PRESBYTERIAN RETIREMENT HOMES OF BIRMINGHAM INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- PRESBYTERIAN RETIREMENT HOMES OF BIRMINGHAM INC (EIN 63-0726127)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-09-02
- IRS object ID
- 202242459349300624
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-09-02T12:37:38-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 721396621 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARR RIGGS & INGRAM LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1601 2ND AVENUE EAST | AddressLine1Txt |
| City | ONEONTA | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35121 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 630726127 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESBYTERIAN RETIREMENT HOMES OF | BusinessNameLine1Txt |
| Business Name Line2 | BIRMINGHAM INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PRES | BusinessNameControlTxt |
| Phone | 2059562184 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3605 RATLIFF ROAD | AddressLine1Txt |
| City | BIRMINGHAM | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35210 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHADWICK L CARTER | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2059562184 | PhoneNum |
| Signature | 2022-08-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CHADWICK | PersonFirstNm |
| Person Last | CARTER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JONATHAN D THOMAS | PreparerPersonNm |
| PTIN | P00833737 | PTIN |
| Phone | 2056253472 | PhoneNum |
| Preparation | 2022-08-31 | 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 | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIRKWOOD BY THE RIVER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHADWICK L CARTER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3605 RATLIFF ROAD | AddressLine1Txt |
| City | BIRMINGHAM | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,151,271 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | KIRKWOODBYTHERIVER.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION IS TO MEET THE SOCIAL, PHYSICAL, AND ECONOMIC NEEDS OF THE AGING BY PROVIDING SERVICES INCLUDING INDEPENDENT LIVING ACCOMMODATIONS, ASSISTED LIVING AND SKILLED NURSING CARE OF A COMPREHENSIVE NATURE TO PERSONS REQUIRING THOSE DEGREES OF CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 283 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $244,024 | PYContributionsGrantsAmt |
| CY Contributions Grants | $210,229 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,523,315 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,570,087 | CYProgramServiceRevenueAmt |
| PY Investment Income | $73,929 | PYInvestmentIncomeAmt |
| CY Investment Income | $92,319 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,344,301 | PYOtherRevenueAmt |
| CY Other Revenue | $273,181 | CYOtherRevenueAmt |
| PY Total Revenue | $13,185,569 | PYTotalRevenueAmt |
| CY Total Revenue | $12,145,816 | 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 | $6,790,682 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,259,387 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,276,885 | PYOtherExpensesAmt |
| CY Other Expenses | $5,438,018 | CYOtherExpensesAmt |
| PY Total Expenses | $12,067,567 | PYTotalExpensesAmt |
| CY Total Expenses | $11,697,405 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,118,002 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $448,411 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,022,578 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,717,222 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,627,777 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,407,578 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,394,801 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,309,644 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION IS TO MEET THE SOCIAL, PHYSICAL, AND ECONOMIC NEEDS OF THE AGING BY PROVIDING SERVICES INCLUDING INDEPENDENT LIVING ACCOMMODATIONS, ASSISTED LIVING AND SKILLED NURSING CARE OF A COMPREHENSIVE NATURE TO PERSONS REQUIRING THOSE DEGREES OF CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,441,609 | ExpenseAmt |
| Revenue | $4,964,086 | RevenueAmt |
| Desc | SKILLED NURSING | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,304,951 | ExpenseAmt |
| Revenue | $2,576,088 | RevenueAmt |
| Desc | ASSISTED LIVING | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,754,265 | ExpenseAmt |
| Revenue | $3,078,256 | RevenueAmt |
| Desc | INDEPENDENT LIVING | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $851,494 | ExpenseAmt |
| Revenue | $951,657 | RevenueAmt |
| Desc | PERSONAL CARE SERVICES | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $851,494 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $951,657 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $10,352,319 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 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 | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 283 | 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 |
| 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 | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | 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 | Yes (1) | 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 | WILLIAM C WIDMAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2059562184 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3605 RATLIFF ROAD | AddressLine1Txt |
| City | BIRMINGHAM | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JOSEPH S BEAN JR | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| FRANK E BOYD III | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN H BURTON JR | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PAT M FORMAN | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES E GRISHAM III | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| VERNA L LYONS | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROGER S MCCULLOUGH | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARGARET SHEPHERD | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ALAN W SPEAKER | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DR JULIANNE L VENABLE | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROGER A HARTLINE | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| FRANK H SUTHERLAND JR | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN D HIGGINS III | |||||||
| CHAIRMAN | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| MARGARET H BRUNSTAD | |||||||
| VICE CHAIRMAN | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| JAMES S SNOW | |||||||
| TREASURER | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| JOHN L FEAGIN JR | |||||||
| SECRETARY | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| CAROLYN D GOSLIN | |||||||
| ASSISTANT SECRETARY | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| CHAD CARTER | |||||||
| PRESIDENT | 40.00 | $147,884 | $0 | $7,709 | Yes (X) | ||
| WILLIAM WIDMAN | |||||||
| CFO | 40.00 | $123,589 | $0 | $4,928 | Yes (X) | ||
| JEFF BURCHFIELD | |||||||
| ADMINISTRATOR | 40.00 | $122,945 | $0 | $12,989 | Yes (X) | ||
| BEVERLY PARNELL | |||||||
| DON | 40.00 | $105,275 | $0 | $3,899 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $499,693 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $29,525 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BRASFIELD & GORRIE | |||||
| 3021 7TH AVENUE SOUTH | BIRMINGHAM | AL | 35223 | CONSTRUCTION | $5,109,530 |
| SOUTHERN FOOD MANAGEMENT SERVICES | |||||
| 431 OFFICE PARK DRIVE | BIRMINGHAM | AL | 35223 | FOOD SERVICES | $1,762,429 |
| KPS GROUP | |||||
| 60 14TH STREET SOUTH | BIRMINGHAM | AL | 35233 | CONSTRUCTION | $1,323,964 |
| REHAB CARE GROUP | |||||
| PO BOX 503534 | ST LOUIS | MO | 63150 | THERAPY | $310,472 |
| STEWARTPERRY CONTRACTORS | |||||
| 4855 OLD OVERTON ROAD | BIRMINGHAM | AL | 35210 | CONSTRUCTION | $284,578 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $210,229 | AllOtherContributionsAmt |
| Total Contributions | $210,229 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SKILLED NURSING | 623000 | $4,964,086 | $4,964,086 |
| INDEPENDENT LIVING | 623990 | $4,029,913 | $4,029,913 |
| ASSISTED LIVING | 623990 | $2,576,088 | $2,576,088 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,570,087 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $92,381 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $92,381 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,393 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,455 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$62 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$62 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$62 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CARES ACT | 900099 | $214,074 | $214,074 |
| EMPLOYEE CHRISTMAS GIFT RECEIPTS | 900099 | $49,408 | $49,408 |
| MISCELLANEOUS INCOME | 900099 | $20,500 | $20,500 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$10,801 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$10,801 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $273,181 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,145,816 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,935,587 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | 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 | $499,693 | TotalAmt |
| Management And General | $499,693 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,695,180 | TotalAmt |
| Program Services | $4,199,679 | ProgramServicesAmt |
| Management And General | $495,501 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,789 | TotalAmt |
| Program Services | $50,053 | ProgramServicesAmt |
| Management And General | $31,736 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $594,657 | TotalAmt |
| Program Services | $506,873 | ProgramServicesAmt |
| Management And General | $87,784 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $388,068 | TotalAmt |
| Program Services | $313,728 | ProgramServicesAmt |
| Management And General | $74,340 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,877 | TotalAmt |
| Management And General | $55,877 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,071,628 | TotalAmt |
| Program Services | $2,071,628 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,118 | TotalAmt |
| Program Services | $145,118 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,042 | TotalAmt |
| Program Services | $68,720 | ProgramServicesAmt |
| Management And General | $91,322 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,727 | TotalAmt |
| Program Services | $198,727 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,040 | TotalAmt |
| Program Services | $364,040 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,894 | TotalAmt |
| Program Services | $3,131 | ProgramServicesAmt |
| Management And General | $4,763 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,695 | TotalAmt |
| Program Services | $4,625 | ProgramServicesAmt |
| Management And General | $4,070 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,732 | TotalAmt |
