MISSION HEALTH SERVICES: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MISSION HEALTH SERVICES (EIN 74-2561471)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-10-30
- IRS object ID
- 201743039349301229
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-10-30T13:13:00-07:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ross & Workman LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1223 W Chavez Dr | AddressLine1Txt |
| City | South Jordan | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84095 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742561471 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSION HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MISS | BusinessNameControlTxt |
| Phone | 8014788900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2830 S REDWOOD ROAD SUITE A | AddressLine1Txt |
| City | WEST VALLEY CITY | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84119 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GARY KELSO | PersonNm |
| Person Title | President | PersonTitleTxt |
| Signature | 2017-10-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Steven L Ross | PreparerPersonNm |
| PTIN | P00067192 | PTIN |
| Phone | 8012549781 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2018-03-14 21:41:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | GARY KELSO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1709 E MICHIGAN AVENUE | AddressLine1Txt |
| City | SALT LAKE CITY | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84108 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $18,835,735 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MISSIONHEALTHSERVICES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | UT | LegalDomicileStateCd |
| Activity Or Mission | Mission Health Services is dedicated to providing for the needs of the elderly in the stateS of Utah AND WYOMING through the operation of FOUR skilled nursing care facilities, and one intermediate nursing care facility. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 827 | TotalEmployeeCnt |
| Total Volunteers | 58 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $113,333 | PYContributionsGrantsAmt |
| CY Contributions Grants | $148,633 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $18,174,312 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,890,448 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,363 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,374 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,042,737 | PYOtherRevenueAmt |
| CY Other Revenue | $792,280 | CYOtherRevenueAmt |
| PY Total Revenue | $19,342,745 | PYTotalRevenueAmt |
| CY Total Revenue | $18,835,735 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,336,320 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,752,069 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,995,042 | PYOtherExpensesAmt |
| CY Other Expenses | $7,163,632 | CYOtherExpensesAmt |
| PY Total Expenses | $18,331,362 | PYTotalExpensesAmt |
| CY Total Expenses | $17,915,701 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,011,383 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $920,034 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $18,724,080 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,056,724 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,854,890 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,415,437 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,869,190 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,641,287 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Mission Health Services (MHS) is committed to providing for the special needs of the elderly throughout Utah AND WYOMING. MHS facilities include FOUR skilled nursing care facilities, and one intermediate nursing care facility. Currently, mhs employs over 500 Utahans who work and care for the frail, elderly, and those with special needs. MHS has a strong commitment to build and strengthen a sense of community through support for each other and among residents, staff and volunteers. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $16,596,910 | ExpenseAmt |
| Revenue | $17,890,448 | RevenueAmt |
| Desc | MISSION HEALTH SERVICES (MHS) OPERATES FOUR SKILLED NURSING CARE FACILITIES AND AN INTERMEDIATE NURSING CARE FACILITy FOR THE MENTALLY DISABLED IN THE STATES OF UTAH AND WYOMING FOR long term care, rehabilitation services, and the care for those individuals with disabilities. BESIDES THE DONATED SERVICES LISTED IN THE RETURN, MHS ALSO DONATED COMMUNITY EDUCATION AND RELATED SERVICES AT AN APPROXIMATE VALUE OF $40,874. SIMILARLY, MHS PROVIDED UNPAID CARE TO INDIGENTS, waived UNREIMBURSED MEDICAid COSTS AND OTHER GIFTS TO THE COMMUNITY VALUED AT APPROXIMATELY $833,779, WHICH IS NEITHER REPORTED ON PAGE 1 NOR DISCLOSED ELSEWHERE IN THE RETURN. | Desc |
| Total Program Service Expenses | $16,596,910 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 112 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 827 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| 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 |
| Form8282 Filed | 0 | Form8282FiledCnt |
