STRATEGY STUDIO / PUBLIC DATA EXPLORER

PARK VIEW HAVEN: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
PARK VIEW HAVEN (EIN 47-0523133)
Tax period
2015-07-01 to 2016-06-30
Filed
2016-11-14
IRS object ID
201643199349306169
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-14T12:37:41-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN205640426PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SHONSEY PLACKE MARUSKA & STAVA PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1403 LEXINGTON CIRCLEAddressLine1Txt
CityGRAND ISLANDCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68803ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN470523133EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PARKVIEW HAVENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPARKBusinessNameControlTxt
Phone4023657237PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11203 FOURTH STREETAddressLine1Txt
CityDESHLERCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68340ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLINDA FANGMEYERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4023657237PhoneNum
Signature2016-10-25SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEVEN K PLACKE CPAPreparerPersonNm
PTINP00078534PTIN
Phone3083849910PhoneNum
Preparation2016-11-08PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLINDA FANGMEYERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1103 E BRYSON AVEAddressLine1Txt
CityDESHLERCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68340ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,566,981GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressPARKVIEWHAVENFACILITIES.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1967FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionNURSING/ASSISTED LIVING CARE FOR THE ELDERLY.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee84TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$18,325PYContributionsGrantsAmt
CY Contributions Grants$46,402CYContributionsGrantsAmt
PY Program Service Revenue$2,420,905PYProgramServiceRevenueAmt
CY Program Service Revenue$2,469,676CYProgramServiceRevenueAmt
PY Investment Income$3,960PYInvestmentIncomeAmt
CY Investment Income$4,463CYInvestmentIncomeAmt
PY Other Revenue$27,347PYOtherRevenueAmt
CY Other Revenue$46,440CYOtherRevenueAmt
PY Total Revenue$2,470,537PYTotalRevenueAmt
CY Total Revenue$2,566,981CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,466,298PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,428,576CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$861,237PYOtherExpensesAmt
CY Other Expenses$1,042,687CYOtherExpensesAmt
PY Total Expenses$2,327,535PYTotalExpensesAmt
CY Total Expenses$2,471,263CYTotalExpensesAmt
PY Revenues Less Expenses$143,002PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$95,718CYRevenuesLessExpensesAmt
Total Assets BOY$3,381,889TotalAssetsBOYAmt
Total Assets EOY$3,422,387TotalAssetsEOYAmt
Total Liabilities BOY$859,173TotalLiabilitiesBOYAmt
Total Liabilities EOY$803,953TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,522,716NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,618,434NetAssetsOrFundBalancesEOYAmt
MissionNURSING/ASSISTED LIVING CARE FOR THE ELDERLY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$2,287,806ExpenseAmt
Revenue$2,469,676RevenueAmt
DescNURSING/ASSISTED LIVING CARE FOR THE ELDERLY.Desc
Total Program Service Expenses$2,287,806TotalProgramServiceExpensesAmt
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 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 BondsYes (true)TaxExemptBondsInd
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 EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee84EmployeeCnt
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 Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
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 PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARY MILLERPersonNm
Phone4023657237PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11203 FOURTH STREETAddressLine1Txt
CityDESHLERCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68340ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
LINDA FANGMEYER
PRESIDENT1.001.00Yes (X)Yes (X)$0$0$0
LOIS STRUVE-PETERSEN
VICE-PRESIDE1.00Yes (X)Yes (X)$0$0$0
HELEN WATSON
SECRETARY1.00Yes (X)Yes (X)$0$0$0
DENNIS SCHMIDT
MEMBER1.00Yes (X)$0$0$0
STANLEY HOFTS
MEMBER1.00Yes (X)$0$0$0
NAOMI GRUPE
MAYOR1.00Yes (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 Line1PRIME TIME HEALTCARE LLCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line114811 SHEPARD STAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68138ZIPCd
FieldValueIRS element (for citing)
ServicesAGENCY LABORServicesDesc
Compensation$324,849CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Related Organizations$39,214RelatedOrganizationsAmt
All Other Contributions$7,188AllOtherContributionsAmt
Total Contributions$46,402TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PRIVATE PAY RESIDENTS623000$1,357,742$1,357,742
MEDICAID RESIDENTS623000$916,891$916,891
MEDICARE RESIDENTS623000$169,740$169,740
NURSING SUPPLIES623000$25,303$25,303
FieldValueIRS element (for citing)
Total Program Service Revenue$2,469,676TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,463TotalRevenueColumnAmt
Exclusion$4,463ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
FLOOD REIMBURSEMENTS623000$40,005$40,005
MEALS AND VENDING623000$4,445$4,445
MISCELLANEOUS623000$1,990$1,990
FieldValueIRS element (for citing)
Other Revenue Total$46,440OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,566,981TotalRevenueColumnAmt
Related Or Exempt Func Income$2,469,676RelatedOrExemptFuncIncomeAmt
Exclusion$50,903ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,241,731TotalAmt
Program Services$1,130,294ProgramServicesAmt
Management And General$111,437ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$92,277TotalAmt
Program Services$83,996ProgramServicesAmt
Management And General$8,281ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$94,568TotalAmt
Program Services$86,081ProgramServicesAmt
Management And General$8,487ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$598TotalAmt
Management And General$598ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$16,856TotalAmt
Management And General$16,856ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$393,088TotalAmt
Program Services$393,088ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,029TotalAmt
Program Services$1,045ProgramServicesAmt
Management And General$6,984ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$93,713TotalAmt
Program Services$93,713ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,974TotalAmt
Program Services$3,878ProgramServicesAmt
Management And General$5,096ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$15,364TotalAmt
Program Services$15,364ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$157,410TotalAmt
Program Services$157,410ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$54,072TotalAmt
Program Services$54,072ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$115,682$112,456$3,226
FOOD$114,813$114,813
REPAIRS & MAINTENANCE$36,629$36,629
TELEPHONE$9,814$9,814

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$17,645TotalAmt
Program Services$4,967ProgramServicesAmt
Management And General$12,678ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,471,263TotalAmt
Program Services$2,287,806ProgramServicesAmt
Management And General$183,457ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$423,656BOYAmt
EOY$407,475EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$857,248BOYAmt
EOY$819,368EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$87,350BOYAmt
EOY$161,106EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,870BOYAmt
EOY$25,667EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,290,623LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,439,697LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,957,238BOYAmt
EOY$1,850,926EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$43,527BOYAmt
EOY$157,845EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,381,889BOYAmt
EOY$3,422,387EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$187,989BOYAmt
EOY$176,278EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$670,000BOYAmt
EOY$615,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,184BOYAmt
EOY$12,675EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$859,173BOYAmt
EOY$803,953EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$650,520BOYAmt
EOY$651,727EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,492,781BOYAmt
EOY$1,390,891EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$379,415BOYAmt
EOY$575,816EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,522,716BOYAmt
EOY$2,618,434EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,381,889BOYAmt
EOY$3,422,387EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$95,718ReconcilationRevenueExpnssAmt
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$18,735CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,599CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,302CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,325CurrentTaxYearMinus1YearAmt
Current Tax Year$46,402CurrentTaxYearAmt
Total$99,363TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,140,889CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,002,822CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,038,149CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,440,905CurrentTaxYearMinus1YearAmt
Current Tax Year$2,469,676CurrentTaxYearAmt
Total$11,092,441TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,036CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,471CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,133CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,347CurrentTaxYearMinus1YearAmt
Current Tax Year$46,440CurrentTaxYearAmt
Total$81,427TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,169,660CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,018,892CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,055,584CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,466,577CurrentTaxYearMinus1YearAmt
Current Tax Year$2,562,518CurrentTaxYearAmt
Total$11,273,231TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$11,273,231PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,463CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,366CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,031CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,960CurrentTaxYearMinus1YearAmt
Current Tax Year$4,463CurrentTaxYearAmt
Total$30,283TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,463CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,366CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,031CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,960CurrentTaxYearMinus1YearAmt
Current Tax Year$4,463CurrentTaxYearAmt
Total$30,283TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,181,123CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,024,258CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,060,615CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,470,537CurrentTaxYearMinus1YearAmt
Current Tax Year$2,566,981CurrentTaxYearAmt
Total$11,303,514TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99730PublicSupportCY509Pct
Public Support PY5090.99590PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
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$8,211OtherCostOrOtherBasisAmt
Book Value$8,211BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,520,080OtherCostOrOtherBasisAmt
Depreciation$1,913,477DepreciationAmt
Book Value$1,606,603BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$762,332OtherCostOrOtherBasisAmt
Depreciation$526,220DepreciationAmt
Book Value$236,112BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,850,926TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLEASE OBLIGATIONDesc
Amt$12,675Amt
FieldValueIRS element (for citing)
Total Liability$12,675TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$2,566,981TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$2,566,981RevenueSubtotalAmt
Total Revenue Per Form990$2,566,981TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,471,263TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$2,471,263ExpensesSubtotalAmt
Total Expenses Per Form990$2,471,263TotalExpensesPerForm990Amt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF DESHLER NEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN476006165BondIssuerEIN
Bond Issued2013-06-11BondIssuedDt
Issue Price$720,000IssuePriceAmt
PurposeASSISTED LIVING ADDITIONPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$105,000RetiredAmt
Total Proceeds$720,000TotalProceedsAmt
Capital Expenditures$720,000CapitalExpendituresAmt
Substantial Completion2014SubstantialCompletionYr
Current RefundingfalseCurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdfalseProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BBOARD RECEIVES A COPY OF FORM 990 TO REVIEW BEFORE IT IS FILED.
FORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION ANNUALLY DISTRIBUTES A CERTIFICATION AND DISCLOSURE FORM TO ITS DIRECTORS AND HAS THEM FILL IT OUT AND GIVES THEM A COPY OF IT.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GCONSULTANTS 68,239 0 0 CONTRACTED POOL NURSING 324,849 0 0

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PARKVIEW HAVEN FACILITIES FNDNBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11203 FOURTH STREETAddressLine1Txt
CityDESHLERCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68340ZIPCd
FieldValueIRS element (for citing)
EIN274818143EIN
Primary ActivitiesSUPPORTPrimaryActivitiesTxt
Legal Domicile StateNELegalDomicileStateCd
Exempt Code Section501C3ExemptCodeSectionTxt
Public Charity Status9PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PARKVIEW HAVEN FACILITIES FNDNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$39,214InvolvedAmt