BETA

SJL HEALTH SYSTEMS INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
SJL HEALTH SYSTEMS INC (EIN 43-1710785)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-08-27
IRS object ID
202012409349301216
Schema version
2019v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-08-27T13:24:46-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN371106622PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Ginoli & Company LtdCPA'sBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17625 N University Ste AAddressLine1Txt
CityPeoriaCityNm
State AbbreviationILStateAbbreviationCd
ZIP616148303ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN431710785EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SJL HEALTH SYSTEMS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSJLHBusinessNameControlTxt
Phone3096918113PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1830 WEST TRAILCREEK DRIVEAddressLine1Txt
CityPEORIACityNm
State AbbreviationILStateAbbreviationCd
ZIP61614ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBECKY STOKESPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3096918113PhoneNum
Signature2020-08-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL REMMELECPAPreparerPersonNm
PTINP00444163PTIN
Phone3096712350PhoneNum
Preparation2020-08-24PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address162.210.1.10IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-08-24IPDt
IP Tm10:43:54IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id2873B684D5A8D2A59C9BEF7D79DC4DA7FDE45CEDAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2020-11-19 02:30:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBECKY STOKESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1830 W TRAILCREEK DRAddressLine1Txt
CityPEORIACityNm
State AbbreviationILStateAbbreviationCd
ZIP61614ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,330,138GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionOPERATION OF A SKILLED NURSING CENTERActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee132TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$3,138,793PYProgramServiceRevenueAmt
CY Program Service Revenue$3,330,021CYProgramServiceRevenueAmt
PY Investment Income$115PYInvestmentIncomeAmt
CY Investment Income$117CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$3,138,908PYTotalRevenueAmt
CY Total Revenue$3,330,138CYTotalRevenueAmt
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$1,558,020PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,536,587CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,536,181PYOtherExpensesAmt
CY Other Expenses$1,734,872CYOtherExpensesAmt
PY Total Expenses$3,094,201PYTotalExpensesAmt
CY Total Expenses$3,271,459CYTotalExpensesAmt
PY Revenues Less Expenses$44,707PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$58,679CYRevenuesLessExpensesAmt
Total Assets BOY$2,793,630TotalAssetsBOYAmt
Total Assets EOY$3,094,708TotalAssetsEOYAmt
Total Liabilities BOY$5,371,687TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,614,086TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$2,578,057NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$2,519,378NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE CARE FOR THE ELDERLY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,598,624ExpenseAmt
Revenue$3,330,138RevenueAmt
DescOPERATION OF A SKILLED NURSING CENTERDesc
Total Program Service Expenses$2,598,624TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
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 AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee132EmployeeCnt
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
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 Members3GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing Body0MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARK B PETERSENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3096918113PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1830 W TRAILCREEK DRAddressLine1Txt
CityPEORIACityNm
State AbbreviationILStateAbbreviationCd
ZIP61614ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MICHAEL KUHL
PRESIDENT1.00Yes (X)$0$0$0
THOMAS HAMMERTON
SECRETARY1.00Yes (X)$0$0$0
BECKY STOKES
TREASURER1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REHABCARE GROUP INCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1CONTRACT THERAPY DIVISION PO BOX 50AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP631503534ZIPCd
FieldValueIRS element (for citing)
ServicesTHERAPY SERVICESServicesDesc
Compensation$117,459CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE623000$3,315,009$3,315,009
RESIDENT SERVICES623000$15,012$15,012
FieldValueIRS element (for citing)
Total Program Service Revenue$3,330,021TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$117TotalRevenueColumnAmt
Related Or Exempt Func Income$117RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,330,138TotalRevenueColumnAmt
Related Or Exempt Func Income$3,330,138RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,422,893TotalAmt
Program Services$1,304,783ProgramServicesAmt
Management And General$118,110ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$113,694TotalAmt
Program Services$104,257ProgramServicesAmt
Management And General$9,437ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,740TotalAmt
Management And General$11,740ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,736TotalAmt
Management And General$2,736ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,380TotalAmt
Management And General$4,380ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,578TotalAmt
Management And General$4,578ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,075TotalAmt
Management And General$1,075ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$162,840TotalAmt
Program Services$162,840ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$103,761TotalAmt
Program Services$103,761ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$286,758$286,758
MANAGEMENT FEE$273,000$273,000
PROVIDER BED TAX$167,417$167,417
OPERATIONS & MAINTENANC$153,707$153,707

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$562,880TotalAmt
Program Services$468,808ProgramServicesAmt
Management And General$94,072ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,271,459TotalAmt
Program Services$2,598,624ProgramServicesAmt
Management And General$672,835ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$134,818BOYAmt
EOY$593,674EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,427,022BOYAmt
EOY$1,419,992EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,727BOYAmt
EOY$13,727EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,633,699LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,964,888LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$752,631BOYAmt
EOY$668,811EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$465,432BOYAmt
EOY$398,504EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,793,630BOYAmt
EOY$3,094,708EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$693,093BOYAmt
EOY$697,026EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,554,020BOYAmt
EOY$2,566,589EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,124,574BOYAmt
EOY$2,350,471EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,371,687BOYAmt
EOY$5,614,086EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$2,578,057BOYAmt
EOY-$2,519,378EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$2,578,057BOYAmt
EOY-$2,519,378EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,793,630BOYAmt
EOY$3,094,708EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$58,679ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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 Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,676,483CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,726,323CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,835,566CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,138,793CurrentTaxYearMinus1YearAmt
Total$12,377,165TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,676,483CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,726,323CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,835,566CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,138,793CurrentTaxYearMinus1YearAmt
Total$12,377,165TotalAmt

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$12,377,165PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$387CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$112CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$89CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$115CurrentTaxYearMinus1YearAmt
Total$703TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$387CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$112CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$89CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$115CurrentTaxYearMinus1YearAmt
Total$703TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,676,870CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,726,435CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,835,655CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,138,908CurrentTaxYearMinus1YearAmt
Total$12,377,868TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5090.99990PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$13,500InvestmentCostOrOtherBasisAmt
Book Value$13,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$3,359,514InvestmentCostOrOtherBasisAmt
Depreciation$2,717,776DepreciationAmt
Book Value$641,738BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,207,112InvestmentCostOrOtherBasisAmt
Depreciation$1,201,352DepreciationAmt
Book Value$5,760BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$53,573InvestmentCostOrOtherBasisAmt
Depreciation$45,760DepreciationAmt
Book Value$7,813BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$668,811TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
ASSETS LIMITED AS TO USE$369,552
PREPAID EXPENSES$28,952
FieldValueIRS element (for citing)
Total Book Value Other Assets$398,504TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
ACCRUED PAYROLL$504,956
INTEREST PAYABLE$345,389
DUE TO AFFILIATES$351,000
OTHER LIABILITIES$23,874
ACCRUED MANAGEMENT FEES$1,125,252
FieldValueIRS element (for citing)
Total Liability$2,350,471TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$3,330,138TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$3,330,138RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,330,138TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,271,459TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$3,271,459ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,271,459TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3Management company operates the nursing home facility.
Form 990, Part VI, Section A, line 8aNo official meetings were held and no written actions were needed by the governing body.
Form 990, Part VI, Section A, line 8bThere were no committees with authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11bA draft copy of the Form 990 along with a copy of the audited financial statements are given to management to review. These are compared and any changes, if any, that are needed will be done at their request.
Form 990, Part VI, Section B, line 15The top management official is the Administrator of the nursing home. They are compensated at the same level of various other nursing home admistrators with the same responsibilites. All key employee salaries are set at the comparable rates with other nursing homes.
Form 990, Part VI, Section C, line 19NO DOCUMENTS AVAILABLE TO THE PUBLIC.
Form 990, Part IX, line 24eFOOD: Program service expenses 152,787. Management and general expenses 0. Fundraising expenses 0. Total expenses 152,787. NURSING SERVICES: Program service expenses 133,238. Management and general expenses 0. Fundraising expenses 0. Total expenses 133,238. MISC. ADMIN. EXPENSES: Program service expenses 0. Management and general expenses 94,072. Fundraising expenses 0. Total expenses 94,072. SUPPLIES: Program service expenses 85,648. Management and general expenses 0. Fundraising expenses 0. Total expenses 85,648. PROPERTY & LIABILITY INSURANCE: Program service expenses 63,295. Management and general expenses 0. Fundraising expenses 0. Total expenses 63,295. WORKMEN'S COMPENSATION: Program service expenses 26,531. Management and general expenses 0. Fundraising expenses 0. Total expenses 26,531. EQUIPMENT RENTAL: Program service expenses 6,570. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,570. OTHER DIETARY: Program service expenses 660. Management and general expenses 0. Fundraising expenses 0. Total expenses 660. TRAINING: Program service expenses 79. Management and general expenses 0. Fundraising expenses 0. Total expenses 79.

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