| Program Services | $29,732 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $638,907 | TotalAmt |
| Program Services | $638,907 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,814 | TotalAmt |
| Program Services | $226,814 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| OTHER PROGRAM EXPENSES | $816,590 | $816,590 |
| REPAIRS & MAINTENANCE | $333,615 | $333,615 |
| THERAPY | $329,147 | $329,147 |
| FOOD & NOURISHMENTS | $51,192 | $51,192 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,697,405 | TotalAmt |
| Program Services | $10,352,319 | ProgramServicesAmt |
| Management And General | $1,345,086 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,252 | BOYAmt |
| EOY | $3,250 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,515,058 | BOYAmt |
| EOY | $1,073,453 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000 | BOYAmt |
| EOY | $10,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $906,364 | BOYAmt |
| EOY | $823,357 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,569 | BOYAmt |
| EOY | $51,516 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,896 | BOYAmt |
| EOY | $106,841 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,187,169 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,451,633 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,977,597 | BOYAmt |
| EOY | $4,735,536 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,336,093 | BOYAmt |
| EOY | $3,825,867 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,256,863 | BOYAmt |
| EOY | $1,227,514 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $882,886 | BOYAmt |
| EOY | $9,859,888 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,022,578 | BOYAmt |
| EOY | $21,717,222 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $722,036 | BOYAmt |
| EOY | $1,065,354 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $368,443 | BOYAmt |
| EOY | $214,024 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,576,807 | BOYAmt |
| EOY | $9,670,165 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,960,491 | BOYAmt |
| EOY | $2,458,035 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,627,777 | BOYAmt |
| EOY | $13,407,578 | 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 | $7,394,801 | BOYAmt |
| EOY | $8,309,644 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,394,801 | BOYAmt |
| EOY | $8,309,644 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,022,578 | BOYAmt |
| EOY | $21,717,222 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $448,411 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $466,432 | NetUnrlzdGainsLossesInvstAmt |
| 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 Minus4 Years | $226,718 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $194,124 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $146,283 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $244,024 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $210,229 | CurrentTaxYearAmt |
| Total | $1,021,378 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,673,030 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,839,400 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,190,424 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,523,315 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,570,087 | CurrentTaxYearAmt |
| Total | $55,796,256 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,899,748 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,033,524 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,336,707 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,767,339 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,780,316 | CurrentTaxYearAmt |
| Total | $56,817,634 | 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) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $56,817,634 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $69,842 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $76,171 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $90,484 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $91,962 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $92,319 | CurrentTaxYearAmt |
| Total | $420,778 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $69,842 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $76,171 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $90,484 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $91,962 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $92,319 | CurrentTaxYearAmt |
| Total | $420,778 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $44,274 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $120,058 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $112,575 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,245 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $51,775 | CurrentTaxYearAmt |
| Total | $362,927 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,013,864 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,229,753 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,539,766 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,893,546 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,924,410 | CurrentTaxYearAmt |
| Total | $57,601,339 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98640 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98280 | PublicSupportPY509Pct |
| Investment Income CY | 0.00730 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00900 | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,932,990 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $386,804 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $52,623 | OtherExpendituresAmt |
| Administrative Expenses | $21,042 | AdministrativeExpensesAmt |
| End Year Balance | $3,246,129 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,506,073 | BeginningYearBalanceAmt |
| Contributions | $105,441 | ContributionsAmt |
| Investment Earnings Or Losses | $429,644 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $90,559 | OtherExpendituresAmt |
| Administrative Expenses | $17,609 | AdministrativeExpensesAmt |
| End Year Balance | $2,932,990 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,334,597 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $231,853 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $44,175 | OtherExpendituresAmt |
| Administrative Expenses | $16,202 | AdministrativeExpensesAmt |
| End Year Balance | $2,506,073 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,413,607 | BeginningYearBalanceAmt |
| Contributions | $59,901 | ContributionsAmt |
| Investment Earnings Or Losses | -$52,245 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $72,842 | OtherExpendituresAmt |
| Administrative Expenses | $13,824 | AdministrativeExpensesAmt |
| End Year Balance | $2,334,597 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,164,261 | BeginningYearBalanceAmt |
| Contributions | $16,265 | ContributionsAmt |
| Investment Earnings Or Losses | $298,702 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $56,820 | OtherExpendituresAmt |
| Administrative Expenses | $8,801 | AdministrativeExpensesAmt |
| End Year Balance | $2,413,607 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $774,068 | OtherCostOrOtherBasisAmt |
| Book Value | $774,068 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,823,746 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,078,795 | DepreciationAmt |
| Book Value | $2,744,951 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,589,355 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,372,838 | DepreciationAmt |
| Book Value | $1,216,517 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,735,536 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| REGIONS REFUND RESERVE BONDS & CD'S | $1,201,814 | C |
| INSURANCE STOCK | $25,700 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $1,227,514 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ACCTS RECEIVABLE - GENERAL | $25,973 |
| ACCRUED INTEREST - INVESTMENT | $5,635 |
| CONSTRUCTION IN PROGRESS - GENERAL | $9,826,530 |
| EVENT DEPOSIT | $1,750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $9,859,888 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (15 entries)
| DescDesc | AmtAmt |
|---|---|
| RESIDENT CREDIT BALANCES | $110,464 |
| EMPLOYEE CHRISTMAS FUND | $5,876 |
| LIBRARY FUND | $3,527 |
| KIRKWARES STORE | $1,908 |
| CHAPEL FUND | $24,398 |
| FLOWER FUND | $5,623 |
| CHAPLAIN DISCRETIONARY FUND | $1,881 |
| FULL PAYMENT PLAN | $367,899 |
| PARTIAL PAYMENT PLAN | $479,500 |
| APT REOCCUPIED - REFUND AT DEATH | $350,925 |
| RESIDENT DIED/MOVED - UNIT NOT YET | $5,810 |
| DUE AT DEATH & REOCCUPANCY | $266,410 |
| PRIORITY DEPOSITS | $10,675 |
| TRADITIONAL PLANS | $820,639 |
| CONTRACT FEES OUTSTANDING | $2,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,458,035 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $12,612,248 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $466,432 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $466,432 | RevenueNotReportedAmt |
| Revenue Subtotal | $12,145,816 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $12,145,816 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,697,405 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,697,405 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,697,405 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHAD CARTER | PersonNm |
| Title | PRESIDENT | TitleTxt |
| Base Compensation Filing Org | $147,884 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $4,792 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $2,917 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $155,593 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | ALL BOARD MEMBERS RECEIVE A COPY OF THE FINAL FORM 990 AND ALL SUPPORTING SCHEDULES BEFORE FILING. THEY ALSO RECEIVE WRITTEN INFORMATION THAT PROVIDES GUIDANCE TO ASSIST THEM IN REVIEWING THE FORMS. ALL BOARD MEMBERS CAN DIRECT THEIR QUESTIONS TO THE TREASURER OR CFO. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS CIRCULATED ANNUALLY TO ALL BOARD MEMBERS AND KEY EMPLOYEES. ALL NEW BOARD MEMBERS AND KEY EMPLOYEES ARE PROVIDED A COPY OF THE POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PERSONNEL COMMITTEE AND BOARD CHAIRMAN REVIEW THE COMPENSATION OF ALL KEY EMPLOYEES ON AN ANNUAL BASIS. THE NATIONAL CCRC COMPENSATION AND BENEFITS SURVEY IS USED AS A GUIDE TO HELP ESTABLISH COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | ARTICLES, BY-LAWS, INFORMATION RETURNS AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. |
| FORM 990, PART IX, LINE 11G | MEDICATIONS/VACCINES: PROGRAM SERVICE EXPENSES 115,018. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 115,018. CONSULTANTS SKILLED NUSING: PROGRAM SERVICE EXPENSES 22,382. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,382. CONSULTANTS - MEDICARE COST REPORT: PROGRAM SERVICE EXPENSES 3,200. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,200. DIETARY - HOUSEKEEPING: PROGRAM SERVICE EXPENSES 1,931,028. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,931,028. |