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Covenant Place of Sumter Inc: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Covenant Place of Sumter Inc (EIN 57-0954773)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-01-22
IRS object ID
201400229349301200
Schema version
2012v2.0
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)
Timestamp2014-01-22T12:27:59-08:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1The Hobbs Group PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11704 Laurel StreetAddressLine1
CityColumbiaCity
StateSCState
ZIP Code29201ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN570954773EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Covenant Place of Sumter IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOVENameControl
Phone8034697007Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12825 Carter RoadAddressLine1
CitySumterCity
StateSCState
ZIP Code29150ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRisley E Linder SrName
TitleDirectorTitle
Date Signed2014-01-22DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWill Stevens CPAName
PTINP01208094PTIN
Phone8037990555Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRisley E Linder SrNameOfPrincipalOfficerPerson
Gross Receipts8177739GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionOperate retirement center for elderly.ActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members25NbrIndependentVotingMembers
Total Nbr Employees212TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year139269ContributionsGrantsPriorYear
Contributions Grants Current Year52700ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7693176ProgramServiceRevenuePriorYear
Program Service Revenue CY8100662ProgramServiceRevenueCY
Investment Income Prior Year64945InvestmentIncomePriorYear
Investment Income Current Year24377InvestmentIncomeCurrentYear
Other Revenue Prior Year2743OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year7900133TotalRevenuePriorYear
Total Revenue Current Year8177739TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year214019SalariesEtcPriorYear
Salaries Etc Current Year252619SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7912222OtherExpensePriorYear
Other Expenses Current Year7913123OtherExpensesCurrentYear
Total Expenses Prior Year8126241TotalExpensesPriorYear
Total Expenses Current Year8165742TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-226108RevenuesLessExpensesPriorYear
Revenues Less Expenses CY11997RevenuesLessExpensesCY
Total Assets BOY9334116TotalAssetsBOY
Total Assets EOY8871865TotalAssetsEOY
Total Liabilities BOY10202209TotalLiabilitiesBOY
Total Liabilities EOY9727961TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-868093NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-856096NetAssetsOrFundBalancesEOY
Mission DescriptionOperate retirement center for elderly.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense6841049Expense
Revenue8100662Revenue
DescriptionOperate retirement center for elderly providing housing, meals, medical and related services.Description
Total Program Service Expense6841049TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109637NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees212NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members25NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRisley E Linder SrNamePerson
Telephone Number8034697007TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12825 Carter RoadAddressLine1
CitySumterCity
StateSCState
ZIP Code29150ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Leon McDonald
Exe Committee1.000.00X000
Sue McDuffie
Director1.000.00X000
Barry Ham
Exe Committee1.000.00X000
Charles Clanton
Director1.000.00X000
Jean Riddle
Director1.000.00X000
Bobby Richardson
Director1.000.00X000
Pete Flanagan
Director1.000.00X000
Charlie Walton
Director1.000.00X000
Barry Reynolds
Exe Committee1.000.00X000
Roger Ackerman
Director1.000.00X000
Norma Holland
Director1.000.00X000
Lad Owens
Exe Committee1.000.00X000
Anne Cooper
Director1.000.00X000
Eddy Duffy
Director1.000.00X000
Patty Wilson
Director1.000.00X000
Vickie Goodwin
Director1.000.00X000
Jackie Olsen
Director1.000.00X000
Joe Sublette
Exe Committee1.000.00X000
Sue Fienning
Exe Committee1.000.00X000
Phil Edwards
Director1.000.00X000
Dan Lyles
Secretary1.000.00000X
John White
Treasurer1.000.00000X
Bill Stokes
President2.000.00000X
Kay Raffield
Past President1.000.00000X
Frank Edwards
Vice President1.000.00000X
FieldValueIRS element (for citing)
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Life Care Services LLC
400 Locust Street Suite 820Des MoinesIA50309Management656322
Genesis Eldercare Rehabilitation Services
PO Box 7247-6524PhiladelphiaPA19170Medical333001
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions52700AllOtherContributions
Total Contributions52700TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionResident ServicesDescription
Total Revenue Column8100662TotalRevenueColumn
Related Or Exempt Function Income8100662RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8100662TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column24377TotalRevenueColumn
Related Or Exempt Function Income24377RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8177739TotalRevenueColumn
Related Or Exempt Function Income8125039RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total209735Total
Management And General209735ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3561Total
Management And General3561ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total23542Total
Management And General23542ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total15781Total
Management And General15781ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total594668Total
Management And General594668ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4037Total
Management And General4037ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total16800Total
Management And General16800ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7801Total
Management And General7801ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total105097Total
Management And General105097ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total46410Total
Management And General46410ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total22142Total
Management And General22142ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total14488Total
Management And General14488ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total318264Total
Program Services318264ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total817189Total
Program Services817189ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total99807Total
Management And General99807ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Assisted Living776368776368
Environmental983212983212
Dietary12780041278004
Health Center22714292271429

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total557407Total
Program Services396583ProgramServices
Management And General160824ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8165742Total
Program Services6841049ProgramServices
Management And General1324693ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY709579BOY
EOY829421EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY486985BOY
EOY404559EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY56734BOY
EOY160799EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17441451LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11433686LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5943861BOY
EOY6007765EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2136957BOY
EOY1469321EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9334116BOY
EOY8871865EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY398817BOY
EOY518637EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY9485000BOY
EOY8945000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY318392BOY
EOY264324EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10202209BOY
EOY9727961EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-868093BOY
EOY-856096EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-868093BOY
EOY-856096EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9334116BOY
EOY8871865EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses11997ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19679CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years250670CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years123922CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year139269CurrentTaxYearMinus1Year
Current Tax Year52700CurrentTaxYear
Total586240Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6038650CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6210360CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6526364CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7693176CurrentTaxYearMinus1Year
Current Tax Year8100662CurrentTaxYear
Total34569212Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6058329CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6461030CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6650286CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7832445CurrentTaxYearMinus1Year
Current Tax Year8153362CurrentTaxYear
Total35155452Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50935155452PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years83250CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41778CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years60995CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year64945CurrentTaxYearMinus1Year
Current Tax Year24377CurrentTaxYear
Total275345Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years83250CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41778CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years60995CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year64945CurrentTaxYearMinus1Year
Current Tax Year24377CurrentTaxYear
Total275345Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6141579CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6502808CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6711281CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7897390CurrentTaxYearMinus1Year
Current Tax Year8177739CurrentTaxYear
Total35430797Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99220PublicSupportPercentage509
Prior Year Support Percentage0.98780PriorYearSupportPercentage
Investment Income Percentage0.00780InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01220PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis210338OtherCostOrOtherBasis
Book Value210338BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14903320OtherCostOrOtherBasis
Depreciation10124905Depreciation
Book Value4778415BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1715215OtherCostOrOtherBasis
Depreciation1308781Depreciation
Book Value406434BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis612578OtherCostOrOtherBasis
Book Value612578BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6007765TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Deferred Financing Costs163673
Assets whose Use is Limited
FieldValueIRS element (for citing)
Total Book Value Other Assets1469321TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDepositsDescription
Amount$264,324Amount
FieldValueIRS element (for citing)
Total Of Amounts264324TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt8177739TotRevenueEtcAuditedFinclStmt
Revenue Subtotal8177739RevenueSubtotal
Total Revenue Per Form9908177739TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8165742TotExpensesEtcAuditedFinclStmt
Expenses Subtotal8165742ExpensesSubtotal
Total Expenses Per Form9908165742TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe Board of Directors reviews the annual salaries of Key Employees, including the Executive Director. Performance standards are set, based on comparable date, including compensation levels, of similar organizations.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsCompliance is monitored on an on-going basis and addressed if necessary.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessThe Executive Committee reviews a copy of Form 990 prior to filing.
Form 990, Part VI, Line 3Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyThe organization has a management and marketing agreement with Life Care Services, an independent management company, to operate and manage the facility.