MANOR GROVE INCORPORATED: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MANOR GROVE INCORPORATED (EIN 43-0679177)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-02-06
IRS object ID
202040379349300209
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

FieldValueIRS element (for citing)
Return2020-02-06T10:48:59-06:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN430765316PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RUBINBROWN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE NORTH BRENTWOODAddressLine1Txt
CitySAINT LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN430679177EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MANOR GROVE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMANOBusinessNameControlTxt
Phone3149650864PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 SOUTH KIRKWOOD ROADAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63122ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGEORGE ROLBYPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3149650864PhoneNum
Signature2020-02-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN E BUTLERPreparerPersonNm
PTINP00325554PTIN
Phone3142903300PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.156.23.242IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-02-05IPDt
IP Tm19:08:28IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id950EC740E9E69538D901511FF725FD6788AC0E3AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-06 18:47:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerHAROLD LUTZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 SOUTH KIRKWOOD ROADAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63122ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,542,178GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MANORGROVE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1907FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTO PRESERVE THE QUALITY OF LIFE & PROVIDE EXPERT CARE FROM A HIGHLY SKILLED MULTIDISCIPLINARY TEAM.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee276TotalEmployeeCnt
Total Volunteers37TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$22,224PYContributionsGrantsAmt
CY Contributions Grants$10,111CYContributionsGrantsAmt
PY Program Service Revenue$9,172,972PYProgramServiceRevenueAmt
CY Program Service Revenue$9,453,698CYProgramServiceRevenueAmt
PY Investment Income$227,619PYInvestmentIncomeAmt
CY Investment Income$221,493CYInvestmentIncomeAmt
PY Other Revenue$3,999PYOtherRevenueAmt
CY Other Revenue$24,959CYOtherRevenueAmt
PY Total Revenue$9,426,814PYTotalRevenueAmt
CY Total Revenue$9,710,261CYTotalRevenueAmt
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$6,365,517PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,971,983CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,421,875PYOtherExpensesAmt
CY Other Expenses$3,831,196CYOtherExpensesAmt
PY Total Expenses$9,787,392PYTotalExpensesAmt
CY Total Expenses$9,803,179CYTotalExpensesAmt
PY Revenues Less Expenses-$360,578PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$92,918CYRevenuesLessExpensesAmt
Total Assets BOY$13,614,903TotalAssetsBOYAmt
Total Assets EOY$13,404,069TotalAssetsEOYAmt
Total Liabilities BOY$1,203,768TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,047,410TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$12,411,135NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,356,659NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PRESERVE THE QUALITY OF LIFE THROUGH COMPASSIONATE, EXPERT CARE FROM A HIGHLY SKILLED MULTIDISCIPLINARY TEAM. WE RECOGNIZE THAT GOOD PEOPLE MAKE THE DIFFERENCE AND ARE THE KEY TO PROVIDING QUALITY CARE TO RESIDENTS WHO COME TO US FOR LONG-TERM CARE. WE ASSIST RESIDENTS IN ACHIEVING THEIR HIGHEST POSSIBLE LEVEL OF PHYSICAL, PSYCHOSOCIAL AND SPIRITUAL POTENTIAL, ALWAYS WORKING TO PROTECT AND ENHANCE THEIR DIGNITY. WE SEEK TO CONTINUALLY IMPROVE THE SERVICES WE PROVIDE TO STAY CURRENT WITH THE CHANGING ENVIRONMENT AND TO MAINTAIN A HOME-LIKE ATMOSPHERE FOR OUR FAMILY OF RESIDENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,659,399ExpenseAmt
Revenue$9,453,698RevenueAmt
DescOWNING AND OPERATING A LICENSED 117-BED SKILLED NURSING FACILITY LOCATED IN ST. LOUIS, MISSOURI. RENOVATIONS FROM FISCAL YEAR 2008 ADDED A THERAPY ROOM AND MODIFIED 14 ROOMS FOR MEDICARE RESIDENTS. MANOR GROVE'S HOME-LIKE ENVIRONMENT ASSURES PEACE OF MIND FOR RESIDENTS AND THEIR FAMILIES. IN 2015, A NEW PARKING LOT WAS ADDED ON THE NORTH-WEST SIDE OF THE MAIN BUILDING TO ACCOMODATE PARKING NEEDS OF FAMILY MEMBERS AND EMPLOYEES. IN 2017, THE RENOVATION OF THE SECOND FLOOR TOOK PLACE WHICH MADE THE SECOND FLOOR MUCH MORE ATTRACTIVE AND COMFORTABLE TO THE CURRENT AND PROSPECTIVE RESIDENTS. IN 2018, A NEW NURSES CALL SYSTEM WAS INSTALLED ON THE SECOND FLOOR.Desc
Total Program Service Expenses$8,659,399TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document67IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee276EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROZA KOYENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3149650864PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 SOUTH KIRKWOOD ROADAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63122ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
GEORGE ROLBY
PRESIDENT3.00Yes (X)Yes (X)$0$0$0
LUKE BAUMSTARK
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
SHEILA EATON
SECRETARY3.00Yes (X)Yes (X)$0$0$0
PHIL ROUSH
TREASURER1.00Yes (X)Yes (X)$0$0$0
BOB GRUENEWALD
CONTROLLER1.00Yes (X)Yes (X)$0$0$0
BOB BRUCKNER
MEMBER1.00Yes (X)$0$0$0
CAROL EILER
MEMBER1.00Yes (X)$0$0$0
DIANE KEEFE
MEMBER1.00Yes (X)$0$0$0
DR ANNA NAUMOVICH
MEMBER1.00Yes (X)$0$0$0
E LEE POTTS
MEMBER1.00Yes (X)$0$0$0
ANNE ROEHM
MEMBER2.00Yes (X)$0$0$0
HARDY WASHINGTON JR
MEMBER1.00Yes (X)$0$0$0
ROZA KOYEN
ACCOUNTANT40.00Yes (X)$59,545$0$10,389
BARBARA ERRICO
ADMINISTRATOR40.00Yes (X)$83,546$0$11,389
FieldValueIRS element (for citing)
Total Reportable Comp From Org$143,091TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$21,778TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ALLIANCE REHAB DBA SYMBRIA REHAB
28100 TOCH PARKWAY SUITE 600WARRENVILLEIL60555THERAPY$324,240
PHARMACY CORPORATION OF AMERICA
PO BOX 409251ATLANTAGA303849251PHARMACY$245,077
MIDWEST STAFFING LLC
PO BOX 823461PHILADELPHIAPA19182NUSRING STAFFING$233,549
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$10,111AllOtherContributionsAmt
Total Contributions$10,111TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescELDERLY CAREDesc
Business623000BusinessCd
Total Revenue Column$9,453,698TotalRevenueColumnAmt
Related Or Exempt Func Income$9,453,698RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$9,453,698TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$180,340TotalRevenueColumnAmt
Exclusion$180,340ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$44,453RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$47,820RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$3,367RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,367TotalRevenueColumnAmt
Exclusion-$3,367ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$825,250SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$784,097SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$41,153SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$41,153TotalRevenueColumnAmt
Exclusion$41,153ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLANEOUS INCOME900099$19,581$19,581
TRANSPORTATION INCOME900099$8,745$8,745
FieldValueIRS element (for citing)
Other Revenue Total$28,326OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,710,261TotalRevenueColumnAmt
Related Or Exempt Func Income$9,453,698RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$246,452ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$183,005TotalAmt
Program Services$33,133ProgramServicesAmt
Management And General$149,872ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,797,878TotalAmt
Program Services$4,546,107ProgramServicesAmt
Management And General$251,771ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$39,900TotalAmt
Program Services$34,428ProgramServicesAmt
Management And General$5,472ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$583,892TotalAmt
Program Services$481,946ProgramServicesAmt
Management And General$101,946ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$367,308TotalAmt
Program Services$339,098ProgramServicesAmt
Management And General$28,210ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$21,852TotalAmt
Program Services$4,276ProgramServicesAmt
Management And General$17,576ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$78,008TotalAmt
Management And General$78,008ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$41,352TotalAmt
Management And General$41,352ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$881,466TotalAmt
Program Services$881,466ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$150,531TotalAmt
Management And General$150,531ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$271,855TotalAmt
Program Services$246,256ProgramServicesAmt
Management And General$25,599ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$281,434TotalAmt
Program Services$277,775ProgramServicesAmt
Management And General$3,659ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,114TotalAmt
Management And General$1,114ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,451TotalAmt
