THE OZARKS METHODIST MANOR: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- THE OZARKS METHODIST MANOR (EIN 44-0579862)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-13
- IRS object ID
- 201331339349300243
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-05-13T09:40:02-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 WASHINGTON AVENUE SUITE 1800 | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 440579862 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE OZARKS METHODIST MANOR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OZAR | NameControl |
| Phone | 4172582573 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 S COLLEGE AVE | AddressLine1 |
| City | MARIONVILLE | City |
| State | MO | State |
| ZIP Code | 65705 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MORRIS DOCK | Name |
| Title | CHAIRPERSON | Title |
| Phone | 4172582573 | Phone |
| Date Signed | 2013-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFF PARKER | Name |
| PTIN | P00970069 | PTIN |
| Phone | 3149254300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MORRIS DOCK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 S COLLEGE AVE | AddressLine1 |
| City | MARIONVILLE | City |
| State | MO | State |
| ZIP Code | 65705 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 6490414 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | OZARKSMETHODISTMANOR.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1925 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | RETIREMENT VILLAGE OPERATIONS: 82 BED RESIDENTIAL CARE FACILITY, 78 BED SKILLED NURSING FACILITY, 58 COTTAGES, AND SUPPORTING SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 214 | TotalNbrEmployees |
| Total Nbr Volunteers | 30 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 26744 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 28960 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 6281744 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 6209414 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 104410 | InvestmentIncomePriorYear |
| Investment Income Current Year | 112812 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 52016 | OtherRevenuePriorYear |
| Other Revenue Current Year | 139228 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6464914 | TotalRevenuePriorYear |
| Total Revenue Current Year | 6490414 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3712779 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3759334 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3123394 | OtherExpensePriorYear |
| Other Expenses Current Year | 3193674 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6836173 | TotalExpensesPriorYear |
| Total Expenses Current Year | 6953008 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -371259 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -462594 | RevenuesLessExpensesCY |
| Total Assets BOY | 5757708 | TotalAssetsBOY |
| Total Assets EOY | 5450192 | TotalAssetsEOY |
| Total Liabilities BOY | 3186355 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3135142 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2571353 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2315050 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE CONTINUING CARE TO THE ELDERLY, MEETING THEIR NEEDS AS THEY CHANGE DURING THE AGING PROCESS, PROVIDING RETIREMENT HOMES AND SUPPORT, ASSISTED LIVING AND SKILLED NURSING. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 5954807 | Expense |
| Revenue | 6348642 | Revenue |
| Description | RETIREMENT VILLAGE OPERATIONS: 82 BED RESIDENTIAL CARE FACILITY, 78 BED SKILLED NURSING FACILITY, 58 COTTAGES, AND SUPPORTING SERVICES. | Description |
| Total Program Service Expense | 5954807 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 29 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 214 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| 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 | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERTA FRENCH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4172582573 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 S COLLEGE | AddressLine1 |
| City | MARIONVILLE | City |
| State | MO | State |
| ZIP Code | 65705 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| DR RON MCINTIRE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| TERRELL BARKETT | ||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X |
| RICHARD DELMONT | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MORRIS DOCK | ||||||
| CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | X |
| REV RALPH PROSSER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| REV MICHAEL BLACKSHER | ||||||
| VICE-CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | X |
| NANCY HANSFORD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| REV FRED ROYER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DOUGLAS STROEMEL | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MARK RUNDEL | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JIM HODGE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JEFF ROBINSON | ||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X |
| ROB CLEMENTS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| REHABCARE | |||||
| 7733 FORSYTH BLVD SUITE 1700 | ST LOUIS | MO | 63105 | AGENCY STAFFING | 525571 |
| SYSCO OF KANSAS CITY | |||||
| 1915 E KANSAS CITY RD | OLATHE | KS | 66061 | FOOD SERVICE | 397989 |
| LIFE CARE SERVICES LLC | |||||
| 400 LOCUST ST SUITE 820 | DES MOINES | IA | 50309 | MANAGEMENT FEES | 319941 |
| MARIONVILLE PHARMACY | |||||
| PO BOX 217 | MARIONVILLE | MO | 65705 | PHARMACY SERVICE | 176386 |
| EMPIRE ELECTRIC | |||||
| PO BOX 219239 | KANSAS CITY | MO | 641219239 | UTILITIES | 157991 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| All Other Contributions | 28960 | AllOtherContributions |
| Total Contributions | 28960 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE RE | 623000 | 4941596 | 4941596 |
| THERAPIES / OTHER REVE | 623000 | 1267818 | 1267818 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 6209414 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 59938 | TotalRevenueColumn |
| Exclusion | $59,938 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 14454 | Securities |
| Other | 38420 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 14454 | Securities |
| Other | 38420 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 52874 | TotalRevenueColumn |
