2012-03-06T17:15:31-06:00 2011-06-30 DEMPSEY VANTREASE & FOLLIS PLLC 630 S CHURCH ST STE 300 MURFREESBORO TN 37130 990 2010-07-01 581895164 CPC-SHERWOOD MANOR INC CPC- 6154433602 2145 CARTHAGE HWY LEBANON TN 37087 HAL BONE 6154433602 2012-03-02 1 PAUL B VANTREASE JR CPA 6158936666 2012-03-02 X 2010 2016-02-24 21:20:13Z HAL BONE 1341 SPRING CREEK ROAD LEBAON TN 37087 3843343 0 8596 X WWW.SHERWOODMANOR.NET X 1989 TN NURSING HOME FOR THE ELDERLY 3 0 149 0 0 0 0 0 3720847 3843257 0 86 424 0 3721271 3843343 0 0 0 0 1951716 1897140 0 0 0 1824383 1765101 3776099 3662241 -54828 181102 3112760 3108400 3672485 3487023 -559725 -378623 NURSING HOME FOR THE ELDERLY 0 0 3254997 3843257 NURSING HOME FOR THE ELDERLY 3254997 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 4 0 149 1 0 0 0 0 0 0 X 3 0 1 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 X JAMES STEIN 6154433602 521 MAIN STREET VAN BUREN AR 72956 X GORDON BONE 10.00 X X 0 0 0 MARGARET S BONE 10.00 X X 0 0 0 HAL BONE 10.00 X X 0 0 0 0 0 0 0 0 0 0 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DR STE 300 BENSALEM PA 19020 DIET, HOUSEKEEPING, LAUNDRY 421485 STEIN ANCILLARY SERVICES LLC 521 MAIN ST VAN BUREN AR 72956 THERAPY 218591 2 PATIENT REVENUES (INCL 623000 3843257 3843257 3843257 86 86 3843343 3843257 0 86 1661263 1527004 134259 86384 79403 6981 149493 137549 11944 15330 15330 765762 765762 4400 4400 288572 167254 121318 12207 12207 263165 208452 54713 2710 2710 151018 113556 37462 33830 29118 4712 PROVIDER TAX 152192 152192 MISCELLANEOUS 41870 24055 17815 BAD DEBT EXPENSE 26669 26669 LAB FEES 7376 7376 3662241 3254997 407244 0 131306 269866 340248 315521 4916 6743 14978 20662 3709405 1294706 2530590 2414699 56029 47658 34693 33251 3112760 3108400 1829265 1896856 1697506 1444453 145714 145714 3672485 3487023 X -559725 -378623 -559725 -378623 3112760 3108400 181102 0 X 0 1 1 X 1 1 X 80000 80000 3148991 1032575 2116416 224264 63918 160346 256150 198213 57937 2414699 RELATED PARTY PAYABLES 145714 145714 3843343 3662241 181102 0 181102 3843343 0 3843343 0 3843343 3662241 0 3662241 0 3662241 FORM 990, PART VI, SECTION A, LINE 2 GORDON BONE & MARGARET S. BONE - FAMILY AND BUSINESS RELATIONSHIP GORDON BONE & HAL BONE - FAMILY AND BUSINESS RELATIONSHIP HAL BONE & MARGARET S. BONE - FAMILY AND BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 3 STEIN AND ASSOCIATES IS A COMPANY THAT MANAGES NURSING HOMES. THE GENERAL MANAGEMENT OF THE NURSING HOME IS CONTRACTED TO STEIN AND ASSOCIATES. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO SUB-COMMITTEES WITHIN THE OFFICER GROUP. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE RETURN IS PROVIDED TO EACH OF THE THREE BOARD MEMBERS AND THEY VERBALLY APPROVE THE RETURN PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES PUBLIC DOCUMENTS AVAILABLE UPON REQUEST. COMMUNITY PROGRESS COMMITTEE INC 2145 CARTHAGE HWY LEBANON TN 37087 237442515 NURSING HOME FOR THE ELDERLY TN 501(C)(3) 170(B)(1)(A)(III) 0 THE PAVILION - CPC 2145 CARTHAGE HWY LEBANON TN 37087 581895167 NURSING HOME FOR THE ELDERLY TN 501(C)(3) 170(B)(1)(A)(III) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0