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COFFMAN NURSING HOME INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
COFFMAN NURSING HOME INC (EIN 52-0782152)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-12-01
IRS object ID
201423359349300017
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-12-01T10:33:56-08:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Schiavi Wallace & Rowe PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11400 Front Avenue Suite 301AddressLine1
CityLuthervilleCity
StateMDState
ZIP Code21093ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520782152EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COFFMAN NURSING HOME INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCOFFBusinessNameControlTxt
Phone3017332914PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11304 PENNSYLVANIA AVENUEAddressLine1
CityHAGERSTOWNCity
StateMDState
ZIP Code21742ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHELLIE HOFFMANPersonNm
Person TitlePresidentPersonTitleTxt
Signature2014-12-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLinda Rajewski CPAPreparerPersonNm
PTINP00365170PTIN
Phone4104949517PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTED REEDERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11304 PENNSYLVANIA AVEAddressLine1
CityHAGERSTOWNCity
StateMDState
ZIP Code21742ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$6,264,748GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1962FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionTo provide nursing care for the elderly.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee160TotalEmployeeCnt
Total Volunteers57TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$9,617PYContributionsGrantsAmt
CY Contributions Grants$5,764CYContributionsGrantsAmt
PY Program Service Revenue$5,840,065PYProgramServiceRevenueAmt
CY Program Service Revenue$6,244,688CYProgramServiceRevenueAmt
PY Investment Income$18,180PYInvestmentIncomeAmt
CY Investment Income$958CYInvestmentIncomeAmt
PY Other Revenue$165PYOtherRevenueAmt
CY Other Revenue$13,338CYOtherRevenueAmt
PY Total Revenue$5,868,027PYTotalRevenueAmt
CY Total Revenue$6,264,748CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,944,039PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,015,524CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,968,256PYOtherExpensesAmt
CY Other Expenses$2,291,550CYOtherExpensesAmt
PY Total Expenses$5,912,295PYTotalExpensesAmt
CY Total Expenses$6,307,074CYTotalExpensesAmt
PY Revenues Less Expenses-$44,268PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$42,326CYRevenuesLessExpensesAmt
Total Assets BOY$4,574,275TotalAssetsBOYAmt
Total Assets EOY$4,604,679TotalAssetsEOYAmt
Total Liabilities BOY$531,324TotalLiabilitiesBOYAmt
Total Liabilities EOY$513,597TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,042,951NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,091,082NetAssetsOrFundBalancesEOYAmt
MissionTo provide nursing care for the elderly.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,391,087ExpenseAmt
Revenue$6,244,688RevenueAmt
DescTo provide nursing care for the elderly.Desc
Total Program Service Expenses$5,391,087TotalProgramServiceExpensesAmt
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 AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
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 OutstandingYes (true)LoanOutstandingInd
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 RequiredfalseScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee160EmployeeCnt
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
Excess Business HoldingsfalseExcessBusinessHoldingsInd
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 Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCOFFMAN NURSING HOMEPersonNm
Phone3017332914PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11304 PENNSYLVANI AVENUEAddressLine1
CityHAGERSTOWNCity
StateMDState
ZIP Code21742ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
SHELLIE HOFFMAN
President40.000.00Yes (X)Yes (X)$114,508$0$10,951
TED REEDER
Chairman0.250.00Yes (X)Yes (X)$0$0$0
KATHY HARPLE
Vice Chairman0.250.00Yes (X)Yes (X)$0$0$0
STARLA WARD
Secretary0.250.00Yes (X)Yes (X)$0$0$0
JASON ELLIS
Treasurer0.250.00Yes (X)Yes (X)$0$0$0
KELLY EAKLE
Trustee0.250.00Yes (X)$0$0$0
MIKE GUESSFORD
Trustee0.250.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$114,508TotalReportableCompFromOrgAmt
Total Other Compensation$10,951TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$5,764AllOtherContributionsAmt
Total Contributions$5,764TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$6,244,688TotalRevenueColumnAmt
Related Or Exempt Func Income$6,244,688RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,244,688TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$958TotalRevenueColumnAmt
Exclusion$958ExclusionAmt

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
FieldValueIRS element (for citing)
Fundraising Gross Income$8,473FundraisingGrossIncomeAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,473TotalRevenueColumnAmt

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

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business623000BusinessCd
Total Revenue Column$4,865TotalRevenueColumnAmt
Related Or Exempt Func Income$4,865RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,865OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,264,748TotalRevenueColumnAmt
Related Or Exempt Func Income$6,249,553RelatedOrExemptFuncIncomeAmt
Exclusion$958ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$143,437TotalAmt
Management And General$143,437ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,137,365TotalAmt
Program Services$2,835,886ProgramServicesAmt
Management And General$301,479ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$71,546TotalAmt
Program Services$62,444ProgramServicesAmt
Management And General$9,102ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$420,301TotalAmt
Program Services$369,836ProgramServicesAmt
Management And General$50,465ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$242,875TotalAmt
Program Services$210,641ProgramServicesAmt
Management And General$32,234ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,122TotalAmt
Management And General$27,122ManagementAndGeneralAmt

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$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$14,236TotalAmt
Management And General$14,236ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,818TotalAmt
Management And General$9,818ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$93,503TotalAmt
Program Services$93,503ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,737TotalAmt
Management And General$1,737ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$12,370TotalAmt
Program Services$5,278ProgramServicesAmt
Management And General$7,092ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$12,808TotalAmt
Management And General$12,808ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$207,710TotalAmt
Program Services$207,710ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$60,489TotalAmt
Program Services$52,130ProgramServicesAmt
Management And General$8,359ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RESTORATIVE THERAPY$421,346$421,346
PROVIDER TAX$406,149$406,149
RAW FOOD/SUPPLIES$173,609$173,609
PURCHASED SERVICES$167,054$86,881$80,173

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$683,599TotalAmt
Program Services$465,674ProgramServicesAmt
Management And General$217,925ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,307,074TotalAmt
Program Services$5,391,087ProgramServicesAmt
Management And General$915,987ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$500BOYAmt
EOY$500EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$346,196BOYAmt
EOY$352,304EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$499,491BOYAmt
EOY$561,900EOYAmt

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)
BOY$25,665BOYAmt
EOY$23,765EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$52,547BOYAmt
EOY$52,547EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$82,863BOYAmt
EOY$94,926EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,873,236LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,952,313LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,687,391BOYAmt
EOY$2,920,923EOYAmt

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$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$879,622BOYAmt
EOY$597,814EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,574,275BOYAmt
EOY$4,604,679EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$52,314BOYAmt
EOY$51,205EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$248,362BOYAmt
EOY$221,999EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$230,648BOYAmt
EOY$240,393EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$531,324BOYAmt
EOY$513,597EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,042,951BOYAmt
EOY$4,091,082EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,042,951BOYAmt
EOY$4,091,082EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,574,275BOYAmt
EOY$4,604,679EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$42,326ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$90,457NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,132,799CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,588,535CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,208,106CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,513,510CurrentTaxYearMinus1YearAmt
Current Tax Year$1,888,766CurrentTaxYearAmt
Total$19,331,716TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,132,799CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,588,535CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,208,106CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,513,510CurrentTaxYearMinus1YearAmt
Current Tax Year$1,888,766CurrentTaxYearAmt
Total$19,331,716TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$19,331,716PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,200CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,665CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,954CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,049CurrentTaxYearMinus1YearAmt
Current Tax Year$958CurrentTaxYearAmt
Total$68,826TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,158CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,284CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,131CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$165CurrentTaxYearMinus1YearAmt
Current Tax Year$4,865CurrentTaxYearAmt
Total$34,603TotalAmt
FieldValueIRS element (for citing)
Total Support$19,435,145TotalSupportAmt
Gross Receipts Rltd Activities$8,697,858GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99470PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,997OtherCostOrOtherBasisAmt
Book Value$28,997BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,795,404OtherCostOrOtherBasisAmt
Depreciation$3,102,572DepreciationAmt
Book Value$2,692,832BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$93,837OtherCostOrOtherBasisAmt
Depreciation$73,048DepreciationAmt
Book Value$20,789BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$802,020OtherCostOrOtherBasisAmt
Depreciation$648,343DepreciationAmt
Book Value$153,677BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$152,978OtherCostOrOtherBasisAmt
Depreciation$128,350DepreciationAmt
Book Value$24,628BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,920,923TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
iNVESTMENTS$593,404
Resident Funds$4,410
FieldValueIRS element (for citing)
Total Book Value Other Assets$597,814TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
ACCRUED PAYROLL & TAXES$153,391
INTERIM WORKING FUND$29,769
Resident Funds$4,410
Rounding$3
Unbilled Insurance Liability$52,820
FieldValueIRS element (for citing)
Total Liability$240,393TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$6,350,347TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$90,457NetUnrealizedGainsInvstAmt
Revenue Not Reported$90,457RevenueNotReportedAmt
Revenue Subtotal$6,259,890RevenueSubtotalAmt
Other Revenues Not Included$4,858OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$4,858RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,264,748TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,302,216TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$4,858OtherExpensesIncludedAmt
Expenses Not Reported-$4,858ExpensesNotReportedAmt
Expenses Subtotal$6,307,074ExpensesSubtotalAmt
Total Expenses Per Form990$6,307,074TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart XI, Line 4b: Other revenue amounts included on 990 but not included in F/SFormAndLineReferenceDesc
ExplanationEMPLOYEE MEALS INCOME $4858ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonTara HoffmanPersonNm
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$35,000OriginalPrincipalAmt
Balance Due$23,765BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$23,765TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (23 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessOnce the 990 is completed the financial committee reviews and approves it.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBoard review.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe board approves compensation for the Administrator.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNo documents available to the public.
Form 990, Part IX, Line 24e: Other ExpensesBad Debt Expense: Column (A) - Total = $33663; Column (B) - Program Services = $0; Column (C) - Management & General = $33663; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesBANQUETS,GIFTS,BONUS: Column (A) - Total = $7628; Column (B) - Program Services = $0; Column (C) - Management & General = $7628; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesDUES AND SUBSCRIPTIONS: Column (A) - Total = $2772; Column (B) - Program Services = $0; Column (C) - Management & General = $2772; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesHousekeeping Supplies: Column (A) - Total = $10098; Column (B) - Program Services = $10098; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesLAB WORK AND X-RAYS: Column (A) - Total = $37505; Column (B) - Program Services = $37505; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesLAUNDRY SUPPLIES: Column (A) - Total = $49993; Column (B) - Program Services = $49993; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesLICENSES AND FEES: Column (A) - Total = $142801; Column (B) - Program Services = $0; Column (C) - Management & General = $142801; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesMAINTENANCE & REPAIRS: Column (A) - Total = $17278; Column (B) - Program Services = $17074; Column (C) - Management & General = $204; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesMEDICAL DIRECTOR: Column (A) - Total = $19500; Column (B) - Program Services = $19500; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesMEDICAL RECORDS: Column (A) - Total = $487; Column (B) - Program Services = $0; Column (C) - Management & General = $487; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesMINOR EQUIPMENT: Column (A) - Total = $2789; Column (B) - Program Services = $2789; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesMISCELLANEOUS: Column (A) - Total = $14813; Column (B) - Program Services = $5589; Column (C) - Management & General = $9224; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesOXYGEN: Column (A) - Total = $20800; Column (B) - Program Services = $20800; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesPAPER PRODUCTS: Column (A) - Total = $22355; Column (B) - Program Services = $22355; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesPERSONAL CARE ITEMS: Column (A) - Total = $4834; Column (B) - Program Services = $4834; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesPostage and Shipping: Column (A) - Total = $3040; Column (B) - Program Services = $0; Column (C) - Management & General = $3040; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesPrinting and Publications: Column (A) - Total = $275; Column (B) - Program Services = $275; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesRX/OTC DRUGS: Column (A) - Total = $149306; Column (B) - Program Services = $149306; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesSUPPLIES-OTHER: Column (A) - Total = $143662; Column (B) - Program Services = $125556; Column (C) - Management & General = $18106; Column (D) - Fundraising = $0