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GLEN FLORA: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
GLEN FLORA (EIN 56-0583139)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-15
IRS object ID
201722279349303192
Schema version
2015v3.0
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

FieldValueIRS element (for citing)
Return2017-08-15T16:14:50-04:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

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 Begin2015-10-01TaxPeriodBeginDt

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 FAYETTTEVILL ROADAddressLine1Txt
CityLUMBERTONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28360ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN D ROZIER JR MDPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9107392821PhoneNum
Signature2017-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN L GRISSOM JRPreparerPersonNm
PTINP00116611PTIN
Phone9107397523PhoneNum
Preparation2017-08-15PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRANDALL J KROPPPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15701 FAYETTEVILLE ROADAddressLine1Txt
CityLUMBERTONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP283602163ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,394,939GrossReceiptsAmt
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 Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee126TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$4,848,655PYProgramServiceRevenueAmt
CY Program Service Revenue$4,377,093CYProgramServiceRevenueAmt
PY Investment Income$17,049PYInvestmentIncomeAmt
CY Investment Income$17,846CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$4,865,704PYTotalRevenueAmt
CY Total Revenue$4,394,939CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,697,932PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,809,085CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,188,245PYOtherExpensesAmt
CY Other Expenses$2,036,949CYOtherExpensesAmt
PY Total Expenses$4,886,177PYTotalExpensesAmt
CY Total Expenses$4,846,034CYTotalExpensesAmt
PY Revenues Less Expenses-$20,473PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$451,095CYRevenuesLessExpensesAmt
Total Assets BOY$6,211,029TotalAssetsBOYAmt
Total Assets EOY$5,665,690TotalAssetsEOYAmt
Total Liabilities BOY$1,387,965TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,777,406TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,823,064NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,888,284NetAssetsOrFundBalancesEOYAmt
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$3,557,454ExpenseAmt
Revenue$4,377,093RevenueAmt
DescTHERE WERE 22,018 PATIENT BED DAYS SERVED DURING THE FISCAL YEAR ENDED 9/30/16.Desc
Total Program Service Expenses$3,557,454TotalProgramServiceExpensesAmt
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 Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee126EmployeeCnt
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BRUCE W HUGGINS
PRESIDENT1.00Yes (X)$0$0$0
JOHN D ROZIER JR MD
PRESIDENT1.00Yes (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
KENNETH P RUST
VICE-PRESIDE1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
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$619,628CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,377,093TotalRevenueColumnAmt
Related Or Exempt Func Income$4,377,093RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,377,093TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,846TotalRevenueColumnAmt
Related Or Exempt Func Income$17,846RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,394,939TotalRevenueColumnAmt
Related Or Exempt Func Income$4,394,939RelatedOrExemptFuncIncomeAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,168,819TotalAmt
Program Services$1,665,419ProgramServicesAmt
Management And General$503,400ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$28,129TotalAmt
Program Services$20,533ProgramServicesAmt
Management And General$7,596ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$431,818TotalAmt
Program Services$387,790ProgramServicesAmt
Management And General$44,028ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$180,319TotalAmt
Program Services$139,464ProgramServicesAmt
Management And General$40,855ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$37,001TotalAmt
Management And General$37,001ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,051TotalAmt
Management And General$8,051ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$142,446TotalAmt
Management And General$142,446ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$12,406TotalAmt
Program Services$7,238ProgramServicesAmt
Management And General$5,168ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$15,651TotalAmt
Management And General$15,651ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$200,888TotalAmt
Program Services$200,888ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$92,402TotalAmt
Program Services$31,020ProgramServicesAmt
Management And General$61,382ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROFESSIONAL FEES$631,303$577,170$54,133
MEDICAL SUPPLIES$393,032$348,107$44,925
OTHER MEDICAL FEES$206,080$31,565$174,515
PHARMACEUTICALS$139,113$139,113

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$158,576TotalAmt
Program Services$9,147ProgramServicesAmt
Management And General$149,429ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,846,034TotalAmt
Program Services$3,557,454ProgramServicesAmt
Management And General$1,288,580ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$354,306BOYAmt
EOY$59,934EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$661,364BOYAmt
EOY$570,652EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$56,591BOYAmt
EOY$40,440EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,625,016LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,729,841LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,046,997BOYAmt
EOY$3,895,175EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,091,771BOYAmt
EOY$1,099,489EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,211,029BOYAmt
EOY$5,665,690EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$430,354BOYAmt
EOY$441,271EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$499,918BOYAmt
EOY$381,430EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$457,693BOYAmt
EOY$954,705EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,387,965BOYAmt
EOY$1,777,406EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,823,064BOYAmt
EOY$3,888,284EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,823,064BOYAmt
EOY$3,888,284EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,211,029BOYAmt
EOY$5,665,690EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$451,095ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,076NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$487,761OtherChangesInNetAssetsAmt
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$4,843,247OtherCostOrOtherBasisAmt
Depreciation$1,567,047DepreciationAmt
Book Value$3,276,200BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,141,472OtherCostOrOtherBasisAmt
Depreciation$842,977DepreciationAmt
Book Value$298,495BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$383,807OtherCostOrOtherBasisAmt
Depreciation$319,817DepreciationAmt
Book Value$63,990BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,895,175TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLIABILITY FOR PENSION BENEFITSDesc
Amt$954,705Amt
FieldValueIRS element (for citing)
Total Liability$954,705TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$3,911,254TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$4,076NetUnrealizedGainsInvstAmt
Other Revenue-$487,761OtherRevenueAmt
Revenue Not Reported-$483,685RevenueNotReportedAmt
Revenue Subtotal$4,394,939RevenueSubtotalAmt
Total Revenue Per Form990$4,394,939TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,846,034TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$4,846,034ExpensesSubtotalAmt
Total Expenses Per Form990$4,846,034TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 4, PART XI, LINE 2DFormAndLineReferenceDesc
ExplanationPENSION CHANGES OTHER THAN NET PERIODIC PENSION COST -487,761ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE EXECUTIVE DIRECTOR AND EACH OF THE 9 MEMBERS OF THE BOARD OF DIRECTORS 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 9-487,761 TOTAL -487,761 PART XI, LINE 2D - REVENUE AMOUNTSK INCLUDED IN FINANCIALS - OTHER PENSION CHANGES OTHER THAN NET PERIODIC PENSION COST -487,761