CHARLES COUNTY NURSING HOME INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- CHARLES COUNTY NURSING HOME INC (EIN 52-1071433)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-16
- IRS object ID
- 202201369349316650
- Schema version
- 2020v4.2
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-16T18:33:08-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135381590 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 RED BROOK BLVD SUITE 300 | AddressLine1Txt |
| City | OWINGS MILLS | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21117 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521071433 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES COUNTY NURSING AND | BusinessNameLine1Txt |
| Business Name Line2 | REHABILITATION CENTER INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHAR | BusinessNameControlTxt |
| Phone | 3019341900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10200 LA PLATA ROAD | AddressLine1Txt |
| City | LA PLATA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20646 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREA DWYER | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3019341900 | PhoneNum |
| Signature | 2022-05-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ANDREA | PersonFirstNm |
| Person Last | DWYER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRIAN J RAY | PreparerPersonNm |
| PTIN | P01278507 | PTIN |
| Phone | 4103633200 | PhoneNum |
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 | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANDREA DWYER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10200 | AddressLine1Txt |
| City | LA PLATA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20646 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,078,576 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SAGEPOINTCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | LONG-TERM CARE, REHABILITATION, ASSISTED LIVING, AND ADULT DAY SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 409 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $498,132 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $23,971,435 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,998,887 | CYProgramServiceRevenueAmt |
| PY Investment Income | $20,026 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,869 | CYInvestmentIncomeAmt |
| PY Other Revenue | $41,640 | PYOtherRevenueAmt |
| CY Other Revenue | $70,820 | CYOtherRevenueAmt |
| PY Total Revenue | $24,531,233 | PYTotalRevenueAmt |
| CY Total Revenue | $19,078,576 | 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 | $13,056,752 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,523,198 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,437,424 | PYOtherExpensesAmt |
| CY Other Expenses | $10,671,065 | CYOtherExpensesAmt |
| PY Total Expenses | $24,494,176 | PYTotalExpensesAmt |
| CY Total Expenses | $21,194,263 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $37,057 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,115,687 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,734,748 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,672,185 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,801,862 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,854,986 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,932,886 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,817,199 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE EXCELLENCE IN REHABILITATION AND AGING SERVICES DELIVERED BY EMPLOYEES THAT REFLECT OUR VALUES | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,224,419 | ExpenseAmt |
| Revenue | $14,375,364 | RevenueAmt |
| Desc | CHARLES COUNTY NURSING & REHABILITATION CENTER PROVIDES LONG-TERM CARE AND REHABILITATIVE SERVICES TO THE RESIDENTS OF THE SOUTHERN MARYLAND REGION. MOST OF THESE RESIDENTS WERE ADMITTED FOR REHABILITATIVE SERVICES AFTER DISCHARGE FROM AN ACUTE-CARE SETTING. THE REMAINDER WERE ADMITTED FOR LONG-TERM CARE ON A MEDICALLY NECESSARY BASIS. THE MAJORITY OF THE LONG-TERM CARE RESIDENTS WERE INDIGENT AND QUALIFY FINANCIALLY FOR THE MEDICAL ASSITANCE PROGRAM. DURING THE FYE 2021, THE NURSING & REHABILITATION CENTER ACCOUNTED FOR APPROMIXATELY 41,600 PATIENT DAYS AND AVERAGE DAILY PATIENT CARE OF 114 INDIVIDUALS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,222,369 | ExpenseAmt |
| Revenue | $2,500,886 | RevenueAmt |
| Desc | THE ASSISTED LIVING FACILITY, SAGEPOINT GARDENS, PROVIDES CARE & SUPPORT TO THE AGED WHO HAVE MEDICAL DIAGNOSES & REQUIRE ASSISTANCE WITH ACTIVITIES OF DAILY LIVING. DURING FYE 2021, SAGEPOINT GARDENS ACCOUNTED FOR APPROXIMATELY 13,400 PATIENT DAYS AND AVERAGE DAILY PATIENT CARE OF 37 INDIVIDUALS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $984,900 | ExpenseAmt |
| Revenue | $1,108,332 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES IN-HOME CARE TO RESIDENTS THROUGHOUT THE TRI-COUNTY AREA OF SOUTHERN MARYLAND. THESE RESIDENTS ARE ABLE TO CONTINUE TO LIVE AT HOME, BUT REQUIRED ASSISTANCE WITH VARIOUS ACTIVITIES OF DAILY LIVING. FOR FISCAL YEAR 2021, AN AVERAGE OF OVER 49,000 HOURS OF CARE WAS PROVIDED TO AN AVERAGE OF 54 CLIENTS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $901,345 | ExpenseAmt |
| Revenue | $1,014,305 | RevenueAmt |
| Desc | THE ORGANIZATIONS ADULT DAY SERVICES OFFERS WELCOME SUPPORT FOR FAMILIES WITH A LOVED ONE WHO NEEDS SUPERVISION AND MEDICAL SERVICES DURING THE DAY. SERVICES INCLUDE SUPERVISION WITH DAILY ACTIVITIES, PHYSICAL AND OCCUPATIONAL THERAPIES AVAILABLE ON SITE, MONITORING OF MEDICAL DIAGNOSES AND MEDICATION ADMINISTRATION, HEALTH CHECKS SUCH AS BLOOD PRESSURE, BLOOD SUGAR, LAB WORK AND NUTRITION CONSULTATION AND WEIGHT MONITORING.ADULT SERVICES ALSO INCLUDES MEANINGFUL ACTIVITIES SUCH AS PHYSICAL ACTIVITIES, MENTALLY STIMULATING ACTIVITIES AND RELIGIOUS SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $901,345 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,014,305 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $17,333,033 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | Yes (1) | 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | 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 | Yes (1) | 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 | Yes (1) | 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 | 33 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 409 | 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 |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TERRY L WEAVER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3019341900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10200 LA PLATA ROAD | AddressLine1Txt |
| City | LA PLATA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20646 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CAROLYN W CORE | ||||||||
| DIRECTOR | 2.00 | 7.00 | Yes (X) | $0 | $0 | $0 | ||
| GRANT A MCCLURE | ||||||||
| SEC/TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| LINDA FITZGERALD | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| LOUIS KAUFMAN MD | ||||||||
| MEDICAL DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA STEPURA | ||||||||
| CHAIR-ELECT | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ANN PAGE | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JON JOHNSON | ||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ANDREA DWYER | ||||||||
| PRESIDENT/CEO | 10.00 | 41.00 | Yes (X) | $0 | $214,698 | $0 | Yes (X) | |
| ANNA WHITE | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT STEVENSON | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| KATHY PARSONS | ||||||||
| CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| TERRY WEAVER | ||||||||
| CFO | 30.00 | 16.00 | $0 | $162,206 | $22,138 | Yes (X) | ||
| MICHELE J BUSCHER | ||||||||
| SENIOR DIRECTOR/CNO | 40.00 | $142,348 | $0 | $22,529 | Yes (X) | |||
| DENISE MCCANN | ||||||||
| SENIOR DIRECTOR/CNO | 40.00 | $142,495 | $0 | $24,267 | Yes (X) | |||
| GRACE N NGUHMBI | ||||||||
| NURSE SUPERVISOR | 40.00 | $146,524 | $0 | $10,643 | Yes (X) | |||
| MAUREEN N NDOLO | ||||||||
| LPN | 40.00 | $147,871 | $0 | $16,378 | Yes (X) | |||
| ROSEMOND D BARTELS | ||||||||
| SHIFT SUPERVISOR | 40.00 | $135,542 | $0 | $1,300 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $714,780 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $376,904 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $97,255 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SELECT REHABILITATION | |||||
| PO BOX 71985 | CHICAGO | IL | 60694 | REHABILITATION SERVICES | $922,968 |
| PHARMERICA | |||||
| PO BOX 409251 | ATLANTA | GA | 30384 | PHARMACY SERVICES | $387,657 |
| DIAMOND MEDICAL LABORATORIES LLC | |||||
| 66 PAINTERS MILL RD STE 200 | OWINGS MILL | MD | 21117 | COVID TESTING | $175,527 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NURSING CARE | 623000 | $14,375,364 | $14,375,364 |
| ASSISTED LIVING | 623000 | $2,500,886 | $2,500,886 |
| HOME CARE | 623000 | $1,108,332 | $1,108,332 |
| ADULT DAY CARE | 623000 | $1,014,305 | $1,014,305 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,998,887 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,869 | TotalRevenueColumnAmt |
| Exclusion | $8,869 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MISCELLANEOUS | 623000 | $60,425 | $60,425 |
| TELEPHONE & TV REHAB | 623000 | $10,395 | $10,395 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $70,820 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,078,576 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,998,887 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $79,689 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,891,719 | TotalAmt |
| Program Services | $8,353,553 | ProgramServicesAmt |
| Management And General | $538,166 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,675 | TotalAmt |
| Program Services | $39,692 | ProgramServicesAmt |
| Management And General | $39,983 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $665,846 | TotalAmt |
| Program Services | $374,658 | ProgramServicesAmt |
| Management And General | $291,188 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $885,958 | TotalAmt |
| Program Services | $823,534 | ProgramServicesAmt |
| Management And General | $62,424 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,605,756 | TotalAmt |
| Program Services | $24,000 | ProgramServicesAmt |
| Management And General | $1,581,756 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,024 | TotalAmt |
| Program Services | $1,714 | ProgramServicesAmt |
| Management And General | $289,310 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,709 | TotalAmt |
| Management And General | $61,709 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,522,137 | TotalAmt |
| Program Services | $1,256,558 | ProgramServicesAmt |
| Management And General | $265,579 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,841 | TotalAmt |
| Management And General | $24,841 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $565,433 | TotalAmt |
| Program Services | $417,943 | ProgramServicesAmt |
| Management And General | $147,490 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,332 | TotalAmt |
| Program Services | $15,675 | ProgramServicesAmt |
| Management And General | $73,657 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,476,920 | TotalAmt |
| Program Services | $3,349,676 | ProgramServicesAmt |
| Management And General | $127,244 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,651 | TotalAmt |
| Program Services | $8,477 | ProgramServicesAmt |
| Management And General | $174 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $641 | TotalAmt |
| Program Services | $250 | ProgramServicesAmt |
| Management And General | $391 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142 | TotalAmt |
| Program Services | $142 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $392,193 | TotalAmt |
| Program Services | $392,193 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $408,119 | TotalAmt |
| Program Services | $90,435 | ProgramServicesAmt |
| Management And General | $317,684 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $661,753 | $661,753 |
| EMPLOYEE COVID-19 TESTI | $562,314 | $562,314 |
| FOOD | $489,862 | $489,862 |
| BAD DEBT EXPENSE | $450,000 | $450,000 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,238 | TotalAmt |
| Program Services | $20,604 | ProgramServicesAmt |
| Management And General | $39,634 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,194,263 | TotalAmt |
| Program Services | $17,333,033 | ProgramServicesAmt |
| Management And General | $3,861,230 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,105 | BOYAmt |
| EOY | $6,369 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,726,843 | BOYAmt |
| EOY | $9,466,342 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,286,907 | BOYAmt |
| EOY | $3,961,806 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,413 | BOYAmt |
| EOY | $130,497 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,911 | BOYAmt |
| EOY | $81,293 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,091,252 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,964,600 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,385,937 | BOYAmt |
| EOY | $1,126,652 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $891,221 | BOYAmt |
| EOY | $899,226 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,411 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,734,748 | BOYAmt |
| EOY | $15,672,185 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,671,092 | BOYAmt |
| EOY | $2,170,454 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450,350 | BOYAmt |
| EOY | $485,988 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,953,850 | BOYAmt |
| EOY | $6,650,157 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,726,570 | BOYAmt |
| EOY | $4,548,387 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,801,862 | BOYAmt |
| EOY | $13,854,986 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,932,886 | BOYAmt |
| EOY | $1,817,199 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,932,886 | BOYAmt |
| EOY | $1,817,199 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,734,748 | BOYAmt |
| EOY | $15,672,185 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,115,687 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| 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 Minus4 Years | $19,419 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,522 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,151 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $498,132 | CurrentTaxYearMinus1YearAmt |
| Total | $538,224 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,062,601 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,287,859 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,244,549 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,971,435 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,998,887 | CurrentTaxYearAmt |
| Total | $105,565,331 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,082,020 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,307,381 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,245,700 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,469,567 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,998,887 | CurrentTaxYearAmt |
| Total | $106,103,555 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,300 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,484 | CurrentTaxYearMinus3YearsAmt |
| Total | $26,784 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,300 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,484 | CurrentTaxYearMinus3YearsAmt |
| Total | $26,784 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $106,076,771 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,202 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,267 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,577 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,026 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,869 | CurrentTaxYearAmt |
| Total | $66,941 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,202 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,267 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,577 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,026 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,869 | CurrentTaxYearAmt |
| Total | $66,941 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $83,112 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $62,354 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $87,659 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $41,640 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $70,820 | CurrentTaxYearAmt |
| Total | $345,585 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,174,334 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,382,002 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,349,936 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,531,233 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,078,576 | CurrentTaxYearAmt |
| Total | $106,516,081 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99590 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99560 | PublicSupportPY509Pct |
| Investment Income CY | 0.00060 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00060 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2016 AMOUNT: $ 83,112. 2017 AMOUNT: $ 62,354. 2018 AMOUNT: $ 87,659. 2019 AMOUNT: $ 41,640. 2020 AMOUNT: $ 70,820. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $151,767 | BeginningBalanceAmt |
| Ending Balance | $151,767 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,000 | OtherCostOrOtherBasisAmt |
| Book Value | $10,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,181,650 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,679,401 | DepreciationAmt |
| Book Value | $502,249 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,319,078 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,733,462 | DepreciationAmt |
| Book Value | $585,616 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $580,524 | OtherCostOrOtherBasisAmt |
| Depreciation | $551,737 | DepreciationAmt |
| Book Value | $28,787 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,126,652 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTY | $4,542,021 |
| DUE TO THIRD PARTY | $6,366 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,548,387 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, LINE 1B: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION SERVES AS CUSTODIAN FOR RESIDENTS WHO ARE UNABLE TO MANAGE THEIR OWN FINANCES. RESIDENTS CONTACT THE INDIVIDUAL CUSTODIAN OF THEIR ACCOUNT WHEN FUNDS ARE NEEDED TO REQUEST DISBURSEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANDREA DWYER | ||||||||||||||
| PRESIDENT/CEO | $0 | $167,003 | $0 | $47,695 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $214,698 | $0 | $0 |
| TERRY WEAVER | ||||||||||||||
| CFO | $0 | $135,206 | $0 | $27,000 | $0 | $0 | $0 | $3,240 | $0 | $18,898 | $0 | $184,344 | $0 | $0 |
| DENISE MCCANN | ||||||||||||||
| SENIOR DIRECTOR/CNO | $129,795 | $0 | $12,700 | $0 | $0 | $0 | $2,850 | $0 | $21,417 | $0 | $166,762 | $0 | $0 | $0 |
| MICHELE J BUSCHER | ||||||||||||||
| SENIOR DIRECTOR/CNO | $129,648 | $0 | $12,700 | $0 | $0 | $0 | $2,850 | $0 | $19,679 | $0 | $164,877 | $0 | $0 | $0 |
| MAUREEN N NDOLO | ||||||||||||||
| LPN | $147,871 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $16,378 | $0 | $164,249 | $0 | $0 | $0 |
| GRACE N NGUHMBI | ||||||||||||||
| NURSE SUPERVISOR | $146,524 | $0 | $0 | $0 | $0 | $0 | $2,930 | $0 | $7,713 | $0 | $157,167 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | CONTROL OVER MANAGEMENT DUTIES IS DELAGATED TO FAMILY OF CARE ALLIANCE, INC. (90-0860390), A RELATED ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | FAMILY OF CARE ALLIANCE INC. (90-0860390), A MARYLAND NONSTOCK CORPORATION, IS THE SOLE MEMBER OF CHARLES COUNTY NURSING & REHABILITATION CENTER, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER, FAMILY OF CARE ALLIANCE, ELECTS ALL BOARD MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER HAS RESERVED THE FOLLOWING POWERS AND SHALL REQUIRE THE AFFIRMATIVE VOTE OR WRITTEN CONSENT OF THE SOLE MEMBER: 1. APPROVAL OF ANY AMENDMENT, ALTERATION, REPEAL OR ADOPTION OF CHANGES TO THE BY-LAWS OR THE CHARTER. 2. ADOPTION, APPROVAL OR REPEAL OF ANY PLAN OF DISSOLUTION, OR MERGER. 3. ADOPTION, APPROVAL, OR REPEAL OF ANY MATERIAL CHANGES IN OPERATIONS INCLUDING WITHOUT LIMITATION, ANY CHANGE OR OMISSION THAT WOULD RESULT IN THE LOSS OF OR NEGATIVE IMPACT ON ANY OF THE CORPORATION'S LICENSES, PERMITS, CERTIFICATES OF NEED OR THE LIKE. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CFO WILL COMPARE THE DRAFT FORM 990 TO THE PREVIOUS YEAR'S RETURN IN DETAIL, LOOKING FOR ANY SIGNIFICANT DIFFERENCES OR OMISSIONS. THE CFO ALSO TRACES AMOUNTS TO THE FINANCIAL STATEMENTS AND TRIAL BALANCE. THE CFO THEN REVIEWS THE 990 WITH THE CEO BEFORE IT IS PRESENTED TO THE FINANCE COMMITTEE AND THE BOARD OF TRUSTEES FOR APPROVAL BEFORE BEING FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT THAT AFFIRMS COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE BOARD AS A WHOLE MONITORS THE POLICY. ANY BOARD MEMBER, OFFICER, OR KEY EMPLOYEE WHO IS INVOLVED IN A CONFLICT SITUATION WILL REMOVE HIMSELF OR HERSELF FROM ANY DECISION-MAKING REGARDING THE CONFLICT. FAMILY AND BUSINESS RELATIONSHIPS ARE EXPRESSLY MENTIONED IN THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST. |
| FORM 990, PART XII, LINE 2: | THE ORGANIZATION HAS ENGAGED AN AUDITOR TO AUDIT FY2021 FINANCIAL STATEMENTS BUT THE AUDIT IS NOT COMPLETE AT THE TIME OF FILING. THE 990 WAS PREPARED BASED ON THE BEST INFORMATION AVAILABLE AT THE TIME OF FILING. AN AMENDED INFORMATION RETURN WILL BE FILED, IF NECESSARY, UPON COMPLETION OF THE FINANCIAL STATEMENT AUDIT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES CO NURSING & REHAB CENTER FOUNDATION | |||||||||||
| 10200 LA PLATA ROAD | LA PLATA | MD | 20626 | 201666771 | FUNDRAISING FOR RELATED ENTITY | MD | 501 (C) (3) | LINE 7 | FAMILY OF CARE ALLIANCE INC | 0 | |
| FAMILY OF CARE ALLIANCE INC | |||||||||||
| 10200 LA PLATA ROAD | LA PLATA | MD | 20626 | 900860390 | FUNDRAISING AND SUPPORT FOR AFFILIATED ORGANIZATIONS | MD | 501 (C) (3) | LINE 12B, II | 0 | N/A | |
| FAMILY OF CARE REAL ESTATE HOLDING COMPANY INC | |||||||||||
| 10200 LA PLATA ROAD | LA PLATA | MD | 20646 | 800827126 | REAL ESTATE HOLDINGS FOR AFFILIATED ORGANIZATIONS | MD | 501 (C) (3) | LINE 12B, II | FAMILY OF CARE ALLIANCE INC | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |