LAKEWOOD HEALTHCARE INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- LAKEWOOD HEALTHCARE INC (EIN 71-0680133)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-01-19
- IRS object ID
- 201830199349300003
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-01-19T07:38:53-06:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 208153372 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BANKS CPA PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 204 N 27TH ST | AddressLine1Txt |
| City | ARKADELPHIA | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 719234202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710680133 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEWOOD HEALTHCARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAKE | BusinessNameControlTxt |
| Phone | 5016239422 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 204 NORTH 27TH STREET | AddressLine1Txt |
| City | ARKADELPHIA | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71923 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JUDY YOUNG | PersonNm |
| Person Title | SECRETARY/TREASURER | PersonTitleTxt |
| Phone | 5012621920 | PhoneNum |
| Signature | 2018-01-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEPHANIE M BANKS | PreparerPersonNm |
| PTIN | P00709038 | PTIN |
| Phone | 8702453975 | PhoneNum |
| Preparation | 2018-01-19 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 8744370083D9D51A79B43F1E87EE2CD9DE2FCDBC | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 8744370083D9D51A79B43F1E87EE2CD9DE2FCDBC | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CLYDE COVINGTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 ORCHARD | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71913 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,249,770 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | LAKEWOODHOTSPRINGS.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | CARE FOR THE ELDERLY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 231 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $9,455 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,813 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,539,048 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,231,475 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $17,941 | PYOtherRevenueAmt |
| CY Other Revenue | $14,482 | CYOtherRevenueAmt |
| PY Total Revenue | $4,566,444 | PYTotalRevenueAmt |
| CY Total Revenue | $4,249,770 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,629,750 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,596,464 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,987,868 | PYOtherExpensesAmt |
| CY Other Expenses | $1,694,165 | CYOtherExpensesAmt |
| PY Total Expenses | $4,617,618 | PYTotalExpensesAmt |
| CY Total Expenses | $4,290,629 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$51,174 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$40,859 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,065,987 | TotalAssetsBOYAmt |
| Total Assets EOY | $978,802 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $787,074 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $740,768 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $278,913 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $238,034 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CARE FOR THE ELDERLY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,725,365 | ExpenseAmt |
| Revenue | $4,231,475 | RevenueAmt |
| Desc | SKILLED NURSING HOME FACILITY ACCOMODATING 80 ELDERLY RESIDENTS, WITH EMPHASIS ON REHABILITATION AND DIGNITY. | Desc |
| Total Program Service Expenses | $3,725,365 | 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 | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 231 | 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 |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| 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 | false | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAT MALONE | PersonNm |
| Phone | 8702453975 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 204 NORTH 27TH STREET | AddressLine1Txt |
| City | ARKADELPHIA | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71923 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|
| JUDY YOUNG | |||||
| SECRETARY/TR | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PATTY RODDENBERRY | |||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |
| TAMMY BURKHART | |||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |
| CLYDE COVINGTON | |||||
| PRESIDENT | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KATHY FISCHER | |||||
| VICE PRESIDE | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARSHA MCALLISTER | |||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $3,813 | AllOtherContributionsAmt |
| Total Contributions | $3,813 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NURSING HOME REVENUE | Desc |
| Total Revenue Column | $4,231,475 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,231,475 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,231,475 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CNA - TRAINING & TEST | 623000 | $8,093 | $8,093 |
| MEAL INCOME | $6,143 | $6,143 | |
| MISCELLANEOUS INCOME | $246 | $246 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $14,482 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,249,770 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,245,957 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,193,123 | TotalAmt |
| Program Services | $2,035,240 | ProgramServicesAmt |
| Management And General | $157,883 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,750 | TotalAmt |
| Program Services | $158,603 | ProgramServicesAmt |
| Management And General | $81,147 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,591 | TotalAmt |
| Program Services | $119,594 | ProgramServicesAmt |
| Management And General | $43,997 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,206 | TotalAmt |
| Management And General | $61,206 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,491 | TotalAmt |
| Management And General | $4,491 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,218 | TotalAmt |
| Management And General | $14,218 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,867 | TotalAmt |
| Program Services | $98,867 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,866 | TotalAmt |
| Management And General | $1,866 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,474 | TotalAmt |
| Management And General | $17,474 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,853 | TotalAmt |
| Program Services | $78,425 | ProgramServicesAmt |
| Management And General | $2,428 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,897 | TotalAmt |
| Program Services | $17,564 | ProgramServicesAmt |
| Management And General | $12,333 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| QUALITY ASSURANCE FEE | $278,483 | $278,483 | |
| FOOD | $192,899 | $192,899 | |
| BAD DEBTS | $142,479 | $142,479 | |
| PENALTY | $109,027 | $109,027 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $662,405 | TotalAmt |
| Program Services | $603,211 | ProgramServicesAmt |
| Management And General | $59,194 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,290,629 | TotalAmt |
| Program Services | $3,725,365 | ProgramServicesAmt |
| Management And General | $565,264 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,817 | BOYAmt |
| EOY | $136,439 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $349,940 | BOYAmt |
| EOY | $283,488 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,844 | BOYAmt |
| EOY | $15,501 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,584 | BOYAmt |
| EOY | $20,324 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,388,744 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,877,600 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $584,679 | BOYAmt |
| EOY | $511,144 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,123 | BOYAmt |
| EOY | $11,906 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,065,987 | BOYAmt |
| EOY | $978,802 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $403,432 | BOYAmt |
| EOY | $452,005 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $354,790 | BOYAmt |
| EOY | $260,514 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,852 | BOYAmt |
| EOY | $28,249 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $787,074 | BOYAmt |
| EOY | $740,768 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $278,913 | BOYAmt |
| EOY | $238,034 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $278,913 | BOYAmt |
| EOY | $238,034 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,065,987 | BOYAmt |
| EOY | $978,802 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$40,859 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$20 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| 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 | $4,007 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,467 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,350 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,455 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,813 | CurrentTaxYearAmt |
| Total | $53,092 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,347,472 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,108,823 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,973,925 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,556,989 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,245,957 | CurrentTaxYearAmt |
| Total | $19,233,166 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,758 | CurrentTaxYearMinus4YearsAmt |
| Total | $12,758 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,364,237 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,132,290 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,986,275 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,566,444 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,249,770 | CurrentTaxYearAmt |
| Total | $19,299,016 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $19,299,016 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28 | CurrentTaxYearMinus3YearsAmt |
| Total | $51 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28 | CurrentTaxYearMinus3YearsAmt |
| Total | $51 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,364,260 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,132,318 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,986,275 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,566,444 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,249,770 | CurrentTaxYearAmt |
| Total | $19,299,067 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $88,000 | OtherCostOrOtherBasisAmt |
| Book Value | $88,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,734,822 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,389,550 | DepreciationAmt |
| Book Value | $345,272 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $565,922 | OtherCostOrOtherBasisAmt |
| Depreciation | $488,050 | DepreciationAmt |
| Book Value | $77,872 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $511,144 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LIABILITIES | $26,868 |
| LEASE PAYABLE | $1,381 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $28,249 | TotalLiabilityAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | OFFICER SIGNS FORM 990 - COPY IS AVAILABLE TO ALL BOARD MEMBERS TO REVIEW UPON REQUEST |
| FORM 990, PAGE 6, PART VI, LINE 19 | ON SITE WITH A 1.00 CHARGE PER PAGE FOR COPIES. |
| FORM 990, PART IX, LINE 24E | CONTRACT-PHYSICAL THERAPI 102,650 0 0 CONTRACT-OCCUPATIONAL THE 87,753 0 0 PRESCRIPTION DRUGS 71,574 0 0 INCONTINENCE SUPPLIES 47,471 0 0 CONTRACT-SPEECH THERAPY 33,742 0 0 MEDICAL SUPPLIES 31,722 0 0 REPAIRS & MAINTENANCE 5,117 22,179 0 SUPPLIES - HOUSEKEEPING 26,582 0 0 MEDICARE PART A BILLING 20,791 0 0 SUPPLIES - CARE RELATED 20,478 0 0 TELEPHONE 0 20,014 0 DIETARY - SUPPLIES 19,202 0 0 NON PRESCRIPTION DRUGS 17,681 0 0 FOOD SUPPLEMENTS 16,526 0 0 THERAPY CONSULTANT 12,000 0 0 SUPPLIES - LAUNDRY 8,876 0 0 TELEVISION 8,488 0 0 MEDICAL LAB TESTS 8,312 0 0 MEDCART SOFTWARE MAIN 7,750 0 0 CONSULTANT FEES - DIETARY 7,200 0 0 OXYGEN 5,875 0 0 CONSULTANT FEES - PHARMAC 5,550 0 0 PATIENT ACTIVITY SUPPLIES 5,029 0 0 VEHICLE - EXPENDIBLE SUPP 4,758 0 0 DATA PROCESSING FEES 0 4,627 0 DUES 0 4,112 0 LAUNDRY - EQUIPMENT RENTA 4,044 0 0 LINEN 3,765 0 0 VEHICLE - MAINTENANCE 3,426 0 0 VEHICLE - INSURANCE 2,813 0 0 XRAY 2,772 0 0 MEDICARE PART B BILLING 2,726 0 0 NURSES AIDE TRAINING 2,400 0 0 DUES-NONALLOWABLE 0 2,343 0 PURCHASED SERVICES 2,283 0 0 SUBSCRIPTIONS 0 1,794 0 INTERNET SERVICE 0 1,322 0 MEDICAL EQUIPMENT RENTAL 1,175 0 0 DIETARY - EQUIPMENT RENTA 1,054 0 0 CBC EXPENSE 0 912 0 BANK CHARGES 0 828 0 LICENSES 800 0 0 MEDICARE CONSULTANT 406 0 0 OFFICE EQUIPMENT MTCE 0 368 0 OTHER NONALLOWABLE 0 307 0 DIETARY - NON EXPENDIBLE 267 0 0 MISCELLANEOUS ADMIN. EXPE 0 230 0 SALES TAX EXPENSE 0 158 0 PERSONAL ITEMS 107 0 0 THERAPY SUPPLIES 46 0 0 TOTAL 603,211 59,194 0 |
| FORM 990, PART XI, LINE 9 | BOOK / TAX DEPRECIATION DIFFERENCE -20 |
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