MADONNA MANOR INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MADONNA MANOR INC (EIN 61-0654635)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201203209349304420
- Schema version
- 2011v1.2
- 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 G
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T12:24:30-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351178661 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8800 LYRA DRIVE SUITE 450 | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43240 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 610654635 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MADONNA MANOR INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MADO | NameControl |
| Phone | 8594266400 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2344 AMSTERDAM RD | AddressLine1 |
| City | VILLA HILLS | City |
| State | KY | State |
| ZIP Code | 41017 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GREG NIJAK | Name |
| Title | INTERIM EXECUTIVE DIRECTOR | Title |
| Phone | 8594266400 | Phone |
| Date Signed | 2012-11-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STEPHEN A SHERIDAN | Name |
| PTIN | P00028551 | PTIN |
| Phone | 6148852583 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARK MULLAHY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2344 AMSTERDAM RD | AddressLine1 |
| City | VILLA HILLS | City |
| State | KY | State |
| ZIP Code | 41017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5099940 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MADONNAMANOR.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1964 | YearFormation |
| State Legal Domicile | KY | StateLegalDomicile |
| Activity Or Mission Description | MADONNA MANOR IS A LTC COMMUNITY PROVIDING SERVICES TO MEET OUR SENIOR RESIDENTS APPROPRIATE LEVEL OF CARE, INCLUDING A 60 BED SKILLED NURSING UNIT, A 24 BED MEMORY CARE UNIT, AND A 40 ROOM ASSISTED LIVING PROGRAM. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 204 | TotalNbrEmployees |
| Total Nbr Volunteers | 25 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 169680 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 65795 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3361976 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4839509 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 443612 | InvestmentIncomePriorYear |
| Investment Income Current Year | -945721 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 23113 | OtherRevenuePriorYear |
| Other Revenue Current Year | 42190 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3998381 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4001773 | 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 | 2183848 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3111204 | 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 | 1350566 | OtherExpensePriorYear |
| Other Expenses Current Year | 3386824 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 3534414 | TotalExpensesPriorYear |
| Total Expenses Current Year | 6498028 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 463967 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2496255 | RevenuesLessExpensesCY |
| Total Assets BOY | 42942940 | TotalAssetsBOY |
| Total Assets EOY | 38071331 | TotalAssetsEOY |
| Total Liabilities BOY | 34109535 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 30031849 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8833405 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 8039482 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | MADONNA MANOR IS A CATHOLIC HEALTHCARE FACILITY FOR SENIOR ADULTS DEVOTED TO PROVIDING A HOME WITHIN A SPIRITUAL ATMOSPHERE. FAITHFUL TO THE SPIRIT OF ST.FRANCIS OF ASSISI AND THE SISTERS OF ST.FRANCIS OF SYLVANIA, OHIO, THE VALUES OF REVERENCE, SERVICE, AND STEWARDSHIP. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 2286182 | Expense |
| Revenue | 3543867 | Revenue |
| Description | SKILLED NURSING - 16,102 DAYS. WENT FROM A 25 BED FACIITY TO A 60 BED FACILITY OPENING JULY 1, 2011. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1017679 | Expense |
| Revenue | 360968 | Revenue |
| Description | MEMORY CARE UNIT - A 24 BED UNIT DESIGNED SPECIFICALLY FOR RESIDENTS WITH DEMENTIA OR OTHER MIND AFFECTING ILLNESSES. 2,285 DAYS FROM JULY-DECEMBER | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1925347 | Expense |
| Revenue | 774572 | Revenue |
| Description | ASSISTED LIVING ROOMS - DESIGNED FOR RESIDENTS THAT NEED HELP WITH SOME DAY TO DAY ACTIVITIES. SEVERAL LEVELS OF CARE ARE OFFERED WITHIN THE ASSISTED LIVING AREA. 6,004 DAYS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | 160102 | Revenue |