| 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 |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | 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 | Gary Kelso | PersonNm |
| Phone | 8017452348 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1709 E MICHIGAN AVENUE | AddressLine1Txt |
| City | SALT LAKE CITY | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84108 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DIRK ANJEWIERDEN | ||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $2,500 | $0 | $0 | ||
| JOSEPH COVEY | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $2,000 | $0 | $0 | ||
| DAVID GESSEL | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $2,500 | $0 | $0 | ||
| LISA ARBOGAST | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $2,500 | $0 | $0 | ||
| GARY KELSO | ||||||||
| President | 50.00 | 0.00 | $385,758 | $0 | $24,381 | Yes (X) | ||
| WARREN WALKER | ||||||||
| VP ANCILLARY SV | 50.00 | 0.00 | $100,652 | $0 | $13,980 | Yes (X) | ||
| MICHELLE ZIMBELMAN | ||||||||
| CFO | 50.00 | 0.00 | $102,921 | $0 | $0 | Yes (X) | ||
| MARION SODERGREN | ||||||||
| VP CLINICAL SVC | 50.00 | 0.00 | $109,995 | $0 | $6,060 | Yes (X) | ||
| CODY MORGAN | ||||||||
| ADMINISTRATOR | 50.00 | 0.00 | $102,034 | $0 | $5,460 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $810,860 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $49,881 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CNS | |||||
| 383 W VINE ST | MURRAY | UT | 84123 | THERAPY SVCS | $452,074 |
| HEALTHCARE SERVICES GROUP | |||||
| 3220 TILLMAN DR STE 300 | BENSALEM | PA | 19020 | HOUSEKEEPING/LAUNDRY | $108,224 |
| ALTA THERAPIES | |||||
| 350 E 300 S | BOUNTIFUL | UT | 84010 | THERAPY SVCS | $405,860 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $148,633 | AllOtherContributionsAmt |
| Noncash Contributions | $147,970 | NoncashContributionsAmt |
| Total Contributions | $148,633 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MANAGEMENT FEES | 623000 | $424,341 | $424,341 |
| MEDICARE/MEDICAID PAYMENT | 623000 | $16,569,887 | $16,569,887 |
| PRIVATE CARE REVENUES | 623000 | $1,805,467 | $1,805,467 |
| RENTAL INCOME | 531110 | $194,357 | $194,357 |
| UNCOMPENSATED CARE EXPNSE | 623000 | -$1,103,604 | -$1,103,604 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,890,448 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,374 | TotalRevenueColumnAmt |
| Exclusion | $4,374 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CFIRST, LLC INCOME | 623000 | -$33 | -$33 |
| NET GAIN JV - CARE TRANS. | 623000 | $153,934 | $153,934 |
| OTHER REVENUES | 623000 | $638,379 | $638,379 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $792,280 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,835,735 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,682,728 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $4,374 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $810,860 | TotalAmt |
| Management And General | $810,860 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,738,367 | TotalAmt |
| Program Services | $7,738,367 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,474,210 | TotalAmt |
| Program Services | $1,333,822 | ProgramServicesAmt |
| Management And General | $140,388 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $728,632 | TotalAmt |
| Program Services | $717,446 | ProgramServicesAmt |
| Management And General | $11,186 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,305 | TotalAmt |
| Program Services | $79,849 | ProgramServicesAmt |
| Management And General | $30,456 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,982 | TotalAmt |
| Program Services | $80,982 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,450 | TotalAmt |
| Program Services | $32,285 | ProgramServicesAmt |
| Management And General | $3,165 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,218 | TotalAmt |
| Program Services | $36,623 | ProgramServicesAmt |
| Management And General | $23,595 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,497 | TotalAmt |
| Program Services | $198,992 | ProgramServicesAmt |
| Management And General | $30,505 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,121 | TotalAmt |
| Program Services | $13,317 | ProgramServicesAmt |
| Management And General | $45,804 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $857,660 | TotalAmt |
| Program Services | $832,940 | ProgramServicesAmt |
| Management And General | $24,720 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,737 | TotalAmt |
| Program Services | $12,140 | ProgramServicesAmt |
| Management And General | $75,597 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $445,646 | TotalAmt |
| Program Services | $445,646 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $869,345 | TotalAmt |
| Program Services | $783,744 | ProgramServicesAmt |
| Management And General | $85,601 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,018 | TotalAmt |
| Program Services | $61,927 | ProgramServicesAmt |
| Management And General | $17,091 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| PHYS., SPEECH, OCC. THERAPY | $1,286,850 | $1,286,850 |
