THE CAPSTONE GROUP INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- THE CAPSTONE GROUP INC (EIN 43-1821821)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201123199349306437
- Schema version
- 2010v3.4
- 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 | 2011-11-15T16:31:44-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARKSNELSON VOHLAND CAMPBELL RADETIC LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1310 E 104TH ST SUITE 300 | AddressLine1 |
| City | KANSAS CITY | City |
| State | MO | State |
| ZIP Code | 64131 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431821821 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDWEST CARE CENTER IX INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MIDW | NameControl |
| Phone | 8169413977 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 WEST 124TH STREET | AddressLine1 |
| City | KANSAS CITY | City |
| State | MO | State |
| ZIP Code | 641451183 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | W TERRENCE BROWN | Name |
| Title | DIRECTOR | Title |
| Phone | 8169413977 | Phone |
| Date Signed | 2011-11-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LINDA A CAMPBELL | Name |
| Phone | 8167437700 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRYSTAL PINES REHAB & HEALTH CARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | W TERRENCE BROWN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 W 124TH ST | AddressLine1 |
| City | KANSAS CITY | City |
| State | MO | State |
| ZIP Code | 64145 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 14172413 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | OPERATION OF A SKILLED NURSING CENTER | ActivityOrMissionDescription |
| Termination Or Contraction | X | TerminationOrContraction |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 163 | TotalNbrEmployees |
| Total Nbr Volunteers | 21 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 969653 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 6518812 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5696591 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 20593 | InvestmentIncomePriorYear |
| Investment Income Current Year | 743586 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1495 | OtherRevenuePriorYear |
| Other Revenue Current Year | 10463 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6540900 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7420293 | 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 | 3388386 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2934372 | 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 | 3072684 | OtherExpensePriorYear |
| Other Expenses Current Year | 2834217 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6461070 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5768589 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 79830 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1651704 | RevenuesLessExpensesCY |
| Total Assets BOY | 7218050 | TotalAssetsBOY |
| Total Assets EOY | 3126205 | TotalAssetsEOY |
| Total Liabilities BOY | 6206426 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 462877 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1011624 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2663328 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE QUALITY PROFESSIONAL HEALTH AND REHABILITATION SERVICES | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 5673387 | Expense |
| Revenue | 5707054 | Revenue |
| Description | MIDWEST CARE CENTER IX, INC. DBA CRYSTAL PINES REHABILITATION AND HEALTHCARE CENTER IS A SKILLED NURSING FACILITY WITH 114 LICENSED BEDS WHICH ARE BOTH MEDICARE AND MEDICAID CERTIFIED. AT CRYSTAL PINES, WE STRIVE TO PROVIDE OUR RESIDENTS WITH AN ENVIRONMENT THAT FEELS LIKE HOME IN COMBINATION WITH EXCELLENT PHYSICAL, EMOTIONAL, AND SPIRITUAL WELL-BEING. WE ENCOURAGE OUR RESIDENTS TO PARTICIPATE IN FACILITY DECISIONS SUCH AS THEIR CHOICE OF ACTIVITIES, MEALS, AND ROOMATES WHEN POSSIBLE. WE KEEP OUR RESIDENTS INFORMED IN REGARDS TO WHAT IS TRANSPIRING WITHIN THE FACILITY (THEIR HOME) AND WE ARE AN INTEGRAL PART OF THEIR COMMUNITY. THE COMMUNITY SUPPORT CONTINUES TO BE STRONG WITHIN THIS FACILITY AND THE SUPPORT OF THE FAMILY COUNCIL IS A GIFT TO THIS FACILITY. THE COUNCIL ENRICHES THE LIVES OF OUR RESIDENTS BY VOLUNTEERING THEIR TIME AND DONATIONS TO ENHANCE THE DAILY ACTIVITIES THAT WE PROVIDE. | Description |
| Total Program Service Expense | 5673387 | 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 | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | 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 | 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 | 1 | 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 | 8 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 163 | 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 |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | 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 | 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 | 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 |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | MO | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | W TERRENCE BROWN | NamePerson |
| Telephone Number | 8169413977 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 W 124TH ST | AddressLine1 |
| City | KANSAS CITY | City |
| State | MO | State |
| ZIP Code | 641451183 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (6 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| EDWARD T WEAVER | ||||||
| PRESIDENT/DIRECTOR | 1.00 | X | X | 0 | 14500 | 0 |
| W TERRENCE BROWN | ||||||
| TREASURER/DIRECTOR | 1.00 | X | X | 0 | 28969 | 0 |
| MICHAEL A MICHAUD | ||||||
| SECRETARY/DIRECTOR | 1.00 | X | X | 0 | 14500 | 0 |
| MERLE SPRINGER | ||||||
| DIRECTOR | 1.00 | X | 0 | 14500 | 0 | |
| MARK BRYANT | ||||||
| DIRECTOR | 1.00 | X | 0 | 13250 | 0 | |
| IRENE GLASS | ||||||
| ADMINISTRATOR | 40.00 | X | 72277 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 72277 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 85719 | 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 |
|---|---|---|---|---|---|
| AEGIS THERAPIES INC | |||||
| PO BOX 8103 | FORT SMITH | AR | 72902 | THERAPY SERVICES | 348245 |
| ILLINOIS HELATHCARE MANAGEMENT II LLC | |||||
| 7611 STATE LINE | KANSAS CITY | MO | 64114 | MANAGEMENT SERVICES | 340145 |
| HEALTH CARE SERVICES GROUP | |||||
| 3220 TILLMAN DRIVE 300 | BENSALEM | PA | 19020 | LAUNDRY SERVICES | 178075 |
| SYSCO FOOD SERVICES | |||||
| PO BOX 5037 | DES PLAINES | IL | 60017 | RAW FOOD | 142385 |
| ENLOE DRUGS INC | |||||
| PO BOX 952011 | ST LOUIS | MO | 63195 | PHARMACEUTICALS | 131385 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| All Other Contributions | 969653 | AllOtherContributions |
| Total Contributions | 969653 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE RE | Description |
| Business Code | 623990 | BusinessCode |
| Total Revenue Column | 5696591 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5696591 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5696591 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4920 | TotalRevenueColumn |
| Exclusion | $4,920 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7490786 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 6752120 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 738666 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 738666 | TotalRevenueColumn |
| Exclusion | $738,666 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS INCOME | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 10463 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10463 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 10463 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7420293 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5707054 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $743,586 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72277 | Total |
| Program Services | 72277 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2420333 | Total |
| Program Services | 2420333 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184329 | Total |
| Program Services | 184329 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 257433 | Total |
| Program Services | 257433 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 340145 | Total |
| Program Services | 340145 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37507 | Total |
| Management And General | 37507 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50093 | Total |
| Management And General | 50093 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 669025 | Total |
| Program Services | 669025 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20587 | Total |
| Program Services | 20587 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84888 | Total |
| Program Services | 84888 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7602 | Total |
| Management And General | 7602 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 387616 | Total |
| Program Services | 387616 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 219186 | Total |
| Program Services | 219186 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 179590 | Total |
| Program Services | 179590 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| SUPPLIES | 454296 | 454296 |
| MISCELLANEOUS | 156621 | 156621 |
| UTILITIES | 131933 | 131933 |
| BAD DEBT | 47069 | 47069 |
| EQUIPMENT | 27737 | 27737 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20322 | Total |
| Program Services | 20322 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5768589 | Total |
| Program Services | 5673387 | ProgramServices |
| Management And General | 95202 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 773152 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 397529 | BOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1358750 | BOY |
| EOY | 462168 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13207 | BOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103083 | BOY |
