MANOR GROVE INCORPORATED: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
MANOR GROVE INCORPORATED (EIN 43-0679177)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-03-19
IRS object ID
202120789349300647
Schema version
2019v5.2
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)
Return2021-03-19T18:27:27-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

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 Begin2019-07-01TaxPeriodBeginDt

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)
PersonGEORGE ROLBYPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3149650864PhoneNum
Signature2021-03-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonARIANA N WARRENPreparerPersonNm
PTINP01441395PTIN
Phone3142903300PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerHAROLD LUTZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 SOUTH KIRKWOOD ROADAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63122ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,123,523GrossReceiptsAmt
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 Employee294TotalEmployeeCnt
Total Volunteers22TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,111PYContributionsGrantsAmt
CY Contributions Grants$416,346CYContributionsGrantsAmt
PY Program Service Revenue$9,453,698PYProgramServiceRevenueAmt
CY Program Service Revenue$9,143,116CYProgramServiceRevenueAmt
PY Investment Income$221,493PYInvestmentIncomeAmt
CY Investment Income$211,720CYInvestmentIncomeAmt
PY Other Revenue$24,959PYOtherRevenueAmt
CY Other Revenue$21,443CYOtherRevenueAmt
PY Total Revenue$9,710,261PYTotalRevenueAmt
CY Total Revenue$9,792,625CYTotalRevenueAmt
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$5,971,983PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,820,391CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,831,196PYOtherExpensesAmt
CY Other Expenses$4,383,333CYOtherExpensesAmt
PY Total Expenses$9,803,179PYTotalExpensesAmt
CY Total Expenses$10,203,724CYTotalExpensesAmt
PY Revenues Less Expenses-$92,918PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$411,099CYRevenuesLessExpensesAmt
Total Assets BOY$13,404,069TotalAssetsBOYAmt
Total Assets EOY$13,985,470TotalAssetsEOYAmt
Total Liabilities BOY$1,047,410TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,108,295TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$12,356,659NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,877,175NetAssetsOrFundBalancesEOYAmt
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$8,913,514ExpenseAmt
Revenue$9,143,116RevenueAmt
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.Desc
Total Program Service Expenses$8,913,514TotalProgramServiceExpensesAmt
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 Document61IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee294EmployeeCnt
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 DocumentsYes (1)ChangeToOrgDocumentsInd
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
GEORGE ROLBY
PRESIDENT3.00Yes (X)Yes (X)$0$0$0
CAROL EILER
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
SHEILA EATON
SECRETARY3.00Yes (X)Yes (X)$0$0$0
PHIL ROUSH
TREASURER1.00Yes (X)Yes (X)$0$0$0
JIM WIRE
CONTROLLER1.00Yes (X)Yes (X)$0$0$0
LUKE BAUMSTARK
MEMBER1.00Yes (X)$0$0$0
BOB BRUCKNER
MEMBER1.00Yes (X)$0$0$0
DIANE KEEFE
MEMBER1.00Yes (X)$0$0$0
DR ANNA NAUMOVICH
MEMBER1.00Yes (X)$0$0$0
E LEE POTTS
MEMBER1.00Yes (X)$0$0$0
ANNE ROEHM
MEMBER2.00Yes (X)$0$0$0
HARDY WASHINGTON JR
MEMBER1.00Yes (X)$0$0$0
ROZA KOYEN
ACCOUNTANT40.00Yes (X)$60,431$0$10,625
BARBARA ERRICO
ADMINISTRATOR40.00Yes (X)$83,546$0$7,441
HAROLD LUTZ
ADMINISTRATOR40.00Yes (X)$30,701$0$1,401
FieldValueIRS element (for citing)
Total Reportable Comp From Org$174,678TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$19,467TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
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
ALLIANCE REHAB STL LLC DBA SYBRIA REHAB
28100 TORCH PARKWAY SUITE 600WARRENVILLEIL60666THERAPY$339,275
US FOODSERVICE
PO BOX 504854ST LOUISMO63150FOOD$289,251
MEDLINE INDUSTRIES INC
DEPT CH 14400PALATINEIL600554400MEDICAL SUPPLIES$204,846
PHARMACY CORPORATION OF AMERICA
PO BOX 409251ATLANTAGA303849251PRESCRIPTIONS$192,407
KEVIN DEPEW DBA SILVERBACK VIDEO LLC
2342 CENTERLINE INSUSTRIAL DRST LOUISMO63146MARKETING$120,979
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Government Grants$406,417GovernmentGrantsAmt
All Other Contributions$9,929AllOtherContributionsAmt
Total Contributions$416,346TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescELDERLY CAREDesc
Business623000BusinessCd
Total Revenue Column$9,143,116TotalRevenueColumnAmt
Related Or Exempt Func Income$9,143,116RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$9,143,116TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$143,339TotalRevenueColumnAmt
Exclusion$143,339ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$46,800RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$46,673RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$127RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$127TotalRevenueColumnAmt
Exclusion$127ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,352,606SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,284,225SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$68,381SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$68,381TotalRevenueColumnAmt
Exclusion$68,381ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLANEOUS INCOME900099$15,990$15,990
TRANSPORTATION INCOME900099$5,326$5,326
FieldValueIRS element (for citing)
Other Revenue Total$21,316OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,792,625TotalRevenueColumnAmt
Related Or Exempt Func Income$9,143,116RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$233,163ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$198,259TotalAmt
Program Services$37,015ProgramServicesAmt
Management And General$161,244ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,572,138TotalAmt
Program Services$4,308,215ProgramServicesAmt
Management And General$263,923ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$42,614TotalAmt
Program Services$5,129ProgramServicesAmt
Management And General$37,485ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$659,208TotalAmt
Program Services$561,674ProgramServicesAmt
Management And General$97,534ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$348,172TotalAmt
Program Services$318,018ProgramServicesAmt
Management And General$30,154ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$22,688TotalAmt
Program Services$4,329ProgramServicesAmt
Management And General$18,359ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$84,289TotalAmt
Management And General$84,289ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$40,613TotalAmt
Management And General$40,613ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,212,809TotalAmt
Program Services$1,212,809ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$150,103TotalAmt
Management And General$150,103ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$377,805TotalAmt
Program Services$345,232ProgramServicesAmt
Management And General$32,573ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$256,192TotalAmt
Program Services$252,862ProgramServicesAmt
Management And General$3,330ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$714TotalAmt
Management And General$714ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,671TotalAmt
Program Services$3,898ProgramServicesAmt
Management And General$3,773ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,907TotalAmt
Management And General$3,907ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$447,794TotalAmt
Program Services$441,973ProgramServicesAmt
Management And General$5,821ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$264,872TotalAmt
Program Services$251,504ProgramServicesAmt
Management And General$13,368ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAID NFRA TAX$427,396$427,396
SERVICE CONTRACTS$337,977$37,111$300,866
FOOD SERVICE EXPENSES$314,491$314,491
PHARMACY AND SUPPLEMENT$164,237$164,237

