CAVE CITY NURSING HOME INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: CAVE CITY NURSING HOME INC (EIN 71-0648680)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-01-21
IRS object ID: 201330219349300218
Schema version: 2011v1.5
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 D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-01-21T11:50:59-08:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	710648680	EIN

Name Name

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

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

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	DAVE JARVIS	Name
Title	ADMINISTRATOR	Title
Date Signed	2013-01-21	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

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

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	3662256	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.cavecitynursinghome.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1986	YearFormation
State Legal Domicile	AR	StateLegalDomicile
Activity Or Mission Description	LONG-TERM HEALTHCARE	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	170	TotalNbrEmployees
Total Nbr Volunteers	15	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	1998	ContributionsGrantsPriorYear
Contributions Grants Current Year	33984	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	4035635	ProgramServiceRevenuePriorYear
Program Service Revenue CY	3624081	ProgramServiceRevenueCY
Investment Income Prior Year	4607	InvestmentIncomePriorYear
Investment Income Current Year	3752	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3082	OtherRevenuePriorYear
Other Revenue Current Year	439	OtherRevenueCurrentYear
Total Revenue Prior Year	4045322	TotalRevenuePriorYear
Total Revenue Current Year	3662256	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2342428	SalariesEtcPriorYear
Salaries Etc Current Year	2182475	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1586989	OtherExpensePriorYear
Other Expenses Current Year	1611974	OtherExpensesCurrentYear
Total Expenses Prior Year	3929417	TotalExpensesPriorYear
Total Expenses Current Year	3794449	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	115905	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-132193	RevenuesLessExpensesCY
Total Assets BOY	2799854	TotalAssetsBOY
Total Assets EOY	2760301	TotalAssetsEOY
Total Liabilities BOY	1751360	TotalLiabilitiesBOY
Total Liabilities EOY	1844000	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1048494	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	916301	NetAssetsOrFundBalancesEOY
Mission Description	LONG-TERM HEALTHCARE	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	2379816	Expense
Description	LONG-TERM HEALTHCARE SERVICES FOR THE ELDERLY AND DISABLED.	Description
Total Program Service Expense	2379816	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	170	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Form720 Filed	false	Form720Filed
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	false	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Policies Reference Chapters	false	PoliciesReferenceChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

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

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

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee
ARBRA PERKEY
Director	1.00	X	0	0	0
KATHY HODGES
Director	1.00	X	0	0	0
JERAL HASTINGS
Director	1.00	X	0	0	0
STEVEN GREEN
Director	1.00	X	0	0	0
GARY FARMER
Director	1.00	X	0	0	0
FRANCES ESTES
Director	1.00	X	0	0	0
VICKIE JONES
Director	1.00	X	0	0	0
WANDA PERKEY
Director	1.00	X	0	0	0
ANITA LANDERS
Director	1.00	X	0	0	0
DALE WOOLDRIDGE
Director	1.00	X	0	0	0
BOBBY SANDERS
President	1.00		0	0	0	X
IMOGENE SEXTON
Vice President	1.00		0	0	0	X
JANNA FREEMAN
Secretary	1.00		0	0	0	X
AMANDA LONG
DIRECTOR OF NURSING	40.00		0	50000	0		X
ANNETTA MAUPIN
ASSISTANT ADMINISTRATOR	40.00		0	41900	0		X
DAVE JARVIS
ADMINISTRATOR	40.00		0	66125	0		X

Field	Value	IRS element (for citing)
Total Reportable Comp Frm Rltd Orgs	158025	TotalReportableCompFrmRltdOrgs
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ROBINSON GENERAL CONTRUCTION
1211 WEST COURT	PARAGOULD	AR	72450	RENOVATIONS	132778
INCITE REHAB
824 SALEM RD STE 220	CONWAY	AR	72034	REHABILITATION	171869

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K
All Other Contributions	33984	AllOtherContributions
Total Contributions	33984	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	RESIDENT SERVICES	Description
Total Revenue Column	3624081	TotalRevenueColumn
Related Or Exempt Function Income	3624081	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	3624081	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3752	TotalRevenueColumn
Related Or Exempt Function Income	3752	RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Net Rental Income Or Loss NetRentalIncomeOrLoss

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

Net Gain Or Loss Investments NetGainOrLossInvestments

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

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MEAL INCOME	Description
Total Revenue Column	439	TotalRevenueColumn
Exclusion	$439	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	439	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3662256	TotalRevenueColumn
Related Or Exempt Function Income	3627833	RelatedOrExemptFunctionIncome
Exclusion	$439	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	158025	Total
Program Services	50000	ProgramServices
Management And General	108025	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1689983	Total
Program Services	1261632	ProgramServices
Management And General	428351	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	99494	Total
Program Services	54287	ProgramServices
Management And General	45207	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	234973	Total
Program Services	171502	ProgramServices
Management And General	63471	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	7584	Total
Management And General	7584	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	11400	Total
Management And General	11400	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	16001	Total
Management And General	16001	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	16716	Total
Management And General	16716	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	112330	Total
Management And General	112330	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	9451	Total
Program Services	9451	ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	82734	Total
Management And General	82734	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	112402	Total
Management And General	112402	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	6863	Total
Management And General	6863	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PURCHASED SERVICES	209333	204857	4476
QUALITY ASSURANCE FEE	227282		227282
FOOD	253497	253497
SUPPLIES	479452	372110	107342

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	66929	Total
Program Services	2480	ProgramServices
Management And General	64449	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	3794449	Total
Program Services	2379816	ProgramServices
Management And General	1414633	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	561342	BOY
EOY	477700	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	231373	BOY
EOY	233352	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	408213	BOY
EOY	237604	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	65470	BOY
EOY	84201	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	10304	BOY
EOY	9094	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	3343061	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1701457	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1365951	BOY
EOY	1641604	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	157201	BOY
EOY	76746	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2799854	BOY
EOY	2760301	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	258843	BOY
EOY	293447	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1486543	BOY
EOY	1545874	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	5974	BOY
EOY	4679	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1751360	BOY
EOY	1844000	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1048494	BOY
EOY	916301	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1048494	BOY
EOY	916301	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2799854	BOY
EOY	2760301	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-132193	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired
Federal Grant Audit Performed	false	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	8903	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	12018	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	58830	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1998	CurrentTaxYearMinus1Year
Current Tax Year	33984	CurrentTaxYear
Total	115733	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3505783	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3894016	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3844835	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4035635	CurrentTaxYearMinus1Year
Current Tax Year	3624081	CurrentTaxYear
Total	18904350	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Total	0	Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

Field	Value	IRS element (for citing)
Total	0	Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3514686	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3906034	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3903665	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4037633	CurrentTaxYearMinus1Year
Current Tax Year	3658065	CurrentTaxYear
Total	19020083	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	19020083	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	10578	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	9051	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6234	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4607	CurrentTaxYearMinus1Year
Current Tax Year	3752	CurrentTaxYear
Total	34222	Total

Post1975 UBTI Post1975UBTI

Field	Value	IRS element (for citing)
Total	0	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	10578	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	9051	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6234	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4607	CurrentTaxYearMinus1Year
Current Tax Year	3752	CurrentTaxYear
Total	34222	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	713	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	853	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	873	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3082	CurrentTaxYearMinus1Year
Current Tax Year	439	CurrentTaxYear
Total	5960	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3525977	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3915938	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3910772	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4045322	CurrentTaxYearMinus1Year
Current Tax Year	3662256	CurrentTaxYear
Total	19060265	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99790	PublicSupportPercentage509
Investment Income Percentage	0.00180	InvestmentIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3343061	OtherCostOrOtherBasis
Depreciation	1701457	Depreciation
Book Value	1641604	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1641604	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Rounding	$3
OTHER LIABILITIES	$4,676

Field	Value	IRS element (for citing)
Total Of Amounts	4679	TotalOfAmounts
Total Revenue	3662256	TotalRevenue
Total Expenses	3794449	TotalExpenses
Excess Or Deficit For Year	-132193	ExcessOrDeficitForYear
Excess Or Deficit Per FS	-132193	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	3662256	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	3662256	RevenueSubtotal
Total Revenue Per Form990	3662256	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	3794449	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	3794449	ExpensesSubtotal
Total Expenses Per Form990	3794449	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

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