| EOY | 133280 | EOY |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5013524 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 331957 | BOY |
| EOY | 1757605 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7218050 | BOY |
| EOY | 3126205 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 667396 | BOY |
| EOY | 462877 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5446601 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 92429 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6206426 | BOY |
| EOY | 462877 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1011624 | BOY |
| EOY | 2663328 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1011624 | BOY |
| EOY | 2663328 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7218050 | BOY |
| EOY | 3126205 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 1651704 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 | 969653 | CurrentTaxYear |
| Total | 969653 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6018564 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6266456 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6482657 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6518812 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5696591 | CurrentTaxYear |
| Total | 30983080 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6018564 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6266456 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6482657 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6518812 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6666244 | CurrentTaxYear |
| Total | 31952733 | 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) |
|---|---|---|
| Current Tax Year Minus1 Year | 256809 | CurrentTaxYearMinus1Year |
| Current Tax Year | 21603 | CurrentTaxYear |
| Total | 278412 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 256809 | CurrentTaxYearMinus1Year |
| Current Tax Year | 21603 | CurrentTaxYear |
| Total | 278412 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 31674321 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1517 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 21288 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10460 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 20593 | CurrentTaxYearMinus1Year |
| Current Tax Year | 743586 | CurrentTaxYear |
| Total | 797444 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1517 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 21288 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10460 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 20593 | CurrentTaxYearMinus1Year |
| Current Tax Year | 743586 | CurrentTaxYear |
| Total | 797444 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 823 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1483 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1139 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1495 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10463 | CurrentTaxYear |
| Total | 15403 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6020904 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6289227 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6494256 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6540900 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7420293 | CurrentTaxYear |
| Total | 32765580 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.96670 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98970 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.02430 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00180 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEBT SERVICE | 2378 |
| DUE FROM AFFILIATES | 1755227 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1757605 | TotalBookValueOtherAssets |
| Total Revenue | 7420293 | TotalRevenue |
| Total Expenses | 5768589 | TotalExpenses |
| Excess Or Deficit For Year | 1651704 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 1651704 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 18504085 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 11083792 | OtherRevenues |
| Revenue Not Rptd F990 | 11083792 | RevenueNotRptdF990 |
| Revenue Subtotal | 7420293 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 7420293 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 12652205 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 6883616 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 6883616 | ExpensesNotRptdF990 |
| Expenses Subtotal | 5768589 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 5768589 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | REVENUE FROM RELATED ORGANIZATIONS |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES FROM RELATED ORGANIZATIONS |
| SCHEDULE D, PART X, LINE 2: MIDWEST CARE CENTER IX, INC. HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, MIDWEST CARE CENTER IX, INC. IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. MIDWEST CARE CENTER IX, INC. FLIES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. MIDWEST CARE CENTER IX, INC. IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2007. |