| Exclusion | $52,874 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MISCELLANEOUS | 623000 | 55160 | 55160 |
| UTILITIES | 623000 | 32741 | 32741 |
| GUEST & EMPLOYEE MEALS | 623000 | 27805 | 27805 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23522 | TotalRevenueColumn |
| Related Or Exempt Function Income | 23522 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 139228 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6490414 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6348642 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $112,812 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3022081 | Total |
| Program Services | 2809014 | ProgramServices |
| Management And General | 213067 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11577 | Total |
| Program Services | 8430 | ProgramServices |
| Management And General | 3147 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 488136 | Total |
| Program Services | 359063 | ProgramServices |
| Management And General | 129073 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 237540 | Total |
| Program Services | 221966 | ProgramServices |
| Management And General | 15574 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 194339 | Total |
| Management And General | 194339 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8234 | Total |
| Management And General | 8234 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23260 | Total |
| Management And General | 23260 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12557 | Total |
| Management And General | 12557 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45824 | Total |
| Program Services | 45824 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17854 | Total |
| Program Services | 1110 | ProgramServices |
| Management And General | 16744 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 406880 | Total |
| Program Services | 348209 | ProgramServices |
| Management And General | 58671 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13983 | Total |
| Management And General | 13983 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 249700 | Total |
| Program Services | 249700 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35940 | Total |
| Program Services | 24182 | ProgramServices |
| Management And General | 11758 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 355622 | Total |
| Program Services | 355622 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184420 | Total |
| Management And General | 184420 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| THERAPIES | 498490 | 498490 | |
| FOOD & FOOD SUPPLIES | 380172 | 380172 | |
| LICENSES & FEES | 288943 | 287524 | 1419 |
| MISCELLANEOUS | 141672 | 141672 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 335784 | Total |
| Program Services | 223829 | ProgramServices |
| Management And General | 111955 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6953008 | Total |
| Program Services | 5954807 | ProgramServices |
| Management And General | 998201 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67035 | BOY |
| EOY | 183287 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 782364 | BOY |
| EOY | 677626 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143361 | BOY |
| EOY | 171318 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11341904 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 9175852 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2460972 | BOY |
| EOY | 2166052 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2003163 | BOY |
| EOY | 2089554 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111156 | BOY |
| EOY | 116158 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140074 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49583 | BOY |
| EOY | 46197 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5757708 | BOY |
| EOY | 5450192 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1763608 | BOY |
| EOY | 1772019 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1401353 | BOY |
| EOY | 1343126 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21394 | BOY |
| EOY | 19997 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3186355 | BOY |
| EOY | 3135142 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1539251 | BOY |
| EOY | 1284966 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35245 | BOY |
| EOY | 33227 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 996857 | BOY |
| EOY | 996857 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2571353 | BOY |
| EOY | 2315050 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5757708 | BOY |
| EOY | 5450192 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -462594 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 200259 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 6032 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
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 | 55833 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 86547 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 87562 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26744 | CurrentTaxYearMinus1Year |
| Current Tax Year | 28960 | CurrentTaxYear |
| Total | 285646 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5892458 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6549624 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6109706 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6171372 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6348642 | CurrentTaxYear |
| Total | 31071802 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5948291 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6636171 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6197268 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6198116 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6377602 | CurrentTaxYear |
| Total | 31357448 | 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 |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 31357448 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 81975 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 55217 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 55646 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 62033 | CurrentTaxYearMinus1Year |
| Current Tax Year | 59938 | CurrentTaxYear |
| Total | 314809 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 81975 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 55217 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 55646 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 62033 | CurrentTaxYearMinus1Year |
