ST ANNS HOME FOR THE AGED CORP: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: ST ANNS HOME FOR THE AGED CORP (EIN 22-2823794)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-07-15
IRS object ID: 201441979349300904
Schema version: 2013v3.0
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)
Return	2014-07-15T10:46:45-05:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	061667465	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PRAGER METIS CPAS LLC	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	222 MOUNT AIRY ROAD	AddressLine1
City	BASKING RIDGE	City
State	NJ	State
ZIP Code	07920	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	222823794	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST ANNS HOME FOR THE AGED CORP	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	STAN	BusinessNameControlTxt
Phone	2014330950	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	198 OLD BERGEN ROAD	AddressLine1
City	JERSEY CITY	City
State	NJ	State
ZIP Code	07305	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SR NORAH CLARKE	PersonNm
Person Title	EXEC DIRECTOR / CEO	PersonTitleTxt
Phone	2014330950	PhoneNum
Signature	2014-07-03	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	STEPHEN COBELL	PreparerPersonNm
PTIN	P00288771	PTIN
Phone	9087669800	PhoneNum
Preparation	2014-07-03	PreparationDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	198 OLD BERGEN ROAD	AddressLine1
City	JERSEY CITY	City
State	NJ	State
ZIP Code	07305	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$13,744,422	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1917	FormationYr
Legal Domicile State	NJ	LegalDomicileStateCd
Activity Or Mission	THE HOME PROVIDES LONG TERM NURSING CARE AS WELL AS GERIATRIC DAYCARE TO THE COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$21,922	PYContributionsGrantsAmt
CY Contributions Grants	$530,799	CYContributionsGrantsAmt
PY Program Service Revenue	$12,728,782	PYProgramServiceRevenueAmt
CY Program Service Revenue	$12,439,776	CYProgramServiceRevenueAmt
PY Investment Income	$741,315	PYInvestmentIncomeAmt
CY Investment Income	$760,889	CYInvestmentIncomeAmt
PY Other Revenue	$26,855	PYOtherRevenueAmt
CY Other Revenue	$11,184	CYOtherRevenueAmt
PY Total Revenue	$13,518,874	PYTotalRevenueAmt
CY Total Revenue	$13,742,648	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$6,845,242	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$6,935,275	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$6,644,002	PYOtherExpensesAmt
CY Other Expenses	$6,248,608	CYOtherExpensesAmt
PY Total Expenses	$13,489,244	PYTotalExpensesAmt
CY Total Expenses	$13,183,883	CYTotalExpensesAmt
PY Revenues Less Expenses	$29,630	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$558,765	CYRevenuesLessExpensesAmt
Total Assets BOY	$28,350,983	TotalAssetsBOYAmt
Total Assets EOY	$29,846,146	TotalAssetsEOYAmt
Total Liabilities BOY	$17,726,504	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$14,560,634	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$10,624,479	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$15,285,512	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE HOME PROVIDES LONG TERM NURSING CARE AS WELL AS GERIATRIC DAYCARE TO THE COMMUNITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$13,078,304	ExpenseAmt
Revenue	$13,205,365	RevenueAmt
Desc	THE HOME PROVIDES LONG TERM NURSING CARE AS WELL AS GERIATRIC DAYCARE TO THE PUBLIC.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Desc	THE HOME PROVIDES LONG TERM NURSING CARE AS WELL AS GERIATRIC DAYCARE TO THE COMMUNITY	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$13,078,304	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	0	ConflictOfInterestPolicyInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	0	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST ANNS HOME FOR THE AGED CORP	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	2014330950	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	198 OLD BERGEN RD	AddressLine1
City	JERSEY CITY	City
State	NJ	State
ZIP Code	07305	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
SR BREDA BOYLE
SEC/TREASURER	0.00	Yes (X)	$0	$0	$0
MS MARYANN CONTE
BOARD MEMBER	0.00	Yes (X)	$0	$0	$0
MR MICHAEL D'AGNES
VICE PRESIDENT	0.00	Yes (X)	$0	$0	$0
MR JOSEPH LEMAIRE
BOARD MEMBER	0.00	Yes (X)	$0	$0	$0
MR RICHARD J MURPHY
BOARD MEMBER	0.00	Yes (X)	$0	$0	$0
MR JOHN O'TOOLE
BOARD MEMBER	0.00	Yes (X)	$0	$0	$0
MR CHARLES E FOX
BOARD MEMBER	0.00	Yes (X)	$0	$0	$0
MR JOSEPH M LANZA
BOARD MEMBER	0.00	Yes (X)	$0	$0	$0
SR DORIS J MICALCSJP
BOARD MEMBER	0.00	Yes (X)	$0	$0	$0
MR BILL HASSAN
BOARD MEMBER	0.00	Yes (X)	$0	$0	$0
MR EDWARD REILLY
BOARD MEMBER	0.00	Yes (X)	$0	$0	$0
SR ANN RUTAN
ASST SEC/TREASURER	0.00		$0	$0	$0	Yes (X)
SR NORAH CLARKE
EXEC DIRECTOR/CEO	40.00		$112,816	$0	$0		Yes (X)
JANET MERLY-LIRANZO
ADMINISTRATOR	40.00		$100,435	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$213,251	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
SODEXO INC & AFFLIATES
39 LOUISE CT	BELEVILLE	NJ	07109	FOOD SERVICE	$793,444
ULTRACARE REHAB SERVICES
LIVINGSTON AVE	NEW BRUNSWICK	NJ	08901	REHAB SERVICE	$720,981
JOE PERCARIO GENERAL CONTRACTORS LLC
1259 ST GEORGE AVE	ROSELLE	NJ	07203	GENERAL CONTRACTOR	$545,100
BARR & BARR INC
460 W 34TH STREET	NEW YORK	NY	10001	CONSTRUCTION MANAGEMENT	$522,471
UNIDINE CORPORATION
1000 WASHINGTON STREET	BOSTON	MA	02118	FOOD & DINING MANAGEMENT	$295,254

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$530,799	AllOtherContributionsAmt
Total Contributions	$530,799	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Business	623000	BusinessCd
Total Revenue Column	$12,439,776	TotalRevenueColumnAmt
Related Or Exempt Func Income	$12,439,776	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$12,439,776	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$760,889	TotalRevenueColumnAmt
Related Or Exempt Func Income	$760,889	RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,700	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,700	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,700	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,700	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$8,258	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$1,774	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,484	TotalRevenueColumnAmt
Exclusion	$6,484	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,742,648	TotalRevenueColumnAmt
Related Or Exempt Func Income	$13,205,365	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$6,484	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$5,534,215	TotalAmt
Program Services	$5,534,215	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$163,742	TotalAmt
Program Services	$163,742	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$753,267	TotalAmt
Program Services	$753,267	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$484,051	TotalAmt
Program Services	$484,051	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$44,543	TotalAmt
Management And General	$44,543	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$61,036	TotalAmt
Management And General	$61,036	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$330,586	TotalAmt
Program Services	$330,586	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$890,736	TotalAmt
Program Services	$890,736	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$393,529	TotalAmt
Program Services	$393,529	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
THERAPY EXPENSE	$628,793	$628,793
DIETARY EXPENSES	$542,091	$542,091
DAYCARE EXPENSES	$472,092	$472,092
FOOD	$437,689	$437,689

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,447,513	TotalAmt
Program Services	$2,447,513	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,183,883	TotalAmt
Program Services	$13,078,304	ProgramServicesAmt
Management And General	$105,579	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$332,134	BOYAmt
EOY	$517,871	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$59,440	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,493,469	BOYAmt
EOY	$1,643,506	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$385,035	BOYAmt
EOY	$452,296	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$27,040,849	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$11,263,894	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$15,087,127	BOYAmt
EOY	$15,776,955	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$10,062,548	BOYAmt
EOY	$10,381,696	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$931,230	BOYAmt
EOY	$1,073,822	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,350,983	BOYAmt
EOY	$29,846,146	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$997,106	BOYAmt
EOY	$1,345,114	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,535,142	BOYAmt
EOY	$11,346,251	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,194,256	BOYAmt
EOY	$1,869,269	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,726,504	BOYAmt
EOY	$14,560,634	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,624,479	BOYAmt
EOY	$15,285,512	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$10,624,479	BOYAmt
EOY	$15,285,512	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$28,350,983	BOYAmt
EOY	$29,846,146	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$558,765	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$789,973	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3,312,295	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	0	FSAuditedInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,322,254	OtherCostOrOtherBasisAmt
Book Value	$2,322,254	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,575,106	OtherCostOrOtherBasisAmt
Depreciation	$8,716,202	DepreciationAmt
Book Value	$13,858,904	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,899,306	OtherCostOrOtherBasisAmt
Depreciation	$2,359,130	DepreciationAmt
Book Value	-$459,824	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$244,183	OtherCostOrOtherBasisAmt
Depreciation	$188,562	DepreciationAmt
Book Value	$55,621	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$15,776,955	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
RESIDENT DEPOSITS	$651,792
PENSION LIABILITY	$438,806
INTEREST RATE EXCHANGE AGREEMENT LIABILI	$778,671

Field	Value	IRS element (for citing)
Total Liability	$1,869,269	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$13,742,648	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$13,742,648	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$13,742,648	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$13,183,883	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$13,183,883	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$13,183,883	TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11	LINE 11A EXPLANATION - MANAGEMENT WILL REVIEW 990
FORM 990, PART VI, SECTION C, LINE 19	NO DOCUMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 24E	UTILITIES: PROGRAM SERVICE EXPENSES 412,780. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 412,780. ADMIN PROVIDER ASSESSMENT FEE: PROGRAM SERVICE EXPENSES 410,458. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 410,458. MEDICAL & NURSING SUPPLIES: PROGRAM SERVICE EXPENSES 387,269. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 387,269. BAD DEBT: PROGRAM SERVICE EXPENSES 292,439. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 292,439. MAINTENANCE & REPAIRS: PROGRAM SERVICE EXPENSES 192,629. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 192,629. PENSION COSTS: PROGRAM SERVICE EXPENSES 146,160. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 146,160. HOUSEKEEPING & MAINTENANCE: PROGRAM SERVICE EXPENSES 134,697. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 134,697. FINANCE CONSULTANT: PROGRAM SERVICE EXPENSES 60,505. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,505. TELEPHONE: PROGRAM SERVICE EXPENSES 43,480. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,480. ADMIN SUPPLIES: PROGRAM SERVICE EXPENSES 42,618. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,618. ADMIN CONSULTANT HEALTHCARE: PROGRAM SERVICE EXPENSES 42,397. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,397. FEES,LICENSES & REGISTRATIONS: PROGRAM SERVICE EXPENSES 25,611. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,611. PAYROLL FEES: PROGRAM SERVICE EXPENSES 24,499. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,499. NURSING TEMP AGENCY: PROGRAM SERVICE EXPENSES 24,346. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,346. ACTIVITIES EXPENSE: PROGRAM SERVICE EXPENSES 22,167. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,167. INSERVICE TRAINING: PROGRAM SERVICE EXPENSES 21,099. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,099. PHARMACY CONSULTANT: PROGRAM SERVICE EXPENSES 19,210. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,210. ADMIN EXPENSES: PROGRAM SERVICE EXPENSES 16,641. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,641. PENSION CONSULTANT: PROGRAM SERVICE EXPENSES 16,195. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,195. EQUIPMENT RENTAL: PROGRAM SERVICE EXPENSES 15,509. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,509. HR EXPENSES: PROGRAM SERVICE EXPENSES 15,276. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,276. MARKETING: PROGRAM SERVICE EXPENSES 14,767. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,767. ADMIN CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 12,749. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,749. NURSING CONSULTANT FEES: PROGRAM SERVICE EXPENSES 10,626. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,626. MASSES: PROGRAM SERVICE EXPENSES 7,200. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,200. BEAUTY PARLOR: PROGRAM SERVICE EXPENSES 6,974. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,974. SPA CONSULTANT: PROGRAM SERVICE EXPENSES 6,744. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,744. MEDICAL RECORD CONSULTANT: PROGRAM SERVICE EXPENSES 6,305. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,305. BANK FEES: PROGRAM SERVICE EXPENSES 4,529. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,529. POSTAGE: PROGRAM SERVICE EXPENSES 4,449. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,449. ADMIN PRINTING: PROGRAM SERVICE EXPENSES 2,924. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,924. GIFT SHOP: PROGRAM SERVICE EXPENSES 2,608. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,608. DUES & SUBS: PROGRAM SERVICE EXPENSES 1,103. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,103. RENTAL PARKING: PROGRAM SERVICE EXPENSES 550. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 550.
FORM 990, PART XI, LINE 9:	CHANGE IN VALUE OF INTEREST RATE SWAP PAYABLE AGREEMENT 618,362. CHANGE IN PENSION LIABILITY 2,693,933.