Schedule N IRS990ScheduleN
Disposition Table DispositionTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Asset | SOLD PROPERTY USED FOR NURSING CENTER | DescriptionOfAsset |
| Date Of Distribution | 2010-06-24 | DateOfDistribution |
| FMV Of Asset | 6100000 | FMVOfAsset |
| Method Of FMV Determination | SALES PRICE | MethodOfFMVDetermination |
| EIN | 272514364 | EIN |
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TI-CRYSTAL LAKE LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7611 STATE LINE ROAD | AddressLine1 |
| City | KANSAS CITY | City |
| State | MO | State |
| ZIP Code | 64114 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | LIMITED LIABILITY COMPANY | IRCSection |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | 0 | DirectorOfSuccessor2 |
| Employee Of Successor2 | 0 | EmployeeOfSuccessor2 |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2 |
| Receive Compensation2 | 0 | ReceiveCompensation2 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| CHANGES IN PROGRAM SERVICES | FORM 990, PART III, LINE 3 | CRYSTAL PINES MADE A SIGNIFICANT CHANGE IN THE WAY THEY CONDUCTED BUSINESS IN 2010. THEY SOLD THE PROPERTY THAT WAS USED FOR PROVIDING SERVICES TO FULFILL THEIR CHARITABLE MISSION. CURRENTLY, THEY ARE IN THE PROCESS OF LOOKING FOR A REPLACEMENT. |
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION ENTERED INTO A MANAGEMENT AGREEMENT FOR THE OPERATION AND MANAGEMENT OF THE NURSING HOME FACILITIES. THE MANAGEMENT AGREEMENTS GIVE DAILY OPERATING AUTHORITY TO THE MANAGEMENT COMPANY; HOWEVER, ULTIMATE AUTHORITY REMAINS WITH THE BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERS OF THE CORPORATION SHALL CONSIST OF THE INDIVIDUALS WHO ARE IN GOOD STANDING AND ARE SERVING ON THE BOARD OF DIRECTORS. THE SOLE DUTY OF THE MEMBERS SHALL BE TO VOTE ON THE BOARD OF DIRECTORS CANDIDATES. | |
| FORM 990, PART VI, SECTION A, LINE 7A | A MAJORITY OF THE MEMBERS SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF BUSINESS AT ANY MEETINGS OF THE MEMBERS; PROVIDED, HOWEVER, THAT IF LESS THAN A MAJORITY OF THE MEMBERS ARE PRESENT AT SAID MEETING, A MAJORITY OF THE MEMBERS PRESENT MAY ADJOURN THE MEETING FROM TIME TO TIME WITHOUT FURTHER NOTICE. EACH MEMBER PRESENT SHALL BE ENTITLED TO ONE VOTE UPON EACH MATTER SUBMITTED TO A VOTE AT ANY SUCH MEETING. MEMBERS MAY BE REMOVED, FOR CAUSE, UPON THE AFFIRMATIVE VOTE OF A MAJORITY OF THE REMAINING MEMBERS. IN THE EVENT OF THE REMOVAL OF A MEMBER, THE REMAINING MEMBERS MAY FILL SUCH VACANCY OR VACANCIES UPON THE AFFIRMATIVE VOTE OF A MAJORITY OF THE REMAINING MEMBERS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE ACT OF THE MAJORITY OF THE MEMBERS PRESENT AT A MEETING OF THE MEMBERS AT WHICH A QUORUM IS PRESENT SHALL BE THE ACT OF THE MEMBERS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD OF DIRECTORS OF THE ORGANIZATION DETERMINED THAT A COPY OF FORM 990 WOULD BE PROVIDED TO A COMMITTEE OF THE BOARD SO THAT THE COMMITTEE COULD REVIEW THE 990 IN DETAIL AND THEN ADVISE THE ENTIRE BOARD REGARDING ANY ISSUES THAT NEED TO BE DETERMINED BY, OR DISCLOSED TO, THE ENTIRE BOARD OF DIRECTORS. IN ADDITION, THE ENTIRE FORM 990 WAS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS SUFFICIENTLY PRIOR TO FILING THE FORM SO THAT ANY COMMENTS COULD BE PROVIDED TO THE ORGANIZATION IN TIME TO PERMIT ANY NECESSARY REVISIONS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT REQUIRES ANNUAL EXECUTION OF A CERTIFICATION WITH RESPECT TO CONFLICTS AND ROUTINE DISCLOSURE IF THERE IS A CONFLICT IN CONNECTION WITH A MATTER THAT COMES BEFORE THE BOARD. THE BOARD MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY BY REQUIRING THE ANNUAL CERTIFICATION AND BY REMINDING BOARD MEMBERS OF THEIR OBLIGATIONS WITH RESPECT TO CONFLICTS ON AN ON-GOING BASIS. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST, THEN THEY WILL NOT VOTE ON THE CONFLICTING ISSUE AT-HAND. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. | |
| AVERAGE HOURS WORKED FOR RELATED ORGANIZATIONS | FORM 990, PART VII, SECTION A, LINE 1A | EDWARD T. WEAVER 3 W. TERRENCE BROWN 3 MICHAEL A. MICHAUD 3 MERLE SPRINGER 3 MARK BRYANT 3 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| MIDAMERICA CARE FOUNDATION INC | |||||||||
| 225 W 124TH ST | KANSAS CITY | MO | 641451183 | 510271905 | NURSING | MO | 501(C)(3) | LINE 9 | 0 |
| MIDWEST CARE CENTER INC | |||||||||
| 225 W 124TH ST | KANSAS CITY | MO | 641451183 | 431629475 | NURSING | MO | 501(C)(3) | LINE 9 | 0 |
| MIDWEST CARE CENTER II INC | |||||||||
| 225 W 124TH ST | KANSAS CITY | MO | 641451183 | 431710786 | NURSING | MO | 501(C)(3) | LINE 9 | 0 |
| MIDWEST CARE CENTER VIII INC | |||||||||
| 225 W 124TH ST | KANSAS CITY | MO | 641451183 | 431821818 | NURSING | MO | 501(C)(3) | LINE 9 | 0 |
| MAC HEALTHCARE INCORPORATED | |||||||||
| 225 W 124TH ST | KANSAS CITY | MO | 641451183 | 431818627 | PRIVATE FOUNDATION | MO | 501(C)(3) | PF | 0 |
| 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 | 1 | 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 | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |