BELGRADE NURSING HOME: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- BELGRADE NURSING HOME (EIN 41-0919107)
- Tax period
- 2022-10-01 to 2023-09-30
- Filed
- 2024-05-28
- IRS object ID
- 202431499349300833
- Schema version
- 2022v5.0
- 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) |
|---|---|---|
| Return | 2024-05-28T11:22:39-05:00 | ReturnTs |
| Tax Period End | 2023-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410919107 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BELGRADE NURSING HOME | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BELG | BusinessNameControlTxt |
| Phone | 3202548215 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 340 | AddressLine1Txt |
| City | BELGRADE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56312 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHANIE FISCHER | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 3202548215 | PhoneNum |
| Signature | 2024-05-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | STEPHANIE | PersonFirstNm |
| Person Last | FISCHER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2024-03-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Application Pending | Yes (X) | ApplicationPendingInd |
| Principal Officer | STEPHANIE FISCHER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 340 | AddressLine1Txt |
| City | BELGRADE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56312 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,812,286 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BELGRADENURSINGHOME.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1967 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | OUR MISSION IS TO PROVIDE THE HIGHEST LEVEL OF TOTAL CARE POSSIBLE WITH EMPHASIS ON SOCIAL, EMOTIONAL, AND SPIRITUAL NEEDS, AS WELL AS THE PHYSICAL NEEDS OF OUR RESIDENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 65 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $272,406 | PYContributionsGrantsAmt |
| CY Contributions Grants | $453,092 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,028,004 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,311,826 | CYProgramServiceRevenueAmt |
| PY Investment Income | $71 | PYInvestmentIncomeAmt |
| CY Investment Income | $832 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,613 | PYOtherRevenueAmt |
| CY Other Revenue | $21,299 | CYOtherRevenueAmt |
| PY Total Revenue | $3,310,094 | PYTotalRevenueAmt |
| CY Total Revenue | $3,787,049 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $20 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,815,185 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,723,065 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,474,909 | PYOtherExpensesAmt |
| CY Other Expenses | $2,043,964 | CYOtherExpensesAmt |
| PY Total Expenses | $3,290,094 | PYTotalExpensesAmt |
| CY Total Expenses | $3,767,049 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $20,000 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $20,000 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $766,583 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,522,560 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $282,540 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,018,517 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $484,043 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $504,043 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OUR MISSION IS TO PROVIDE THE HIGHEST LEVEL OF TOTAL CARE POSSIBLE WITH EMPHASIS ON SOCIAL, EMOTIONAL, AND SPIRITUAL NEEDS, AS WELL AS THE PHYSICAL NEEDS OF OUR RESIDENTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,115,960 | ExpenseAmt |
| Grant | $20 | GrantAmt |
| Revenue | $3,311,826 | RevenueAmt |
| Desc | BELGRADE NURSING HOME IS A 5 STAR LICENSED SKILLED NURSING FACILITY. THE FACILITY HAS 34 LICENSED BEDS WITH AN AVERAGE DAILY CENSUS OF 28. THE FACILITY PROVIDES SHORT-TERM AND LONG-TERM CARE SERVICES THAT INCLUDE OUTPATIENT THERAPY, ADULT DAY SERVICES, AND RESPITE CARE. WE PRIDE OURSELVES ON EXCELLENT QUALITY OF CARE. | Desc |
| Total Program Service Expenses | $3,115,960 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 65 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3202548215 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 340 | AddressLine1Txt |
| City | BELGRADE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56312 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| SANDRA WESTABY | ||||||
| PRESIDENT & CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| TRUDY LIESER | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| LOWELL HOLLEN THRU 102022 | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| JIM LEMMER | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| ANN WINGER | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| STEPHANIE FISCHER | ||||||
| ADMINISTRATOR | 40.00 | Yes (X) | $90,939 | $0 | $7,914 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $90,939 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $7,914 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ONESTAFF MEDICAL LLC | |||||
| PO BOX 3544 | OMAHA | NE | 68103 | NURSING SERVICES | $265,468 |
| PRIME TIME HEALTHCARE LLC | |||||
| 15380 WEIT ST | OMAHA | NE | 68137 | NURSING SERVICES | $120,850 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $453,092 | GovernmentGrantsAmt |
| Total Contributions | $453,092 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENT REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $3,311,826 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,311,826 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,311,826 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $832 | TotalRevenueColumnAmt |
| Exclusion | $832 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $38,136 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $25,237 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,899 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,899 | TotalRevenueColumnAmt |
| Exclusion | $12,899 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,400 | TotalRevenueColumnAmt |
| Exclusion | $8,400 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,400 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,787,049 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,311,826 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $22,131 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20 | TotalAmt |
| Program Services | $20 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,722 | TotalAmt |
| Program Services | $33,087 | ProgramServicesAmt |
| Management And General | $71,635 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,347,152 | TotalAmt |
| Program Services | $1,347,152 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,708 | TotalAmt |
| Program Services | $13,708 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,298 | TotalAmt |
| Program Services | $143,273 | ProgramServicesAmt |
| Management And General | $1,025 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,185 | TotalAmt |
| Program Services | $108,076 | ProgramServicesAmt |
| Management And General | $5,109 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,285 | TotalAmt |
| Management And General | $107,285 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,489 | TotalAmt |
| Management And General | $112,489 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,840 | TotalAmt |
| Management And General | $30,840 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $896,125 | TotalAmt |
| Program Services | $896,125 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,598 | TotalAmt |
| Management And General | $53,598 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,888 | TotalAmt |
| Program Services | $91,505 | ProgramServicesAmt |
| Management And General | $36,383 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,608 | TotalAmt |
| Program Services | $143,608 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,990 | TotalAmt |
| Management And General | $2,990 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,594 | TotalAmt |
| Management And General | $1,594 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,186 | TotalAmt |
| Program Services | $1,186 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,085 | TotalAmt |
| Program Services | $28,681 | ProgramServicesAmt |
