STRATEGY STUDIO / PUBLIC DATA EXPLORER

MASON CITY AREA NURSING HOME ASSOCIATION INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MASON CITY AREA NURSING HOME ASSOCIATION INC (EIN 37-1168043)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-08-15
IRS object ID
201642289349302344
Schema version
2015v2.0
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)
Return2016-08-15T08:52:47-07:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JM Abbott & Associates LtdBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1207 S McLean StAddressLine1Txt
CityLincolnCityNm
State AbbreviationILStateAbbreviationCd
ZIP62656ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN371168043EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MASON CITY AREA NURSING HOMEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMASOBusinessNameControlTxt
Phone2174825022PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1520 NORTH PRICE AVENUEAddressLine1Txt
CityMASON CITYCityNm
State AbbreviationILStateAbbreviationCd
ZIP62664ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonREV JIM SPRINKELPersonNm
Person TitlePresidentPersonTitleTxt
Signature2016-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonClayton GeorgeCPAPreparerPersonNm
PTINP00052565PTIN
Phone2177351576PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$4,392,693GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionNURSING HOME OPERATIONSActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee137TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$5,845PYContributionsGrantsAmt
CY Contributions Grants$17,185CYContributionsGrantsAmt
PY Program Service Revenue$4,373,666PYProgramServiceRevenueAmt
CY Program Service Revenue$4,373,958CYProgramServiceRevenueAmt
PY Investment Income$10,158PYInvestmentIncomeAmt
CY Investment Income$1,550CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$4,389,669PYTotalRevenueAmt
CY Total Revenue$4,392,693CYTotalRevenueAmt
CY Grants And Similar Paid$25CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,545,937PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,528,820CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,544CYTotalFundraisingExpenseAmt
PY Other Expenses$1,571,533PYOtherExpensesAmt
CY Other Expenses$1,675,097CYOtherExpensesAmt
PY Total Expenses$4,117,470PYTotalExpensesAmt
CY Total Expenses$4,203,942CYTotalExpensesAmt
PY Revenues Less Expenses$272,199PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$188,751CYRevenuesLessExpensesAmt
Total Assets BOY$3,175,748TotalAssetsBOYAmt
Total Assets EOY$4,524,644TotalAssetsEOYAmt
Total Liabilities BOY$420,772TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,580,917TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,754,976NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,943,727NetAssetsOrFundBalancesEOYAmt
MissionNURSING HOME OPERATIONSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$3,697,092ExpenseAmt
Revenue$4,335,592RevenueAmt
DescNURSING HOME - SKILLED AND INTERMEDIATE HEALTHCAREDURING 2015, 26,271 PATIENT DAYS OF SERVICE PROVIDEDDesc
Total Program Service Expenses$3,697,092TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
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 RequiredfalseScheduleJRequiredInd
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
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee137EmployeeCnt
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonHERITAGE OPERATIONS GROUP LLCPersonNm
Phone3098284361PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1115 W JEFFERSONAddressLine1Txt
CityBLOOMINGTONCityNm
State AbbreviationILStateAbbreviationCd
ZIP61701ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
KRAIG KRAUSE
Director1.000.00Yes (X)$0$0$0
KAREN DUCKWORTH
Secretary1.000.00Yes (X)$0$0$0Yes (X)
DAN SHEPHERD
Director1.000.00Yes (X)$0$0$0
KATE NUNN
Director1.000.00Yes (X)$0$0$0
SUZANNE LOWERS
Director1.000.00Yes (X)$0$0$0
ROBERT GRIFFIN
Vice President1.000.00Yes (X)$0$0$0Yes (X)
REV JIM SPRINKEL
President1.000.00Yes (X)$0$0$0Yes (X)
BONNIE DUNKER
Treasurer1.000.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HERITAGE OPERATIONS GROUP LLC
115 W JEFFERSON STE 401BLOOMINGTONIL617023188MANAGEMENT$311,637
SELECT REHABILITATION INC
PO BOX 809056CHICAGOIL606809056THERAPY$342,705
PEOPLE 1ST HEALTH STRATEGIES INC
309 INSURANCE DRIVE SUITE AFORT WAYNEIN46825GROUP INSURANCE$239,732
HEALTHCARE AND FAMILY SERVICES
PO BOX 19491SPRINGFIELDIL627949491BED TAX$158,579
CATALYST
210 S EAST STBLOOMINGTONIL61701CONSTRUCTION$524,764
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$17,185AllOtherContributionsAmt
Total Contributions$17,185TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Fees & Contracts Gov Agencies623000$2,733,290$2,733,290
NURSING HOME OPERATIONS623000$1,640,668$1,640,668
FieldValueIRS element (for citing)
Total Program Service Revenue$4,373,958TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,550TotalRevenueColumnAmt
Exclusion$1,550ExclusionAmt

