LAKEWOOD HEALTHCARE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
LAKEWOOD HEALTHCARE INC (EIN 71-0680133)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-04-30
IRS object ID
202131209349300228
Schema version
2019v5.0
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)
Return2021-04-30T13:18:07-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN208153372PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BANKS CPA PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1204 N 27TH STAddressLine1Txt
CityARKADELPHIACityNm
State AbbreviationARStateAbbreviationCd
ZIP719234202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710680133EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LAKEWOOD HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLAKEBusinessNameControlTxt
Phone5016239422PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1204 NORTH 27TH STREETAddressLine1Txt
CityARKADELPHIACityNm
State AbbreviationARStateAbbreviationCd
ZIP71923ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCLYDE COVINGTONPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5012621920PhoneNum
Signature2021-04-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEPHANIE M BANKSPreparerPersonNm
PTINP00709038PTIN
Phone8702453975PhoneNum
Preparation2021-04-30PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCLYDE COVINGTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1112 ORCHARDAddressLine1Txt
CityHOT SPRINGSCityNm
State AbbreviationARStateAbbreviationCd
ZIP71913ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,431GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressLAKEWOODHOTSPRINGS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionCARE FOR THE ELDERLY.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee82TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$6,447PYContributionsGrantsAmt
CY Contributions Grants$5,959CYContributionsGrantsAmt
PY Program Service Revenue$1,993,183PYProgramServiceRevenueAmt
CY Program Service Revenue$82CYProgramServiceRevenueAmt
PY Investment Income$2,188,924PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$3,512PYOtherRevenueAmt
CY Other Revenue$5,390CYOtherRevenueAmt
PY Total Revenue$4,192,066PYTotalRevenueAmt
CY Total Revenue$11,431CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,333,716PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,189CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$807,809PYOtherExpensesAmt
CY Other Expenses$59,398CYOtherExpensesAmt
PY Total Expenses$2,141,525PYTotalExpensesAmt
CY Total Expenses$62,587CYTotalExpensesAmt
PY Revenues Less Expenses$2,050,541PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$51,156CYRevenuesLessExpensesAmt
Total Assets BOY$2,087,701TotalAssetsBOYAmt
Total Assets EOY$2,036,545TotalAssetsEOYAmt
Total Liabilities BOY$9,873TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,873TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,077,828NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,026,672NetAssetsOrFundBalancesEOYAmt
MissionCARE FOR THE ELDERLY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$6,514ExpenseAmt
DescSKILLED NURSING HOME FACILITY ACCOMODATING 80 ELDERLY RESIDENTS, WITH EMPHASIS ON REHABILITATION AND DIGNITY.Desc
Total Program Service Expenses$6,514TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee82EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPAT MALONEPersonNm
Phone8702453975PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1204 NORTH 27TH STREETAddressLine1Txt
CityARKADELPHIACityNm
State AbbreviationARStateAbbreviationCd
ZIP71923ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
TAMMY BURKHART
DIRECTORYes (X)$0$0$0
CLYDE COVINGTON
PRESIDENTYes (X)$0$0$0Yes (X)
KATHY FISCHER
VICE PRESIDEYes (X)$0$0$0Yes (X)
MARSHA MCALLISTER
DIRECTORYes (X)$0$0$0
PATTY RODDENBERRY
DIRECTORYes (X)$0$0$0
JUDY YOUNG
SECRETARY/TRYes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$5,959AllOtherContributionsAmt
Total Contributions$5,959TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNURSING HOME REVENUEDesc
Total Revenue Column$82TotalRevenueColumnAmt
Related Or Exempt Func Income$82RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$82TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business623000BusinessCd
Total Revenue Column$5,390TotalRevenueColumnAmt
Related Or Exempt Func Income$5,390RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,390OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,431TotalRevenueColumnAmt
Related Or Exempt Func Income$5,472RelatedOrExemptFuncIncomeAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,189TotalAmt
Program Services$3,189ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,232TotalAmt
Management And General$10,232ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,394TotalAmt
Management And General$9,394ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
PENALTY-AR MEDICAID TRUST$25,000$25,000
CONTRIBUTIONS$10,000$10,000
MEDICAL LAB TESTS$1,797$1,797
MISCELLANEOUS ADMIN. EXPE$1,442$1,442

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,533TotalAmt
Program Services$1,528ProgramServicesAmt
Management And General$5ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$62,587TotalAmt
Program Services$6,514ProgramServicesAmt
Management And General$56,073ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,868,871BOYAmt
EOY$1,809,759EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$214,205BOYAmt
EOY$213,867EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,625BOYAmt
EOY$12,919EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,087,701BOYAmt
EOY$2,036,545EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,873BOYAmt
EOY$9,873EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,873BOYAmt
EOY$9,873EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,077,828BOYAmt
EOY$2,026,672EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,077,828BOYAmt
EOY$2,026,672EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,087,701BOYAmt
EOY$2,036,545EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$51,156ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

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$9,455CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,813CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,835CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,447CurrentTaxYearMinus1YearAmt
Current Tax Year$5,959CurrentTaxYearAmt
Total$28,509TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,556,989CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,245,957CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,122,122CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,996,695CurrentTaxYearMinus1YearAmt
Current Tax Year$5,472CurrentTaxYearAmt
Total$14,927,235TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,566,444CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,249,770CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,124,957CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,003,142CurrentTaxYearMinus1YearAmt
Current Tax Year$11,431CurrentTaxYearAmt
Total$14,955,744TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$14,955,744PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,566,444CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,249,770CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,124,957CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,003,142CurrentTaxYearMinus1YearAmt
Current Tax Year$11,431CurrentTaxYearAmt
Total$14,955,744TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOTHER LIABILITIESDesc
Amt$9,873Amt
FieldValueIRS element (for citing)
Total Liability$9,873TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BOFFICER SIGNS FORM 990 - COPY IS AVAILABLE TO ALL BOARD MEMBERS TO REVIEW UPON REQUEST
FORM 990, PAGE 6, PART VI, LINE 19ON SITE WITH A 1.00 CHARGE PER PAGE FOR COPIES.

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