PRESBYTERIAN HOME OF HAWFIELDS INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- PRESBYTERIAN HOME OF HAWFIELDS INC (EIN 56-1077371)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-01-12
- IRS object ID
- 201610129349300441
- Schema version
- 2014v6.0
- 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 | 2016-01-12T13:34:17-06:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560587953 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GILLIAM COBLE & MOSER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 621 | AddressLine1Txt |
| City | BURLINGTON | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 272160621 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561077371 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESBYTERIAN HOME OF HAWFIELDS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PRES | BusinessNameControlTxt |
| Phone | 3365784701 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2502 SOUTH NC 119 | AddressLine1Txt |
| City | MEBANE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27302 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MR MAX KERNODLE | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 3365784701 | PhoneNum |
| Signature | 2016-01-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | J BRADLEY MOSER | PreparerPersonNm |
| PTIN | P00024209 | PTIN |
| Phone | 3362276283 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MR MAX KERNODLE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2502 SOUTH NC 119 | AddressLine1Txt |
| City | MEBANE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27302 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,841,443 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HAWFIELDS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HOUSING & RELATED FACILITIES & SERVICE FOR THE ELDERLY AND NEEDY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 171 | TotalEmployeeCnt |
| Total Volunteers | 90 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,264 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,966 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,320,341 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,804,598 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,023 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,132 | CYInvestmentIncomeAmt |
| PY Other Revenue | $23,832 | PYOtherRevenueAmt |
| CY Other Revenue | $32,747 | CYOtherRevenueAmt |
| PY Total Revenue | $6,363,460 | PYTotalRevenueAmt |
| CY Total Revenue | $5,841,443 | 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 | $4,057,419 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,915,392 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,622,860 | PYOtherExpensesAmt |
| CY Other Expenses | $2,798,280 | CYOtherExpensesAmt |
| PY Total Expenses | $6,680,279 | PYTotalExpensesAmt |
| CY Total Expenses | $6,713,672 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$316,819 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$872,229 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,963,138 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,174,571 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $828,763 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,912,424 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,134,375 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,262,147 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE HOUSING & RELATED FACILITIES & SERVICE FOR THE ELDERLY AND NEEDY IN A HEALTH CARE SETTING. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,898,938 | ExpenseAmt |
| Revenue | $5,804,598 | RevenueAmt |
| Desc | THE ORGANIZATION OPERATES A NURSING HOME FACILITY WITH 117 NURSING BEDS AND 37 INDEPENDENT LIVINGS BEDS IN MEBANE, NORTH CAROLINA. | Desc |
| Total Program Service Expenses | $5,898,938 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 171 | 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAX KERNODLE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3365784701 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2502 SOUTH NC 119 | AddressLine1Txt |
| City | MEBANE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27302 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| JIMMY EVANS | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GEORGE BASON | ||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| FENTON COVINGTON | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| REV AB PLEXICO | ||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARY SCOTT | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| HENDERSON SCOTT | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BILL MEBANE | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TOM GAMBLE | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BILL STOCKARD | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MAX KERNODLE | ||||||
| SECRETARY | 70.00 | Yes (X) | $120,291 | $0 | $17,783 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $120,291 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $17,783 | 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 |
|---|---|---|---|---|---|
| NIGHTINGALE NURSING SERVICES | |||||
| PO BOX 1163 | CARRBORO | NC | 27510 | AGENCY NURSING | $515,746 |
| DIVISION OF MEDICAL ASSISTANCE | |||||
| 2022 MAIL SERVICE CENTER | RALEIGH | NC | 27699 | NURSING ASSESSMENT FEES | $350,509 |
| SYSCO FOOD SERVICES | |||||
| PO BOX 129 | SELMA | NC | 27576 | RAW FOODS/SUPPLEMENTS | $314,575 |
| MMS MEDICAL SUPPLY CO | |||||
| PO BOX 955588 | ST LOUIS | MO | 63195 | NURSING SUPPLIES | $180,638 |
| DIAMOND PAPER CO INC | |||||
| 802 MONUMENT ST | DANVILLE | VA | 24541 | PAPER PRODUCTS/HSKING/SUPPLIES/LAUNDRY | $174,410 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,966 | AllOtherContributionsAmt |
| Total Contributions | $1,966 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SKILLED CARE RESIDENT | 632000 | $5,327,802 | $5,327,802 |
| INDEPENDENT LIVING REV | 632000 | $262,839 | $262,839 |
| SPECIAL SERVICES REVEN | 623000 | $213,957 | $213,957 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,804,598 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,132 | TotalRevenueColumnAmt |
| Exclusion | $2,132 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,380 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,380 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,380 | TotalRevenueColumnAmt |
| Exclusion | $2,380 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| LATE PAYMENT INCOME | 900099 | $17,287 | $17,287 |
| DUKE POWER GENERATOR U | 900099 | $9,921 | $9,921 |
| EMPLOYEE/GUEST MEALS | 900099 | $2,824 | $2,824 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $335 | TotalRevenueColumnAmt |
| Exclusion | $335 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $30,367 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,841,443 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,804,598 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $34,879 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,923 | TotalAmt |
| Management And General | $184,923 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,621,670 | TotalAmt |
| Program Services | $2,518,326 | ProgramServicesAmt |
| Management And General | $103,344 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $870,292 | TotalAmt |
| Program Services | $817,349 | ProgramServicesAmt |
| Management And General | $52,943 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,507 | TotalAmt |
| Program Services | $216,927 | ProgramServicesAmt |
| Management And General | $21,580 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,232 | TotalAmt |
| Management And General | $58,232 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $712,845 | TotalAmt |
| Program Services | $673,194 | ProgramServicesAmt |
| Management And General | $39,651 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,016 | TotalAmt |
| Management And General | $11,016 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,943 | TotalAmt |
| Management And General | $53,943 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,237 | TotalAmt |
| Program Services | $287,237 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,670 | TotalAmt |
| Program Services | $4,075 | ProgramServicesAmt |
| Management And General | $595 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,746 | TotalAmt |
| Program Services | $3,024 | ProgramServicesAmt |
| Management And General | $1,722 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,887 | TotalAmt |
| Management And General | $78,887 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,385 | TotalAmt |
| Program Services | $124,385 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,474 | TotalAmt |
| Management And General | $23,474 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $800,303 | $800,303 | |
| THERAPY | $361,102 | $361,102 | |
| BAD DEBT EXPENSE | $175,816 | $175,816 | |
| PHARMACY | $81,872 | $81,872 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,752 | TotalAmt |
| Program Services | $11,144 | ProgramServicesAmt |
| Management And General | $8,608 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,713,672 | TotalAmt |
| Program Services | $5,898,938 | ProgramServicesAmt |
| Management And General | $814,734 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,206 | BOYAmt |
| EOY | $782,011 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,000 | BOYAmt |
| EOY | $100,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $997,011 | BOYAmt |
| EOY | $611,630 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,462 | BOYAmt |
| EOY | $52,885 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,206 | BOYAmt |
| EOY | $53,550 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,171,280 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,616,637 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,679,028 | BOYAmt |
| EOY | $1,554,643 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,225 | BOYAmt |
| EOY | $19,852 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,963,138 | BOYAmt |
| EOY | $3,174,571 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $513,538 | BOYAmt |
| EOY | $457,021 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,400,000 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $35,551 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $315,225 | BOYAmt |
| EOY | $19,852 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $828,763 | BOYAmt |
| EOY | $1,912,424 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,034,375 | BOYAmt |
| EOY | $1,162,147 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,000 | BOYAmt |
| EOY | $100,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,134,375 | BOYAmt |
| EOY | $1,262,147 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,963,138 | BOYAmt |
| EOY | $3,174,571 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$872,229 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $1 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 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 | $11,201 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,570 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,033 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,264 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,966 | CurrentTaxYearAmt |
| Total | $33,034 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,660,229 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,700,276 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,148,298 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,320,341 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,804,598 | CurrentTaxYearAmt |
| Total | $31,633,742 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,671,430 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,701,846 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,157,331 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,329,605 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,806,564 | CurrentTaxYearAmt |
| Total | $31,666,776 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $80 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $140 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $210 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $90 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $65 | CurrentTaxYearAmt |
| Total | $585 | 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) |
|---|---|---|
| Current Tax Year Minus4 Years | $80 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $140 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $210 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $90 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $65 | CurrentTaxYearAmt |
| Total | $585 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $31,666,191 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,070 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,052 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,021 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,023 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,799 | CurrentTaxYearAmt |
| Total | $68,965 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,070 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,052 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,021 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,023 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,799 | CurrentTaxYearAmt |
| Total | $68,965 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,816 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $58,809 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,139 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,991 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,080 | CurrentTaxYearAmt |
| Total | $113,835 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,703,316 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,767,707 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,183,491 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,353,619 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,841,443 | CurrentTaxYearAmt |
| Total | $31,849,576 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99420 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99430 | PublicSupportPY509Pct |
| Investment Income CY | 0.00220 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00220 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,028,277 | OtherCostOrOtherBasisAmt |
| Book Value | $1,028,277 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,909,720 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,501,077 | DepreciationAmt |
| Book Value | $408,643 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $891,999 | OtherCostOrOtherBasisAmt |
| Depreciation | $780,084 | DepreciationAmt |
| Book Value | $111,915 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $341,284 | OtherCostOrOtherBasisAmt |
| Depreciation | $335,476 | DepreciationAmt |
| Book Value | $5,808 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,554,643 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENT TRUST FUNDS | Desc |
| Amt | $19,852 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,852 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $5,841,443 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,841,443 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $5,841,443 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,713,672 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $6,713,672 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $6,713,672 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | FENTON COVINGTON (TREASURER) IS MAX KERNODLE'S (SECRETARY/ADMINISTRATOR) BROTHER-IN-LAW. |
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE SEVERAL COMMITTEES IN PLACE THAT REPORT TO THE GOVERNING BOARD AND MINUTES ARE RECORDED FOR THEIR PARTICULAR MEETINGS. THESE COMMITTEES DO NOT HAVE THE RIGHTS TO ACT ON BEHALF OF THE GOVERNING BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF FORM 990 WILL BE DISTRIBUTED AND REVIEWED AT THE DECEMBER BOARD MEETING. ANY CHANGES WILL BE MADE PRIOR TO FILING THE FORM 990 WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD REVIEWS ANNUALLY AND SIGNS-OFF ON DOCUMENTS WHICH ARE RECORDED IN THE MEETING MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15 | RECOMMENDATIONS ARE MADE AND DISCUSSED THROUGH THE FINANCE COMMITTEE. THE BOARD OF DIRECTORS THEN APPROVE ANY RECOMMENDATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL OTHER APPLICABLE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | SKILLED NURSING - CONTRACT OUT SERVICE: PROGRAM SERVICE EXPENSES 51,004. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,004. SKILLED NURSING - CONTRACT OUT-MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 5,100. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,100. SKILLED NURSING - CONTRACT OUT-REGISTERED NURSE: PROGRAM SERVICE EXPENSES 50,429. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,429. SKILLED NURSING - CONTRACT OUT-LICENSED PRACTICAL NURSE: PROGRAM SERVICE EXPENSES 215,199. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 215,199. SKILLED NURSING - CONTRACT OUT-CERTIFIED NURSING ASSISTANT: PROGRAM SERVICE EXPENSES 233,708. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 233,708. PHARMACY - CONTRACT OUT SERVICE: PROGRAM SERVICE EXPENSES 2,808. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,808. ACTIVITY - CONTRACT OUT SERVICE: PROGRAM SERVICE EXPENSES 1,819. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,819. TRANSPORTATION - CONTRACT OUT SERVICE: PROGRAM SERVICE EXPENSES 1,168. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,168. BEAUTY & BARBOR - CONTRACT OUT SERVICE: PROGRAM SERVICE EXPENSES 18,204. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,204. DIET - CONTRACT OUT SERVICE: PROGRAM SERVICE EXPENSES 45,935. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,935. LAUNDRY - CONTRACT OUT SERVICE: PROGRAM SERVICE EXPENSES 10,324. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,324. HEALTH CARE - CONTRACT OUT SERVICE : PROGRAM SERVICE EXPENSES 1,009. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,009. MAINTENANCE - CONTRACT OUT SERVICE : PROGRAM SERVICE EXPENSES 19,937. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,937. INDEPENDENT LIVING - CONTRACT OUT SERVICE : PROGRAM SERVICE EXPENSES 16,550. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,550. CONTRACT OUT SERVICE : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10,975. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,975. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 23,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,000. DATA PROCESSING - CONTRACT OUT SERVICE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,676. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,676. |
| FORM 990, PART XI, LINE 9: | ROUNDING 1. |