| BED TAXES | $1,141,994 | $1,141,994 |
| NURSING EXPENSES | $663,554 | $663,554 |
| DIETARY EXPENSES | $525,953 | $525,953 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $630,302 | TotalAmt |
| Program Services | $610,479 | ProgramServicesAmt |
| Management And General | $19,823 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,915,701 | TotalAmt |
| Program Services | $16,596,910 | ProgramServicesAmt |
| Management And General | $1,318,791 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,391,156 | BOYAmt |
| EOY | $3,029,263 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,287,435 | BOYAmt |
| EOY | $2,336,059 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,998 | BOYAmt |
| EOY | $134,406 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,867,764 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,310,368 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,189,814 | BOYAmt |
| EOY | $9,557,396 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,727,677 | BOYAmt |
| EOY | $3,999,600 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,724,080 | BOYAmt |
| EOY | $19,056,724 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,712,947 | BOYAmt |
| EOY | $1,608,793 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,141,943 | BOYAmt |
| EOY | $11,806,644 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,854,890 | BOYAmt |
| EOY | $13,415,437 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,869,190 | BOYAmt |
| EOY | $5,641,287 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,869,190 | BOYAmt |
| EOY | $5,641,287 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,724,080 | BOYAmt |
| EOY | $19,056,724 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $920,034 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$147,937 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,742,344 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,007,480 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,642,038 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,287,645 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,039,081 | CurrentTaxYearAmt |
| Total | $80,718,588 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $8,620 | CurrentTaxYearMinus1YearAmt |
| Total | $8,620 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,742,344 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,007,480 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,642,038 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,296,265 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,039,081 | CurrentTaxYearAmt |
| Total | $80,727,208 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $80,727,208 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,244 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,526 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,413 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,743 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,374 | CurrentTaxYearAmt |
| Total | $17,300 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,244 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,526 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,413 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,743 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,374 | CurrentTaxYearAmt |
| Total | $17,300 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $259,762 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $591,817 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,979,161 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,042,737 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $792,280 | CurrentTaxYearAmt |
| Total | $8,665,757 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,005,350 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,601,823 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,624,612 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,342,745 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,835,735 | CurrentTaxYearAmt |
| Total | $89,410,265 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.90290 | PublicSupportCY509Pct |
| Public Support PY509 | 0.90550 | PublicSupportPY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00020 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,448,774 | OtherCostOrOtherBasisAmt |
| Book Value | $1,448,774 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,554,893 | OtherCostOrOtherBasisAmt |
| Book Value | $15,554,893 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,864,097 | OtherCostOrOtherBasisAmt |
| Book Value | $3,864,097 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Depreciation | $11,310,368 | DepreciationAmt |
| Book Value | -$11,310,368 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,557,396 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INVESTMENT IN JOINT VENTURE | $1,972,016 |
| OTHER RECEIVABLE | $624,543 |
| RESTRICTED CASH | $1,403,041 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,999,600 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $18,687,798 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $18,687,798 | RevenueSubtotalAmt |
| Other Revenues Not Included | $147,937 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $147,937 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $18,835,735 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $17,915,701 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $17,915,701 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $17,915,701 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S | FormAndLineReferenceDesc |
| Explanation | DONATIONS RECEIVED NOT ON BOOKS $147970 EXCESS PARTNERSHIP INCOME RECORDED ON BO $-33 | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GARY KELSO | PersonNm |
| Title | President | TitleTxt |
| Base Compensation Filing Org | $285,758 | BaseCompensationFilingOrgAmt |
| Bonus Filing Organization | $100,000 | BonusFilingOrganizationAmount |
| Nontaxable Benefits Filing Org | $24,381 | NontaxableBenefitsFilingOrgAmt |
| Total Compensation Filing Org | $410,139 | TotalCompensationFilingOrgAmt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| SHERRY WALKER | |||
| WIFE-REG VP | $45,205 | COMPENSATION FOR SRV | false |
| RIO LOBO | |||
| PRESIDENT | $20,657 | OFFICE RENTAL | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part V Supplemental Information | FormAndLineReferenceDesc |
| Explanation | GARY KELSO, PRESIDENT OF MISSION HEALTH SERVICES, LEASES OFFICE SPACE TO MISSION HEALTH THROUGH HIS COMPANY, RIO LOBO. | ExplanationTxt |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $107,344 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | fmv | MethodOfDeterminingRevenuesTxt |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $19,371 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | fmv | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | BEAUTY & HEALTH | 1 | $13,755 | FMV |
| Yes (X) | MEDICAL EQUIPMENT | 1 | $7,500 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | BRENT WEIL, A BOARD MEMBER OF MISSION HEALTH SERVICES, IS THE SON-IN-LAW OF GARY KELSO, THE PRINCIPAL OFFICER. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | THE FORM 990 IS DISTRIBUTED TO EACH BOARD MEMBER PRIOR TO RELEASE. THE BOARD MEMBERS REVIEW THE FORM. THE FORM IS EITHER DISCUSSED AT THE NEXT BOARD MEETING, IF BEFORE THE FILING DATE, OR THE BOARD MEMBERS SEND THEIR QUESTIONS AND COMMENTS TO THE PRESIDENT. AFTER THE FORM 990 IS FINALIZED, THE BOARD MEMBERS RECEIVE A COPY OF THE FINALIZED RETURN. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | THE BOARD MEMBERS, OFFICERS AND EMPLOYEES ARE COVERED UNDER THE POLICY ON CONFLICTS OF INTEREST AND DISCLOSURE OF CERTAIN INTERESTS. THEY ARE REQUIRED EACH YEAR TO COMPLETE A DISCLOSURE FORM IDENTIFYING ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES IN WHICH THEY MAY BE INVOLVED THAT MIGHT CONTRIBUTE TO A CONFLICT OF INTEREST ARISING. THE ORGANIZATION REGULARLY MONITORS AND ASSURES COMPLIANCE. ANY PERSONS WITH A CONFLICT ARE PROHIBITED FROM MAKING ANY DECISIONS RELATED TO THE CONFLICT. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | SALARY COMPENSATION SURVEYS ARE REVIEWED BY THE EXECUTIVE COMMITTEE EACH YEAR PRIOR TO APPROVAL. COMPENSATION FOR ADMINISTRATORS IS DETERMINED BY MARKET CONDITIONS. THE PRESIDENT HAS A SALARY CONTRACT, WHICH IS REVIEWED ANNUALLY TO MAKE SURE COMPENSATION IS IN LINE WITH INDUSTRY STANDARDS BASED ON SALARY INFORMATION AVAILABLE IN NATIONAL COMPENSATION REPORTS FOR TAX-EXEMPT ORGANIZATIONS. FOR THE 2012 TAX YEAR, THE BOARD CONTRACTED WITH AN OUTSIDE COMPANY TO CONDUCT A COMPENSATION STUDY. THE EXECUTIVE COMMITTEE REVIEWED AND APPROVED BONUSES AND COMPENSATION BASED ON THE STUDY. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | THE GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | DONATIONS RECEIVED NOT ON BOOKS = -$147970 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | EXCESS PARTNERSHIP INCOME RECORDED ON BOOKS = $33 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| MISSION HEALTH LEASING LLC | |||||||||
| 1585 26TH ST | OGDEN | UT | 84401 | 270634589 | SUBLEASE OF CARE CENTERS TO MISSION HEALTH SERVICES | UT | -$506 | $69 | MISSION HEALTH SERVICES |
| MISSION ALPINE VALLEY CARE CENTER LLC | |||||||||
| 1585 26TH ST | OGDEN | UT | 84401 | 263762165 | OWNERSHIP OF BUILDING/LAND OF CARE CENTER | UT | $157,936 | $450,946 | MISSION HEALTH SERVICES |
| MISSION HILLSIDE REHABILITATION CTR LLC | |||||||||
| 1585 26TH ST | OGDEN | UT | 84401 | 263762255 | OWNERSHIP OF BUILDING/LAND OF CARE CENTER | UT | $65,902 | $1,126,170 | MISSION HEALTH SERVICES |
| MISSION WEST JORDAN CARE CENTER LLC | |||||||||
| 1585 26TH ST | OGDEN | UT | 84401 | 263762114 | OWNERSHIP OF BUILDING/LAND OF CARE CENTER | UT | $162,860 | $768,113 | MISSION HEALTH SERVICES |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARE TRANSITIONS INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2825 VIRGINIA WAY | AddressLine1Txt |
| City | OGDEN | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 465428185 | EIN |
| Primary Activities | OPERATION OF SKILLED NURSING FACILITY | PrimaryActivitiesTxt |
| Legal Domicile State | UT | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 11 - TYPE I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSION HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |