LAKEWOOD HEALTHCARE INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- LAKEWOOD HEALTHCARE INC (EIN 71-0680133)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-04-20
- IRS object ID
- 202001119349300610
- Schema version
- 2018v3.2
- 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 | 2020-04-20T13:45:49-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 208153372 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BANKS CPA PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 204 N 27TH ST | AddressLine1Txt |
| City | ARKADELPHIA | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 719234202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710680133 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEWOOD HEALTHCARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAKE | BusinessNameControlTxt |
| Phone | 5016239422 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 204 NORTH 27TH STREET | AddressLine1Txt |
| City | ARKADELPHIA | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71923 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CLYDE COVINGTON | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 5012621920 | PhoneNum |
| Signature | 2020-04-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEPHANIE M BANKS | PreparerPersonNm |
| PTIN | P00709038 | PTIN |
| Phone | 8702453975 | PhoneNum |
| Preparation | 2020-04-20 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 66.76.206.123 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-04-20 | IPDt |
| IP Tm | 13:45:49 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 8744370083D9D51A79B43F1E87EE2CD9DE2FCDBC | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 34006D5F20FE3D8D114F1DC0C146C239E4F602E5 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CLYDE COVINGTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 ORCHARD | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71913 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,596,097 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | LAKEWOODHOTSPRINGS.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | CARE FOR THE ELDERLY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 152 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,835 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,447 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,116,347 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,993,183 | CYProgramServiceRevenueAmt |
| CY Investment Income | $2,188,924 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,775 | PYOtherRevenueAmt |
| CY Other Revenue | $3,512 | CYOtherRevenueAmt |
| PY Total Revenue | $4,124,957 | PYTotalRevenueAmt |
| CY Total Revenue | $4,192,066 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,720,532 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,333,716 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,615,172 | PYOtherExpensesAmt |
| CY Other Expenses | $807,809 | CYOtherExpensesAmt |
| PY Total Expenses | $4,335,704 | PYTotalExpensesAmt |
| CY Total Expenses | $2,141,525 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$210,747 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,050,541 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $898,785 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,087,701 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $871,498 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,873 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $27,287 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,077,828 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CARE FOR THE ELDERLY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,776,543 | ExpenseAmt |
| Desc | SKILLED NURSING HOME FACILITY ACCOMODATING 80 ELDERLY RESIDENTS, WITH EMPHASIS ON REHABILITATION AND DIGNITY. | Desc |
| Total Program Service Expenses | $1,776,543 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | 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 |
| 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 152 | 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 |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| 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 | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | 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 |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAT MALONE | PersonNm |
| Phone | 8702453975 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 204 NORTH 27TH STREET | AddressLine1Txt |
| City | ARKADELPHIA | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71923 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|
| JUDY YOUNG | |||||
| SECRETARY/TR | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PATTY RODDENBERRY | |||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |
| TAMMY BURKHART | |||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |
| CLYDE COVINGTON | |||||
| PRESIDENT | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KATHY FISCHER | |||||
| VICE PRESIDE | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARSHA MCALLISTER | |||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $6,447 | AllOtherContributionsAmt |
| Total Contributions | $6,447 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NURSING HOME REVENUE | Desc |
| Total Revenue Column | $1,993,183 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,993,183 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,993,183 | TotalProgramServiceRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,592,955 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $404,031 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,188,924 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,188,924 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,188,924 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MISCELLANEOUS INCOME | 623000 | $2,460 | $2,460 |
| CNA - TRAINING & TEST | $1,007 | $1,007 | |
| MEAL INCOME | $45 | $45 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,512 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,192,066 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,185,619 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,151,868 | TotalAmt |
| Program Services | $1,052,537 | ProgramServicesAmt |
