MANOR GROVE INCORPORATED: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MANOR GROVE INCORPORATED (EIN 43-0679177)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-03-05
IRS object ID
202240649349300719
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

FieldValueIRS element (for citing)
Return2022-03-05T15:14:01-06:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN430765316PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RUBINBROWN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE NORTH BRENTWOODAddressLine1Txt
CitySAINT LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN430679177EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MANOR GROVE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMANOBusinessNameControlTxt
Phone3149650864PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 SOUTH KIRKWOOD ROADAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63122ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCAROL EILERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3149650864PhoneNum
Signature2022-02-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCAROLPersonFirstNm
Person LastEILERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKIMBERLY A RYANPreparerPersonNm
PTINP00829977PTIN
Phone3142903300PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJENNIFER MCCALLONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 SOUTH KIRKWOOD ROADAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63122ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$12,158,001GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MANORGROVE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1907FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTO PRESERVE THE QUALITY OF LIFE & PROVIDE EXPERT CARE FROM A HIGHLY SKILLED MULTIDISCIPLINARY TEAM.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee229TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$416,346PYContributionsGrantsAmt
CY Contributions Grants$350,919CYContributionsGrantsAmt
PY Program Service Revenue$9,143,116PYProgramServiceRevenueAmt
CY Program Service Revenue$7,970,277CYProgramServiceRevenueAmt
PY Investment Income$211,720PYInvestmentIncomeAmt
CY Investment Income$776,053CYInvestmentIncomeAmt
PY Other Revenue$21,443PYOtherRevenueAmt
CY Other Revenue-$10,420CYOtherRevenueAmt
PY Total Revenue$9,792,625PYTotalRevenueAmt
CY Total Revenue$9,086,829CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,820,391PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,347,044CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,383,333PYOtherExpensesAmt
CY Other Expenses$4,534,247CYOtherExpensesAmt
PY Total Expenses$10,203,724PYTotalExpensesAmt
CY Total Expenses$10,881,291CYTotalExpensesAmt
PY Revenues Less Expenses-$411,099PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,794,462CYRevenuesLessExpensesAmt
Total Assets BOY$13,985,470TotalAssetsBOYAmt
Total Assets EOY$12,433,260TotalAssetsEOYAmt
Total Liabilities BOY$2,108,295TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,857,419TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$11,877,175NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,575,841NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PRESERVE THE QUALITY OF LIFE THROUGH COMPASSIONATE, EXPERT CARE FROM A HIGHLY SKILLED MULTIDISCIPLINARY TEAM. WE RECOGNIZE THAT GOOD PEOPLE MAKE THE DIFFERENCE AND ARE THE KEY TO PROVIDING QUALITY CARE TO RESIDENTS WHO COME TO US FOR LONG-TERM CARE. WE ASSIST RESIDENTS IN ACHIEVING THEIR HIGHEST POSSIBLE LEVEL OF PHYSICAL, PSYCHOSOCIAL AND SPIRITUAL POTENTIAL, ALWAYS WORKING TO PROTECT AND ENHANCE THEIR DIGNITY. WE SEEK TO CONTINUALLY IMPROVE THE SERVICES WE PROVIDE TO STAY CURRENT WITH THE CHANGING ENVIRONMENT AND TO MAINTAIN A HOME-LIKE ATMOSPHERE FOR OUR FAMILY OF RESIDENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$9,440,862ExpenseAmt
Revenue$7,970,277RevenueAmt
DescOWNING AND OPERATING A LICENSED 117-BED SKILLED NURSING FACILITY LOCATED IN ST. LOUIS, MISSOURI. RENOVATIONS FROM FISCAL YEAR 2008 ADDED A THERAPY ROOM AND MODIFIED 14 ROOMS FOR MEDICARE RESIDENTS. MANOR GROVE'S HOME-LIKE ENVIRONMENT ASSURES PEACE OF MIND FOR RESIDENTS AND THEIR FAMILIES. IN 2015, A NEW PARKING LOT WAS ADDED ON THE NORTH-WEST SIDE OF THE MAIN BUILDING TO ACCOMODATE PARKING NEEDS OF FAMILY MEMBERS AND EMPLOYEES. IN 2017, THE RENOVATION OF THE SECOND FLOOR TOOK PLACE WHICH MADE THE SECOND FLOOR MUCH MORE ATTRACTIVE AND COMFORTABLE TO THE CURRENT AND PROSPECTIVE RESIDENTS. IN 2018, A NEW NURSES CALL SYSTEM WAS INSTALLED ON THE SECOND FLOOR. IN 2019-2020, A NEW GENERATOR WAS PUT IN PLACE. IN 2020-2021, THE ELEVATOR SYSTEM WAS UPGRADED.IN THE CHANGING LANDSCAPE OF COVID, WE HAVE PUT ESSENTIAL EFFORTS AND RESOURCES INTO KEEPING STAFF, VISITORS AND RESIDENTS AS SAFE AS POSSIBLE. WITH PURCHASES OF STATE OF THE ART EQUIPMENT WE HAVE BEEN ABLE TO KEEP OUR INFECTION RATES LOW AND PRODUCTIVITY HIGH. WE PLAN TO CONTINUE THESE EFFORTS THROUGH THE PANDEMIC, ALWAYS LOOKING FOR NEW OPPORTUNITIES TO BETTER OUR VACCINATION, TESTING AND TREATMENT METHODS.Desc
