MEADOWVIEW HEALTHCARE AND REHAB: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- MEADOWVIEW HEALTHCARE AND REHAB (EIN 71-0710124)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-02-06
- IRS object ID
- 201920379349301262
- Schema version
- 2017v2.3
- 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 | 2019-02-06T16:34:50-06:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 710650689 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUDSON CISNE & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11025 ANDERSON DR STE 300 | AddressLine1Txt |
| City | LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 722122472 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710710124 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEADOWVIEW HEALTHCARE AND REHAB | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEAD | BusinessNameControlTxt |
| Phone | 4797382021 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 825 N GASKILL | AddressLine1Txt |
| City | HUNTSVILLE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72740 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RUBY PYLE | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 4797382021 | PhoneNum |
| Signature | 2019-01-15 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAUL OSBORN | PreparerPersonNm |
| PTIN | P01044461 | PTIN |
| Phone | 5012211000 | PhoneNum |
| Preparation | 2019-01-28 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 52.37.240.203 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-02-06 | IPDt |
| IP Tm | 16:34:50 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | F3DC7FD53D562AA1BBE067118BE380D41C78BF27 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 68B21885949A3702F71C81E279C2F693B159CC21 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RUBY PYLE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 123 MAIN ST | AddressLine1Txt |
| City | HUNTSVILLE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72740 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,902,029 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION OPERATES A SKILLED NURSING FACILITY FOR THE RESIDENTS OF MADISON COUNTY, ARKANSAS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 113 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,027,579 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,901,008 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,044 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,021 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,309 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $3,032,932 | PYTotalRevenueAmt |
| CY Total Revenue | $2,902,029 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,959,371 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,888,004 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,371,916 | PYOtherExpensesAmt |
| CY Other Expenses | $1,349,696 | CYOtherExpensesAmt |
| PY Total Expenses | $3,331,287 | PYTotalExpensesAmt |
| CY Total Expenses | $3,237,700 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$298,355 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$335,671 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,084,480 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,809,234 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $189,734 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $250,159 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,894,746 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,559,075 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE ORGANIZATION OPERATES A SKILLED NURSING FACILITY FOR THE RESIDENTS OF MADISON COUNTY, ARKANSAS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,237,700 | ExpenseAmt |
| Revenue | $2,901,008 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES RESIDENTIAL NURSING CARE FOR RESIDENTS WHO ARE PHYSICALLY AND/OR MENTALLY INCAPABLE OF SELF-CARE. | Desc |
| Total Program Service Expenses | $3,237,700 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 113 | 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 |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RUBY PYLE | PersonNm |
| Phone | 4797382021 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 123 MAIN ST | AddressLine1Txt |
| City | HUNTSVILLE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72740 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per WeekAverageHoursPerWeekRt |
|---|---|---|---|---|---|---|
| BARRY CLEAVER | ||||||
| CHAIRMAN | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHARLES R SHINN | ||||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | ||
| DR MAX NORRIS | ||||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | ||
| DR TRAVIS EMBRY | ||||||
| MEDICAL DIRE | Yes (X) | $0 | $0 | $0 | ||
| HARRIET MCCHRISTIAN | ||||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | ||
| TWILLA BRYANT | ||||||
| SECRETARY/TR | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RUBY PYLE | ||||||
| ADMINISTRATO | Yes (X) | $83,984 | $0 | $0 | 40.00 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $83,984 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| RESIDENT FEES | $2,897,156 | $2,897,156 |
| BEAUTY & BARBER | $1,762 | $1,762 |
| OTHER SALES | $1,482 | $1,482 |
| CAFETERIA & VENDING | $608 | $608 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,901,008 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,021 | TotalRevenueColumnAmt |
| Exclusion | $1,021 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,902,029 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,901,008 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,021 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,064 | TotalAmt |
| Program Services | $85,064 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,557,666 | TotalAmt |
| Program Services | $1,557,666 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,937 | TotalAmt |
| Program Services | $119,937 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,337 | TotalAmt |
| Program Services | $125,337 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,616 | TotalAmt |
| Program Services | $6,616 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,816 | TotalAmt |
| Program Services | $43,816 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,088 | TotalAmt |
| Program Services | $141,088 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $661 | TotalAmt |
| Program Services | $661 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,593 | TotalAmt |
| Program Services | $31,593 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,515 | TotalAmt |
| Program Services | $4,515 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,196 | TotalAmt |
| Program Services | $91,196 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,619 | TotalAmt |
| Program Services | $3,619 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,551 | TotalAmt |
| Program Services | $121,551 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,031 | TotalAmt |
| Program Services | $158,031 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| PATIENT CARE EXPENSES | $242,930 | $242,930 |
| QUALITY ASSURANCE FEE | $223,997 | $223,997 |
| BAD DEBTS | $180,545 | $180,545 |
| REPAIRS & MAINTENANCE | $41,159 | $41,159 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,379 | TotalAmt |
| Program Services | $58,379 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,237,700 | TotalAmt |
| Program Services | $3,237,700 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $916 | BOYAmt |
| EOY | $760 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,011,153 | BOYAmt |
| EOY | $959,692 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,042 | BOYAmt |
| EOY | $205,176 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,227 | BOYAmt |
| EOY | $7,521 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,082 | BOYAmt |
| EOY | $37,578 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,862,443 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,263,936 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,688,060 | BOYAmt |
| EOY | $1,598,507 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,084,480 | BOYAmt |
| EOY | $2,809,234 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,734 | BOYAmt |
| EOY | $250,159 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,734 | BOYAmt |
| EOY | $250,159 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,894,746 | BOYAmt |
| EOY | $2,559,075 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,894,746 | BOYAmt |
| EOY | $2,559,075 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,084,480 | BOYAmt |
| EOY | $2,809,234 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$335,671 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $350 | CurrentTaxYearMinus3YearsAmt |
| Total | $375 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,800,430 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,827,288 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,365,268 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,027,579 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,901,008 | CurrentTaxYearAmt |
| Total | $16,921,573 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,800,455 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,827,638 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,365,268 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,027,579 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,901,008 | CurrentTaxYearAmt |
| Total | $16,921,948 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $16,921,948 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $947 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $890 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,061 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,044 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,021 | CurrentTaxYearAmt |
| Total | $4,963 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $947 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $890 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,061 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,044 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,021 | CurrentTaxYearAmt |
| Total | $4,963 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $6,886 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $295 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,309 | CurrentTaxYearMinus1YearAmt |
| Total | $11,490 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,801,402 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,835,414 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,366,624 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,032,932 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,902,029 | CurrentTaxYearAmt |
| Total | $16,938,401 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99900 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99980 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | 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 | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME 11,490 | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $413,725 | OtherCostOrOtherBasisAmt |
| Book Value | $413,725 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,007,249 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,907,218 | DepreciationAmt |
| Book Value | $1,100,031 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $349,785 | OtherCostOrOtherBasisAmt |
| Depreciation | $268,369 | DepreciationAmt |
| Book Value | $81,416 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $91,684 | OtherCostOrOtherBasisAmt |
| Depreciation | $88,349 | DepreciationAmt |
| Book Value | $3,335 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,598,507 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,721,484 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$180,545 | OtherRevenueAmt |
| Revenue Not Reported | -$180,545 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,902,029 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $2,902,029 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,057,155 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$180,545 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$180,545 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,237,700 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $3,237,700 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | IN ACCORDANCE WITH THE ACCOUNTING FOR INCOME TAXES TOPIC OF THE ACCOUNTING STANDARDS CODIFICATION (REFERRED TO AS EITHER THE CODIFICATION OR THE ASC), THE NURSING HOME RECOGNIZES ACCRUED INTEREST WITH PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS AS PART OF THEIR INCOME TAX PROVISION, IF ANY. THE PAST THREE YEARS OF FEDERAL TAX RETURNS ARE SUBJECT TO POTENTIAL EXAMINATION BY THE INTERNAL REVENUE SERVICE. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | PROVISION FOR UNCOLLECTABLE AMOUNTS -180,545 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | PROVISION FOR UNCOLLECTABLE AMOUNTS -180,545 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW AND APPROVAL PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE PROVIDED TO INDIVIDUALS UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | PROVISION FOR UNCOLLECTABLE AMOUNTS -180,545 PROVISION FOR UNCOLLECTABLE AMOUNTS 180,545 |
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