BOONE COUNTY SENIOR CITIZEN SERVICE CORPORATION: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: BOONE COUNTY SENIOR CITIZEN SERVICE CORPORATION (EIN 43-1836344)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-06-16
IRS object ID: 202541679349301294
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-06-16T15:26:28+00:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E St Louis 200 PO Box 1190	AddressLine1Txt
City	Springfield	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	658062523	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	431836344	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BOONE COUNTY SENIOR CITIZENS SERVICES CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BOON	BusinessNameControlTxt
Phone	5734426060	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3105 BLUFF CREEK DRIVE	AddressLine1Txt
City	COLUMBIA	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65201	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHRISTINA MOORE	PersonNm
Person Title	EXCUTIVE DIRECTOR	PersonTitleTxt
Signature	2025-06-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum
Preparation	2025-06-16	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	THE BLUFFS	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTINA MOORE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3105 BLUFF CREEK DRIVE	AddressLine1Txt
City	COLUMBIA	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65201	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$13,330,121	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.THEBLUFFSCOLUMBIA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1999	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	THE PROMOTION OF HEALTH CARE TO THE CITIZENS OF BOONE COUNTY, MISSOURI AND SURROUNDING AREAS.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	379	TotalEmployeeCnt
Total Volunteers	45	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$25,243	PYContributionsGrantsAmt
CY Contributions Grants	$461	CYContributionsGrantsAmt
PY Program Service Revenue	$13,161,876	PYProgramServiceRevenueAmt
CY Program Service Revenue	$13,321,066	CYProgramServiceRevenueAmt
PY Investment Income	$325,442	PYInvestmentIncomeAmt
CY Investment Income	$8,594	CYInvestmentIncomeAmt
PY Other Revenue	$11,186	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$13,523,747	PYTotalRevenueAmt
CY Total Revenue	$13,330,121	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	$7,763,765	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$8,385,086	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$4,606,910	PYOtherExpensesAmt
CY Other Expenses	$5,010,943	CYOtherExpensesAmt
PY Total Expenses	$12,370,675	PYTotalExpensesAmt
CY Total Expenses	$13,396,029	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,153,072	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$65,908	CYRevenuesLessExpensesAmt
Total Assets BOY	$7,873,864	TotalAssetsBOYAmt
Total Assets EOY	$7,555,786	TotalAssetsEOYAmt
Total Liabilities BOY	$7,389,666	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$7,137,496	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$484,198	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$418,290	NetAssetsOrFundBalancesEOYAmt
Mission	THE BLUFFS IS A NOT-FOR-PROFIT NURSING HOME SERVING PEOPLE OF DIVERSE BACKGROUNDS, CULTURES, RESOURCES, AND MEANS. WE EMPOWER STAFF WITH THE KNOWLEDGE AND SUPPORT NEEDED TO FACILITATE MEANINGFUL LIVES FOR RESIDENTS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$12,118,357	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$13,321,066	RevenueAmt
Desc	THE SERVICES PROVIDED BY BOONE COUNTY SENIOR CITIZEN SERVICES CORPORATION ARE THE OPERATION OF A MODERN 132-BED SKILLED NURSING HOME WHICH PROVIDES 24-HOUR NURSING SERVICES BY QUALIFIED AND EXPERIENCED LICENSED AND CERTIFIED STAFF. OTHER RELATED SERVICES INCLUDE PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, THE ADMINISTRATION OF MEDICATION, HOSPICE CARE, AND OTHER ACTIVITIES THAT NORMALLY OCCUR IN A NURSING HOME SETTING. APPROXIMATELY 55% OF THE RESIDENTS RECEIVE PUBLIC ASSISTANCE IN THE FORM OF MEDICAID OR MEDICARE.	Desc
Total Program Service Expenses	$12,118,357	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	Yes (true)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	19	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	379	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTINA MOORE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5734426060	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3105 BLUFF CREEK DRIVE	AddressLine1Txt
City	COLUMBIA	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65201	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
BARRY GILBERT
BOARD MEMBER/ VICE PRESIDENT	3.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DE MINNER
BOARD MEMBER/ PRESIDENT BEG 03/24	3.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MILA CUNNINGHAM
BOARD PRESIDENT END 03/24	3.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
ROBERT HULL
TREASURER	3.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