| Description | OTHER PROGRAM RELATED SERVICES | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Rev | 160102 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 5229208 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | 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 | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 49 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 204 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 1 | 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 | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | TOM PILLE | NamePerson |
| Telephone Number | 8593413981 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2344 AMSTERDAM RD | AddressLine1 |
| City | VILLA HILLS | City |
| State | KY | State |
| ZIP Code | 41017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (9 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | FormerFormer |
|---|---|---|---|---|---|---|---|
| JOSEPH CNADER | |||||||
| VICE CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | |
| SISTER CAROLYN GIERA | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| JOHN RNIENABER | |||||||
| CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | |
| EVA M BALLARD | |||||||
| SECRETARY/TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| DAVID TADAMS | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| GREG NIJAK | |||||||
| INTERIM EXEC DIRECTOR | 40.00 | X | X | 0 | 0 | 0 | |
| GERALD JERRY WHITE | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| RICK G RYAN | |||||||
| TRUSTEE | 1.00 | X | 0 | 299149 | 46804 | ||
| TIMOTHY DONNELLY | |||||||
| ADMINISTRATOR | 1.00 | 57754 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 57754 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 299149 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 46804 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 65795 | AllOtherContributions |
| Total Contributions | 65795 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENU | 623000 | 4653059 | 4653059 |
| INDEPENDENT LIVING | 623000 | 186450 | 186450 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4839509 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 151875 | TotalRevenueColumn |
| Exclusion | $151,875 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1097596 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -1097596 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1097596 | TotalRevenueColumn |
| Exclusion | -$1,097,596 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 7140 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 571 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6569 | TotalRevenueColumn |
| Exclusion | $6,569 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 606 | GrossIncomeGaming |
| Gaming Direct Expenses | 0 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 606 | TotalRevenueColumn |
| Exclusion | $606 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| HAIR SALON | 623000 | 11785 | $11,785 |
| CABLE AND INTERNET | 623000 | 9044 | $9,044 |
| MEAL INCOME | 623000 | 8743 | $8,743 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5443 | TotalRevenueColumn |
| Exclusion | $5,443 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 35015 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4001773 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4839509 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$903,531 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57754 | Total |
| Management And General | 57754 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2436361 | Total |
| Program Services | 2095190 | ProgramServices |
| Management And General | 341171 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 102678 | Total |
| Program Services | 88415 | ProgramServices |
| Management And General | 14263 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 330089 | Total |
| Program Services | 284235 | ProgramServices |
| Management And General | 45854 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184322 | Total |
| Program Services | 158717 | ProgramServices |
| Management And General | 25605 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52773 | Total |
| Management And General | 52773 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90193 | Total |
| Management And General | 90193 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36934 | Total |
| Management And General | 36934 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 694760 | Total |
| Program Services | 547835 | ProgramServices |
| Management And General | 146925 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 245054 | Total |
| Program Services | 245054 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 680333 | Total |
| Program Services | 561166 | ProgramServices |
| Management And General | 119167 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27487 | Total |
| Program Services | 1968 | ProgramServices |
| Management And General | 25519 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 245159 | Total |
