIANE MACK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8597815111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CARMEL MANOR RD | AddressLine1Txt |
| City | FT THOMAS | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 410755111 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| SR ANN BROWN OCARM | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SR JEANNE HALEY OCARM | ||||||
| VICE PRESIDENT | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| SR ANN MCCARTNEY OCARM | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SR M TERESA KATHLEEN DOMINICK | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SR MARY LUANN BENDER SND | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MR D ANTHONY BRINKER | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MR MICHAEL DESMOND | ||||||
| CHAIRMAN | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| REV RONALD KETTELER | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SR CYRIL KASPER O CARM | ||||||
| PRESIDENT | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| MR THOMAS E SAALFELD | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MR JEFFREY BRAULEY | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MR BOB HOFFER | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DR PATRICK J MCCAULEY DMD | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SR LOIS BANIEWICZ O CARM | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MS CATHERINE MILLETTE MORRISON | ||||||
| SECRETARY | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| SR DIANE MACK | ||||||
| ADMINISTRATOR/TREASURER | 40.00 | $124,480 | $0 | $8,878 | Yes (X) | |
| FRANK FESSLER | ||||||
| FINANCE DIRECTOR | 40.00 | $64,761 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $189,241 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $8,878 | 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 |
|---|---|---|---|---|---|
| TURNER CONSTRUCTION | |||||
| 250 WEST COURT STREET SUITE 300 | CINCINNATI | OH | 45202 | GENERAL CONSTRUCTION CONTRACTORS | $3,133,190 |
| REHAB CARE | |||||
| PO BOX 503534 | ST LOUIS | MO | 63150 | PHYSICAL, OCCUPATIONAL AND SPEECH THERAP | $299,316 |
| GORDON FOODS | |||||
| PO BOX 88029 | CHICAGO | IL | 60680 | GROCERIES | $292,590 |
| PRN SERVICES LLC | |||||
| 3126 DIXIE HWY 1ST FLOOR | ERLANGER | KY | 41018 | CONTRACT NURSING | $284,938 |
| HILL-ROM | |||||
| PO BOX 643592 | PITTSBURGH | PA | 15264 | BED FURNITURE | $178,469 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $331,329 | AllOtherContributionsAmt |
| Total Contributions | $331,329 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENTIAL CARE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $4,927,050 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,927,050 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,956,674 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,956,674 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,883,724 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $163,944 | TotalRevenueColumnAmt |
| Exclusion | $163,944 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $744,171 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $654,505 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $89,666 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $89,666 | TotalRevenueColumnAmt |
| Exclusion | $89,666 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $20 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $1,844 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,824 | TotalRevenueColumnAmt |
| Exclusion | -$1,824 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MISCELLANEOUS REVENUE | 900099 | $78,714 | $78,714 |
| CONVENT REVENUE | 900099 | $46,722 | $46,722 |
| SHOP REVENUE | 453220 | $33,342 | $33,342 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,872 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,600 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $4,272 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $184,650 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,651,489 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,905,324 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $414,836 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,501,254 | TotalAmt |
| Program Services | $3,888,516 | ProgramServicesAmt |
| Management And General | $612,738 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,269 | TotalAmt |
| Program Services | $45,651 | ProgramServicesAmt |
| Management And General | $7,618 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $491,899 | TotalAmt |
| Program Services | $421,553 | ProgramServicesAmt |
| Management And General | $70,346 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $439,473 | TotalAmt |
| Program Services | $376,624 | ProgramServicesAmt |
| Management And General | $62,849 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,234 | TotalAmt |
| Program Services | $53,234 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,054 | TotalAmt |
| Management And General | $57,054 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,907 | TotalAmt |
| Management And General | $24,907 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,738 | TotalAmt |
| Management And General | $12,738 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $318,602 | TotalAmt |
| Program Services | $318,602 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,673 | TotalAmt |
| Management And General | $109,673 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| ANCILLARY MEDICAL EXPEN | $441,453 | $441,453 |
| FOOD COST | $358,143 | $358,143 |
| PROVIDER TAX | $311,898 | $311,898 |
| UTILITIES | $271,141 | $271,141 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $700,293 | TotalAmt |
| Program Services | $476,597 | ProgramServicesAmt |
| Management And General | $223,696 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,145,031 | TotalAmt |
| Program Services | $6,963,412 | ProgramServicesAmt |
| Management And General | $1,181,619 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,345,659 | BOYAmt |
| EOY | $456,317 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,314 | BOYAmt |
| EOY | $23,709 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,566 | BOYAmt |
| EOY | $48,952 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $495,475 | BOYAmt |
| EOY | $557,337 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,121 | BOYAmt |
| EOY | $40,318 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,926 | BOYAmt |
| EOY | $69,894 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,054,817 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,717,403 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,423,914 | BOYAmt |
| EOY | $1,337,414 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,729,524 | BOYAmt |
| EOY | $6,002,368 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,041,583 | BOYAmt |
| EOY | $22,999,845 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,304,082 | BOYAmt |
| EOY | $31,536,154 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $960,865 | BOYAmt |
| EOY | $921,813 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,287,569 | BOYAmt |
| EOY | $20,989,034 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $959,788 | BOYAmt |
| EOY | $838,843 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,208,222 | BOYAmt |
| EOY | $22,749,690 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,095,860 | BOYAmt |
| EOY | $8,786,464 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,095,860 | BOYAmt |
| EOY | $8,786,464 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,304,082 | BOYAmt |
| EOY | $31,536,154 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$493,542 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $122,515 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $61,631 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| 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 | $54,159 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $105,371 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $190,998 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $430,853 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $331,329 | CurrentTaxYearAmt |
| Total | $1,112,710 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,222,960 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,139,402 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,519,196 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,458,218 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,905,324 | CurrentTaxYearAmt |
| Total | $36,245,100 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $2,393 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,370 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20 | CurrentTaxYearAmt |
| Total | $3,783 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,277,119 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,244,773 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,712,587 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,890,441 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,236,673 | CurrentTaxYearAmt |
| Total | $37,361,593 | 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 | $37,361,593 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $166,986 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $181,503 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $171,760 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $164,007 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $163,944 | CurrentTaxYearAmt |
| Total | $848,200 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $166,986 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $181,503 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $171,760 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $164,007 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $163,944 | CurrentTaxYearAmt |
| Total | $848,200 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $156,075 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $128,163 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $138,046 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $142,057 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $163,050 | CurrentTaxYearAmt |
| Total | $727,391 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,600,180 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,554,439 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,022,393 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,196,505 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,563,667 | CurrentTaxYearAmt |
| Total | $38,937,184 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.95950 | PublicSupportCY509Pct |
| Public Support PY509 | 0.95980 | PublicSupportPY509Pct |
| Investment Income CY | 0.02180 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02170 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,462 | OtherCostOrOtherBasisAmt |
| Book Value | $48,462 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,736,995 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,462,361 | DepreciationAmt |
| Book Value | $274,634 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,796,760 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,562,097 | DepreciationAmt |
| Book Value | $234,663 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,393,801 | OtherCostOrOtherBasisAmt |
| Depreciation | $632,884 | DepreciationAmt |
| Book Value | $760,917 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $78,799 | OtherCostOrOtherBasisAmt |
| Depreciation | $60,061 | DepreciationAmt |
| Book Value | $18,738 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,337,414 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER SECURITES | Desc |
| Book Value | $6,002,368 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $6,002,368 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| CONSTRUCTION IN PROGRESS | $22,601,546 |
| DEFERRED FINANCE COST | $398,299 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $22,999,845 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| SECURITY DEPOSITS | $65,000 |
| SWAP AGREEMENT | $773,843 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $838,843 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $7,835,635 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $122,515 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $61,631 | OtherRevenueAmt |
| Revenue Not Reported | $184,146 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,651,489 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,651,489 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,145,031 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $8,145,031 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $8,145,031 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION HAS ADOPTED THE PROVISIONS OF THE ACCOUNTING PRONOUNCEMENT RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE ORGANIZATION RECOGNIZED NO INTEREST OR PENALTIES IN THE STATEMENT OF OPERATIONS FOR THE YEARS ENDED DECEMBER 31, 2016 AND 2015. IF THE SITUATION AROSE IN WHICH THE ORGANIZATION WOULD HAVE INTEREST TO RECOGNIZE, IT WOULD RECOGNIZE THIS AS INTEREST EXPENSE AND PENALTIES WOULD BE RECOGNIZED IN OTHER EXPENSES. TAX YEARS STILL OPEN UNDER FEDERAL AND STATE STATUTE OF LIMITATIONS REMAIN SUBJECT TO REVIEW AND CHANGE. BASED ON THE EVALUATION OF THE ORGANIZATION'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR THE YEARS ENDED DECEMBER 31, 2016 AND 2015. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 61,631. |
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 | KY ECONOMIC DEVELOPMENT FINANCE AUTHORITY HEALTHCARE FACILITIES REVENUE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 610600439 | BondIssuerEIN |
| Bond Issued | 2015-04-13 | BondIssuedDt |
| Issue Price | $13,661,970 | IssuePriceAmt |
| Purpose | TO FINANCE THE PROPOSED ADDITION AND IMPROVEMENTS TO THE PROPERTY. | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | Yes (1) | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $13,661,970 | TotalProceedsAmt |
| Working Capital Expenditures | $13,661,970 | WorkingCapitalExpendituresAmt |
| Substantial Completion | 2016 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | 0 | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI | THE ORGANIZATION HAS A FORMAL RECORD RETENTION AND DESTRUCTION POLICY WHICH COMPLIES WITH FEDERAL AND STATE LAW AND WITH THE REQUIREMENTS OF VARIOUS REGULATORY AGENCIES. |
| FORM 990, PART VI | THE ORGANIZATION HAS A CORPORTE COMPLIANCE POLICY IN PLACE, WHICH INCLUDES A POLICY ON WHISTLEBLOWER PROTECTION. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE CORPORATION IS THE CARMELITE SYSTEM, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE CORPORATE MEMBERS RETAIN THE RIGHT TO APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW. THE FINANCE COMMITTEE REPORTS TO THE BOARD OF DIRECTORS REGARDING THE REVIEW, AND A COPY OF FORM 990 IS PROVIDED TO THE BOARD BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST DISCLOSURE POLICY REQUIRES ALL OFFICERS AND BOARD MEMBERS TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT. IN ADDITION, SHOULD AN OFFICER OR BOARD MEMBER ASSUME NEW EXTERNAL INTERESTS THAT POTENTIALLY CONFLICT WITH HIS/HER ROLE WITH THE ORGANIZATION, SUCH INDIVIDUAL IS REQUIRED TO DISCLOSE IN WRITING THE NATURE OF SUCH EXTERNAL INTERESTS. THE DISCLOSURE STATEMENT IS PROVIDED TO THE ADMINISTRATOR FOR REVIEW. CONFLICTS ARE RESOLVED BY MAKING A REQUIRED DISCLOSURE, AND MAY RESULT IN RESTRICTING THE OFFICER OR BOARD MEMBER IN ANY RELATED ACTIVITY OR PROCESS AS DETERMINED APPROPRIATE TO THE CIRCUMSTANCES OF THE CONFLICT. FAILURE TO DISCLOSE A CONFLICT OF INTEREST IS IN VIOLATION OF THE ADOPTED POLICY AND CAN RESULT IN DISCIPLINARY ACTION OR REMOVAL. |
| FORM 990, PART VI, SECTION B, LINE 15 | A COMPENSATION POLICY WAS DEVELOPED BY THE BOARD TO GOVERN COMPENSATION ARRANGEMENTS BETWEEN THE ORGANIZATION AND COVERED INDIVIDUALS, DEFINED AS THOSE IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION. THE COMPENSATION COMMITTEE CONSISTS OF AT LEAST THREE INDEPENDENT INDIVIDUALS APPOINTED BY THE BOARD, WHO THEMSELVES ARE MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE RECOMMENDS TO THE BOARD THE COMPENSATION FOR COVERED INDIVIDUALS BASED ON RELEVANT DATA INCLUDING COMPARABILITY COMPENSATION FOR SIMILARLY SITUATED ENTITIES AND INDEPENDENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS AS DEEMED NECESSARY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS; CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND TAX FILINGS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION ALSO FILES REPORTS WITH VARIOUS GOVERNMENTAL AGENCIES AS A REQUIREMENT FOR PARTICIPATION IN GOVERNMENT PROGRAMS, WHICH THE AGENCIES MAY MAKE AVAILABLE TO THE PUBLIC. THE ORGANIZATIONS FORM 990 IS AVAILABLE TO THE PUBLIC ON GUIDESTAR'S WEBSITE. |
| PART VII, SECTION A | SR. DIANE MACK AS A MEMBER OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM, INC. HAS TAKEN A VOW OF POVERTY. THE COMPENSATION ESTABLISHED FOR THE SISTER ON BEHALF OF SERVICES PROVIDED TO THE FACILITY FOR SR. DIANE MACK IS PAID DIRECTLY TO THE CARMELITE SISTERS FOR THE AGED AND INFIRM, INC. RATHER THAN TO THE INDIVIDUAL SISTER. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 61,631. |
| FORM 990, PART XII, LINE 2C | THE CARMELITE SYSTEM, INC. APPROVES THE ENGAGEMENT OF THE INDEPENDENT AUDITORS FOR THE CORPORATION. THE SYSTEM AUDIT COMMITTEE MEETS WITH THE SYSTEM'S MANAGEMENT AND THE INDEPENDENT AUDITORS TO REVIEW THE ENGAGEMENT PROPOSAL, RESULTS OF THE AUDIT, DRAFT AUDIT REPORT AND MANAGEMENT LETTERS. THE AUDIT COMMITTEE MAY MEET WITH THE INDEPENDENT AUDITORS IN EXECUTIVE SESSION BEFORE CONCLUDING ITS REVIEW AND ACCEPTANCE OF THE ANNUAL AUDIT REPORT. THE AUDIT COMMITTEE REPORTS ITS FINDINGS AND MAKES ITS RECOMMENDATION TO THE BOARD OF DIRECTORS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CARMELITE SISTERS FOR THE AGED AND INFIRM INC | ||||||||||
| 600 WOODS ROAD | GERMANTOWN | NY | 125265639 | 141369151 | TO SPONSOR NURSING HOMES FOR THE AGED AND INFIRM | NY | 501(C)(3) | LINE 10 | N/A | 0 |
| THE CARMELITE SYSTEM INC | ||||||||||
| 646 WOODS ROAD | GERMANTOWN | NY | 125265639 | 141810368 | MANAGEMENT OF AFFILIATED FACILITIES | NY | 501(C)(3) | LINE 10 | N/A | 0 |
| CARMEL TERRACE INC | ||||||||||
| 933 CENTRAL ST | FRAMINGHAM | MA | 01701 | 043210051 | ASSISTED LIVING FACILITY | MA | 501(C)(3) | LINE 10 | N/A | 0 |
| KAHL HOME FOR THE AGED AND INFIRM | ||||||||||
| 6701 JERSEY RIDGE ROAD | DAVENPORT | IA | 52807 | 420760833 | SKILLED NURSING FACILITY | IA | 501(C)(3) | LINE 10 | N/A | 0 |
| LOURDES-NOREEN MCKEEN RESIDENCE FOR GERIATRIC CARE INC | ||||||||||
| 315 SOUTH FLAGLER DR | WEST PALM BEACH | FL | 33401 | 590879342 | SKILLED, ASSISTED AND INDEPENDENT LIVING FACILITY | FL | 501(C)(3) | LINE 10 | N/A | 0 |
| MARIAN MANOR FOR THE AGED AND INFIRM INC | ||||||||||
| 130 DORCHESTER ST | BOSTON | MA | 02127 | 042173054 | SKILLED NURSING FACILITY | MA | 501(C)(3) | LINE 10 | N/A | 0 |
| MOTHER ANGELINE MCCRORY MANOR INC | ||||||||||
| 5199 EAST BROAD ST | COLUMBUS | OH | 43213 | 912134683 | SKILLED NURSING FACILITY | OH | 501(C)(3) | LINE 10 | N/A | 0 |
| MOUNT CARMEL CARE CENTER INC | ||||||||||
| 320 PITTSFIELD ROAD | LENOX | MA | 01240 | 383902709 | SKILLED NURSING FACILITY | MA | 501(C)(3) | LINE 10 | N/A | 0 |
| ST MARGARET HALL | ||||||||||
| 1960 MADISON ROAD | CINCINNATI | OH | 45206 | 310655031 | SKILLED NURSING AND ASSISTED LIVING FACILITY | OH | 501(C)(3) | LINE 10 | N/A | 0 |
| ST PATRICK'S HOME FOR THE AGED AND INFIRM INC | ||||||||||
| 66 VAN CORTLAND PARK SOUTH | BRONX | NY | 10463 | 121740033 | SKILLED NURSING FACILITY | NY | 501(C)(3) | LINE 10 | N/A | 0 |
| ST PATRICK'S MANOR | ||||||||||
| 863 CENTRAL ST | FRAMINGHAM | MA | 01701 | 042157057 | SKILLED NURSING FACILITY | MA | 501(C)(3) | LINE 10 | N/A | 0 |
| ST PATRICK'S RESIDENCE | ||||||||||
| 1400 BROOKDALE ROAD | NAPERVILLE | IL | 60563 | 362527011 | SKILLED NURSING FACILITY | IL | 501(C)(3) | LINE 10 | N/A | 0 |
| VILLAS AT SAINT THERESE INC | ||||||||||
| 5253 EAST BROAD STREET | COLUMBUS | OH | 43213 | 472021696 | INDEPENDENT LIVING FACILITY | OH | 501(C)(3) | LINE 10 | N/A | 0 |
| OZANAM HALL | ||||||||||
| 4241 201ST STREET | BAYSIDE | NY | 11361 | 112167809 | SKILLED NURSING FACILITY | NY | 501(C)(3) | LINE 10 | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| CARMELITE SISTERS FOR THE AGED AND INFIRM INC | |
| Q | $46,722 |
| CARMELITE SISTERS FOR THE AGED AND INFIRM INC | |
| O | $247,849 |