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$269,775TotalAmt
Program Services$227,621ProgramServicesAmt
Management And General$42,154ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,203,724TotalAmt
Program Services$8,913,514ProgramServicesAmt
Management And General$1,290,210ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,816BOYAmt
EOY$143,528EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$834,076BOYAmt
EOY$1,770,710EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$404,376BOYAmt
EOY$394,156EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$49,889BOYAmt
EOY$54,346EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$74,443BOYAmt
EOY$105,012EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,847,319LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,484,191LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,516,353BOYAmt
EOY$6,363,128EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,210,623BOYAmt
EOY$4,846,506EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$307,493BOYAmt
EOY$308,084EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,404,069BOYAmt
EOY$13,985,470EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$610,969BOYAmt
EOY$693,396EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$15,319BOYAmt
EOY$5,906EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$328,358BOYAmt
EOY$288,550EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$92,764BOYAmt
EOY$1,120,443EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,047,410BOYAmt
EOY$2,108,295EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,346,072BOYAmt
EOY$11,873,691EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,587BOYAmt
EOY$3,484EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,356,659BOYAmt
EOY$11,877,175EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,404,069BOYAmt
EOY$13,985,470EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$411,099ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$68,385NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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$62,872CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,974CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,224CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,111CurrentTaxYearMinus1YearAmt
Current Tax Year$416,346CurrentTaxYearAmt
Total$557,527TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,048,910CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,359,302CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,172,972CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,453,698CurrentTaxYearMinus1YearAmt
Current Tax Year$9,143,116CurrentTaxYearAmt
Total$46,177,998TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,172CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,600CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,600CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$44,453CurrentTaxYearMinus1YearAmt
Current Tax Year$46,800CurrentTaxYearAmt
Total$162,625TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,127,954CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,432,876CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,222,796CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,508,262CurrentTaxYearMinus1YearAmt
Current Tax Year$9,606,262CurrentTaxYearAmt
Total$46,898,150TotalAmt

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$46,898,150PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$634,467CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$102,525CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$165,262CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$180,340CurrentTaxYearMinus1YearAmt
Current Tax Year$143,339CurrentTaxYearAmt
Total$1,225,933TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$634,467CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$102,525CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$165,262CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$180,340CurrentTaxYearMinus1YearAmt
Current Tax Year$143,339CurrentTaxYearAmt
Total$1,225,933TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,444CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$20,759CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,598CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,326CurrentTaxYearMinus1YearAmt
Current Tax Year$21,316CurrentTaxYearAmt
Total$64,925TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,770,865CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,514,642CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,415,656CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,716,928CurrentTaxYearMinus1YearAmt
Current Tax Year$9,770,917CurrentTaxYearAmt
Total$48,189,008TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97320PublicSupportCY509Pct
Public Support PY5090.97340PublicSupportPY509Pct
Investment Income CY0.02540InvestmentIncomeCYPct
Investment Income PY0.02560InvestmentIncomePYPct
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 - 2015 AMOUNT: $ 8,444. 2016 AMOUNT: $ -20,759. 2017 AMOUNT: $ 27,598. 2018 AMOUNT: $ 28,326. 2019 AMOUNT: $ 21,316.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$12,148,511OtherCostOrOtherBasisAmt
Depreciation$6,917,847DepreciationAmt
Book Value$5,230,664BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,173,956OtherCostOrOtherBasisAmt
Depreciation$760,880DepreciationAmt
Book Value$413,076BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,106,772OtherCostOrOtherBasisAmt
Depreciation$805,464DepreciationAmt
Book Value$301,308BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,363,128TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CAPITAL LEASE OBLIGATION$69,616
PAYROLL PROTECTION PROGRAM LOAN$1,050,827
FieldValueIRS element (for citing)
Total Liability$1,120,443TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$9,679,720TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$68,385NetUnrealizedGainsInvstAmt
Other Revenue-$3,907OtherRevenueAmt
Revenue Not Reported-$72,292RevenueNotReportedAmt
Revenue Subtotal$9,752,012RevenueSubtotalAmt
Investment Expenses Not Incld$40,613InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$40,613RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,792,625TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,159,204TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$10,159,204ExpensesSubtotalAmt
Investment Expenses Not Incld2$40,613InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$3,907OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$44,520ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$10,203,724TotalExpensesPerForm990Amt

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 -3,907.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INTEREST EXPENSE 3,907.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4DURING THE YEAR ENDED JUNE 30, 2020, TWO SIGNIFICANT CHANGES WERE MADE TO THE BYLAWS. THE FIRST WAS TO REMOVE THE TREASURER POSITION ON THE BOARD, FOR WHICH THE DUTIES WILL NOW BE PERFORMED BY THE CONTROLLER. THE SECOND CHANGE REDUCED THE REQUIRED RANGE OF THE NUMBER OF BOARD MEMBERS FROM 12-20, TO 9-15.
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 336,664. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 336,664. PROFESSIONAL NURSING: PROGRAM SERVICE EXPENSES 876,145. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 876,145.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS NOT CHANGED ITS METHOD OF SUPERVISING THE AUDIT IN THE LAST YEAR.

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