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$4,392,693TotalRevenueColumnAmt
Related Or Exempt Func Income$4,373,958RelatedOrExemptFuncIncomeAmt
Exclusion$1,550ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$25TotalAmt
Program Services$25ProgramServicesAmt

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$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,012,221TotalAmt
Program Services$1,981,524ProgramServicesAmt
Management And General$29,186ManagementAndGeneralAmt
Fundraising$1,511FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$16,828TotalAmt
Program Services$15,651ProgramServicesAmt
Management And General$1,165ManagementAndGeneralAmt
Fundraising$12FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$315,499TotalAmt
Program Services$168,752ProgramServicesAmt
Management And General$146,624ManagementAndGeneralAmt
Fundraising$123FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$184,272TotalAmt
Program Services$168,132ProgramServicesAmt
Management And General$15,853ManagementAndGeneralAmt
Fundraising$287FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$122,250TotalAmt
Management And General$122,250ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,094TotalAmt
Management And General$1,094ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,500TotalAmt
Management And General$8,500ManagementAndGeneralAmt

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$475,119TotalAmt
Program Services$438,257ProgramServicesAmt
Management And General$35,293ManagementAndGeneralAmt
Fundraising$1,569FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$40,938TotalAmt
Management And General$40,938ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$29,609TotalAmt
Program Services$17,475ProgramServicesAmt
Management And General$12,134ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$26,786TotalAmt
Management And General$26,786ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$83,257TotalAmt
Program Services$78,754ProgramServicesAmt
Management And General$4,503ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,022TotalAmt
Program Services$3,022ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,078TotalAmt
Program Services$7,078ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,121TotalAmt
Management And General$1,121ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$152,361TotalAmt
Program Services$144,743ProgramServicesAmt
Management And General$7,618ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$127,061TotalAmt
Program Services$119,532ProgramServicesAmt
Management And General$7,487ManagementAndGeneralAmt
Fundraising$42FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$214,719$214,719
FOOD EXPENSE$209,347$209,347
REPAIRS AND MAINTENANCE$94,422$90,055$4,367
LICENSES AND FEES$38,387$38,387

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$40,026TotalAmt
Program Services$40,026ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,203,942TotalAmt
Program Services$3,697,092ProgramServicesAmt
Management And General$503,306ManagementAndGeneralAmt
Fundraising$3,544FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt
EOY$999EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,102,406BOYAmt
EOY$1,605,093EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$534,238BOYAmt
EOY$495,246EOYAmt

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)
BOY$30,542BOYAmt
EOY$43,297EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$16,979BOYAmt
EOY$30,484EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,262,681LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,915,401LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,490,583BOYAmt
EOY$2,347,280EOYAmt

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$2,245EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,175,748BOYAmt
EOY$4,524,644EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$420,772BOYAmt
EOY$650,917EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$930,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$420,772BOYAmt
EOY$1,580,917EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,754,976BOYAmt
EOY$2,943,727EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,754,976BOYAmt
EOY$2,943,727EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,175,748BOYAmt
EOY$4,524,644EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$188,751ReconcilationRevenueExpnssAmt
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$25,241CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,680CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,880CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,845CurrentTaxYearMinus1YearAmt
Current Tax Year$17,185CurrentTaxYearAmt
Total$92,831TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,116,195CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,174,079CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,203,972CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,373,668CurrentTaxYearMinus1YearAmt
Current Tax Year$4,373,958CurrentTaxYearAmt
Total$21,241,872TotalAmt

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$4,141,436CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,203,759CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,218,852CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,379,513CurrentTaxYearMinus1YearAmt
Current Tax Year$4,391,143CurrentTaxYearAmt
Total$21,334,703TotalAmt

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$21,334,703PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,242CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,374CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,436CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,156CurrentTaxYearMinus1YearAmt
Current Tax Year$1,550CurrentTaxYearAmt
Total$42,758TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,242CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,374CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,436CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,156CurrentTaxYearMinus1YearAmt
Current Tax Year$1,550CurrentTaxYearAmt
Total$42,758TotalAmt

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$4,148,678CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,206,133CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,240,288CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,389,669CurrentTaxYearMinus1YearAmt
Current Tax Year$4,392,693CurrentTaxYearAmt
Total$21,377,461TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99800PublicSupportCY509Pct
Public Support PY5090.99750PublicSupportPY509Pct
Investment Income CY0.00200InvestmentIncomeCYPct
Investment Income PY0.00250InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$71,000OtherCostOrOtherBasisAmt
Book Value$71,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,136,033OtherCostOrOtherBasisAmt
Depreciation$2,222,361DepreciationAmt
Book Value$1,913,672BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,055,648OtherCostOrOtherBasisAmt
Depreciation$693,040DepreciationAmt
Book Value$362,608BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,347,280TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,392,693TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$4,392,693RevenueSubtotalAmt
Total Revenue Per Form990$4,392,693TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,203,942TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$4,203,942ExpensesSubtotalAmt
Total Expenses Per Form990$4,203,942TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationNOTE I TO THE AUDITED FINANCIAL STATEMENTS READS AS FOLLOWS: THE NURSING HOME IS CHARTERED AS AN ILLINOIS NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE NURSING HOME IS REQUIRED TO FILE FEDERAL AND STATE INFORMATIONAL RETURNS. WITH LIMITED EXCEPTIONS, THE NURSING HOME IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION FOR ANY YEARS EARLIER THAN 2012 FOR FEDERAL AND STATE PURPOSES. MANAGEMENT HAS PERFORMED ITS EVALUATION OF ALL OTHER INCOME TAX POSITIONS TAKEN ON ALL OPEN INFORMATIONAL RETURNS AND HAS DETERMINED THAT THERE WERE NO POSITIONS TAKEN THAT DO NOT MEET THE "MORE LIKELY THAN NOT" STANDARD. ACCORDINGLY, THERE ARE NO PROVISIONS FOR INCOME TAXES, PENALTIES OR INTEREST RECEIVABLE OR PAYABLE RELATING TO UNCERTAIN INCOME TAX PROVISIONS IN THE ACCOMPANYING FINANCIAL STATEMENTS.ExplanationTxt

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 CompanyHERITAGE OPERATIONS GROUP, LLC INDEPENDENTLY MANAGES MASON CITY AREA NURSING HOME FOR A MANAGEMENT FEE.
Form 990, Part VI, Line 11b: Form 990 Review ProcessTHE BOARD REVIEWS THE 990 AND APPROVES AT THEIR BOARD MEETING.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsOFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST ANNUALLY. KEY EMPLOYEES SIGNED AN ACKNOWLEDGEMENT STATEMENT UPON HIRE THAT THEY WOULD FOLLOW THE ORGANIZATION'S CODE OF ETHICS WHICH INCLUDES DISCLOSING CONFLICTS OF INTEREST.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementBOARD REVIEWS OTHER AREA NURSING HOMES AND INDUSTRY STANDARDS FOR COMPUTING COMPENSATION.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesBOARD REVIEWS OTHER AREA NURSING HOMES AND INDUSTRY STANDARDS FOR COMPUTING COMPENSATION.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHE DOCUMENTS ARE HELD IN THE NURSING HOME BUSINESS OFFICE, WHICH IS OPEN DURING NORMAL BUSINESS HOURS.