Program Services$2,262ProgramServicesAmt
Management And General$1,189ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,978TotalAmt
Management And General$4,978ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$457,528TotalAmt
Program Services$451,580ProgramServicesAmt
Management And General$5,948ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$240,330TotalAmt
Program Services$229,904ProgramServicesAmt
Management And General$10,426ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAID NFRA TAX$431,685$431,685
FOOD SERVICE EXPENSES$314,707$314,707
SERVICE CONTRACTS$257,766$34,010$223,756
PHARMACY AND SUPPLEMENT$167,286$167,286

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$225,853TotalAmt
Program Services$183,480ProgramServicesAmt
Management And General$42,373ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,803,179TotalAmt
Program Services$8,659,399ProgramServicesAmt
Management And General$1,143,780ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,583BOYAmt
EOY$6,816EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$663,840BOYAmt
EOY$834,076EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$321,204BOYAmt
EOY$404,376EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$34,438BOYAmt
EOY$49,889EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$97,265BOYAmt
EOY$74,443EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,691,213LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,174,860LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,960,656BOYAmt
EOY$6,516,353EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,192,677BOYAmt
EOY$5,210,623EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$336,240BOYAmt
EOY$307,493EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,614,903BOYAmt
EOY$13,404,069EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$687,859BOYAmt
EOY$610,969EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$6,082BOYAmt
EOY$15,319EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$394,987BOYAmt
EOY$328,358EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$114,840BOYAmt
EOY$92,764EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,203,768BOYAmt
EOY$1,047,410EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,401,273BOYAmt
EOY$12,346,072EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,862BOYAmt
EOY$10,587EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,411,135BOYAmt
EOY$12,356,659EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,614,903BOYAmt
EOY$13,404,069EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$92,918ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$38,442NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$45,169CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$62,872CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$45,974CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,224CurrentTaxYearMinus1YearAmt
Current Tax Year$10,111CurrentTaxYearAmt
Total$186,350TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,001,935CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,048,910CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,359,302CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,172,972CurrentTaxYearMinus1YearAmt
Current Tax Year$9,453,698CurrentTaxYearAmt
Total$46,036,817TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$35,434CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,172CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,600CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,600CurrentTaxYearMinus1YearAmt
Current Tax Year$44,453CurrentTaxYearAmt
Total$151,259TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,082,538CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,127,954CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,432,876CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,222,796CurrentTaxYearMinus1YearAmt
Current Tax Year$9,508,262CurrentTaxYearAmt
Total$46,374,426TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$46,374,426PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$137,653CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$634,467CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$102,525CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$165,262CurrentTaxYearMinus1YearAmt
Current Tax Year$180,340CurrentTaxYearAmt
Total$1,220,247TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$137,653CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$634,467CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$102,525CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$165,262CurrentTaxYearMinus1YearAmt
Current Tax Year$180,340CurrentTaxYearAmt