| Management And General | $3,404 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,197 | TotalAmt |
| Management And General | $44,197 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| SETTLEMENT EXPENSE | $180,500 | $180,500 | |
| SURCHARGE | $95,710 | $95,710 | |
| FOOD | $83,958 | $83,958 | |
| BAD DEBT | $44,712 | $44,712 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,199 | TotalAmt |
| Program Services | $85,159 | ProgramServicesAmt |
| Management And General | $40 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,767,049 | TotalAmt |
| Program Services | $3,115,960 | ProgramServicesAmt |
| Management And General | $651,089 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,517 | BOYAmt |
| EOY | $470,996 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,447 | BOYAmt |
| EOY | $187,458 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $303,847 | BOYAmt |
| EOY | $363,019 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,612 | BOYAmt |
| EOY | $36,643 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $911,708 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $727,027 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,605 | BOYAmt |
| EOY | $184,681 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $555 | BOYAmt |
| EOY | $279,763 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $766,583 | BOYAmt |
| EOY | $1,522,560 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267,702 | BOYAmt |
| EOY | $296,450 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $339,148 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,838 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $382,919 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,540 | BOYAmt |
| EOY | $1,018,517 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $484,043 | BOYAmt |
| EOY | $504,043 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $484,043 | BOYAmt |
| EOY | $504,043 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $766,583 | BOYAmt |
| EOY | $1,522,560 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $20,000 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $112,318 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $196,403 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $272,406 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $453,092 | CurrentTaxYearAmt |
| Total | $1,034,219 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,108,608 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,109,781 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,846,138 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,028,004 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,311,826 | CurrentTaxYearAmt |
| Total | $15,404,357 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,108,608 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,222,099 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,042,541 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,300,410 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,764,918 | CurrentTaxYearAmt |
| Total | $16,438,576 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $397,631 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $385,853 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $406,275 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $443,447 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $438,511 | CurrentTaxYearAmt |
| Total | $2,071,717 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $397,631 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $385,853 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $406,275 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $443,447 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $438,511 | CurrentTaxYearAmt |
| Total | $2,071,717 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $14,366,859 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,485 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,426 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,027 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,200 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,968 | CurrentTaxYearAmt |
| Total | $134,106 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,485 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,426 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,027 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,200 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,968 | CurrentTaxYearAmt |
| Total | $134,106 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,916 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,635 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,724 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,681 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,400 | CurrentTaxYearAmt |
| Total | $27,356 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,141,009 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,239,160 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,073,292 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,334,291 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,812,286 | CurrentTaxYearAmt |
| Total | $16,600,038 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.86550 | PublicSupportCY509Pct |
| Public Support PY509 | 0.86850 | PublicSupportPY509Pct |
| Investment Income CY | 0.00810 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00590 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $158,636 | OtherCostOrOtherBasisAmt |
| Depreciation | $119,215 | DepreciationAmt |
| Book Value | $39,421 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $636,896 | OtherCostOrOtherBasisAmt |
| Depreciation | $549,855 | DepreciationAmt |
| Book Value | $87,041 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $116,176 | OtherCostOrOtherBasisAmt |
| Depreciation | $57,957 | DepreciationAmt |
| Book Value | $58,219 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $184,681 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RIGHT-OF-USE ASSETS - OPERATING LEASE | Desc |
| Book Value | $279,763 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $279,763 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO CITY OF BELGRADE | $106,730 |
| OPERATING LEASE OBLIGATION | $276,189 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $382,919 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $3,812,286 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,812,286 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$25,237 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$25,237 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,787,049 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,792,286 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $25,237 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $25,237 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,767,049 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,767,049 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -25,237. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 25,237. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | A SIGNIFICANT TRANSACTION, OR A TRANSACTION THAT REQUIRES CONTRACTUAL ARRANGEMENT, WILL, AT THE OPTION OF THE BOARD, BE SUBJECT TO LEGAL REVIEW FOR COMPLIANCE WITH CONFLICT OF INTEREST REQUIREMENTS. IN THE EVENT OF A CONFLICT OF INTEREST BY A MEMBER OF THE BOARD OF DIRECTORS, THE MEMBERS IN THE POTENTIAL CONFLICT WILL REFRAIN FROM VOTING ON MATTERS THAT COULD RESULT IN A CONFLICT OF INTEREST OF THEIR PERSONAL INTEREST AND THAT OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD ANNUALLY REVIEWS AND APPROVES THE COMPENSATION OF THE ADMINISTRATOR. DURING THE REVIEW COMPARABILITY DATA FROM THE STATE IS TAKEN INTO ACCOUNT ALONG WITH THE BUDGET AVAILABLE. |
| FORM 990, PART VI, SECTION C, LINE 19 | FORM 990 IS MADE AVAILABLE TO PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | NURSING SERVICES: PROGRAM SERVICE EXPENSES 744,747. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 744,747. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 127,338. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 127,338. DIETICIAN SERVICES: PROGRAM SERVICE EXPENSES 2,870. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,870. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 21,170. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,170. |