JEFFCO HEALTH SERVICES INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- JEFFCO HEALTH SERVICES INC (EIN 25-1505478)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-10-20
- IRS object ID
- 201432939349300503
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-10-20T09:29:10-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | MO | State |
| ZIP Code | 658062523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251505478 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFFCO HEALTH SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % RICK GRAHAM CFO | InCareOfNm |
| Business Name Control | JEFF | BusinessNameControlTxt |
| Phone | 8148498026 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 417 ROUTE 28 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | BROOKVILLE | City |
| State | PA | State |
| ZIP Code | 15825 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICK GRAHAM | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8148498026 | PhoneNum |
| Signature | 2014-09-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brian D Todd | PreparerPersonNm |
| PTIN | P00422601 | PTIN |
| Phone | 8148498026 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MISTY FLEMING | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 417 ROUTE 28 | AddressLine1 |
| City | BROOKVILLE | City |
| State | PA | State |
| ZIP Code | 15825 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,016,068 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.JEFFERSONMANOR.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | JEFFERSON MANOR HEALTH CENTER IS A NON- PROFIT FACILITY, FULLY CERTIFIED TO PARTICIPATE IN THE MEDICARE AND MEDICAL ASSISTANCE PROGRAMS AND ALSO ACCEPTS MAJOR INSURANCE PLANS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 281 | TotalEmployeeCnt |
| Total Volunteers | 60 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,136,730 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,453,768 | CYProgramServiceRevenueAmt |
| PY Investment Income | $531,075 | PYInvestmentIncomeAmt |
| CY Investment Income | $717,454 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$1,059 | PYOtherRevenueAmt |
| CY Other Revenue | $2,520 | CYOtherRevenueAmt |
| PY Total Revenue | $12,666,746 | PYTotalRevenueAmt |
| CY Total Revenue | $13,173,742 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,140 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $350 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,479,495 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,593,589 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,711,896 | PYOtherExpensesAmt |
| CY Other Expenses | $4,735,525 | CYOtherExpensesAmt |
| PY Total Expenses | $12,192,531 | PYTotalExpensesAmt |
| CY Total Expenses | $12,329,464 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $474,215 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $844,278 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,029,462 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,124,491 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,921,584 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,191,740 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,107,878 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,932,751 | NetAssetsOrFundBalancesEOYAmt |
| Mission | JEFFERSON MANOR HEALTH CENTER IS COMMITTED TO BEING THE MOST CARING AND PROGRESSIVE PROVIDER OF EXTENDED CARE IN THE (WESTERN PENNSYLVANIA) AREA. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $9,984,855 | ExpenseAmt |
| Grant | $350 | GrantAmt |
| Revenue | $11,240,145 | RevenueAmt |
| Desc | JEFFERSON MANOR HEALTH CENTER IS AN INDEPENDENT NOT-FOR-PROFIT ONE HUNDRED SIXTY (160) BED SKILLED NURSING AND REHABILITATION FACILITY. AS SUCH WE PROVIDE CARE FOR MEDICARE AND MEDICAL ASSISTANCE RESIDENTS ALONG WITH MANY FORMS OF INSURANCE AND PRIVATE PAY INDIVIDUALS. WE HAVE TWO DEMENTIA UNITS, A DEDICATED REHAB WING (SPECIALTY CARE UNIT) AND OFFER RESPITE, HOSPICE AND MOST FORMS OF LONG TERM CARE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $871,706 | ExpenseAmt |
| Revenue | $1,142,557 | RevenueAmt |
| Desc | JEFFERSON COURT IS A FORTY EIGHT (48) BED PERSONAL CARE FACILITY LOCATED ADJACENT TO JEFFERSON MANOR. IT IS A TWO STORY BUILDING PROVIDING CARE ON THE FIRST FLOOR FOR THOSE WHO NEED SOME FORM OF ASSISTANCE WITH DAILY LIVING BUT ARE INDEPENDENT ENOUGH TO CARE FOR THEMSELVES. THE SECOND FLOOR HAS TWENTY FOUR BEDS AND IS DESIGNED FOR THOSE WITH EARLY MEMORY LOSS. IT IS A SECURE UNIT AND WE PROVIDE MEALS, LAUNDRY, HOUSEKEEPING, ETC FOR THOSE INDIVIDUALS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $67,527 | ExpenseAmt |
| Revenue | $71,066 | RevenueAmt |
| Desc | JEFFERSON SUITES IS A NINE (9) UNIT INDEPENDENT LIVING SUITE. THESE INDIVIDUALS ARE RESPONSIBLE FOR THERE OWN CARE BUT HOUSEKEEPING AND MAINTENANCE SERVICES ARE PROVIDED. JEFFERSON SUITES HAS ITS OWN ENTRANCE ALTHOUGH INDIVIDUALS LIVING ON SUITES ARE WELCOME TO PARTICIPATE IN ACTIVITIES AND OTHER EVENTS WITH JEFFERSON MANOR. COMBINED, WE PROVIDE A COMPLETE CONTINUUM OF CARE AND AS SUCH, WE ARE LICENSED TO BE A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) EFFECTIVE FEBRUARY, 2009. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $10,924,088 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | Yes (true) | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 12 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 281 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICK GRAHAM CFO | PersonNm |
| Phone | 8148498026 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 417 ROUTE 28 | AddressLine1 |
| City | BROOKVILLE | City |
| State | PA | State |
| ZIP Code | 15825 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| JIM CURTIS | ||||||
| VICE CHAIRMAN | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JUDY GROMLEY | ||||||
| CHAIRWOMAN | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| REV WILLIAM SAXMAN | ||||||
| TREASURER | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JULIE PEER | ||||||
| SECRETARY | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GUY LESTER | ||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |
| DIANE KIEHL | ||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |
| JOHN MEESTER | ||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |
| PAULA SPACK | ||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |
| RON KING | ||||||
| ADMINISTRATOR | 40.0 | Yes (X) | $132,350 | $0 | $12,432 | |
| RICK GRAHAM | ||||||
| CFO | 40.0 | Yes (X) | $94,139 | $0 | $17,545 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $226,489 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $29,977 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FUNCTIONAL PATHWAYS | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Address | ContractorAddress | |
| Services | THERAPY MANAGEMENT | ServicesDesc |
| Compensation | $1,051,319 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 623000 | $12,422,449 | $12,422,449 |
| OTHER | 900099 | $31,319 | $31,319 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,453,768 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $233,919 | TotalRevenueColumnAmt |
| Exclusion | $233,919 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,533 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,013 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,520 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,520 | TotalRevenueColumnAmt |
| Exclusion | $2,520 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,306,652 | SecuritiesAmt |
| Other | $16,196 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,834,483 | SecuritiesAmt |
| Other | $4,830 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $472,169 | SecuritiesAmt |
| Other | $11,366 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $483,535 | TotalRevenueColumnAmt |
| Exclusion | $483,535 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,173,742 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,453,768 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $719,974 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350 | TotalAmt |
| Program Services | $350 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,466 | TotalAmt |
| Management And General | $256,466 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,698,419 | TotalAmt |
| Program Services | $5,342,379 | ProgramServicesAmt |
| Management And General | $356,040 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,305 | TotalAmt |
| Program Services | $55,279 | ProgramServicesAmt |
| Management And General | $6,026 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,172,372 | TotalAmt |
| Program Services | $1,077,007 | ProgramServicesAmt |
| Management And General | $95,365 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $405,027 | TotalAmt |
| Program Services | $365,212 | ProgramServicesAmt |
| Management And General | $39,815 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,906 | TotalAmt |
| Management And General | $4,906 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,660 | TotalAmt |
| Management And General | $52,660 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,058 | TotalAmt |
| Management And General | $37,058 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,239,768 | TotalAmt |
| Program Services | $1,155,247 | ProgramServicesAmt |
| Management And General | $84,521 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,993 | TotalAmt |
| Management And General | $78,993 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $523,139 | TotalAmt |
| Program Services | $386,188 | ProgramServicesAmt |
| Management And General | $136,951 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,161 | TotalAmt |
| Program Services | $13,161 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $330,769 | TotalAmt |
| Program Services | $294,657 | ProgramServicesAmt |
| Management And General | $36,112 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,013 | TotalAmt |
| Program Services | $33,285 | ProgramServicesAmt |
| Management And General | $12,728 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,957 | TotalAmt |
| Program Services | $785 | ProgramServicesAmt |
| Management And General | $16,172 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,196 | TotalAmt |
| Program Services | $75,852 | ProgramServicesAmt |
| Management And General | $9,344 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $772,128 | TotalAmt |
| Program Services | $687,442 | ProgramServicesAmt |
| Management And General | $84,686 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,291 | TotalAmt |
| Program Services | $17,293 | ProgramServicesAmt |
| Management And General | $68,998 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| BAD DEBT | $117,372 | $117,372 |
| DIETARY SUPPLIES | $529,595 | $529,595 |
| MEDICAL SUPPLIES & DRUGS | $708,895 | $708,895 |
| PATIENT HEALTH | $44,003 | $44,003 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,621 | TotalAmt |
| Program Services | $20,086 | ProgramServicesAmt |
| Management And General | $28,535 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,329,464 | TotalAmt |
| Program Services | $10,924,088 | ProgramServicesAmt |
| Management And General | $1,405,376 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $396,179 | BOYAmt |
| EOY | $410,651 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $857,879 | BOYAmt |
| EOY | $662,277 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,893,952 | BOYAmt |
| EOY | $1,595,564 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,063 | BOYAmt |
| EOY | $18,785 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,131 | BOYAmt |
| EOY | $93,453 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,198,851 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,767,075 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,010,450 | BOYAmt |
| EOY | $5,431,776 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,950,394 | BOYAmt |
| EOY | $9,046,873 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,619 | BOYAmt |
| EOY | $387,564 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $479,795 | BOYAmt |
| EOY | $477,548 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,029,462 | BOYAmt |
| EOY | $18,124,491 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $920,858 | BOYAmt |
| EOY | $924,643 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,650 | BOYAmt |
| EOY | $9,100 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,583,627 | BOYAmt |
| EOY | $2,119,730 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,094 | BOYAmt |
| EOY | $63,267 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $343,355 | BOYAmt |
| EOY | $75,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,921,584 | BOYAmt |
| EOY | $3,191,740 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,107,878 | BOYAmt |
| EOY | $14,932,751 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,107,878 | BOYAmt |
| EOY | $14,932,751 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,029,462 | BOYAmt |
| EOY | $18,124,491 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $844,278 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $980,595 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $83,676 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $84,676 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,855,564 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,703,743 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,536,187 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,136,730 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,453,768 | CurrentTaxYearAmt |
| Total | $60,685,992 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,856,564 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,787,419 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,536,187 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,136,730 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,453,768 | CurrentTaxYearAmt |
| Total | $60,770,668 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $60,770,668 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $137,993 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $195,268 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $212,127 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $207,827 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $236,439 | CurrentTaxYearAmt |
| Total | $989,654 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $137,993 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $195,268 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $212,127 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $207,827 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $236,439 | CurrentTaxYearAmt |
| Total | $989,654 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,994,557 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,982,687 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,748,314 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,344,557 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,690,207 | CurrentTaxYearAmt |
| Total | $61,760,322 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98398 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98458 | PublicSupportPY509Pct |
| Investment Income CY | 0.01602 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01542 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (true) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $69,309 | OtherCostOrOtherBasisAmt |
| Book Value | $69,309 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,573,551 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,825,552 | DepreciationAmt |
| Book Value | $1,747,999 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,576,392 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,837,651 | DepreciationAmt |
| Book Value | $2,738,741 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,600,721 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,816,555 | DepreciationAmt |
| Book Value | $784,166 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $378,878 | OtherCostOrOtherBasisAmt |
| Depreciation | $287,317 | DepreciationAmt |
| Book Value | $91,561 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,431,776 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ESTIMATED INSURANCE COSTS | Desc |
| Amt | $75,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $75,000 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $14,108,926 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $980,595 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$37,058 | OtherRevenueAmt |
| Revenue Not Reported | $943,537 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,165,389 | RevenueSubtotalAmt |
| Other Revenues Not Included | $8,353 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $8,353 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $13,173,742 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,284,053 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$8,353 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$8,353 | ExpensesNotReportedAmt |
| Expenses Subtotal | $12,292,406 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $37,058 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $37,058 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $12,329,464 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART IV, LINE 2B | CUSTODIAL ACCOUNT RESPONSIBILITY: JEFFCO HEALTH SERVICES IS THE TRUSTEE OF FUNDS RECEIVED ON BEHALF OF VARIOUS RESIDENTS. JEFFCO HAS FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THE BANK ACCOUNTS AND THE DISTRIBUTION OF THE FUNDS TO RESIDENTS. UNDER THIS SERVICE, RESIDENTS CAN DEPOSIT FUNDS WITH JEFFCO FOR HOLDING AND THEN OBTAIN THE FUNDS WHEN NEEDED TO PAY THEIR BILLS. |
| SCHEDULE D, PART X, LINE 2 | UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 2D | AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $(37,058) INVESTMENT MANAGEMENT FEES |
| SCHEDULE D, PART XI, LINE 4B | AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $( 3,013) RENTAL EXPENSES 11,366 LOSS ON SALE OF FIXED ASSETS -------- $ 8,353 |
| SCHEDULE D, PART XII, LINE 2D | AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 3,013 RENTAL EXPENSES (11,366) LOSS ON SALE OF FIXED ASSETS --------- $( 8,353) |
| SCHEDULE D, PART XII, LINE 4B | AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 37,058 INVESTMENT MANAGEMENT FEES |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFFERSON COUNTY MUNICIPAL AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 251518584 | BondIssuerEIN |
| Bond Issued | 2010-04-01 | BondIssuedDt |
| Issue Price | $3,735,372 | IssuePriceAmt |
| Purpose | LOAN MODIFICATION - 2003 NOTE | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $0 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $3,735,372 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $3,732,016 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $3,356 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $0 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2010 | SubstantialCompletionYr |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Exception To Rebate | Yes (true) | ExceptionToRebateInd |
| Variable Rate Issue | Yes (true) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 | ORGANIZATION MISSION: VISION: JEFFERSON MANOR HEALTH CENTER WILL PROVIDE STATE OF THE ART ACCOMMODATIONS FOR ITS CUSTOMERS. THROUGH OUR CONTINUOUS INNOVATIVE, COLLABORATIVE EFFORTS, WITH PRIMARY FOCUS UPON RESIDENT CARE AND EDUCATION OF OUR STAKEHOLDERS, WE WILL BECOME THE RECOGNIZED LEADER IN LONG TERM CARE. THE ORGANIZATION IS DEDICATED TO PROVIDING OUR RESIDENTS WITH PROGRESSIVE QUALITY HEALTH CARE SERVICES. THE ORGANIZATION IS COMMITTED TO THE MEDICAL, PHYSICAL, SPIRITUAL, PSYCHOLOGICAL AND EMOTIONAL WELL BEING OF EVERY RESIDENT, AND IT IS A GOAL TO CREATE AND MAINTAIN A SAFE, HOMELIKE ENVIRONMENT WHERE EACH RESIDENT IS TREATED WITH DIGNITY AND RESPECT. HIGHLY TRAINED PROFESSIONAL STAFF WORKS TOGETHER WITH THE RESIDENT AND FAMILY TO ASSIST THE RESIDENT TO ATTAIN OR MAINTAIN THEIR HIGHEST LEVEL OF INDEPENDENCE. |
| FORM 990, PART I, LINE 6 | VOLUNTEERS: THE ORGANIZATION HAS 60 TOTAL VOLUNTEERS - NINE NON-COMPENSATED MEMBERS OF THE BOARD OF DIRECTORS AND FIFTY-ONE AUXILIARY MEMBERS WHO HELP OUT WITH VARIOUS ACTIVITIES. |
| FORM 990, PART VI, SECTION B, LINE 11B | 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE ADMINISTRATOR AND CFO PERFORM A THOROUGH REVIEW OF THE RETURN. A DRAFT IS THEN PROVIDED TO THE EXECUTIVE COMMITTEE FOR REVIEW. ANY QUESTIONS RAISED BY THE COMMITTEE ARE REVIEWED AND FOLLOW-UP INFORMATION IS PROVIDED. THE BOARD IS PROVIDED A COPY OF THE FORM 990 PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICTS OF INTEREST POLICY: THE SOLICITOR DRAFTS AN INTERNAL CONTROL POLICY THAT MUST BE SIGNED BY EACH BOARD MEMBER ANNUALLY IN WHICH ALL CONFLICTS MUST BE LISTED. EACH BOARD MEMBER THAT HAS A CONFLICT ABSTAINS FROM VOTING ON MATTERS THAT PERTAIN TO THAT CONFLICT. IN ADDITION, CORPORATE OFFICERS AND KEY EMPLOYEES ARE ALSO REQUIRED TO ANNUALLY DISCLOSE CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINES 15 A & B | COMPENSATION: IN 2013, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS PERFORMED A COMPENSATION REVIEW FOR THE ADMINISTRATOR USING COMPARABILITY DATA. THE COMMITTEE'S REVIEW OF COMPENSATION WAS DOCUMENTED IN THE EXECUTIVE COMMITTEE BOARD MINUTES. A COMPENSATION REVIEW FOR OTHER OFFICERS OF THE ORGANIZATION WAS COMPLETED BY THE ADMINISTRATOR AND EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE GROUP USED STATISTICAL COMPARISONS OF OFFICERS WITH SIMILAR DUTIES AND RESPONSIBILITIES FROM LIKE ORGANIZATIONS. THIS REVIEW WAS DOCUMENTED IN THE EXECUTIVE COMMITTEE BOARD MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENT DISCLOSURE: THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | OTHER FEES FOR SERVICES: $ 24,759 PROFESSIONAL FEES -MEDICAL 80,757 PROFESSIONAL FEES -MISC 1,055,083 PROFESSIONAL FEES -THERAPY 5,632 CONTRACT SERVICES 1,944 TRANSCRIPTION 22,764 X-RAY EXPENSE 48,829 LAB FEES ---------- $1,239,768 |