GOLDEN GOOD SHEPHERD HOME: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- GOLDEN GOOD SHEPHERD HOME (EIN 37-0843671)
- Tax period
- 2018-11-01 to 2019-10-31
- Filed
- 2020-08-03
- IRS object ID
- 202032169349300043
- Schema version
- 2018v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-08-03T13:08:59-07:00 | ReturnTs |
| Tax Period End | 2019-10-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WDM COMPUTER SERVICES INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 HARRISON ST | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 623016752 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-11-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370843671 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOLDEN GOOD SHEPHERD HOME | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOLD | BusinessNameControlTxt |
| Phone | 2176964421 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 PRAIRIE MILLS ROAD | AddressLine1Txt |
| City | GOLDEN | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62339 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jane Roberts | PersonNm |
| Person Title | President of the Board | PersonTitleTxt |
| Phone | 2176964421 | PhoneNum |
| Signature | 2020-02-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | James Hull CPA | PreparerPersonNm |
| PTIN | P00962429 | PTIN |
| Phone | 2172281950 | PhoneNum |
| Preparation | 2020-08-03 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 216.138.11.82 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-08-03 | IPDt |
| IP Tm | 13:08:48 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 461BFA4B2881A534A387A54FD82B5CD6EC50F7C3 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 45216753E8AD05ECA25A2141BB8E4678A3EB573E | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Jane Roberts | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 308 Prairie Mills Rd | AddressLine1Txt |
| City | Golden | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62339 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,955,803 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1963 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | To provide elder care for the community. Long-term medical care. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 90 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $597,665 | PYContributionsGrantsAmt |
| CY Contributions Grants | $52,653 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,452,636 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,896,770 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,461 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,948 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,133 | PYOtherRevenueAmt |
| CY Other Revenue | $4,432 | CYOtherRevenueAmt |
| PY Total Revenue | $3,055,895 | PYTotalRevenueAmt |
| CY Total Revenue | $2,955,803 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,364,224 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,477,239 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,139,067 | PYOtherExpensesAmt |
| CY Other Expenses | $1,394,788 | CYOtherExpensesAmt |
| PY Total Expenses | $2,503,291 | PYTotalExpensesAmt |
| CY Total Expenses | $2,872,027 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $552,604 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $83,776 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,002,518 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,068,353 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $414,530 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $379,515 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,587,988 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,688,838 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide elder care for the community. Long-term medical care. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,640,181 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $2,901,202 | RevenueAmt |
| Desc | 46 Residents Provided with Long-term residential and nursing care in a Nursing Home and Cottages. | Desc |
| Total Program Service Expenses | $2,640,181 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | 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 |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 90 | 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 |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Abby Wayman | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2176964421 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 Prairie Mills Road | AddressLine1Txt |
| City | Golden | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62339 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| David Gronewold | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Nathan Buss | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Cindy Cassens | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Curtis Post | ||||||
| President | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Linda Waite | ||||||
| Secretary | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Pam Flesner | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Richard Flesner | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Marge Moore | ||||||
| Vice President | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Caremark Rehab LTD | |||||
| 2834 North 2200th Ave | Clayton | IL | 62324 | Rehab Therapy | $384,020 |
| OmniCare Inc | |||||
| PO Box 7800 | Detroit | MI | 482781668 | Pharmacy | $113,376 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| All Other Contributions | $52,653 | AllOtherContributionsAmt |