Total Program Service Expenses$9,440,862TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document59IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee229EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROZA KOYENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3149650864PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 SOUTH KIRKWOOD ROADAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63122ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
CAROL EILER
PRESIDENT3.00Yes (X)Yes (X)$0$0$0
GEORGE ROLBY
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
SHEILA EATON
SECRETARY3.00Yes (X)Yes (X)$0$0$0
JIM WIRE
CONTROLLER4.00Yes (X)Yes (X)$0$0$0
PHIL ROUSH
MEMBER1.00Yes (X)$0$0$0
DIANE KEEFE
MEMBER1.00Yes (X)$0$0$0
ANNE ROEHM
MEMBER3.00Yes (X)$0$0$0
E LEE POTTS
MEMBER1.00Yes (X)$0$0$0
HARDY WASHINGTON JR
MEMBER2.00Yes (X)$0$0$0
JASON APPEL
MEMBER1.00Yes (X)$0$0$0
CHRISTINA CAPPIZI
MEMBER2.00Yes (X)$0$0$0
KAREN MIZE
MEMBER1.00Yes (X)$0$0$0
ROZA KOYEN
ACCOUNTANT40.00Yes (X)$63,007$0$12,604
HAROLD LUTZ
ADMINISTRATOR40.00Yes (X)$119,148$0$14,185
JENNIFER MCCALLON
ADMINISTRATOR40.00Yes (X)$55,748$0$9,513
FieldValueIRS element (for citing)
Total Reportable Comp From Org$237,903TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$36,302TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
INTEGRITY HEALTH GROUP
PO BOX 4729WINTER PARKFL327934729NURSING STAFFING$749,613
ALLIANCE REHAB STL LLC DBA SYMBRIA
28100 TORCH PARKWAY SUITE 600WARRENVILLEIL60555THERAPY$291,048
PHARMACY CORPORATION OF AMERICA
PO BOX 409251ATLANTAGA303849251PHARMACY$177,512
KEVIN DEPEW DBA SILVERBACK VIDEO LLC
2342 CENTERLINE INSUSTRIAL DRST LOUISMO63146MARKETING$158,878
BKD LLP CPA AND ADVISORS
910 E ST LOUIS STREET SUITE 200 PSPRINGFIELDMO658011190MEDICARE BILLING$140,942
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$342,135GovernmentGrantsAmt
All Other Contributions$8,784AllOtherContributionsAmt
Total Contributions$350,919TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescELDERLY CAREDesc
Business623000BusinessCd
Total Revenue Column$7,970,277TotalRevenueColumnAmt
Related Or Exempt Func Income$7,970,277RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$7,970,277TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$147,083TotalRevenueColumnAmt
Exclusion$147,083ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$29,200RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$48,996RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$19,796RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$19,796TotalRevenueColumnAmt
Exclusion-$19,796ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,651,146SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,022,176SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$628,970SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$628,970TotalRevenueColumnAmt
Exclusion$628,970ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLANEOUS INCOME900099$7,018$7,018
TRANSPORTATION INCOME900099$2,358$2,358
FieldValueIRS element (for citing)
Other Revenue Total$9,376OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,086,829TotalRevenueColumnAmt
Related Or Exempt Func Income$7,970,277RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$765,633ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$273,240TotalAmt
Program Services$57,636ProgramServicesAmt
Management And General$215,604ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,942,834TotalAmt
Program Services$4,654,170ProgramServicesAmt
Management And General$288,664ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$46,923TotalAmt
Program Services$8,665ProgramServicesAmt
Management And General$38,258ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$703,736TotalAmt
Program Services$608,985ProgramServicesAmt
Management And General$94,751ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$380,311TotalAmt
Program Services$345,517ProgramServicesAmt
Management And General$34,794ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,964TotalAmt
Program Services$3,899ProgramServicesAmt
Management And General$4,065ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$90,853TotalAmt
Management And General$90,853ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$42,106TotalAmt
Management And General$42,106ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,113,599TotalAmt
Program Services$1,113,599ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$156,731TotalAmt
Management And General$156,731ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$421,703TotalAmt
Program Services$390,531ProgramServicesAmt
Management And General$31,172ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$260,943TotalAmt
Program Services$257,551ProgramServicesAmt
Management And General$3,392ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$931TotalAmt
Management And General$931ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,976TotalAmt
Program Services$3,770ProgramServicesAmt
Management And General$3,206ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,783TotalAmt
Management And General$2,783ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$451,018TotalAmt
Program Services$445,155ProgramServicesAmt
Management And General$5,863ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$308,359TotalAmt
Program Services$290,662ProgramServicesAmt
Management And General$17,697ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SERVICE CONTRACTS$483,494$232,102$251,392
MEDICAID NFRA TAX$422,182$422,182
FOOD SERVICE EXPENSES$305,832$305,832
PHARMACY AND SUPPLEMENT$161,642$161,642

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$297,131TotalAmt
Program Services$138,964ProgramServicesAmt
Management And General$158,167ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,881,291TotalAmt
Program Services$9,440,862ProgramServicesAmt
Management And General$1,440,429ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$143,528BOYAmt
EOY$8,032EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,770,710BOYAmt
EOY$1,081,661EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$394,156BOYAmt
EOY$330,226EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$54,346BOYAmt
EOY$269,709EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$105,012BOYAmt
EOY$91,941EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,714,929LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,872,728LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,363,128BOYAmt
EOY$5,842,201EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,846,506BOYAmt
EOY$4,473,211EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$308,084BOYAmt
EOY$336,279EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,985,470BOYAmt
EOY$12,433,260EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$693,396BOYAmt
EOY$552,559EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,906BOYAmt
EOY$26,119EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$288,550BOYAmt
EOY$182,569EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,120,443BOYAmt
EOY$1,096,172EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,108,295BOYAmt
EOY$1,857,419EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,873,691BOYAmt
EOY$10,571,751EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,484BOYAmt
EOY$4,090EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,877,175BOYAmt
EOY$10,575,841EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,985,470BOYAmt
EOY$12,433,260EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,794,462ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$493,128NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$45,974CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,224CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,111CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$416,346CurrentTaxYearMinus1YearAmt
Current Tax Year$350,919CurrentTaxYearAmt
Total$845,574TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,359,302CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,172,972CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,453,698CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,143,116CurrentTaxYearMinus1YearAmt
Current Tax Year$7,970,277CurrentTaxYearAmt
Total$45,099,365TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,600CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,600CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$44,453CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$46,800CurrentTaxYearMinus1YearAmt
Current Tax Year$29,200CurrentTaxYearAmt
Total$175,653TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,432,876CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,222,796CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,508,262CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,606,262CurrentTaxYearMinus1YearAmt
Current Tax Year$8,350,396CurrentTaxYearAmt
Total$46,120,592TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$46,120,592PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$102,525CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$165,262CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$180,340CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$143,339CurrentTaxYearMinus1YearAmt
Current Tax Year$147,083CurrentTaxYearAmt
Total$738,549TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$102,525CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$165,262CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$180,340CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$143,339CurrentTaxYearMinus1YearAmt
Current Tax Year$147,083CurrentTaxYearAmt
Total$738,549TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-$20,759CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,598CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,326CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,316CurrentTaxYearMinus1YearAmt
Current Tax Year$9,376CurrentTaxYearAmt
Total$65,857TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,514,642CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,415,656CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,716,928CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,770,917CurrentTaxYearMinus1YearAmt
Current Tax Year$8,506,855CurrentTaxYearAmt
Total$46,924,998TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98290PublicSupportCY509Pct
Public Support PY5090.97320PublicSupportPY509Pct
Investment Income CY0.01570InvestmentIncomeCYPct
Investment Income PY0.02540InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME - 2016 AMOUNT: $ -20,759. 2017 AMOUNT: $ 27,598. 2018 AMOUNT: $ 28,326. 2019 AMOUNT: $ 21,316. 2020 AMOUNT: $ 9,376.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$418,080OtherCostOrOtherBasisAmt
Book Value$418,080BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,039,501OtherCostOrOtherBasisAmt
Depreciation$7,257,329DepreciationAmt
Book Value$4,782,172BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,261,542OtherCostOrOtherBasisAmt
Depreciation$785,316DepreciationAmt
Book Value$476,226BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$995,806OtherCostOrOtherBasisAmt
Depreciation$830,083DepreciationAmt
Book Value$165,723BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,842,201TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CAPITAL LEASE OBLIGATION$196,527
PAYROLL PROTECTION PROGRAM LOAN$899,645
FieldValueIRS element (for citing)
Total Liability$1,096,172TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$9,535,068TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$493,128NetUnrealizedGainsInvstAmt
Other Revenue-$2,783OtherRevenueAmt
Revenue Not Reported$490,345RevenueNotReportedAmt
Revenue Subtotal$9,044,723RevenueSubtotalAmt
Investment Expenses Not Incld$42,106InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$42,106RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,086,829TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,836,402TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$10,836,402ExpensesSubtotalAmt
Investment Expenses Not Incld2$42,106InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$2,783OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$44,889ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$10,881,291TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:SECURITY DEPOSITS HELD ON BEHALF OF RESIDENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:INTEREST EXPENSE -2,783.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INTEREST EXPENSE 2,783.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES THAT MAY ACT ON BEHALF OF THE FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BTHE ADMINISTRATOR WILL REVIEW THE PREPARED FORM 990. THE BOARD WILL REVIEW AND APPROVE THE 990 DURING THEIR FIRST MEETING AFTER THE 990 HAS BEEN PREPARED. BOARD MEMBERS WILL BE ABLE TO VOICE ANY COMMENTS OR CONCERNS, DECIDE IF ANY CHANGES NEED TO BE MADE.
FORM 990, PART VI, SECTION B, LINE 12CDIRECTORS OF THE BOARD ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. IF THE ADMINISTRATOR OR THE BOARD MEMBER SUSPECTS A CONFLICT OF INTEREST, IT IS DISCLOSED AT THE NEXT BOARD MEETING. THE BOARD MEMBERS DISCUSS THE ISSUES AND ACCEPT OR DENY THE TRANSACTION. THE DISCLOSURE, DISCUSSION, AND DECISION HAPPEN BEFORE THE TRANSACTION OCCURS. NO RESTRICTIONS HAVE BEEN IMPOSED SO FAR.
FORM 990, PART VI, SECTION B, LINE 15AMANAGEMENT REVIEWS COMPENSATION TO VERIFY AMOUNTS ARE COMPARABLE TO OTHER ENTITIES IN THE SAME REGION AND SIZE AMONG OTHER FACTORS. BOARD OF DIRECTORS REVIEW AND APPROVE COMPENSATION FOR THE ADMINISTRATOR.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, THEIR CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 16B:INVESTMENT IN SCN, INC. THE ORGANIZATION ADOPTED A POLICY IN 2015 FOR THE MONITORING OF THIS INVESTMENT. DURING THE 2011 TAX YEAR SCN, INC. CONVERTED FROM A NON PROFIT ORGANIZATION TO A FOR PROFIT ORGANIZATION WITH FIVE MEMBERS, ALL OF WHICH ARE 501(C)(3) ORGANIZATIONS. SCN, INC. HAS BEEN ORGANIZED TO ENABLE ITS MEMBERS TO TAKE ADVANTAGE OF GROUP DISCOUNTS WHEN PURCHASING SUPPLIES AND SERVICES NEEDED FOR OPERATION OF THEIR NURSING HOME AND SKILLED-NURSING FACILITIES.
FORM 990, PART IX, LINE 11GTHERAPY SERVICES: PROGRAM SERVICE EXPENSES 290,752. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 290,752. PROFESSIONAL NURSING: PROGRAM SERVICE EXPENSES 822,847. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 822,847.

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