| Current Tax Year | 59938 | CurrentTaxYear |
| Total | 314809 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6030266 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6691388 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6252914 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6260149 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6437540 | CurrentTaxYear |
| Total | 31672257 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99010 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98910 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00990 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01090 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2060177 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 266309 | InvestmentEarningsOrLosses |
| Other Expenditures | 160000 | OtherExpenditures |
| Administrative Expenses | 12556 | AdministrativeExpenses |
| End Of Year Balance | 2153930 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2304481 | BeginningOfYearBalance |
| Contributions | 20 | Contributions |
| Investment Earnings Or Losses | -39896 | InvestmentEarningsOrLosses |
| Other Expenditures | 191638 | OtherExpenditures |
| Administrative Expenses | 12790 | AdministrativeExpenses |
| End Of Year Balance | 2060177 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2392554 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 300960 | InvestmentEarningsOrLosses |
| Other Expenditures | 375000 | OtherExpenditures |
| Administrative Expenses | 14033 | AdministrativeExpenses |
| End Of Year Balance | 2304481 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2038185 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 458149 | InvestmentEarningsOrLosses |
| Other Expenditures | 91500 | OtherExpenditures |
| Administrative Expenses | 12280 | AdministrativeExpenses |
| End Of Year Balance | 2392554 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2963991 | BeginningOfYearBalance |
| Contributions | 4000 | Contributions |
| Investment Earnings Or Losses | -836237 | InvestmentEarningsOrLosses |
| Other Expenditures | -79000 | OtherExpenditures |
| Administrative Expenses | -14569 | AdministrativeExpenses |
| End Of Year Balance | 2038185 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.54000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.46000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 196487 | OtherCostOrOtherBasis |
| Book Value | 196487 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8405709 | OtherCostOrOtherBasis |
| Depreciation | 6870368 | Depreciation |
| Book Value | 1535341 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 822066 | OtherCostOrOtherBasis |
| Depreciation | 637992 | Depreciation |
| Book Value | 184074 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 904010 | OtherCostOrOtherBasis |
| Depreciation | 715780 | Depreciation |
| Book Value | 188230 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1013632 | OtherCostOrOtherBasis |
| Depreciation | 951712 | Depreciation |
| Book Value | 61920 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2166052 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | RESIDENTS' PERSONAL FUNDS | Description |
| Amount | $19,997 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 19997 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 6684148 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 200259 | NetUnrealizedGainsInvestments |
| Other Revenues | 6032 | OtherRevenues |
| Revenue Not Rptd F990 | 206291 | RevenueNotRptdF990 |
| Revenue Subtotal | 6477857 | RevenueSubtotal |
| Investment Expenses Not Included | 12557 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 12557 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 6490414 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 6940451 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 6940451 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 12557 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 12557 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 6953008 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | EARNINGS FROM THE ORGANIZATION'S ENDOWMENT FUNDS PRIMARILY USED TO PROVIDE SCHOLARSHIPS TO THE EMPLOYEES FOR NURSING EDUCATION, AND OTHER PROGRAM NEEDS. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE MANOR QUALIFIES AS A TAX-EXEMPT CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE MANOR IS NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE CODE. THE MANOR IS CLASSIFIED AS A PUBLICLY SUPPORTED CHARITABLE ORGANIZATION UNDER SECTION 509(A)(2) OF THE CODE AND CONTRIBUTIONS TO THE MANOR QUALIFY AS A CHARITABLE TAX DEDUCTION FOR THE CONTRIBUTOR. THE MANOR IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE MANOR'S INCOME TAX RETURNS FOR THE YEARS 2009 TO 2011 ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | GAIN ON BENEFICIAL INTEREST IN TRUST 6,032. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | MANAGEMENT DUTIES ARE PERFORMED BY LIFE CARE SERVICES. | |
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION HAS NO SEPARATE COMMITTEES. | |
| FORM 990, PART VI, SECTION B, LINE 11 | DRAFT FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH GENERAL BOARD OVERSIGHT AND ANNUAL REVIEW. ALSO, INDIVIDUAL DIRECTORS ARE REQUIRED TO SIGN NON-CONFLICT OF INTEREST STATEMENTS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS AVAILABLE PER REQUEST. | |
| FORM 990, PART XI, LINE 9: | TEMPORARILY RESTRICTED NET ASSETS-GAIN (LOSS) ON ANNUITY AGREEMENTS 6,032. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PAGE 12, PART XII, LINE 2C | THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THERE IS NO SEPARATE COMMITTEE. THIS PROCESS HAS NOT CHNAGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LIFE CARE SERVICES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 LOCUST SUITE 280 | AddressLine1 |
| City | DES MOINES | City |
| State | IA | State |
| ZIP Code | 50309 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activity | MANAGEMENT OF COMMUNITY | PrimaryActivity |
| Legal Domicile State | IA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | N/A | PredominantIncomeType |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LIFE CARE SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | N | TransactionType |
| Amount Involved | 319941 | AmountInvolved |
| Method Of Amt Determination | MANAGEMENT AGREEMENT | MethodOfAmtDetermination |