| Program Services | 202217 | ProgramServices |
| Management And General | 42942 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14852 | Total |
| Program Services | 13623 | ProgramServices |
| Management And General | 1229 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 400 | Total |
| Program Services | 100 | ProgramServices |
| Management And General | 300 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 321905 | Total |
| Program Services | 265520 | ProgramServices |
| Management And General | 56385 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68820 | Total |
| Management And General | 68820 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 610917 | Total |
| Program Services | 503909 | ProgramServices |
| Management And General | 107008 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44852 | Total |
| Program Services | 24996 | ProgramServices |
| Management And General | 19856 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 160343 | 160343 | |
| MISCELLANEOUS | 63392 | 52288 | 11104 |
| RECRUITMENT | 28650 | 23632 | 5018 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6498028 | Total |
| Program Services | 5229208 | ProgramServices |
| Management And General | 1268820 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1054794 | BOY |
| EOY | 400 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1770237 | BOY |
| EOY | 2614500 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 576227 | BOY |
| EOY | 813539 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 22302 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22800 | BOY |
| EOY | 36469 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 26408473 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 544462 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21623592 | BOY |
| EOY | 25864011 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 2727929 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17036622 | BOY |
| EOY | 4045015 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 442292 | BOY |
| EOY | 1055617 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 416376 | BOY |
| EOY | 891549 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42942940 | BOY |
| EOY | 38071331 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3644498 | BOY |
| EOY | 1454378 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18480 | BOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28440000 | BOY |
| EOY | 28440000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2006557 | BOY |
| EOY | 137471 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34109535 | BOY |
| EOY | 30031849 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8015030 | BOY |
| EOY | 7221107 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 818375 | BOY |
| EOY | 818375 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8833405 | BOY |
| EOY | 8039482 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42942940 | BOY |
| EOY | 38071331 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -2496255 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1702332 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| 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 | 49055 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 360959 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 472949 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 169680 | CurrentTaxYearMinus1Year |
| Current Tax Year | 65795 | CurrentTaxYear |
| Total | 1118438 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3232050 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3372129 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3602148 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3361976 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4839509 | CurrentTaxYear |
| Total | 18407812 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3281105 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3733088 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4075097 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3531656 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4905304 | CurrentTaxYear |
| Total | 19526250 | 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 | 19526250 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 111616 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 105373 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 124756 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 478312 | CurrentTaxYearMinus1Year |
| Current Tax Year | 151875 | CurrentTaxYear |
| Total | 971932 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 111616 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 105373 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 124756 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 478312 | CurrentTaxYearMinus1Year |
