THE OZARKS METHODIST MANOR: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: THE OZARKS METHODIST MANOR (EIN 44-0579862)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-05-11
IRS object ID: 201231329349302188
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 O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-11T13:32:02-05:00	Timestamp
Tax Period End Date	2011-12-31	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	8112 MARYLAND AVE SUITE 400	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	63105	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	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	2012-05-07	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	GREG W SCHMITTGENS	Name
PTIN	P00292367	PTIN
Phone	3149666622	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	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	6478561	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.GBGM-UMC.ORG/METHODISTMANOR	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	206	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	87562	ContributionsGrantsPriorYear
Contributions Grants Current Year	26744	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	5996682	ProgramServiceRevenuePriorYear
Program Service Revenue CY	6281744	ProgramServiceRevenueCY
Investment Income Prior Year	50589	InvestmentIncomePriorYear
Investment Income Current Year	104410	InvestmentIncomeCurrentYear
Other Revenue Prior Year	104346	OtherRevenuePriorYear
Other Revenue Current Year	52016	OtherRevenueCurrentYear
Total Revenue Prior Year	6239179	TotalRevenuePriorYear
Total Revenue Current Year	6464914	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	3529062	SalariesEtcPriorYear
Salaries Etc Current Year	3712779	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	3445727	OtherExpensePriorYear
Other Expenses Current Year	3123394	OtherExpensesCurrentYear
Total Expenses Prior Year	6974789	TotalExpensesPriorYear
Total Expenses Current Year	6836173	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-735610	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-371259	RevenuesLessExpensesCY
Total Assets BOY	6705913	TotalAssetsBOY
Total Assets EOY	5757708	TotalAssetsEOY
Total Liabilities BOY	3624140	TotalLiabilitiesBOY
Total Liabilities EOY	3186355	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3081773	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2571353	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	5909525	Expense
Revenue	6333760	Revenue
Description	RETIREMENT VILLAGE OPERATIONS - 76 BED RESIDENTIAL CARE FACILITY, 78 BED SKILLED NURSING FACILITY, 58 COTTAGES, AND SUPPORTING SERVICES	Description
Total Program Service Expense	5909525	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
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	0	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	25	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	206	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	0	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
RALPH PROSSER
DIRECTOR	1.00	X	0	0	0
REV LEE MILLER
DIRECTOR	1.00	X	0	0	0
JOE W MCCARTY
TREASURER	1.00	X	0	0	0	X
REV MICHAEL BLACKSHER
VICE-CHAIRPERSON	1.00	X	0	0	0	X
NANCY HANSFORD
DIRECTOR	1.00	X	0	0	0
TJ MCKENZIE
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

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
LIFE CARE SERVICES LLC
400 LOCUST ST SUITE 820	DES MOINES	IA	50309	MANAGEMENT FEES	523092
REHABCARE
7733 FORSYTH BLVD SUITE 1700	ST LOUIS	MO	63105	AGENCY STAFFING	448922
MERCY HEALTH PLANS
550 MARYVILLE CENTRE DRIVE SUITE 30	ST LOUIS	MO	63141	HEALTH INSURANCE	374151
SYSCO OF KANSAS CITY
1915 E KANSAS CITY RD	OLATHE	KS	66061	FOOD SERVICE	352502
AJ GALLAGHER RISK MGMT SVCS RM
12444 POWERSCOURT DRIVE SUITE 500	ST LOUIS	MO	63131	INSURANCE	288109

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
All Other Contributions	26744	AllOtherContributions
Total Contributions	26744	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU	623000	6270940	6270940
OTHER REVENUES	623000	10804	10804

Field	Value	IRS element (for citing)
Total Program Service Revenue	6281744	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	62033	TotalRevenueColumn
Exclusion	$62,033	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	56024	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	13647	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	42377	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	42377	TotalRevenueColumn
Exclusion	$42,377	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	OTHER REVENUE	Description
Business Code	623000	BusinessCode
Total Revenue Column	52016	TotalRevenueColumn
Related Or Exempt Function Income	52016	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	52016	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6464914	TotalRevenueColumn
Related Or Exempt Function Income	6333760	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$104,410	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	2985449	Total
Program Services	2776206	ProgramServices
Management And General	209243	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	14025	Total
Program Services	9940	ProgramServices
Management And General	4085	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	491418	Total
Program Services	365274	ProgramServices
Management And General	126144	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	221887	Total
Program Services	206760	ProgramServices
Management And General	15127	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	182980	Total
Management And General	182980	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	4866	Total
Management And General	4866	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	23635	Total
Management And General	23635	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	12790	Total
Management And General	12790	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	33403	Total
Program Services	33403	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	18220	Total
Program Services	1575	ProgramServices
Management And General	16645	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	377028	Total
Program Services	323237	ProgramServices
Management And General	53791	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	7125	Total
Management And General	7125	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	279325	Total
Program Services	279325	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	31282	Total
Program Services	21657	ProgramServices
Management And General	9625	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	2287	Total
Management And General	2287	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	390588	Total
Program Services	390588	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	178455	Total
Management And General	178455	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
THERAPIES	532316	532316
FOOD & FOOD SUPPLIES	376239	376239
LICENSES & FEES	268520	266691	1829
CONTRACT LABOR	137139	135247	1892

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	267196	Total
Program Services	191067	ProgramServices
Management And General	76129	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	6836173	Total
Program Services	5909525	ProgramServices
Management And General	926648	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	384438	BOY
EOY	67035	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	920012	BOY
EOY	782364	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	91284	BOY
EOY	143361	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	11308625	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	8847653	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2768866	BOY
EOY	2460972	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	2270947	BOY
EOY	2003163	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	95520	BOY
EOY	111156	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	131597	BOY
EOY	140074	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	43249	BOY
EOY	49583	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	6705913	BOY
EOY	5757708	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1731275	BOY
EOY	1763608	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	1872360	BOY
EOY	1401353	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	20505	BOY
EOY	21394	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3624140	BOY
EOY	3186355	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2044557	BOY
EOY	1539251	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	40359	BOY
EOY	35245	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	3081773	BOY
EOY	2571353	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	6705913	BOY
EOY	5757708	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-371259	ReconcilationRevenueExpenses
Reconcilation Other Changes	-139161	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
Audit Committee	0	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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	100934	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	55833	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	86547	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	87562	CurrentTaxYearMinus1Year
Current Tax Year	26744	CurrentTaxYear
Total	357620	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5808253	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5892458	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6549624	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6109706	CurrentTaxYearMinus1Year
Current Tax Year	6171372	CurrentTaxYear
Total	30531413	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5909187	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5948291	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6636171	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6197268	CurrentTaxYearMinus1Year
Current Tax Year	6198116	CurrentTaxYear
Total	30889033	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	30889033	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	85370	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	81975	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	55217	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	55646	CurrentTaxYearMinus1Year
Current Tax Year	62033	CurrentTaxYear
Total	340241	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	85370	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	81975	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	55217	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	55646	CurrentTaxYearMinus1Year
Current Tax Year	62033	CurrentTaxYear
Total	340241	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5994557	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6030266	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6691388	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6252914	CurrentTaxYearMinus1Year
Current Tax Year	6260149	CurrentTaxYear
Total	31229274	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.98910	PublicSupportPercentage509
Prior Year Support Percentage	0.98840	PriorYearSupportPercentage
Investment Income Percentage	0.01090	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01140	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	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 Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Minus3 Years CurrentYearMinus3Years

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	0.51610	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.48390	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	8364435	OtherCostOrOtherBasis
Depreciation	6621461	Depreciation
Book Value	1742974	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	809518	OtherCostOrOtherBasis
Depreciation	610219	Depreciation
Book Value	199299	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	906078	OtherCostOrOtherBasis
Depreciation	671989	Depreciation
Book Value	234089	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1032107	OtherCostOrOtherBasis
Depreciation	943984	Depreciation
Book Value	88123	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2460972	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	RESIDENTS' PERSONAL FUNDS	Description
Amount	$21,394	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	21394	TotalOfAmounts
Total Revenue	6464914	TotalRevenue
Total Expenses	6836173	TotalExpenses
Excess Or Deficit For Year	-371259	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-142097	NetUnrealizedGLOnInvestments
Other	$2,936	OtherAmount
Total Adjustments	-139161	TotalAdjustments
Excess Or Deficit Per FS	-510420	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	6368553	TotRevenueEtcAuditedFinclStmt
Other Revenues	8050	OtherRevenues
Revenue Not Rptd F990	8050	RevenueNotRptdF990
Revenue Subtotal	6360503	RevenueSubtotal
Other Revenues Not Included	104411	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	104411	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	6464914	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	6873859	TotExpensesEtcAuditedFinclStmt
Losses Reported	142097	LossesReported
Expenses Not Rptd F990	142097	ExpensesNotRptdF990
Expenses Subtotal	6731762	ExpensesSubtotal
Other Expenses Not Included	104411	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	104411	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	6836173	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 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:	THE MANOR HAS ADOPTED ASC 740-10, INCOME TAXES, AS IT RELATES TO UNCERTAIN TAX POSITIONS, AND HAS EVALUATED ITS TAX POSITIONS TAKEN FOR ALL OPEN TAX YEARS. CURRENTLY, THE 2008 AND SUBSEQUENT TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR THE ORGANIZATION. HOWEVER, THE MANOR IS NOT CURRENTLY UNDER AUDIT NOR HAVE THEY BEEN CONTACTED BY THE IRS. BASED ON THE EVALUATION OF THE MANOR'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. NO PROVISION FOR THE EFFECT OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED AS OF DECEMBER 31, 2011 AND 2010.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		TEMPORARILY RESTRICTED NET ASSETS-GAIN (LOSS) ON ANNUITY AGREEMENTS 2,936.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		ASSETS RELEASED FROM RESTRICTION 8,050.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		INVESTMENT INCOME 104,411.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:		INVESTMENT INCOME 104,411.

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, N/A.
FORM 990, PART VI, SECTION B, LINE 11	DRAFT FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL.
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 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -142,097. TEMPORARILY RESTRICTED NET ASSETS-GAIN (LOSS) ON ANNUITY AGREEMENTS 2,936. TOTAL TO FORM 990, PART XI, LINE 5: -139,161.	CHANGES IN NET ASSETS OR FUND BALANCES:
	THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT.