SOUTH COVE MANOR NURSING AND REHABILITATION CENTER INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SOUTH COVE MANOR NURSING AND REHABILITATION CENTER INC (EIN 80-0687948)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-14
IRS object ID
201823189349311602
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

FieldValueIRS element (for citing)
Return2018-11-14T16:39:21-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1300 CROWN COLONY DRIVE SUITE 310AddressLine1Txt
CityQUINCYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02169ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN800687948EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTH COVE MANOR NURSING ANDBusinessNameLine1Txt
Business Name Line2REHABILITATION CENTER INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone6174230590PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1288 WASHINGTON STREETAddressLine1Txt
CityQUINCYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02169ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM GRAVESPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone6174230590PhoneNum
Signature2018-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID TRIMNERPreparerPersonNm
PTINP00444822PTIN
Phone6179848100PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-13IPDt
IP Tm17:03:05IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id839A7130264BF8A4AA8E0E9B35915F0C6C2A2968AtSubmissionCreationDeviceId
At Submission Filing Device Id839A7130264BF8A4AA8E0E9B35915F0C6C2A2968AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWILLIAM GRAVESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1288 WASHINGTON STREETAddressLine1Txt
CityQUINCYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02169ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,199,568GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SOUTHCOVEMANOR.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO PROVIDE INDIVIDUALIZED REHABILITATION AND NURSING CARE THAT REFLECTS ASIAN CULTURAL VALUES.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee291TotalEmployeeCnt
Total Volunteers22TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$32,365PYContributionsGrantsAmt
CY Contributions Grants$120,819CYContributionsGrantsAmt
PY Program Service Revenue$14,509,492PYProgramServiceRevenueAmt
CY Program Service Revenue$14,602,746CYProgramServiceRevenueAmt
PY Investment Income$465,113PYInvestmentIncomeAmt
CY Investment Income$465,159CYInvestmentIncomeAmt
PY Other Revenue$3,525PYOtherRevenueAmt
CY Other Revenue$10,844CYOtherRevenueAmt
PY Total Revenue$15,010,495PYTotalRevenueAmt
CY Total Revenue$15,199,568CYTotalRevenueAmt
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$8,940,647PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,652,689CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,138,430PYOtherExpensesAmt
CY Other Expenses$6,042,132CYOtherExpensesAmt
PY Total Expenses$15,079,077PYTotalExpensesAmt
CY Total Expenses$15,694,821CYTotalExpensesAmt
PY Revenues Less Expenses-$68,582PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$495,253CYRevenuesLessExpensesAmt
Total Assets BOY$24,761,260TotalAssetsBOYAmt
Total Assets EOY$24,416,768TotalAssetsEOYAmt
Total Liabilities BOY$21,476,319TotalLiabilitiesBOYAmt
Total Liabilities EOY$21,411,080TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,284,941NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,005,688NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ORGANIZATION'S MISSION IS TO PROVIDE INDIVIDUALIZED REHABILITATION AND NURSING CARE THAT REFLECTS ASIAN CULTURAL VALUES. THE ORGANIZATION'S CORE VALUES INCLUDE: 1.RESPECTING THE PEOPLE WE SERVE, THEIR TRADITIONS, AND THEIR PREFERENCES, 2.PROVIDING EXCELLENT, LEADING EDGE CARE AND SERVICES, 3.INVESTING IN OUR EMPLOYEES, AND 4.SERVING OUR COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$12,485,707ExpenseAmt
Revenue$14,602,746RevenueAmt
DescNURSING & REHABILITATION SERVICES - THE ORGANIZATION'S MISSION IS TO PROVIDE INDIVIDUALIZED NURSING AND REHABILITATION CARE THAT REFLECTS ASIAN CULTURAL VALUES THROUGH THE OPERATION OF A 141-BED LONG-TERM CARE FACILITY IN QUINCY, MASSACHUSETTS.Desc
Total Program Service Expenses$12,485,707TotalProgramServiceExpensesAmt
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 Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee291EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
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 CommitteesYes (1)MinutesOfCommitteesInd
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 OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSCOTT HANSON DIRECTOR OF FINANCEPersonNm
Phone6174230590PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1288 WASHINGTON STREETAddressLine1Txt
CityQUINCYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02169ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
RICHARD LUI
CHAIRMAN OF THE BOARD1.002.00Yes (X)Yes (X)$0$0$0
MAY CHIN RN
VICE PRESIDENT1.002.00Yes (X)Yes (X)$0$0$0
JASON QU MD
TREASURER1.002.00Yes (X)Yes (X)$0$0$0
HEMMIE CHANG ESQ
CLERK1.002.00Yes (X)Yes (X)$0$0$0
EDWARD CHENG
DIRECTOR1.002.00Yes (X)$0$0$0
THOMAS CHIN
DIRECTOR1.002.00Yes (X)$0$0$0
STANLEY ELKERTON
DIRECTOR1.002.00Yes (X)$0$0$0
LEONARD LAI
DIRECTOR1.002.00Yes (X)$0$0$0
SUSAN LUO
DIRECTOR1.002.00Yes (X)$0$0$0
PAUL MACKINNON
DIRECTOR1.002.00Yes (X)$0$0$0
LISA MUI
DIRECTOR1.002.00Yes (X)$0$0$0
ALICE L ROSE RN
DIRECTOR1.002.00Yes (X)$0$0$0
HELEN CHIN SCHLICHTE
DIRECTOR1.002.00Yes (X)$0$0$0
DAVID T TING
DIRECTOR1.002.00Yes (X)$0$0$0
HON HOI YEE
DIRECTOR1.002.00Yes (X)$0$0$0
MARIANNE BOWLER
DIRECTOR1.002.00Yes (X)$0$0$0
KATHRYN PLAZAK
PRESIDENT & CEO40.002.00Yes (X)$0$0$0
SCOTT HANSON
DIRECTOR OF FINANCE40.002.00Yes (X)$117,162$0$12,670
WENDY LEE
PRESIDENT & CEO40.002.00Yes (X)$68,801$0$8,636
LI CHEN
ADMINISTRATOR40.002.00$132,631$0$17,703Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$318,594TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$39,009TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PARAGON REHABILITATION
303 N HURSTBOURNE PKWYLOUISVILLEKY40222THERAPY SERVICES$561,530
PLAZAK ASSOCIATES
18 TREMONT ST 1010BOSTONMA02108INTERIM CEO$102,335
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$120,819AllOtherContributionsAmt
Noncash Contributions$71,663NoncashContributionsAmt
Total Contributions$120,819TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$14,602,746TotalRevenueColumnAmt
Related Or Exempt Func Income$14,602,746RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$14,602,746TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$465,159TotalRevenueColumnAmt
Exclusion$465,159ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,844TotalRevenueColumnAmt
Exclusion$10,844ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$10,844OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,199,568TotalRevenueColumnAmt
Related Or Exempt Func Income$14,602,746RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$476,003ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$205,469TotalAmt
Management And General$205,469ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,687,581TotalAmt
Program Services$6,705,503ProgramServicesAmt
Management And General$982,078ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$124,469TotalAmt
Program Services$106,004ProgramServicesAmt
Management And General$18,465ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$940,086TotalAmt
Program Services$817,236ProgramServicesAmt
Management And General$122,850ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$695,084TotalAmt
Program Services$591,968ProgramServicesAmt
Management And General$103,116ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$77,876TotalAmt
Management And General$77,876ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$103,831TotalAmt
Management And General$103,831ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$986,781TotalAmt
Program Services$837,036ProgramServicesAmt
Management And General$149,745ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$48,881TotalAmt
Management And General$48,881ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$174,515TotalAmt
Management And General$174,515ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,684,802TotalAmt
Program Services$1,684,802ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$900TotalAmt
Management And General$900ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,609TotalAmt
Management And General$7,609ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$621,845TotalAmt
Program Services$621,845ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$257,210TotalAmt
Program Services$257,210ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$128,625TotalAmt
Program Services$33,993ProgramServicesAmt
Management And General$94,632ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
USER FEES$990,074$990,074
DIETARY$496,067$496,067
MEDICAL SUPPLIES AND EX$207,720$207,720
PROVISION FOR BAD DEBTS$108,000$108,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$147,396TotalAmt
Program Services$126,323ProgramServicesAmt
Management And General$21,073ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,694,821TotalAmt
Program Services$12,485,707ProgramServicesAmt
Management And General$3,209,114ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,641,120BOYAmt
EOY$1,762,721EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$362,970BOYAmt
EOY$646,813EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,383,503BOYAmt
EOY$1,814,256EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$18,600,277BOYAmt
EOY$18,600,277EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$183,728BOYAmt
EOY$104,950EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,274,520LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$847,821LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,534,987BOYAmt
EOY$1,426,699EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$54,675BOYAmt
EOY$61,052EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$24,761,260BOYAmt
EOY$24,416,768EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,191,142BOYAmt
EOY$1,570,952EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$172,429EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,396,076BOYAmt
EOY$17,949,569EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,889,101BOYAmt
EOY$1,718,130EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,476,319BOYAmt
EOY$21,411,080EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,284,941BOYAmt
EOY$3,005,688EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,284,941BOYAmt
EOY$3,005,688EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,761,260BOYAmt
EOY$24,416,768EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$495,253ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$216,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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$1,416,608CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$546,712CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$194,355CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,365CurrentTaxYearMinus1YearAmt
Current Tax Year$120,819CurrentTaxYearAmt
Total$2,310,859TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$8,307,173CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,622,812CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,513,017CurrentTaxYearMinus1YearAmt
Current Tax Year$14,602,746CurrentTaxYearAmt
Total$52,045,748TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,416,608CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,853,885CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,817,167CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,545,382CurrentTaxYearMinus1YearAmt
Current Tax Year$14,723,565CurrentTaxYearAmt
Total$54,356,607TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,022,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$122,220CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$87,040CurrentTaxYearMinus2YearsAmt
Total$1,231,760TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,022,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$122,220CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$87,040CurrentTaxYearMinus2YearsAmt
Total$1,231,760TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$53,124,847PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$464,038CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$462,251CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$464,690CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$465,113CurrentTaxYearMinus1YearAmt
Current Tax Year$465,159CurrentTaxYearAmt
Total$2,321,251TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$464,038CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$462,251CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$464,690CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$465,113CurrentTaxYearMinus1YearAmt
Current Tax Year$465,159CurrentTaxYearAmt
Total$2,321,251TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$10,844CurrentTaxYearAmt
Total$10,844TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,880,646CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,316,136CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,281,857CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,010,495CurrentTaxYearMinus1YearAmt
Current Tax Year$15,199,568CurrentTaxYearAmt
Total$56,688,702TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.93710PublicSupportCY509Pct
Public Support PY5090.92400PublicSupportPY509Pct
Investment Income CY0.04090InvestmentIncomeCYPct
Investment Income PY0.04320InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART III, LINE 12FormAndLineReferenceDesc
ExplanationOTHER INCOME OF $10,844 REPRESENTS ANCILLARY FEES.ExplanationTxt

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$368,339OtherCostOrOtherBasisAmt
Depreciation$358,039DepreciationAmt
Book Value$10,300BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,906,181OtherCostOrOtherBasisAmt
Depreciation$489,782DepreciationAmt
Book Value$1,416,399BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,426,699TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO RELATED PARTIES$178,482
DEFERRED RENT$1,539,648
FieldValueIRS element (for citing)
Total Liability$1,718,130TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonLI CHENPersonNm
TitleADMINISTRATORTitleTxt
Base Compensation Filing Org$132,631BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$17,703NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$150,334TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4AFormAndLineReferenceDesc
ExplanationWENDY LEE, FORMER PRESIDENT AND CEO, WAS PAID $20,000 IN SEVERANCE WAGES.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MASSACHUSETTS DEVELOPMENT FINANCE AGENCYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN043431814BondIssuerEIN
Bond Issued2012-10-30BondIssuedDt
Issue Price$19,000,000IssuePriceAmt
PurposeLAND ACQUISITION AND FACILITY CONSTRUCTION AND FURNISHINGPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$931,771RetiredAmt
Total Proceeds$19,000,000TotalProceedsAmt
Capitalized Interest$252,483CapitalizedInterestAmt
Issuance Costs From Proceeds$147,240IssuanceCostsFromProceedsAmt
Capital Expenditures$18,600,277CapitalExpendituresAmt
Substantial Completion2015SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEMMIE CHANGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionBOARD MEMBERRelationshipDescriptionTxt
Transaction$77,876TransactionAmt
TransactionPARTNER AT FOLEY AND HOAG WHO PROVIDES LEGAL SERVICES TO THE FILING ORGANIZATIONTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$55,469NoncashContributionsRptF990Amt
Method Of Determining RevenuesONLINE SEARCH OF COMPARAMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescBOOKCASESDesc
Contribution12ContributionCnt
Noncash Contributions Rpt F990$16,194NoncashContributionsRptF990Amt
Method Of Determining RevenuesONLINE SEARCH OF COMMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2A FAMILY RELATIONSHIP EXISTS BETWEEN MAY CHIN, VICE PRESIDENT; THOMAS CHIN, DIRECTOR; AND HELEN CHIN SCHLICHTE, DIRECTOR.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S AUDIT COMMITTEE REVIEWS AND APPROVES THE DRAFT FORM 990. THE COMPLETE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS PART OF THE ORGANIZATION'S BY-LAWS AND IS DISCUSSED BY THE BOARD OF DIRECTORS AND TOP MANAGEMENT PERSONNEL AT THE FIRST BOARD MEETING EACH YEAR REGARDING ANY/ALL SIGNIFICANT TRANSACTIONS. THE CONFLICT OF INTEREST POLICY COVERS DIRECTORS, OFFICERS, AND EMPLOYEES. ANY CONFLICTS OF INTEREST ARE DISCLOSED TO THE BOARD PRIOR TO APPROVAL OR RATIFICATION OF THE CONTRACT OR TRANSACTION BY MAJORITY VOTE OF THE DISINTERESTED PERSONS.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CEO AND TOP MANAGEMENT INCLUDES THE USE OF A COMPENSATION COMMITTEE, FORM 990S OF OTHER ORGANIZATIONS, COMPENSATION SURVEYS, AND THE APPROVAL OF THE BOARD OR COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:EQUITY TRANSFER 216,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SOUTH COVE NURSING FACILITIES FOUNDATION INC
288 WASHINGTON STREETQUINCYMA02169046406242NURSING AND CARE FACILITIESMA501(C)(3)LINE 12A, ISOUTH COVE MANOR NURSING AND REHABILITATION CENTER INCYes (1)
SOUTH COVE MANOR NURSING AND REHABILITATION CENTER QALICB INC
288 WASHINGTON STREETQUINCYMA02169352419744TO SUPPORT ACTIVITIES OF SOUTH COVE MANOR NURSING AND REHAB CENTER, INC.MA501(C)(3)LINE 11SOUTH COVE MANOR NURSING AND REHABILITATION CENTER INCYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SOUTH COVE MANOR INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1288 WASHINGTON STREETAddressLine1Txt
CityQUINCYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02169ZIPCd
FieldValueIRS element (for citing)
EIN042820772EIN
Primary ActivitiesNURSING HOMEPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SOUTH COVE NURSING FACILITIES FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SOUTH COVE MANOR NURSING & REHAB CENTER QALICB INC
S$216,000FMV
SOUTH COVE NURSING FACILITIES FOUNDATION INC
E$130,557FMV
SOUTH COVE MANOR NURSING & REHAB CENTER QALICB INC
K$791,004FMV
SOUTH COVE MANOR NURSING & REHAB CENTER QALICB INC
D$105,531FMV

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