| Total Contributions | $52,653 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Routine Service Income | 623000 | $2,648,767 | $0 | $0 |
| Therapy Revenue | 623000 | $60,031 | $0 | $0 |
| Oxygen | 623000 | $409 | $0 | $0 |
| Nursing Supplies | 623000 | $95,215 | $0 | $0 |
| Transportation Income | 623000 | $1,680 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $90,668 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,896,770 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,948 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,948 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Management Fee | 623000 | $0 | $0 | $0 | $0 |
| Sales of Supplies to Employees | 623000 | $41 | $41 | $0 | $0 |
| Rebates | 623000 | $444 | $444 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,947 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,947 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,432 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,955,803 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,901,202 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,948 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,362,385 | TotalAmt |
| Program Services | $1,278,308 | ProgramServicesAmt |
| Management And General | $84,077 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,968 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $2,968 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,886 | TotalAmt |
| Program Services | $111,886 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,622 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $13,622 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,103 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $23,103 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $441,290 | TotalAmt |
| Program Services | $441,290 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,729 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $25,729 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,733 | TotalAmt |
| Program Services | $205,340 | ProgramServicesAmt |
| Management And General | $15,393 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,865 | TotalAmt |
| Program Services | $10,865 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,284 | TotalAmt |
| Program Services | $115,767 | ProgramServicesAmt |
| Management And General | $4,517 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,699 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $9,699 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,188 | TotalAmt |
| Program Services | $626 | ProgramServicesAmt |
| Management And General | $6,562 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,266 | TotalAmt |
| Program Services | $72,623 | ProgramServicesAmt |
| Management And General | $4,643 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,807 | TotalAmt |
| Program Services | $41,223 | ProgramServicesAmt |
| Management And General | $39,584 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Raw Food | $89,456 | $89,456 | $0 | $0 |
| Suppliments | $1,544 | $1,544 | $0 | $0 |
| Dishwasher Rent | $690 | $690 | $0 | $0 |
| Laundry Outside Services | $24,036 | $24,036 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,476 | TotalAmt |
| Program Services | $246,527 | ProgramServicesAmt |
| Management And General | $1,949 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,872,027 | TotalAmt |
| Program Services | $2,640,181 | ProgramServicesAmt |
| Management And General | $231,846 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,384 | BOYAmt |
| EOY | -$10,260 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$27,799 | BOYAmt |
| EOY | $23,751 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $680,453 | BOYAmt |
| EOY | $894,980 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,000 | BOYAmt |
| EOY | $4,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,444 | BOYAmt |
| EOY | $19,660 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,921,403 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,898,646 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,026,030 | BOYAmt |
| EOY | $1,022,757 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $291,122 | BOYAmt |
| EOY | $113,171 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $884 | BOYAmt |
| EOY | $294 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,002,518 | BOYAmt |
| EOY | $2,068,353 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,599 | BOYAmt |
| EOY | $379,515 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,931 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $414,530 | BOYAmt |
| EOY | $379,515 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,587,988 | BOYAmt |
| EOY | $1,688,838 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,587,988 | BOYAmt |
| EOY | $1,688,838 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,002,518 | BOYAmt |
| EOY | $2,068,353 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $83,776 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $17,074 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Other Support Sum | $0 | OtherSupportSumAmt |
| Public Support CY170 | 0 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $55,818 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $46,564 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $54,274 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $597,665 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,653 | CurrentTaxYearAmt |
| Total | $806,974 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,393,648 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,851,558 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,266,193 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,452,636 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,896,770 | CurrentTaxYearAmt |
| Total | $12,860,805 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,449,466 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,898,122 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,320,467 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,050,301 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,949,423 | CurrentTaxYearAmt |
| Total | $13,667,779 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $13,667,779 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $50 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $56 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,461 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,948 | CurrentTaxYearAmt |
| Total | $10,515 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $50 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $56 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,461 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,948 | CurrentTaxYearAmt |
| Total | $10,515 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $54,955 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,077 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,700 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,133 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,432 | CurrentTaxYearAmt |
| Total | $79,297 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,757,591 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99350 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99220 | PublicSupportPY509Pct |
| Investment Income CY | 0.00080 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00030 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt III Ln 12 | FormAndLineReferenceDesc |
| Explanation | Other Income Part III, Line 12 Description: Sales of Supplies to Employees 2014: -99. 2015: 159. 2016: 43. 2017: 22. 2018: 41. Description: Rebates 2014: 838. 2015: 481. 2016: 626. 2017: 168. 2018: 444. Description: Misc Rev 2014: 1041. 2015: 1109. 2016: 9053. 2017: 2913. 2018: 2752. Description: Management Fee 2014: 53000. 2015: 0. 2016: 0. 2017: 0. 2018: 0. Description: Education Inservice Training 2014: 0. 2015: 142. 2016: 0. 2017: 0. 2018: 0. Description: Rounding 2014: -2. 2015: 1. 2016: 0. 2017: 0. 2018: 0. Description: Uniform Sales 2014: 177. 2015: 41. 2016: 31. 2017: 30. 2018: 1195. Description: Insurance Reimb 2014: 0. 2015: 144. 2016: 0. 2017: 0. 2018: 0. Description: Bad Debt Recovery 2014: 0. 2015: 0. 2016: 4947. 2017: 0. 2018: 0. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $61,980 | InvestmentCostOrOtherBasisAmt |
| Book Value | $61,980 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,969,009 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,194,463 | DepreciationAmt |
| Book Value | $774,546 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $890,414 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $704,183 | DepreciationAmt |
| Book Value | $186,231 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,022,757 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ROUNDING | $0 |
| Loan Costs | $294 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $294 | TotalBookValueOtherAssetsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (26 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VIII | A copy of form 990 is provided to the board of directors |
| Pt VI, Line 11b | At a regularly schedualed monthly meeting before filing. |
| Pt VI, Line 15a | The Board of Directors independently determines and reviews the salary of the Administrator and determines the yearly budget which sets the raises for the year. |
| Pt XI | The difference is due to the folding of a disreguarded entity into the facilities financials. The other entity ceased operations. |
| Pt VI, Line 15b | The Board of Directors independently determines and reviews the salary of the Administrator and determines the yearly budget which sets the raises for the year. |
| Pt VI, Line 12c | The administration regularly checks with officer's and directors to look for confilcts of interest and have a written corporate compliance code of conduct required by Medicare. |
| Form 990, Part IX, Line 24e | Housekeeping Outside Services 0. 0. 0. 0. |
| Form 990, Part IX, Line 24e | Maint Outside Services 7367. 7367. 0. 0. |
| Form 990, Part IX, Line 24e | Employee Relations 1360. 0. 1360. 0. |
| Form 990, Part IX, Line 24e | Dues & Subscriptions 1546. 1546. 0. 0. |
| Form 990, Part IX, Line 24e | Public Aid Fee 25185. 25185. 0. 0. |
| Form 990, Part IX, Line 24e | License Fees 5785. 5785. 0. 0. |
| Form 990, Part IX, Line 24e | 607 bed tax 60869. 60869. 0. 0. |
| Form 990, Part IX, Line 24e | Auto Exp 756. 756. 0. 0. |
| Form 990, Part IX, Line 24e | Auto Oil & Gas 3749. 3749. 0. 0. |
| Form 990, Part IX, Line 24e | Business Mileage 1165. 1165. 0. 0. |
| Form 990, Part IX, Line 24e | Transportation 0. 0. 0. 0. |
| Form 990, Part IX, Line 24e | Background Checks 1409. 1409. 0. 0. |
| Form 990, Part IX, Line 24e | Drug Tests 617. 617. 0. 0. |
| Form 990, Part IX, Line 24e | Employee Physicals 0. 0. 0. 0. |
| Form 990, Part IX, Line 24e | Education:Tuition 0. 0. 0. 0. |
| Form 990, Part IX, Line 24e | Education:Books 255. 255. 0. 0. |
| Form 990, Part IX, Line 24e | Bad Debts 134636. 134636. 0. 0. |
| Form 990, Part IX, Line 24e | Misc Exp 3188. 3188. 0. 0. |
| Form 990, Part IX, Line 24e | Loan Costs 589. 0. 589. 0. |
| Form 990, Part IX, Line 24e | Rounding 0. 0. 0. 0. |
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