CAVE CITY NURSING HOME INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CAVE CITY NURSING HOME INC (EIN 71-0648680)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-02-11
IRS object ID: 201400429349301655
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-02-11T11:34:49-08:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Hughes Welch & MilliganCPASLTD	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 2094	AddressLine1
City	Batesville	City
State	AR	State
ZIP Code	725032094	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	710648680	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CAVE CITY NURSING HOME	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CAVE	NameControl
Phone	8702835313	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 60	AddressLine1
City	CAVE CITY	City
State	AR	State
ZIP Code	72521	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DAVE JARVIS	Name
Title	ADMINISTRATOR	Title
Date Signed	2014-02-11	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	WILLIAM T COUCH	Name
PTIN	P00183609	PTIN
Phone	8707935231	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	3910690	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.cavecitynursinghome.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1986	YearFormation
State Legal Domicile	AR	StateLegalDomicile
Activity Or Mission Description	LONG-TERM HEALTHCARE	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	177	TotalNbrEmployees
Total Nbr Volunteers	15	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	33984	ContributionsGrantsPriorYear
Contributions Grants Current Year	74819	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	3624081	ProgramServiceRevenuePriorYear
Program Service Revenue CY	3833314	ProgramServiceRevenueCY
Investment Income Prior Year	3752	InvestmentIncomePriorYear
Investment Income Current Year	2557	InvestmentIncomeCurrentYear
Other Revenue Prior Year	439	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	3662256	TotalRevenuePriorYear
Total Revenue Current Year	3910690	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2182475	SalariesEtcPriorYear
Salaries Etc Current Year	2083425	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1611974	OtherExpensePriorYear
Other Expenses Current Year	1770120	OtherExpensesCurrentYear
Total Expenses Prior Year	3794449	TotalExpensesPriorYear
Total Expenses Current Year	3853545	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-132193	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	57145	RevenuesLessExpensesCY
Total Assets BOY	2760301	TotalAssetsBOY
Total Assets EOY	2849735	TotalAssetsEOY
Total Liabilities BOY	1844000	TotalLiabilitiesBOY
Total Liabilities EOY	1876289	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	916301	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	973446	NetAssetsOrFundBalancesEOY
Mission Description	LONG-TERM HEALTHCARE	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	2373035	Expense
Description	LONG-TERM HEALTHCARE SERVICES FOR THE ELDERLY AND DISABLED.	Description
Total Program Service Expense	2373035	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	177	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	false	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	ANNETTA MAUPIN	NamePerson
Telephone Number	8702835313	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 60	AddressLine1
City	CAVE CITY	City
State	AR	State
ZIP Code	72521	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee
ARBRA PERKEY
Director	1.00	0.00	X	0	0	0
BOBBY SANDERS
Director	1.00	0.00	X	0	0	0
IMOGENE SEXTON
Director	1.00	0.00	X	0	0	0
KATHY HODGES
Director	1.00	0.00	X	0	0	0
JERAL HASTINGS
Director	1.00	0.00	X	0	0	0
STEVEN GREEN
Director	1.00	0.00	X	0	0	0
GARY FARMER
Director	1.00	0.00	X	0	0	0
FRANCES ESTES
President	1.00	0.00	X	0	0	0	X
VICKIE JONES
Director	1.00	0.00	X	0	0	0
JANNA FREEMAN
Vice President	1.00	0.00	X	0	0	0
WANDA PERKEY
Secretary	1.00	0.00	X	0	0	0
ANITA LANDERS
Director	1.00	0.00	X	0	0	0
DALE WOOLDRIDGE
Director	1.00	0.00	X	0	0	0
AMANDA LONG
DIRECTOR OF NURSING	40.00	0.00		43361	0	0		X
ANNETTA MAUPIN
ASSISTANT ADMINISTRATOR	40.00	0.00		42172	0	0		X
DAVE JARVIS
ADMINISTRATOR	40.00	0.00		65405	0	0		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	150938	TotalReportableCompFromOrg
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
All Other Contributions	74819	AllOtherContributions
Total Contributions	74819	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	RESIDENT SERVICES	Description
Total Revenue Column	3833314	TotalRevenueColumn
Related Or Exempt Function Income	3833314	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	3833314	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2557	TotalRevenueColumn
Related Or Exempt Function Income	2557	RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3910690	TotalRevenueColumn
Related Or Exempt Function Income	3835871	RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	150938	Total
Management And General	150938	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	1600650	Total
Program Services	1191867	ProgramServices
Management And General	408783	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	0	Total

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	132256	Total
Program Services	67889	ProgramServices
Management And General	64367	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	199581	Total
Program Services	140612	ProgramServices
Management And General	58969	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	4659	Total
Management And General	4659	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	12200	Total
Management And General	12200	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	19215	Total
Management And General	19215	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	14950	Total
Management And General	14950	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	111902	Total
Management And General	111902	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	11573	Total
Program Services	11573	ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	87007	Total
Management And General	87007	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	135661	Total
Management And General	135661	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	31566	Total
Management And General	31566	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
QUALITY ASSURANCE FEE	251127	251127
FOOD	259819		259819
PURCHASED SERVICES	302117	3264	298853
SUPPLIES	479211	84046	395165

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	49113	Total
Program Services	7257	ProgramServices
Management And General	41856	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	3853545	Total
Program Services	2373035	ProgramServices
Management And General	1480510	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	477700	BOY
EOY	408221	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	233352	BOY
EOY	234719	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	237604	BOY
EOY	326376	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	84201	BOY
EOY	64650	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	9094	BOY
EOY	15381	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	3541645	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1837118	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1641604	BOY
EOY	1704527	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	76746	BOY
EOY	95861	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2760301	BOY
EOY	2849735	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	293447	BOY
EOY	255902	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1545874	BOY
EOY	1612709	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	4679	BOY
EOY	7678	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1844000	BOY
EOY	1876289	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	916301	BOY
EOY	973446	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	916301	BOY
EOY	973446	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2760301	BOY
EOY	2849735	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	57145	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	12018	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	58830	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1998	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	33984	CurrentTaxYearMinus1Year
Current Tax Year	74819	CurrentTaxYear
Total	181649	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3894016	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3844835	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4035635	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3624081	CurrentTaxYearMinus1Year
Current Tax Year	3833314	CurrentTaxYear
Total	19231881	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Total	0	Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

Field	Value	IRS element (for citing)
Total	0	Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3906034	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3903665	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4037633	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3658065	CurrentTaxYearMinus1Year
Current Tax Year	3908133	CurrentTaxYear
Total	19413530	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	19413530	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9051	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6234	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4607	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3752	CurrentTaxYearMinus1Year
Current Tax Year	2557	CurrentTaxYear
Total	26201	Total

Post1975 UBTI Post1975UBTI

Field	Value	IRS element (for citing)
Total	0	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9051	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6234	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4607	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3752	CurrentTaxYearMinus1Year
Current Tax Year	2557	CurrentTaxYear
Total	26201	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	853	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	873	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3082	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	439	CurrentTaxYearMinus1Year
Total	5247	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3915938	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3910772	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4045322	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3662256	CurrentTaxYearMinus1Year
Current Tax Year	3910690	CurrentTaxYear
Total	19444978	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99840	PublicSupportPercentage509
Prior Year Support Percentage	0.99790	PriorYearSupportPercentage
Investment Income Percentage	0.00130	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00180	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3541645	OtherCostOrOtherBasis
Depreciation	1837118	Depreciation
Book Value	1704527	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1704527	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	OTHER LIABILITIES	Description
Amount	$7,678	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	7678	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	3910690	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	3910690	RevenueSubtotal
Total Revenue Per Form990	3910690	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	3853545	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	3853545	ExpensesSubtotal
Total Expenses Per Form990	3853545	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	Part X	Identifier
Return Reference	Part X : FIN48 Footnote	ReturnReference
Explanation	MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS TAKEN AND HAS DETERMINED THAT THERE IS NO IMPACT ON THE NURSING HOME	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Governing docuements, policies, and financial statements are available upon request from the Office.
Form 990, Part VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	NO REVIEW WAS OR WILL BE CONDUCTED