SUZETTE BACON
SECRETARY BEG 03/24	3.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
BETH SIMPSON
BOARD MEMBER BEG 09/24	3.0	0.0	Yes (X)		$0	$0	$0
EVAN PROST
BOARD MEMBER BEG 04/24	3.0	0.0	Yes (X)		$0	$0	$0
JANET MOSS
MEMBER	3.0	0.0	Yes (X)		$0	$0	$0
TARA VELLOFF-BURRIS
BOARD MEMBER	3.0	0.0	Yes (X)		$0	$0	$0
CHRISTINA MOORE
EXECUTIVE DIRECTOR	40.0	0.0		Yes (X)	$95,336	$0	$16,005
JULIA FAIRCHILD
FINANCE DIRECTOR	40.0	0.0		Yes (X)	$62,180	$0	$10,586

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$157,516	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$26,591	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
PHYSICAL PERFORMANCE SYSTEMS
PO BOX 30110	COLUMBIA	MO	65205	THERAPY SERVICES	$735,881
GRAPE TREE MEDICAL STAFFING
2501 BOJI BEND DR	MILFORD	IA	513511245	AGENCY STAFFING	$202,204	SUITE 100
OMNICARE INC
PO BOX 78000	DETROIT	MI	48278	PHARMACY	$184,641
PULSE MEDICAL STAFFING
4240 PHILLIPS FARM RD	COLUMBIA	MO	65201	AGENCY STAFFING	$176,725	SUITE 1

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$461	AllOtherContributionsAmt
Total Contributions	$461	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	623000	$13,303,622	$13,303,622
OTHER REVENUE	900099	$17,444	$17,444

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$13,321,066	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,594	TotalRevenueColumnAmt
Exclusion	$8,594	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,330,121	TotalRevenueColumnAmt
Related Or Exempt Func Income	$13,321,066	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$8,594	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$184,107	TotalAmt
Management And General	$184,107	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$6,824,450	TotalAmt
Program Services	$6,537,364	ProgramServicesAmt
Management And General	$287,086	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$120,193	TotalAmt
Program Services	$118,774	ProgramServicesAmt
Management And General	$1,419	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$728,689	TotalAmt
Program Services	$700,949	ProgramServicesAmt
Management And General	$27,740	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$527,647	TotalAmt
Program Services	$494,047	ProgramServicesAmt
Management And General	$33,600	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,235	TotalAmt
Management And General	$1,235	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$66,573	TotalAmt
Management And General	$66,573	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,179,615	TotalAmt
Program Services	$1,179,615	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$84,148	TotalAmt
Program Services	$9,225	ProgramServicesAmt
Management And General	$74,923	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$461,038	TotalAmt
Program Services	$272,249	ProgramServicesAmt
Management And General	$188,789	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$142,648	TotalAmt
Program Services	$133,427	ProgramServicesAmt
Management And General	$9,221	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$388,438	TotalAmt
Program Services	$290,953	ProgramServicesAmt
Management And General	$97,485	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$32,218	TotalAmt
Program Services	$30,871	ProgramServicesAmt
Management And General	$1,347	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$25,292	TotalAmt
Program Services	$16,877	ProgramServicesAmt
Management And General	$8,415	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$222,145	TotalAmt
Program Services	$207,785	ProgramServicesAmt
Management And General	$14,360	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$406,670	TotalAmt
Program Services	$380,382	ProgramServicesAmt
Management And General	$26,288	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$228,887	TotalAmt
Management And General	$228,887	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES & DRUGS	$564,854	$564,854
NFRA FEE	$555,752	$555,752
DIETARY SUPPLIES	$471,268	$471,268
BAD DEBT EXPENSE	$87,188	$87,188

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$92,974	TotalAmt
Program Services	$66,777	ProgramServicesAmt
Management And General	$26,197	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,396,029	TotalAmt
Program Services	$12,118,357	ProgramServicesAmt
Management And General	$1,277,672	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$200	BOYAmt
EOY	$200	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,385,531	BOYAmt
EOY	$1,389,856	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,227,942	BOYAmt
EOY	$1,163,210	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$58,126	BOYAmt
EOY	$55,240	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$207,898	BOYAmt
EOY	$190,461	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$14,057,795	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$9,304,281	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$4,991,176	BOYAmt
EOY	$4,753,514	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,991	BOYAmt
EOY	$3,305	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,873,864	BOYAmt