| Management And General | $99,331 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,426 | TotalAmt |
| Program Services | $58,560 | ProgramServicesAmt |
| Management And General | $27,866 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,422 | TotalAmt |
| Program Services | $66,446 | ProgramServicesAmt |
| Management And General | $28,976 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,256 | TotalAmt |
| Management And General | $54,256 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,868 | TotalAmt |
| Management And General | $1,868 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,151 | TotalAmt |
| Management And General | $7,151 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,005 | TotalAmt |
| Program Services | $46,005 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,372 | TotalAmt |
| Management And General | $1,372 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,881 | TotalAmt |
| Management And General | $3,881 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,991 | TotalAmt |
| Program Services | $61,666 | ProgramServicesAmt |
| Management And General | $325 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,240 | TotalAmt |
| Program Services | $12,638 | ProgramServicesAmt |
| Management And General | $6,602 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| QUALITY ASSURANCE FEE | $165,096 | $165,096 | |
| FOOD | $87,244 | $87,244 | |
| DIRECTORS FEES | $53,000 | $53,000 | |
| MISCELLANEOUS ADMIN. EXPE | $34,318 | $34,318 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,387 | TotalAmt |
| Program Services | $226,351 | ProgramServicesAmt |
| Management And General | $46,036 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,141,525 | TotalAmt |
| Program Services | $1,776,543 | ProgramServicesAmt |
| Management And General | $364,982 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,859 | BOYAmt |
| EOY | $1,868,871 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,736 | BOYAmt |
| EOY | $214,205 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,652 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,861 | BOYAmt |
| EOY | $4,625 | EOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $440,937 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,740 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $898,785 | BOYAmt |
| EOY | $2,087,701 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $650,524 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,880 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,094 | BOYAmt |
| EOY | $9,873 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $871,498 | BOYAmt |
| EOY | $9,873 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,287 | BOYAmt |
| EOY | $2,077,828 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,287 | BOYAmt |
| EOY | $2,077,828 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $898,785 | BOYAmt |
| EOY | $2,087,701 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,050,541 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | 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 | $12,350 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,455 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,813 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,835 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,447 | CurrentTaxYearAmt |
| Total | $34,900 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,973,925 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,556,989 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,245,957 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,122,122 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,996,695 | CurrentTaxYearAmt |
| Total | $18,895,688 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,986,275 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,566,444 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,249,770 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,124,957 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,003,142 | CurrentTaxYearAmt |
| Total | $18,930,588 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $18,930,588 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,986,275 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,566,444 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,249,770 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,124,957 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,003,142 | CurrentTaxYearAmt |
| Total | $18,930,588 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER LIABILITIES | Desc |
| Amt | $9,873 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,873 | TotalLiabilityAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | OFFICER SIGNS FORM 990 - COPY IS AVAILABLE TO ALL BOARD MEMBERS TO REVIEW UPON REQUEST |
| FORM 990, PAGE 6, PART VI, LINE 19 | ON SITE WITH A 1.00 CHARGE PER PAGE FOR COPIES. |
| FORM 990, PART IX, LINE 24E | REPAIRS & MAINTENANCE 0 22,594 0 PRESCRIPTION DRUGS 22,311 0 0 INCONTINENCE SUPPLIES 20,721 0 0 MEDICAL SUPPLIES 19,940 0 0 CONTRACT-OCCUPATIONAL THE 19,922 0 0 MEDICARE PART A BILLING 18,656 0 0 CONTRACT-PHYSICAL THERAPI 16,374 0 0 CONTRIBUTIONS 0 12,000 0 DIETARY - SUPPLIES 10,247 0 0 SUPPLIES - HOUSEKEEPING 10,211 0 0 FOOD SUPPLEMENTS 10,087 0 0 NON PRESCRIPTION DRUGS 9,577 0 0 TELEVISION 8,842 0 0 SUPPLIES - CARE RELATED 7,760 0 0 SUPPLIES - LAUNDRY 6,286 0 0 CONSULTANT FEES - MEDICAL 6,000 0 0 TELEPHONE 0 5,023 0 MEDCART SOFTWARE MAIN 4,820 0 0 MEDICARE PART B BILLING 4,641 0 0 MEDICAL LAB TESTS 4,432 0 0 VEHICLE - INSURANCE 3,831 0 0 DUES 0 3,647 0 CONSULTANT FEES - DIETARY 3,600 0 0 LAUNDRY - EQUIPMENT RENTA 3,204 0 0 CONSULTANT FEES-PHARMACY 3,000 0 0 PATIENT ACTIVITY SUPPLIES 2,695 0 0 VEHICLE - EXPENDIBLE SUPP 2,692 0 0 NURSES AIDE TRAINING 1,440 0 0 LINEN 1,422 0 0 PURCHASED SERVICES 1,246 0 0 CONTRACT-SPEECH THERAPY 1,123 0 0 INTERNET SERVICE 0 862 0 CBC EXPENSE 0 680 0 DIETARY - EQUIPMENT RENTA 606 0 0 FEES 0 569 0 XRAY 416 0 0 BANK CHARGES 0 292 0 OFFICE EQUIPMENT MTCE 0 215 0 EDUCATIONAL SEMINARS 0 115 0 VEHICLE - MAINTENANCE 104 0 0 MEDICAL EQUIPMENT RENTAL 80 0 0 TRAINING 65 0 0 OTHER NONALLOWABLE 0 39 0 TOTAL 226,351 46,036 0 |
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