| Current Tax Year | 151875 | CurrentTaxYear |
| Total | 971932 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5785 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8731 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5429 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 23113 | CurrentTaxYearMinus1Year |
| Current Tax Year | 42190 | CurrentTaxYear |
| Total | 85248 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3398506 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3847192 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4205282 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4033081 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5099369 | CurrentTaxYear |
| Total | 20583430 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.94860 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.94430 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.04720 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.05300 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2456322 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 90116 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2546438 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2292199 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 164123 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2456322 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2035932 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 273614 | InvestmentEarningsOrLosses |
| Administrative Expenses | 17347 | AdministrativeExpenses |
| End Of Year Balance | 2292199 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2739287 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -684627 | InvestmentEarningsOrLosses |
| Administrative Expenses | 18728 | AdministrativeExpenses |
| End Of Year Balance | 2035932 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.65000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.35000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3174862 | OtherCostOrOtherBasis |
| Book Value | 3174862 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 20884244 | OtherCostOrOtherBasis |
| Depreciation | 362130 | Depreciation |
| Book Value | 20522114 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2337374 | OtherCostOrOtherBasis |
| Depreciation | 182332 | Depreciation |
| Book Value | 2155042 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11993 | OtherCostOrOtherBasis |
| Book Value | 11993 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 25864011 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| RESTRICTED FUNDS | 1011542 | C |
| TRUSTEE-HELD FUNDS | 3033473 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 4045015 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SECURITY DEPOSITS | $33,684 |
| DUE TO AFFILIATED ENTITY | $21,413 |
| THIRD PARTY SETTLEMENT | $60,331 |
| RESERVE FOR INSURANCE CLAIMS | $22,043 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 137471 | TotalOfAmounts |
| Total Revenue | 4001773 | TotalRevenue |
| Total Expenses | 6498028 | TotalExpenses |
| Excess Or Deficit For Year | -2496255 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 30429 | NetUnrealizedGLOnInvestments |
| Other | $1,671,903 | OtherAmount |
| Total Adjustments | 1702332 | TotalAdjustments |
| Excess Or Deficit Per FS | -793923 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 5667176 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 30429 | NetUnrealizedGainsInvestments |
| Other Revenues | 1671907 | OtherRevenues |
| Revenue Not Rptd F990 | 1702336 | RevenueNotRptdF990 |
| Revenue Subtotal | 3964840 | RevenueSubtotal |
| Other Revenues Not Included | 36933 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 36933 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 4001773 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 6461099 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 4 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 4 | ExpensesNotRptdF990 |
| Expenses Subtotal | 6461095 | ExpensesSubtotal |
| Other Expenses Not Included | 36933 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 36933 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 6498028 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | Identifier |
| Return Reference | PART V, LINE 4: | ReturnReference |
| Explanation | THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO SUPPORT CHARITABLE CARE WITHIN THE SKILLED NURSING, MEMORY, AND ASSISTED LIVING UNITS. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | AWARDS DINNER | NameOfEvent1 |
| Gross Receipts Event1 | 4605 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 4605 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 318 | OtherDirectExpensesEvent1 |
| Name Of Event2 | TRIM THE TREE | NameOfEvent2 |
