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Covenant Place of Sumter Inc: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
Covenant Place of Sumter Inc (EIN 57-0954773)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-01-19
IRS object ID
201730199349301028
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)
Return2017-01-19T14:06:34-08:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1The Hobbs Group PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11704 Laurel StreetAddressLine1Txt
CityColumbiaCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29201ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN570954773EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Covenant Place of Sumter IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOVEBusinessNameControlTxt
Phone8034697007PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12825 Carter RoadAddressLine1Txt
CitySumterCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29150ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRisley E Linder SrPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Signature2017-01-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWill Stevens CPAPreparerPersonNm
PTINP01208094PTIN
Phone8037990555PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRisley E Linder SrPrincipalOfficerNm
Gross Receipts$9,619,502GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresscovenantplace.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionOperate retirement center for elderly.ActivityOrMissionDesc
Voting Members Governing Body31VotingMembersGoverningBodyCnt
Voting Members Independent30VotingMembersIndependentCnt
Total Employee216TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$172,175PYContributionsGrantsAmt
CY Contributions Grants$18,183CYContributionsGrantsAmt
PY Program Service Revenue$8,820,699PYProgramServiceRevenueAmt
CY Program Service Revenue$9,588,433CYProgramServiceRevenueAmt
PY Investment Income$13,861PYInvestmentIncomeAmt
CY Investment Income$12,886CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$9,006,735PYTotalRevenueAmt
CY Total Revenue$9,619,502CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,613,621PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,796,452CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,368,410PYOtherExpensesAmt
CY Other Expenses$4,685,289CYOtherExpensesAmt
PY Total Expenses$8,982,031PYTotalExpensesAmt
CY Total Expenses$9,481,741CYTotalExpensesAmt
PY Revenues Less Expenses$24,704PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$137,761CYRevenuesLessExpensesAmt
Total Assets BOY$8,415,424TotalAssetsBOYAmt
Total Assets EOY$7,899,043TotalAssetsEOYAmt
Total Liabilities BOY$8,590,526TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,936,384TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$175,102NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$37,341NetAssetsOrFundBalancesEOYAmt
MissionOperate retirement center for elderly.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,041,783ExpenseAmt
Revenue$9,588,433RevenueAmt
DescOperate retirement center for elderly providing housing, meals, medical and related services.Desc
Total Program Service Expenses$8,041,783TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
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 AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
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 RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
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
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document44IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee216EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members31GoverningBodyVotingMembersCnt
Independent Voting Member30IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
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 PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRisley E Linder SrPersonNm
Phone8034697007PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12825 Carter RoadAddressLine1Txt
CitySumterCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29150ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Jay Davis
Director1.000.00Yes (X)$0$0$0
Deloris Griffith
Director1.000.00Yes (X)$0$0$0
Major General James Hyatt
Director1.000.00Yes (X)$0$0$0
Jeff Faw
Director1.000.00Yes (X)$0$0$0
Rev Marcus Kaiser Sr
Ex-Officio1.000.00Yes (X)$0$0$0
Gene Durant
Director1.000.00Yes (X)$0$0$0
Ann Cooper
Director1.000.00Yes (X)$0$0$0
Dr James Blassingame
Director1.000.00Yes (X)$0$0$0
Norma Holland
Director1.000.00Yes (X)$0$0$0
Roger Ackerman
Director1.000.00Yes (X)$0$0$0
Father Frank Palmieri
Ex-Officio1.000.00Yes (X)$0$0$0
Rev Dan Barber
Ex-Officio1.000.00Yes (X)$0$0$0
Bobby Richardson
Director1.000.00Yes (X)$0$0$0
Jean Riddle
Director1.000.00Yes (X)$0$0$0
Charles Clanton
Director1.000.00Yes (X)$0$0$0
Barry Ham
Executive Comm1.000.00Yes (X)$0$0$0
Gary Brown
Director1.000.00Yes (X)$0$0$0
Leon McDonald
Executive Comm1.000.00Yes (X)$0$0$0
Dan Lyles
Executive Comm1.000.00Yes (X)$0$0$0
Linda Crabbe
Director1.000.00Yes (X)$0$0$0
Rev Steve Williams
Ex-Officio1.000.00Yes (X)$0$0$0
Sue Fienning
Director1.000.00Yes (X)$0$0$0
Rev Steve Holler
Ex-Officio1.000.00Yes (X)$0$0$0
Rev Jim Burton
Ex-Officio1.000.00Yes (X)$0$0$0
Frank Edwards
Executive Comm1.000.00$0$0$0Yes (X)
Sue McDuffie
Vice President1.000.00$0$0$0Yes (X)
Kay Raffield
Secretary1.000.00$0$0$0Yes (X)
Bill Stokes
Past President1.000.00$0$0$0Yes (X)
Barry Reynolds
President2.000.00$0$0$0Yes (X)
John White
Treasurer1.000.00$0$0$0Yes (X)
Risley Linder Sr
Executive Dir.40.000.00$140,870$0$29,129Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$140,870TotalReportableCompFromOrgAmt
Total Other Compensation$29,129TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Genesis Eldercare Rehabilitation Services
PO Box 7247-6524PhiladelphiaPA19170Medical$162,428
Life Care Services LLC
400 Locust Street Suite 820Des MoinesIA50309Management$416,892
Heritage Healthcare LLC
536 Old Howell RoadGreenvilleSC29615Management$423,120
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$18,183AllOtherContributionsAmt
Total Contributions$18,183TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescResident ServicesDesc
Total Revenue Column$9,588,433TotalRevenueColumnAmt
Related Or Exempt Func Income$9,588,433RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$9,588,433TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,886TotalRevenueColumnAmt
Related Or Exempt Func Income$12,886RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,619,502TotalRevenueColumnAmt
Related Or Exempt Func Income$9,601,319RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$166,088TotalAmt
Program Services$148,812ProgramServicesAmt
Management And General$17,276ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,726,889TotalAmt
Program Services$3,339,226ProgramServicesAmt
Management And General$387,663ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$40,942TotalAmt
Program Services$26,724ProgramServicesAmt
Management And General$14,218ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$573,894TotalAmt
Program Services$541,764ProgramServicesAmt
Management And General$32,130ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$288,639TotalAmt
Program Services$253,264ProgramServicesAmt
Management And General$35,375ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$380,321TotalAmt
Management And General$380,321ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,386TotalAmt
Management And General$5,386ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$36,800TotalAmt
Management And General$36,800ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,599TotalAmt
Management And General$10,599ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$116,247TotalAmt
Management And General$116,247ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$75,821TotalAmt
Management And General$75,821ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$40,890TotalAmt
Management And General$40,890ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,873TotalAmt
Management And General$13,873ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$256,037TotalAmt
Program Services$256,037ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$828,469TotalAmt
Program Services$828,469ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$93,764TotalAmt
Management And General$93,764ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Health Center$1,161,970$1,161,970
Dietary$801,382$801,382
Environmental$601,302$601,302
Resident Services$48,101$48,101

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$214,327TotalAmt
Program Services$34,732ProgramServicesAmt
Management And General$179,595ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,481,741TotalAmt
Program Services$8,041,783ProgramServicesAmt
Management And General$1,439,958ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$447,067BOYAmt
EOY$640,758EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$433,507BOYAmt
EOY$297,048EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$138,445BOYAmt
EOY$140,885EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$19,100,362LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,797,868LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,858,497BOYAmt
EOY$5,302,494EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,537,908BOYAmt
EOY$1,517,858EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,415,424BOYAmt
EOY$7,899,043EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$521,390BOYAmt
EOY$503,738EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$7,855,000BOYAmt
EOY$7,260,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$214,136BOYAmt
EOY$172,646EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,590,526BOYAmt
EOY$7,936,384EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$175,102BOYAmt
EOY-$37,341EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$175,102BOYAmt
EOY-$37,341EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,415,424BOYAmt
EOY$7,899,043EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$137,761ReconcilationRevenueExpnssAmt
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$139,269CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$52,700CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$607,295CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$172,175CurrentTaxYearMinus1YearAmt
Current Tax Year$18,183CurrentTaxYearAmt
Total$989,622TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,693,176CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,100,662CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,613,815CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,820,699CurrentTaxYearMinus1YearAmt
