STRATEGY STUDIO / PUBLIC DATA EXPLORER

COUNTRY CARE CENTER CORPORATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
COUNTRY CARE CENTER CORPORATION (EIN 42-1295331)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-08-12
IRS object ID
201442249349301314
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)
Return2014-08-12T08:59:47-07:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Muxfeldt Associates CPA PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12309 B Chatburn AveAddressLine1
CityHarlanCity
StateIAState
ZIP Code51537ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN421295331EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COUNTRY CARE CENTER CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCOUNBusinessNameControlTxt
Phone7127443453PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 351AddressLine1
CityHARLANCity
StateIAState
ZIP Code515370351ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAT DAVITTPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7127443453PhoneNum
Signature2014-08-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMUXFELDT ASSOCIATES CPA PCPreparerPersonNm
Phone7127553366PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPAT DAVITTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1LOCALAddressLine1
CityHARLANCity
StateIAState
ZIP Code51537ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$924,488GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionRESIDENTIAL CARE FACILITYActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee25TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$41,000PYContributionsGrantsAmt
CY Contributions Grants$9,845CYContributionsGrantsAmt
PY Program Service Revenue$917,203PYProgramServiceRevenueAmt
CY Program Service Revenue$900,184CYProgramServiceRevenueAmt
PY Investment Income$201PYInvestmentIncomeAmt
CY Investment Income$84CYInvestmentIncomeAmt
PY Other Revenue$7,805PYOtherRevenueAmt
CY Other Revenue$14,375CYOtherRevenueAmt
PY Total Revenue$966,209PYTotalRevenueAmt
CY Total Revenue$924,488CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$911,903PYOtherExpensesAmt
CY Other Expenses$921,392CYOtherExpensesAmt
PY Total Expenses$911,903PYTotalExpensesAmt
CY Total Expenses$921,392CYTotalExpensesAmt
PY Revenues Less Expenses$54,306PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,096CYRevenuesLessExpensesAmt
Total Assets BOY$584,433TotalAssetsBOYAmt
Total Assets EOY$570,237TotalAssetsEOYAmt
Total Liabilities BOY$70,280TotalLiabilitiesBOYAmt
Total Liabilities EOY$52,987TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$514,153NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$517,250NetAssetsOrFundBalancesEOYAmt
MissionRESIDENTIAL CARE FACILITYMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$921,392ExpenseAmt
DescRESIDENTIAL CAREDesc
Total Program Service Expenses$921,392TotalProgramServiceExpensesAmt
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 AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
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
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
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
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee25EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
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 PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COUNTRY CARE CENTER CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Phone7127443453PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 351AddressLine1
CityHARLANCity
StateIAState
ZIP Code515370351ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
PAT DAVITT
PRESIDENT AND TREASURER1.00Yes (X)
ROGER DAVIDSON
VICE PRESIDENT1.00Yes (X)
JOYCE RODENBORN
DIRECTOR1.00Yes (X)
DAVE SWINTON
DIRECTOR1.00Yes (X)
MARY JOHNSON
SECRETARY1.00Yes (X)
KRIS OLSON-HARMON
DIRECTOR1.00Yes (X)
CALLA POLDBERG
DIRECTOR1.00Yes (X)
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$9,845AllOtherContributionsAmt
Total Contributions$9,845TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENTIAL CAREDesc
Business999999BusinessCd
Total Revenue Column$900,184TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$900,184TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$84TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$5,403RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$5,403RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,403TotalRevenueColumnAmt
Related Or Exempt Func Income$5,403RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISC INCOME999999$7,501$7,501
GAIN ON SALE OF ASSETS999999$1,471$1,471
FieldValueIRS element (for citing)
Other Revenue Total$8,972OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$924,488TotalRevenueColumnAmt
Related Or Exempt Func Income$914,643RelatedOrExemptFuncIncomeAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$29,112TotalAmt
Program Services$29,112ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
ADMINISTRATIVE EXPENSES$314,241$314,241$0$0
DIETARY EXPENSES$102,943$102,943$0$0
PROPERTY MAINTENANCE$126,191$126,191$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$348,905TotalAmt
Program Services$348,905ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$921,392TotalAmt
Program Services$921,392ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$250,573BOYAmt
EOY$220,151EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$29,129BOYAmt
EOY$63,416EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,520BOYAmt
EOY$4,450EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,060BOYAmt
EOY$5,781EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$615,119LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$338,680LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$297,151BOYAmt
EOY$276,439EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$584,433BOYAmt
EOY$570,237EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$70,280BOYAmt
EOY$52,987EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$70,280BOYAmt
EOY$52,987EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$514,153BOYAmt
EOY$517,250EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$514,153BOYAmt
EOY$517,250EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$584,433BOYAmt
EOY$570,237EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,096ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$1OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
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 Minus1 Year$41,000CurrentTaxYearMinus1YearAmt
Current Tax Year$9,843CurrentTaxYearAmt
Total$50,843TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$41,000CurrentTaxYearMinus1YearAmt
Current Tax Year$9,843CurrentTaxYearAmt
Total$50,843TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$50,843PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$50,843TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$615,119OtherCostOrOtherBasisAmt
Depreciation$338,680DepreciationAmt
Book Value$276,439BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$276,439TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bBOARD OF DIRECTORS
Pt VI, Line 11bBOARD OF DIRECTORS
Form 990EZ, Part II, Line 24ACCOUNTS RECEIVABLE - NET OTHER RECEIVABLES INVENTORIES PREPAIDS INVESTMENTS
Form 990EZ, Part II, Line 26ACCOUNTS PAYABLE & ACCRUED EXPENSES
Form 990, Part IX, Line 24fRESIDENT CARE 215267. 215267. 0. 0. UTILITIES 58232. 58232. 0. 0. RESIDENT ACTIVITIES 75406. 75406. 0. 0.