| Gross Receipts Event2 | 2535 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 2535 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 253 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 7140 | GrossReceiptsTotal |
| Gross Revenue Total Events | 7140 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 571 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 571 | DirectExpenseSummaryEvents |
| Net Income Summary | 6569 | NetIncomeSummary |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Bingo | 606 | GrossRevenueBingo |
| Volunteer Labor Bingo | 0 | VolunteerLaborBingo |
| Gross Revenue Total Gaming | 606 | GrossRevenueTotalGaming |
| Net Gaming Income Summary | 606 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed | 0 | Licensed |
| License Suspended Etc | 0 | LicenseSuspendedEtc |
| Gaming With Nonmembers | 0 | GamingWithNonmembers |
| Member Of Other Entity | 0 | MemberOfOtherEntity |
| Contract With3rd Party For Gam Rev | 0 | ContractWith3rdPartyForGamRev |
| Charitable Distrib Required | 0 | CharitableDistribRequired |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICK G RYAN | |||||||||||||
| 0 | 298393 | 0 | 0 | 0 | 756 | 0 | 22000 | 0 | 24804 | 0 | 345953 | 0 | 0 |
| TIMOTHY DONNELLY | |||||||||||||
| 57754 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 57754 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 610600439 | IssuerEIN |
| CUSIP Number | 49126TAD4 | CUSIPNumber |
| Date Issued | 2010-01-05 | DateIssued |
| Issue Price | 28440000 | IssuePrice |
| Description Of Purpose | BUILDING PROJECT, ADDITIONAL BEDS | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 28440000 | TotalProceeds |
| Issuance Costs From Proceeds | 547600 | IssuanceCostsFromProceeds |
| Year Of Subst Completion | 2012 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NEW PROGRAM SERVICES | FORM 990, PART III, LINE 2 | MEMORY CARE UNIT ADDED - 24 BEDS |
| CHANGES IN PROGRAM SERVICES | FORM 990, PART III, LINE 3 | THE 'PERSONAL CARE' TITLE WAS REPLACED BY 'ASSISTED LIVING' AND 'MEMORY CARE' UNITS . |
| FORM 990, PART VI, SECTION A, LINE 6 | FRANCISCAN LIVING COMMUNITIES IS THE SOLE MEMBER OF MADONNA MANOR. | |
| FORM 990, PART VI, SECTION A, LINE 7A | FRANCISCAN LIVING COMMUNITIES, AS THE SOLE MEMBER OF THE ORGANIZATION, HAS RESERVED POWERS TO ELECT THE TRUSTEES OF THE ORGANIZATION, AND TO ELECT AND REMOVE THE CHAIRPERSON AND PRESIDENT/CEO OF MADONNA MANOR. | |
| FORM 990, PART VI, SECTION A, LINE 7B | FRANCISCAN LIVING COMMUNITIES HAS THE RESERVED POWER TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF MADONNA MANOR. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A REVIEW BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT. THE BOARD OF DIRECTORS RECEIVES A COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVE PRIOR TO FILING WITH THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY THE BOARD PRESIDENT, THE EXECUTIVE DIRECTOR, AND HUMAN RESOURCE DIRECTOR. THE ORGANIZATION PROVIDES AN ANNUAL QUESTIONNAIRE TO ALL BOARD MEMBERS WHICH REQUIRES DISCLOSURE OF ANY CONFLICTS OF INTEREST THE BOARD MEMBER MAY HAVE WITH THE ORGANIZATION. THIS IS REVIEWED BY THE ORGANIZATION AND REPORTED TO THE BOARD OF TRUSTEES. | |
| FORM 990, PART VI, SECTION B, LINE 15A | THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S EXECUTIVE DIRECTOR IS DONE BY THE BOARD OF DIRECTORS. IN SETTING THE WAGES, THE BOARD COMPARES VARIOUS SALARIES FROM LIKE POSITIONS IN SIMILAR ORGANIZATIONS. THE BOARD REVIEWS AND APPROVES THE SALARY ON AN ANNUAL BASIS AND DOCUMENTS IN BOARD MEETING MINUTES. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. | |
| OFFICER WHO CANNOT BE REACHED AT THE ORGANIZATION: | PART VI SECTION A LINE 9 | RICK RYAN - PRESIDENT/CEO 4942 RENAISSANCE PLACE, SUITE A TOLEDO, OH 43623 |
| FORM 990, PT VII, AVERAGE HOURS PER WEEK | RICK RYAN AND TIMOTHY DONNELLY ARE OFFICERS OF THE PARENT ORGANIZATION. ONE OF THE RESPONSIBILITIES OF THEIR POSITION IS TO SERVE AS OFFICERS FOR MANY OF THE SUBSIDIARY ORGANIZATIONS. THE AVERAGE WORK WEEK FOR THESE INDIVIDUALS IS 40+ HOURS. THIS TIME IS ALLOCATED TO THEIR POSITIONS WITH THE VARIOUS SUBSIDIARIES AS WELL AS THEIR RESPONSIBILITIES OF THE PARENT ORGANIZATION. IT IS ESTIMATED THAT THESE INDIVIDUALS DEDICATE AT LEAST ONE HOUR PER WEEK TO THEIR RESPONSIBILITIES AS OFFICERS OF THE SUBORDINATE ORGANIZATIONS. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 30,429. NET ASSETS RELEASED FROM RESTRICTION 63,471. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 1,608,432. TOTAL TO FORM 990, PART XI, LINE 5: 1,702,332. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (24 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ST JOSEPH SERVICES CORPORATION | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742455161 | GOVERNANCE | TX | 501 (C) (3) | LINE 11A, I | SFH | 0 | |
| ST JOSEPH REGIONAL HEALTH CENTER | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 741282696 | HEALTH CARE | TX | 501 (C) (3) | LINE 3 | SJSC | 0 | |
