SOUTH COVE MANOR NURSING AND REHABILITATION CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SOUTH COVE MANOR NURSING AND REHABILITATION CENTER INC (EIN 80-0687948)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-13
IRS object ID
201723179349305642
Schema version
2016v3.0
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)
Return2017-11-13T14:52:57-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Begin2016-01-01TaxPeriodBeginDt

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)
PersonKATHRYN PLAZAKPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone6174230590PhoneNum
Signature2017-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJUDY DALEYPreparerPersonNm
PTINP01294075PTIN
Phone6179848100PhoneNum
Preparation2017-11-07PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-07IPDt
IP Tm11:32:40IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD1ECA57A6B2E25FD1BF1F84BA5BB5DD4C2FC09DCAtSubmissionCreationDeviceId
At Submission Filing Device IdDB979484B03525D8111AE7C1A10965ABCD2EA500AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKATHRYN PLAZAKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1288 WASHINGTON STREETAddressLine1Txt
CityQUINCYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02169ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,010,495GrossReceiptsAmt
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 Employee260TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$194,355PYContributionsGrantsAmt
CY Contributions Grants$32,365CYContributionsGrantsAmt
PY Program Service Revenue$14,618,745PYProgramServiceRevenueAmt
CY Program Service Revenue$14,509,492CYProgramServiceRevenueAmt
PY Investment Income$464,690PYInvestmentIncomeAmt
CY Investment Income$465,113CYInvestmentIncomeAmt
PY Other Revenue$4,067PYOtherRevenueAmt
CY Other Revenue$3,525CYOtherRevenueAmt
PY Total Revenue$15,281,857PYTotalRevenueAmt
CY Total Revenue$15,010,495CYTotalRevenueAmt
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$8,729,324PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,940,647CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$5,352CYTotalFundraisingExpenseAmt
PY Other Expenses$6,236,696PYOtherExpensesAmt
CY Other Expenses$6,138,430CYOtherExpensesAmt
PY Total Expenses$14,966,020PYTotalExpensesAmt
CY Total Expenses$15,079,077CYTotalExpensesAmt
PY Revenues Less Expenses$315,837PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$68,582CYRevenuesLessExpensesAmt
Total Assets BOY$27,002,929TotalAssetsBOYAmt
Total Assets EOY$24,761,260TotalAssetsEOYAmt
Total Liabilities BOY$23,865,406TotalLiabilitiesBOYAmt
Total Liabilities EOY$21,476,319TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,137,523NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,284,941NetAssetsOrFundBalancesEOYAmt
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$11,899,922ExpenseAmt
Revenue$14,513,317RevenueAmt
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$11,899,922TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
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 Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related 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 Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee260EmployeeCnt
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 Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint 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
WENDY LEE
PRESIDENT & CEO40.002.00Yes (X)$176,088$0$0
SCOTT HANSON
DIRECTOR OF FINANCE40.002.00Yes (X)$116,193$0$3,319
LI CHEN
ADMINISTRATOR40.000.00Yes (X)$141,068$0$15,022
ROULAN ZHAO
DIRECTOR OF NURSING40.000.00$107,916$0$14,424Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$541,265TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$32,765TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PARAGON REHABILITATIONBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1303 N HURSTBOURNE PARKWAYAddressLine1Txt
CityLOUISVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP40222ZIPCd
FieldValueIRS element (for citing)
ServicesTHERAPY SERVICESServicesDesc
Compensation$671,774CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$32,365AllOtherContributionsAmt
Total Contributions$32,365TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$14,509,492TotalRevenueColumnAmt
Related Or Exempt Func Income$14,509,492RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$14,509,492TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$465,113TotalRevenueColumnAmt
Exclusion$465,113ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business623000BusinessCd
Total Revenue Column$3,525TotalRevenueColumnAmt
Related Or Exempt Func Income$3,525RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,525OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,010,495TotalRevenueColumnAmt
Related Or Exempt Func Income$14,513,017RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$465,113ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$451,690TotalAmt
Management And General$451,690ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,968,731TotalAmt
Program Services$6,276,979ProgramServicesAmt
Management And General$691,752ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$111,028TotalAmt
Program Services$94,152ProgramServicesAmt
Management And General$16,876ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$670,483TotalAmt
Program Services$584,124ProgramServicesAmt
Management And General$86,359ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$738,715TotalAmt
Program Services$626,432ProgramServicesAmt
Management And General$112,283ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,353TotalAmt
Management And General$1,353ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$73,988TotalAmt
Management And General$73,988ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$928,227TotalAmt
Program Services$892,885ProgramServicesAmt
Management And General$30,825ManagementAndGeneralAmt
Fundraising$4,517FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$31,144TotalAmt
Management And General$31,144ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$161,660TotalAmt
Management And General$161,660ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,688,330TotalAmt
Program Services$1,688,330ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$885TotalAmt
Management And General$885ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$18,031TotalAmt
Management And General$18,031ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$637,599TotalAmt
Program Services$637,599ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$241,967TotalAmt
Program Services$241,967ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$127,416TotalAmt
Program Services$31,735ProgramServicesAmt
Management And General$95,681ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
USER FEES$910,743$910,743
DIETARY$480,324$480,324
PROVISION FOR BAD DEBTS$457,025$457,025
MEDICAL SUPPLIES AND EX$234,896$234,896

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$144,842TotalAmt
Program Services$110,499ProgramServicesAmt
Management And General$33,508ManagementAndGeneralAmt
Fundraising$835FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,079,077TotalAmt
Program Services$11,899,922ProgramServicesAmt
Management And General$3,173,803ManagementAndGeneralAmt
Fundraising$5,352FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,590,165BOYAmt
EOY$2,641,120EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,350,025BOYAmt
EOY$362,970EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$266,113BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,205,850BOYAmt
EOY$1,383,503EOYAmt

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$98,132BOYAmt
EOY$183,728EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,125,598LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$590,611LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,705,994BOYAmt
EOY$1,534,987EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$186,373BOYAmt
EOY$54,675EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$27,002,929BOYAmt
EOY$24,761,260EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,285,770BOYAmt
EOY$1,191,142EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,963,217BOYAmt
EOY$18,396,076EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,616,419BOYAmt
EOY$1,889,101EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,865,406BOYAmt
EOY$21,476,319EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,871,410BOYAmt
EOY$3,284,941EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$266,113BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,137,523BOYAmt
EOY$3,284,941EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,002,929BOYAmt
EOY$24,761,260EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$68,582ReconcilationRevenueExpnssAmt
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$2,561,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,416,608CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$546,712CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$194,355CurrentTaxYearMinus1YearAmt
Current Tax Year$32,365CurrentTaxYearAmt
Total$4,751,540TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$8,307,173CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,622,812CurrentTaxYearMinus1YearAmt
Current Tax Year$14,513,017CurrentTaxYearAmt
Total$37,443,002TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,561,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,416,608CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,853,885CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,817,167CurrentTaxYearMinus1YearAmt
Current Tax Year$14,545,382CurrentTaxYearAmt
Total$42,194,542TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$300,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,022,500CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$122,220CurrentTaxYearMinus2YearsAmt
Total$1,445,220TotalAmt

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$300,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,022,500CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$122,220CurrentTaxYearMinus2YearsAmt
Total$1,445,220TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$40,749,322PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$50,406CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$464,038CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$462,251CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$464,690CurrentTaxYearMinus1YearAmt
Current Tax Year$465,113CurrentTaxYearAmt
Total$1,906,498TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$50,406CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$464,038CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$462,251CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$464,690CurrentTaxYearMinus1YearAmt
Current Tax Year$465,113CurrentTaxYearAmt
Total$1,906,498TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,611,906CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,880,646CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,316,136CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,281,857CurrentTaxYearMinus1YearAmt
Current Tax Year$15,010,495CurrentTaxYearAmt
Total$44,101,040TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.92400PublicSupportCY509Pct
Public Support PY5090.90360PublicSupportPY509Pct
Investment Income CY0.04320InvestmentIncomeCYPct
Investment Income PY0.04810InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$356,710OtherCostOrOtherBasisAmt
Depreciation$318,024DepreciationAmt
Book Value$38,686BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,768,888OtherCostOrOtherBasisAmt
Depreciation$272,587DepreciationAmt
Book Value$1,496,301BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,534,987TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO RELATED PARTIES$350,616
OTHER LIABILITIES$1,538,485
FieldValueIRS element (for citing)
Total Liability$1,889,101TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE.ExplanationTxt

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 Payment0SeverancePaymentInd
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 (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WENDY LEE
PRESIDENT & CEO$176,088$0$0$0$0$0$0$0$0$0$176,088$0$0$0
LI CHEN
ADMINISTRATOR$141,068$0$0$0$0$0$0$0$15,022$0$156,090$0$0$0

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$603,924RetiredAmt
Total Proceeds$19,000,000TotalProceedsAmt
Capital Expenditures$19,000,000CapitalExpendituresAmt
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 Remdtd0ProcsNonqualifiedBondRemdtdInd

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 Action0ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE MANAGEMENT/COMPENSATION COMMITTEE IS MADE OF BOARD DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 2A FAMILY RELATIONSHIP EXISTS BETWEEN MAY CHIN, VICE PRESIDENT; THOMAS CHIN, DIRECTOR; AND HELEN CHIN SCHLICHTE, DIRECTOR. A BUSINESS RELATIONSHIP EXISTS WITH HEMMIE CHANG WHO WORKS FOR THE ORGANIZATION'S LEGAL FIRM, FOLEY AND HOAG.
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 AFTER 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 15ATHE 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 10SOUTH 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 NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
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 FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SOUTH COVE MANOR NURSING & REHAB CENTER QALICB INC
C$216,000FMV
SOUTH COVE MANOR NURSING & REHAB CENTER QALICB INC
D$37,097FMV
SOUTH COVE NURSING FACILITIES FOUNDATION INC
E$387,713FMV
SOUTH COVE MANOR NURSING & REHAB CENTER QALICB INC
K$1,215,734FMV
SOUTH COVE MANOR NURSING & REHAB CENTER QALICB INC
K$1,114,917FMV

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.