Total$1,220,247TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,748CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,444CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$20,759CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,598CurrentTaxYearMinus1YearAmt
Current Tax Year$28,326CurrentTaxYearAmt
Total$45,357TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,221,939CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,770,865CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,514,642CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,415,656CurrentTaxYearMinus1YearAmt
Current Tax Year$9,716,928CurrentTaxYearAmt
Total$47,640,030TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97340PublicSupportCY509Pct
Public Support PY5090.97480PublicSupportPY509Pct
Investment Income CY0.02560InvestmentIncomeCYPct
Investment Income PY0.02460InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME - 2014 AMOUNT: $ 1,748. 2015 AMOUNT: $ 8,444. 2016 AMOUNT: $ -20,759. 2017 AMOUNT: $ 27,598. 2018 AMOUNT: $ 28,326.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$418,080OtherCostOrOtherBasisAmt
Book Value$418,080BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,000,707OtherCostOrOtherBasisAmt
Depreciation$6,609,965DepreciationAmt
Book Value$5,390,742BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,210,664OtherCostOrOtherBasisAmt
Depreciation$738,422DepreciationAmt
Book Value$472,242BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,061,762OtherCostOrOtherBasisAmt
Depreciation$826,473DepreciationAmt
Book Value$235,289BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,516,353TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCAPITAL LEASE OBLIGATIONDesc
Amt$92,764Amt
FieldValueIRS element (for citing)
Total Liability$92,764TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$9,686,404TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$38,442NetUnrealizedGainsInvstAmt
Other Revenue-$20,947OtherRevenueAmt
Revenue Not Reported$17,495RevenueNotReportedAmt
Revenue Subtotal$9,668,909RevenueSubtotalAmt
Investment Expenses Not Incld$41,352InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$41,352RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,710,261TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,740,880TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$9,740,880ExpensesSubtotalAmt
Investment Expenses Not Incld2$41,352InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$20,947OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$62,299ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$9,803,179TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:SECURITY DEPOSITS HELD ON BEHALF OF RESIDENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:INTEREST EXPENSE -4,978. LOSS ON DISPOSAL OF FIXED ASSETS -15,969.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INTEREST EXPENSE 4,978. LOSS ON DISPOSAL OF FIXED ASSETS 15,969.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES THAT MAY ACT ON BEHALF OF THE FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BTHE ADMINISTRATOR WILL REVIEW THE PREPARED FORM 990. THE BOARD WILL REVIEW AND APPROVE THE 990 DURING THEIR FIRST MEETING AFTER THE 990 HAS BEEN PREPARED. BOARD MEMBERS WILL BE ABLE TO VOICE ANY COMMENTS OR CONCERNS, DECIDE IF ANY CHANGES NEED TO BE MADE.
FORM 990, PART VI, SECTION B, LINE 12CDIRECTORS OF THE BOARD ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. IF THE ADMINISTRATOR OR THE BOARD MEMBER SUSPECTS A CONFLICT OF INTEREST, IT IS DISCLOSED AT THE NEXT BOARD MEETING. THE BOARD MEMBERS DISCUSS THE ISSUES AND ACCEPT OR DENY THE TRANSACTION. THE DISCLOSURE, DISCUSSION, AND DECISION HAPPEN BEFORE THE TRANSACTION OCCURS. NO RESTRICTIONS HAVE BEEN IMPOSED SO FAR.
FORM 990, PART VI, SECTION B, LINE 15AMANAGEMENT REVIEWS COMPENSATION TO VERIFY AMOUNTS ARE COMPARABLE TO OTHER ENTITIES IN THE SAME REGION AND SIZE AMONG OTHER FACTORS. BOARD OF DIRECTORS REVIEW AND APPROVE COMPENSATION FOR THE ADMINISTRATOR.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION HAS MADE GOVERNING DOCUMENTS, THEIR CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 16B:INVESTMENT IN SCN, INC. THE ORGANIZATION ADOPTED A POLICY IN 2015 FOR THE MONITORING OF THIS INVESTMENT. DURING THE 2011 TAX YEAR SCN, INC. CONVERTED FROM A NON PROFIT ORGANIZATION TO A FOR PROFIT ORGANIZATION WITH FIVE MEMBERS, ALL OF WHICH ARE 501(C)(3) ORGANIZATIONS. SCN, INC. HAS BEEN ORGANIZED TO ENABLE ITS MEMBERS TO TAKE ADVANTAGE OF GROUP DISCOUNTS WHEN PURCHASING SUPPLIES AND SERVICES NEEDED FOR OPERATION OF THEIR NURSING HOME AND SKILLED-NURSING FACILITIES.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS NOT CHANGED ITS METHOD OF SUPERVISING THE AUDIT IN THE LAST YEAR.

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