BELGRADE NURSING HOME: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: BELGRADE NURSING HOME (EIN 41-0919107)
Tax period: 2021-10-01 to 2022-09-30
Filed: 2023-08-25
IRS object ID: 202322379349300527
Schema version: 2021v4.2
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)
Return	2023-08-25T12:58:58-05:00	ReturnTs
Tax Period End	2022-09-30	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	2021-10-01	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	2023-08-25	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

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J PETERSON CPA	PreparerPersonNm
PTIN	P01833529	PTIN
Phone	2187224705	PhoneNum
Preparation	2023-08-25	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
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	$3,334,291	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c	Yes (X)	Organization501cInd
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	5	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	73	TotalEmployeeCnt
Total Volunteers	5	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$196,403	PYContributionsGrantsAmt
CY Contributions Grants	$272,406	CYContributionsGrantsAmt
PY Program Service Revenue	$2,846,138	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,028,004	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$71	CYInvestmentIncomeAmt
PY Other Revenue	$4,918	PYOtherRevenueAmt
CY Other Revenue	$9,613	CYOtherRevenueAmt
PY Total Revenue	$3,047,459	PYTotalRevenueAmt
CY Total Revenue	$3,310,094	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,715,621	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,815,185	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,311,838	PYOtherExpensesAmt
CY Other Expenses	$1,474,909	CYOtherExpensesAmt
PY Total Expenses	$3,027,459	PYTotalExpensesAmt
CY Total Expenses	$3,290,094	CYTotalExpensesAmt
PY Revenues Less Expenses	$20,000	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$20,000	CYRevenuesLessExpensesAmt
Total Assets BOY	$768,003	TotalAssetsBOYAmt
Total Assets EOY	$766,583	TotalAssetsEOYAmt
Total Liabilities BOY	$303,960	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$282,540	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$464,043	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$484,043	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	$2,919,811	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$3,028,004	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	$2,919,811	TotalProgramServiceExpensesAmt
Described In Section501c3	0	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
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	0	ReportOtherAssetsInd
Report Other Liabilities	0	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
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	11	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	73	EmployeeCnt
Employment Tax Returns Filed	0	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	5	GoverningBodyVotingMembersCnt
Independent Voting Member	5	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
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)	$83,364	$0	$5,915

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$83,364	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,915	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

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PRIME TIME HEALTHCARE LLC	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	15380 WEIT ST	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68137	ZIPCd

Field	Value	IRS element (for citing)
Services	NURSING SERVICES	ServicesDesc
Compensation	$204,219	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Government Grants	$272,406	GovernmentGrantsAmt
Total Contributions	$272,406	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	RESIDENT REVENUE	Desc
Business	623000	BusinessCd
Total Revenue Column	$3,028,004	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,028,004	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,028,004	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71	TotalRevenueColumnAmt
Exclusion	$71	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$31,129	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$24,197	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$6,932	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,932	TotalRevenueColumnAmt
Exclusion	$6,932	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,681	TotalRevenueColumnAmt
Exclusion	$2,681	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,681	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,310,094	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,028,004	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$9,684	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$89,279	TotalAmt
Program Services	$15,417	ProgramServicesAmt
Management And General	$73,862	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,439,749	TotalAmt
Program Services	$1,439,749	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$15,777	TotalAmt
Program Services	$15,670	ProgramServicesAmt
Management And General	$107	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$145,034	TotalAmt
Program Services	$143,618	ProgramServicesAmt
Management And General	$1,416	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$125,346	TotalAmt
Program Services	$119,754	ProgramServicesAmt
Management And General	$5,592	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$9,273	TotalAmt
Management And General	$9,273	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$62,995	TotalAmt
Management And General	$62,995	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$24,190	TotalAmt
Management And General	$24,190	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$576,876	TotalAmt
Program Services	$576,876	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$37,703	TotalAmt
Management And General	$37,703	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$135,672	TotalAmt
Program Services	$81,670	ProgramServicesAmt
Management And General	$54,002	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$145,587	TotalAmt
Program Services	$144,717	ProgramServicesAmt
Management And General	$870	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,159	TotalAmt
Management And General	$3,159	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$20,595	TotalAmt
Management And General	$20,595	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$785	TotalAmt
Program Services	$785	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,297	TotalAmt
Program Services	$25,295	ProgramServicesAmt
Management And General	$3,002	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$38,976	TotalAmt
Management And General	$38,976	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
SURCHARGE	$106,501	$106,501
FOOD	$75,325	$75,325
EQUIPMENT RENTAL	$71,307	$71,307
BAD DEBT	$62,993	$62,993

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$74,675	TotalAmt
Program Services	$40,134	ProgramServicesAmt
Management And General	$34,541	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,290,094	TotalAmt
Program Services	$2,919,811	ProgramServicesAmt
Management And General	$370,283	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$234,716	BOYAmt
EOY	$232,517	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$49,146	BOYAmt
EOY	$16,447	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$334,073	BOYAmt
EOY	$303,847	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$29,539	BOYAmt
EOY	$29,612	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$877,827	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$694,222	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$110,701	BOYAmt
EOY	$183,605	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$9,828	BOYAmt
EOY	$555	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$768,003	BOYAmt
EOY	$766,583	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$242,927	BOYAmt
EOY	$267,702	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$23,279	BOYAmt
EOY	$14,838	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$37,754	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$303,960	BOYAmt
EOY	$282,540	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	$464,043	BOYAmt
EOY	$484,043	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	$464,043	BOYAmt
EOY	$484,043	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$768,003	BOYAmt
EOY	$766,583	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 Minus2 Years	$112,318	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$196,403	CurrentTaxYearMinus1YearAmt
Current Tax Year	$272,406	CurrentTaxYearAmt
Total	$581,127	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,361,316	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,108,608	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,109,781	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,846,138	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,028,004	CurrentTaxYearAmt
Total	$15,453,847	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,361,316	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,108,608	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,222,099	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,042,541	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,300,410	CurrentTaxYearAmt
Total	$16,034,974	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	$370,443	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$397,631	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$385,853	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$406,275	CurrentTaxYearMinus1YearAmt
Current Tax Year	$443,447	CurrentTaxYearAmt
Total	$2,003,649	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$370,443	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$397,631	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$385,853	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$406,275	CurrentTaxYearMinus1YearAmt
Current Tax Year	$443,447	CurrentTaxYearAmt
Total	$2,003,649	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$14,031,325	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$672	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$21,485	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$15,426	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$27,027	CurrentTaxYearMinus1YearAmt
Current Tax Year	$31,200	CurrentTaxYearAmt
Total	$95,810	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$672	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$21,485	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$15,426	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$27,027	CurrentTaxYearMinus1YearAmt
Current Tax Year	$31,200	CurrentTaxYearAmt
Total	$95,810	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,895	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$10,916	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,635	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,724	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,681	CurrentTaxYearAmt
Total	$24,851	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,367,883	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,141,009	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,239,160	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,073,292	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,334,291	CurrentTaxYearAmt
Total	$16,155,635	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.86850	PublicSupportCY509Pct
Public Support PY509	0.87080	PublicSupportPY509Pct
Investment Income CY	0.00590	InvestmentIncomeCYPct
Investment Income PY	0.00400	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	$111,024	DepreciationAmt
Book Value	$47,612	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$608,515	OtherCostOrOtherBasisAmt
Depreciation	$525,241	DepreciationAmt
Book Value	$83,274	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$110,676	OtherCostOrOtherBasisAmt
Depreciation	$57,957	DepreciationAmt
Book Value	$52,719	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$183,605	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$3,334,291	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$3,334,291	RevenueSubtotalAmt
Other Revenues Not Included	-$24,197	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$24,197	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$3,310,094	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$3,314,291	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$24,197	OtherExpensesIncludedAmt
Expenses Not Reported	$24,197	ExpensesNotReportedAmt
Expenses Subtotal	$3,290,094	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$3,290,094	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES -24,197.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 24,197.

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 452,281. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 452,281. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 103,007. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 103,007. DIETICIAN SERVICES: PROGRAM SERVICE EXPENSES 2,318. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,318. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 19,270. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,270.