Current Tax Year$9,588,433CurrentTaxYearAmt
Total$42,816,785TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,832,445CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,153,362CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,221,110CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,992,874CurrentTaxYearMinus1YearAmt
Current Tax Year$9,606,616CurrentTaxYearAmt
Total$43,806,407TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$43,806,407PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$64,945CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,377CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,325CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,861CurrentTaxYearMinus1YearAmt
Current Tax Year$12,886CurrentTaxYearAmt
Total$129,394TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$64,945CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,377CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,325CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,861CurrentTaxYearMinus1YearAmt
Current Tax Year$12,886CurrentTaxYearAmt
Total$129,394TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,897,390CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,177,739CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,234,435CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,006,735CurrentTaxYearMinus1YearAmt
Current Tax Year$9,619,502CurrentTaxYearAmt
Total$43,935,801TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99710PublicSupportCY509Pct
Public Support PY5090.99570PublicSupportPY509Pct
Investment Income CY0.00290InvestmentIncomeCYPct
Investment Income PY0.00430InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$210,338OtherCostOrOtherBasisAmt
Book Value$210,338BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,585,150OtherCostOrOtherBasisAmt
Depreciation$12,093,831DepreciationAmt
Book Value$4,491,319BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,304,874OtherCostOrOtherBasisAmt
Depreciation$1,704,037DepreciationAmt
Book Value$600,837BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,302,494TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDeferred Financing CostsDesc
Book Value$60,566BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,517,858TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDepositsDesc
Amt$172,646Amt
FieldValueIRS element (for citing)
Total Liability$172,646TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$9,619,502TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$9,619,502RevenueSubtotalAmt
Total Revenue Per Form990$9,619,502TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,481,741TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$9,481,741ExpensesSubtotalAmt
Total Expenses Per Form990$9,481,741TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationThe Organization has received a determination letter from the Internal Revenue Service (IRS) indicating it is a tax-exempt organization under 501(c)(3) of the Internal Revenue Code and is subject to federal income tax only on net unrelated business income. Management is not aware of any transactions which would jeopardize their tax-exempt status.Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Organization and recognize a tax liability (or asset) if the Organization has taken an uncertain position that more likely than not would not be substantiated upon examination by the IRS. Management has analyzed the tax positions taken by the Organization and has concluded that as of September 30, 2016, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The Organization is subject to routine audits by taxing jurisdiction; however, there are currently no audits for any tax periods in progress. Management believes it is no longer subject to income tax examinations for fiscal years prior to 2013. U.S. state jurisdictions have statutes of limitations that generally range from three to five years. Currently no audits for any tax periods are in progress.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonRisley Linder SrPersonNm
TitleExecutive Dir.TitleTxt
Base Compensation Filing Org$140,870BaseCompensationFilingOrgAmt
Deferred Compensation Flng Org$16,460DeferredCompensationFlngOrgAmt
Nontaxable Benefits Filing Org$12,669NontaxableBenefitsFilingOrgAmt
Total Compensation Filing Org$169,999TotalCompensationFilingOrgAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyThe organization has a management and marketing agreement with Life Care Services, an independent management company, to operate and manage the facility.
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe Executive Committee reviews a copy of Form 990 prior to filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsCompliance is monitored on an on-going basis and addressed if necessary.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe Board of Directors reviews the annual salaries of Key Employees, including the Executive Director. Performance standards are set, based on comparable data, including compensation levels, of similar organizations.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part V, Line 1c - Reportable PaymentsThe organization had no reportable payments to a vendor requiring compliance with backup withholding rules, nor did they provide any reportable gaming, gambling, or winnings to a prize winner.