EOY	$7,555,786	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$841,036	BOYAmt
EOY	$871,069	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$39,824	BOYAmt
EOY	$23,342	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$6,008,806	BOYAmt
EOY	$5,743,085	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$500,000	BOYAmt
EOY	$500,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,389,666	BOYAmt
EOY	$7,137,496	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	$484,198	BOYAmt
EOY	$418,290	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$484,198	BOYAmt
EOY	$418,290	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,873,864	BOYAmt
EOY	$7,555,786	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$65,908	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

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	$1,858,057	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$755,540	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,988	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$25,243	CurrentTaxYearMinus1YearAmt
Current Tax Year	$461	CurrentTaxYearAmt
Total	$2,647,289	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$8,376,090	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$10,811,809	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$11,853,932	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$13,161,876	CurrentTaxYearMinus1YearAmt
Current Tax Year	$13,321,066	CurrentTaxYearAmt
Total	$57,524,773	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$10,234,147	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,567,349	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$11,861,920	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$13,187,119	CurrentTaxYearMinus1YearAmt
Current Tax Year	$13,321,527	CurrentTaxYearAmt
Total	$60,172,062	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$60,172,062	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$8,006	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,939	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,737	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12,794	CurrentTaxYearMinus1YearAmt
Current Tax Year	$8,594	CurrentTaxYearAmt
Total	$41,070	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$8,006	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,939	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,737	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12,794	CurrentTaxYearMinus1YearAmt
Current Tax Year	$8,594	CurrentTaxYearAmt
Total	$41,070	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,186	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$11,186	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$10,242,153	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,569,288	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$11,871,657	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$13,211,099	CurrentTaxYearMinus1YearAmt
Current Tax Year	$13,330,121	CurrentTaxYearAmt
Total	$60,224,318	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99913	PublicSupportCY509Pct
Public Support PY509	0.99897	PublicSupportPY509Pct
Investment Income CY	0	InvestmentIncomeCYPct
Investment Income PY	0.0	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 Other Income	FormAndLineReferenceDesc
Explanation	DESCRIPTION - INSURANCE PROCEEDS, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 11186.0, COLUMN E - 0.0, COLUMN F - 11186.0;	ExplanationTxt

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$1,863	OtherActivitiesAmt
Total Lobbying Expenditures	$1,863	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS A MEMBER OF THE MISSOURI HEALTH CARE ASSOCIATION AND AMERICAN HEALTH CARE ASSOCIATION. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING PURPOSES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	false	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (true)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,835,885	OtherCostOrOtherBasisAmt
Depreciation	$6,404,475	DepreciationAmt
Book Value	$4,431,410	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,221,910	OtherCostOrOtherBasisAmt
Depreciation	$2,899,806	DepreciationAmt
Book Value	$322,104	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,753,514	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$13,330,121	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$13,330,121	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$13,330,121	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$13,396,029	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$13,396,029	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$13,396,029	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
Schedule D, Part IV, Line 2b Explanation of escrow agreement	THE PROJECT IS THE TRUSTEE OF FUNDS RECEIVED ON BEHALF OF VARIOUS RESIDENTS. THE PROJECT HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THE BANK ACCOUNT AND THE DISTRIBUTION OF THE FUNDS TO RESIDENTS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE BOARD OF DIRECTORS REVIEWS THE FORM 990 AFTER FILING THE FORM 990.
Form 990, Part VI, Line 12c Conflict of interest policy	EACH DIRECTOR WILL BE REQUIRED ANNUALLY TO COMPLETE A DISCLOSURE OF CONFLICT-OF-INTEREST FORM FOR THE PURPOSE OF DISCLOSING CONFLICT PRIOR TO BOARD DISCUSSIONS OR ACTIONS. IN THE EVENT ANY OFFICER OR DIRECTOR SHALL HAVE ANY DIRECT OR INDIRECT INTEREST IN, OR RELATIONSHIP WITH, ANY INDIVIDUAL OR ORGANIZATION WHICH PROPOSES TO ENTER INTO ANY TRANSACTION WITH THE CORPORATION, INCLUDING BUT NOT LIMITED TO: (A) THE SALE, PURCHASE, LEASE OR RENTAL OF ANY PROPERTY OR ASSETS; (B) EMPLOYMENT, OR RENDITION OF SERVICES, PERSONAL OR OTHERWISE; (C) THE AWARD OF ANY DONATION GRANT, CONTRACT OR SUBCONTRACT; OR (D) THE INVESTMENT OR DEPOSIT OF ANY FUNDS OF THE CORPORATION; THEN SUCH PERSON SHALL GIVE NOTICE OF SUCH INTEREST OR RELATIONSHIP AND SHALL THEREAFTER REFRAIN FROM DISCUSSING OR VOTING ON THE PARTICULAR TRANSACTION IN WHICH THEY HAVE AN INTEREST OR OTHERWISE ATTEMPTING TO EXERT ANY INFLUENCE ON THE BOARD, OR ITS COMMITTEES, TO AFFECT A DECISION TO PARTICIPATE OR NOT PARTICIPATE IN SUCH TRANSACTION. NOTWITHSTANDING THE FOREGOING, SUCH PERSON MAY OFFER INPUT OR PRESENT OPTIONS REGARDING THE TRANSACTION PRIOR TO ANY MOTION BEING MADE TO PUT THE TRANSACTION TO A VOTE BY THE BOARD OR ITS COMMITTEES.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	SALARY FOR THE EXECUTIVE DIRECTOR IS REVIEWED AND ASSIGNED BY THE INDEPENDENT BOARD OF DIRECTORS USING WAGE COMPARISONS FOR INDIVIDUALS IN THE SAME POSITION IN SIMILAR ORGANIZATIONS OF THE SAME SIZE. THE EXECUTIVE DIRECTOR RECEIVES AN ANNUAL EVALUATION OF WORK PERFORMANCE AND SALARY DECISIONS ARE BASED UPON THIS. THE EXECUTIVE DIRECTOR REVIEWS AND ASSIGNS OTHER OFFICERS' SALARIES, WITH INDEPENDENT BOARD APPROVAL USING WAGE COMPARISONS FOR INDIVIDUALS IN THE SAME POSITIONS IN SIMILAR ORGANIZATIONS OF THE SAME SIZE. EMPLOYEES RECEIVE AN ANNUAL EVALUATION AND MAY EARN UP TO A 3% INCREASE BASED UPON THE EVALUATION. THE COMPENSATION REVIEW OF TOP MANAGEMENT OFFICIAL WAS LAST DONE IN 2024.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	TORI MOORE, EXECUTIVE DIRECTOR AND TAMMY KAIN, HR DIRECTOR, REVIEW ALL OTHER COMPENSATION AGREEMENTS.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE DOCUMENTS WILL BE PROVIDED UPON REQUEST.