| BURLESON ST JOSEPH HEALTH CENTER | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742759890 | HEALTH CARE | TX | 501 (C) (3) | LINE 3 | SJSC | 0 | |
| MADISON ST JOSEPH HEALTH CENTER | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742761145 | HEALTH CARE | TX | 501 (C) (3) | LINE 3 | SJSC | 0 | |
| ST JOSEPH MANOR | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742847594 | NURSING CARE | TX | 501 (C) (3) | LINE 9 | SJSC | 0 | |
| BURLESON ST JOSEPH MANOR | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742913931 | NURSING CARE | TX | 501 (C) (3) | LINE 9 | SJSC | 0 | |
| ST JOSEPH FOUNDATION | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742351158 | FUND RAISING | TX | 501 (C) (3) | LINE 11A, I | SJSC | 0 | |
| ST JOSEPH PHYSICAN ASSOCIATES | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 203159302 | PHYSICAN PRACTICE | TX | 501 (C) (3) | LINE 3 | SJSC | 0 | |
| FRANCISCAN SHELTERS DBA BETHANY HOUSE | |||||||||||
| PO BOX 80596 | TOLEDO | OH | 43608 | 341612437 | DOMESTIC VIOLENCE SHELTER | OH | 501 (C) (3) | LINE 7 | SFH | 0 | |
| SOPHIA CENTER | |||||||||||
| 6832 CONVENT BLVD | SYLVANIA | OH | 43560 | 341761656 | MENTAL HEALTH | OH | 501 (C) (3) | LINE 9 | SFH | 0 | |
| SISTERS OF ST FRANCIS | |||||||||||
| 6832 CONVENT BLVD | SYLVANIA | OH | 43560 | 344450609 | RELIGIOUS | OH | 501 (C) (3) | 0 | N/A | ||
| SYLVANIA FRANCISCAN HEALTH | |||||||||||
| 3231 CENTRAL PARK WEST SUITE 106 | TOLEDO | OH | 43617 | 341412964 | CHURCH ORG | OH | 501 (C) (3) | LINE 1 | 0 | N/A | |
| FRANCISCAN LIVING COMMUNITIES | |||||||||||
| 5942 RENAISSANCE PLACE SUITE A | TOLEDO | OH | 43623 | 341892096 | MANAGEMENT SUPPORT | OH | 501 (C) (3) | LINE 11A, I | SFH | 0 | |
| ST LEONARD | |||||||||||
| 8100 CLYO ROAD | CENTERVILLE | OH | 45458 | 341940863 | LONG TERM CARE FACULTY | OH | 501 (C) (3) | LINE 9 | FLC | 0 | |
| ST LEONARD FOUNDATION | |||||||||||
| 8100 CLYO ROAD | CENTERVILLE | OH | 45458 | 320102715 | FUND RAISING | OH | 501 (C) (3) | LINE 7 | ST LEONARD | 0 | |
| PROVIDENCE CARE CENTER | |||||||||||
| 2025 HAYES AVE | SANDUSKY | OH | 44870 | 341658625 | LONG TERM CARE FACULTY | OH | 501 (C) (3) | LINE 9 | FLC | 0 | |
| THE COMMONS OF PROVIDENCE | |||||||||||
| 5000 PROVIDENCE DRIVE | SANDUSKY | OH | 44870 | 341826097 | ASSISTED LIVING | OH | 501 (C) (3) | LINE 9 | PCC | 0 | |
| PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION | |||||||||||
| 5055 PROVIDENCE DRIVE | SANDUSKY | OH | 44870 | 341896807 | INDEPENDENT LIVING | OH | 501 (C) (3) | LINE 9 | PCC | 0 | |
| PROVIDENCE CARE CENTERS | |||||||||||
| 2025 HAYES AVE | SANDUSKY | OH | 44870 | 341826099 | FINANCIAL SUPPORT | OH | 501 (C) (3) | LINE 7 | FLC | 0 | |
| FRANCISCAN CARE CENTER SYLVANIA | |||||||||||
| 4111 HOLLAND SYLVANIA ROAD | SYLVANIA | OH | 43623 | 341931806 | LONG TERM CARE FACULTY | OH | 501 (C) (3) | LINE 9 | FLC | 0 | |
| ST CLARE COMMONS | |||||||||||
| 5942 RENAISSANCE PLACE SUITE A | TOLEDO | OH | 43623 | 270163752 | LONG TERM CARE FACULTY | OH | 501 (C) (3) | LINE 9 | FLC | 0 | |
| ROSARY CARE CENTER | |||||||||||
| 6832 CONVENT BLVD | SYLVANIA | OH | 43560 | 341931795 | LONG TERM CARE FACULTY | OH | 509 (A) (3) | LINE 9 | SFH | 0 | |
| FRANCISCAN PROPERTIES INC | |||||||||||
| 6600 CONVENT BLVD | SYLVANIA | OH | 43560 | 341412966 | SENIOR HOUSING | OH | 501 (C) (3) | LINE 9 | FLC | 0 | |
| TRINITY HOSPITAL TWIN CITY | |||||||||||
| 819 NORTH FIRST STREET | DENNISON | OH | 44621 | 275401105 | HEALTH CARE | OH | 501 (C) (3) | LINE 3 | SFH | 0 | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STLEONARD CENTER LIMITED PARTNERSHIP | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 88 E BROAD ST | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311481761 | EIN |
| Primary Activity | LOW INCOME RENTAL | PrimaryActivity |
| Legal Domicile State | OH | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | EXCLUDED | PredominantIncomeType |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.01000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|
| ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY | |||||||||
| 2801 FRANCISCAN DR | BRYAN | TX | 77802 | 742466914 | PHYSICIAN HOSPITAL ORGANIZATION | TX | ST JOSEPH SERVICE CORPORATION | C | |
| TAU ENTERPRISES | |||||||||
| 2801 FRANCISCAN DR | BRYAN | TX | 77802 | 742544009 | OFFICE BUILDING RENTAL | TX | ST JOSEPH SERVICE CORPORATION | C | |
| STJOSEPH PHYSICIAN ALLIANCE | |||||||||
| 2801 FRANCISCAN DR | BRYAN | TX | 77802 | 742764039 | COORD EMPL INSURANCE | TX | ST JOSEPH SERVICE CORPORATION | C | |
| STLEONARD CENTER 1 INC | |||||||||
| 8100 CLYO RD | CENTERVILLE | OH | 45458 | 311481764 | LOW INCOME RENTAL | OH | ST LEONARD | C | 1.00000 |
| 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 |
| 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 | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |