SUNNY VISTA LIVING CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SUNNY VISTA LIVING CENTER (EIN 84-0438016)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-09
- IRS object ID
- 201743139349303634
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-09T17:03:47-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 461497033 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EKS&H LLLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7979 E TUFTS AVENUVE 400 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 802372521 | 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 | 840438016 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUNNY VISTA LIVING CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SUNN | BusinessNameControlTxt |
| Phone | 7194718700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2445 E CACHE LA POUDRE | AddressLine1Txt |
| City | COLORADO SPRINGS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80909 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANET BURNS | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7194718700 | PhoneNum |
| Signature | 2017-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DORI J EGGETT | PreparerPersonNm |
| PTIN | P00645252 | PTIN |
| Phone | 3037409400 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 208.42.238.132 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-09 | IPDt |
| IP Tm | 17:03:04 | IPTm |
| IP Timezone | MS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | EC37ECE0FF53FE1DFF8E980E88E00C11881B4804 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2758D11C408DF3479EE8351B290E162F317781B8 | AtSubmissionFilingDeviceId |
| 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) |
|---|---|---|
| Principal Officer | JANET BURNS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2445 E CACHE LA POUDRE | AddressLine1Txt |
| City | COLORADO SPRINGS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80909 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,898,767 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SUNNYVISTA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1911 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES A HOMELIKE ENVIRONMENT THROUGH A CONTINUUM OF CARE THAT ALLOWS PEOPLE TO AGE WITH DIGNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 268 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $25,752 | PYContributionsGrantsAmt |
| CY Contributions Grants | $21,291 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,284,751 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,614,331 | CYProgramServiceRevenueAmt |
| PY Investment Income | $23,880 | PYInvestmentIncomeAmt |
| CY Investment Income | $160,519 | CYInvestmentIncomeAmt |
| PY Other Revenue | $99,877 | PYOtherRevenueAmt |
| CY Other Revenue | $91,216 | CYOtherRevenueAmt |
| PY Total Revenue | $13,434,260 | PYTotalRevenueAmt |
| CY Total Revenue | $13,887,357 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,608,944 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,721,140 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,439,301 | PYOtherExpensesAmt |
| CY Other Expenses | $6,459,951 | CYOtherExpensesAmt |
| PY Total Expenses | $13,048,245 | PYTotalExpensesAmt |
| CY Total Expenses | $13,181,091 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $386,015 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $706,266 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $48,969,706 | TotalAssetsBOYAmt |
| Total Assets EOY | $49,184,985 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $44,234,945 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $44,549,699 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,734,761 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,635,286 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WE EXIST TO ENSURE THE ELDERLY OF OUR COMMUNITY, REGARDLESS OF THEIR ECONOMIC STATUS, HAVE DIGNIFIED ACCESS TO AFFORDABLE LONG-TERM CARE AS WELL AS SHORT TERM REHABILITATIVE HEALTH CARE SERVICES IN A COMFORTABLE AND SAFE ENVIRONMENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $10,903,621 | ExpenseAmt |
| Revenue | $13,146,072 | RevenueAmt |
| Desc | SUNNY VISTA LIVING CENTER PROVIDES SKILLED NURSING CARE FOR ELDERS; BOTH FOR LONG TERM CARE AND SHORT-TERM REHABILITATION. WE PROVIDE CARE TO MEDICAID RESIDENTS (A PROGRAM THAT SUPPORTS PEOPLE WHO ARE NOT ABLE TO PAY FOR SKILLED NURSING). THESE NEEDS OF ALL RESIDENTS ARE PROVIDED FOR: HEALTH CARE, ACTIVITIES, SOCIAL SERVICES AND DINING SERVICES. THIS GROUP GENERALLY STAYS IN OUR COMMUNITY UNTIL THEIR DEATH. WE ALSO PROVIDE MEDICARE REHABILITATION. THESE RESIDENTS WORK WITH OUR THERAPISTS FOR A SHORT TIME TO ALLOW THEM TO RETURN HOME WELL AND STRONG. WE ALSO PROVIDE HOSPICE CARE THAT PROVIDES COMFORT SERVICES TO THOSE NEEDING END OF LIFE CARE. FINALLY, WE PROVIDE PRIVATE PAY RESIDENTS WHO ARE GENERALLY HERE FOR REGULAR SKILLED NURSING CARE AND HAVE THE ABILITY TO PAY FOR THAT CARE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,096,720 | ExpenseAmt |
| Revenue | $481,042 | RevenueAmt |
| Desc | SENIOR LOW INCOME INDEPENDENT HOUSING. THE VILLA PROVIDES COORDINATION OF PROGRAMS, SUCH AS GOLDEN CIRCLE MEAL SERVICE, ANNUAL FLU VACCINES, AND OUT-PATIENT THERAPY SERVICES WITH THE SKILLED NURSING FACILITY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $12,000,341 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 11 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 268 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANET BURNS | PersonNm |
| Phone | 7194718700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2445 E CACHE LA POUDRE | AddressLine1Txt |
| City | COLORADO SPRINGS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80909 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| GEORGE SANCHEZ | |||||||
| PRESDIENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GEORGE WAY | |||||||
| IMMEDIATE PAST PRESIDENT | 0.80 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PAT ELLIS | |||||||
| VP FINANCE | 0.80 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TOM CONE | |||||||
| SECRETARY | 0.80 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| WAYNE JENNINGS | |||||||
| TRUSTEE | 0.80 | Yes (X) | $0 | $0 | $0 | ||
| MARTHA BARTON | |||||||
| TRUSTEE | 0.80 | Yes (X) | $0 | $0 | $0 | ||
| JAMIE WRIGHT | |||||||
| TRUSTEE | 0.80 | Yes (X) | $0 | $0 | $0 | ||
| TOM DECOTIIS | |||||||
| TRUSTEE | 0.80 | Yes (X) | $0 | $0 | $0 | ||
| DICK EITEL | |||||||
| VP ADMINISTRATION | 0.80 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LIONEL RIVERA | |||||||
| TRUSTEE | 0.80 | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER YUGO | |||||||
| TRUSTEE | 0.80 | Yes (X) | $0 | $0 | $0 | ||
| JANET BURNS | |||||||
| CEO | 40.00 | Yes (X) | $178,778 | $0 | $6,396 | ||
| AMANDA GRIFFITH | |||||||
| DNS | 40.00 | $100,008 | $0 | $6,396 | Yes (X) | ||
| ANA JONES | |||||||
| RN | 40.00 | $108,514 | $0 | $6,396 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $387,300 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $19,188 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| INFINITY REHAB | |||||
| 25117 SW PARKWAY SUITE D | WILSONVILLE | OR | 97070 | REHAB SERVICES | $1,250,600 |
| SCHRYVER MEDICAL | |||||
| 12075 E 45TH AVE 600 | DENVER | CO | 80239 | LABRATORY SERVICES | $242,955 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $17,886 | FundraisingAmt |
| All Other Contributions | $3,405 | AllOtherContributionsAmt |
| Total Contributions | $21,291 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 623000 | $13,133,289 | $13,133,289 |
| RENTAL INCOME | 531110 | $476,382 | $476,382 |
| LAUNDRY & VENDING | 812300 | $4,660 | $4,660 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,614,331 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $160,519 | TotalRevenueColumnAmt |
| Exclusion | $160,519 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $2,557 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $17,886 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $11,410 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$8,853 | TotalRevenueColumnAmt |
| Exclusion | -$8,853 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| REBATE | 900099 | $78,827 | $78,827 | |
| MISCELLANEOUS REVENUE | 900099 | $12,783 | $12,783 | |
| CAFETERIA REVENUE | 722514 | $8,459 | $8,459 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $100,069 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,887,357 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,627,114 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $238,952 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,174 | TotalAmt |
| Program Services | $166,657 | ProgramServicesAmt |
| Management And General | $18,517 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,570,471 | TotalAmt |
| Program Services | $5,016,267 | ProgramServicesAmt |
| Management And General | $554,204 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $528,572 | TotalAmt |
| Program Services | $477,614 | ProgramServicesAmt |
| Management And General | $50,958 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $436,923 | TotalAmt |
| Program Services | $393,705 | ProgramServicesAmt |
| Management And General | $43,218 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,031 | TotalAmt |
| Management And General | $17,031 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,194 | TotalAmt |
| Program Services | $27,803 | ProgramServicesAmt |
| Management And General | $75,391 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,689 | TotalAmt |
| Management And General | $28,689 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,763,296 | TotalAmt |
| Program Services | $1,743,237 | ProgramServicesAmt |
| Management And General | $20,059 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,449 | TotalAmt |
| Management And General | $8,449 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,013 | TotalAmt |
| Program Services | $12,560 | ProgramServicesAmt |
| Management And General | $60,453 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,188 | TotalAmt |
| Management And General | $103,188 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,703 | TotalAmt |
| Program Services | $211,330 | ProgramServicesAmt |
| Management And General | $66,373 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,228 | TotalAmt |
| Program Services | $16 | ProgramServicesAmt |
| Management And General | $19,212 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $772 | TotalAmt |
| Management And General | $772 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,105,883 | TotalAmt |
| Program Services | $1,105,883 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $711,448 | TotalAmt |
| Program Services | $710,003 | ProgramServicesAmt |
| Management And General | $1,445 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,994 | TotalAmt |
| Program Services | $87,329 | ProgramServicesAmt |
| Management And General | $8,665 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $986,100 | $986,062 | $38 |
| MEDICAID PROVIDER FEE | $376,604 | $376,604 | |
| BAD DEBT | $196,981 | $196,981 | |
| DUES & SUBSCRIPTIONS | $32,819 | $5,144 | $27,675 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $559,559 | TotalAmt |
| Program Services | $483,146 | ProgramServicesAmt |
| Management And General | $76,413 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,181,091 | TotalAmt |
| Program Services | $12,000,341 | ProgramServicesAmt |
| Management And General | $1,180,750 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,187,754 | BOYAmt |
| EOY | $4,035,386 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $242,510 | BOYAmt |
| EOY | $228,655 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,223,247 | BOYAmt |
| EOY | $2,540,260 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,728 | BOYAmt |
| EOY | $105,834 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,264,024 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,198,722 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,619,077 | BOYAmt |
| EOY | $21,065,302 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,461,507 | BOYAmt |
| EOY | $1,560,702 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,145,883 | BOYAmt |
| EOY | $19,648,846 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,969,706 | BOYAmt |
| EOY | $49,184,985 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $989,192 | BOYAmt |
| EOY | $1,935,659 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,843,691 | BOYAmt |
| EOY | $40,884,110 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,905,000 | BOYAmt |
| EOY | $1,662,083 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $497,062 | BOYAmt |
| EOY | $67,847 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,234,945 | BOYAmt |
| EOY | $44,549,699 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,444,761 | BOYAmt |
| EOY | $4,345,286 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,000 | BOYAmt |
| EOY | $290,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,734,761 | BOYAmt |
| EOY | $4,635,286 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,969,706 | BOYAmt |
| EOY | $49,184,985 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $706,266 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$90,222 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$715,519 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | $69,158 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $65,102 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,417 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,752 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,291 | CurrentTaxYearAmt |
| Total | $198,720 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,085,405 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,007,914 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,027,347 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,297,328 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,627,114 | CurrentTaxYearAmt |
| Total | $63,045,108 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,296 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,943 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,232 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,683 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,459 | CurrentTaxYearAmt |
| Total | $67,613 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,169,859 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,094,959 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,054,996 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,334,763 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,656,864 | CurrentTaxYearAmt |
| Total | $63,311,441 | 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 |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $63,311,441 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $42,340 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $64,166 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $79,065 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,880 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $160,519 | CurrentTaxYearAmt |
| Total | $369,970 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $42,340 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $64,166 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $79,065 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,880 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $160,519 | CurrentTaxYearAmt |
| Total | $369,970 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $51,359 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $84,677 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $78,827 | CurrentTaxYearAmt |
| Total | $214,863 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,212,199 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,159,125 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,185,420 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,443,320 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,896,210 | CurrentTaxYearAmt |
| Total | $63,896,274 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99080 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99120 | PublicSupportPY509Pct |
| Investment Income CY | 0.00580 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00400 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $224,378 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $13,477 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $237,855 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $233,524 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$9,146 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $224,378 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $234,842 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,318 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $233,524 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $209,451 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $25,391 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $234,842 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $185,479 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $23,972 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $209,451 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,000 | OtherCostOrOtherBasisAmt |
| Book Value | $75,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,924,111 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,206,211 | DepreciationAmt |
| Book Value | $16,717,900 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,413,085 | OtherCostOrOtherBasisAmt |
| Depreciation | $869,594 | DepreciationAmt |
| Book Value | $543,491 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,851,828 | OtherCostOrOtherBasisAmt |
| Depreciation | $122,917 | DepreciationAmt |
| Book Value | $3,728,911 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,065,302 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ASSETS LIMITED AS TO USE | Desc |
| Book Value | $19,648,846 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $19,648,846 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DEPOSITS FROM RESIDENTS | $28,989 |
| DUE TO THIRD-PARTY PAYORS | $38,858 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $67,847 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $13,093,026 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$90,222 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$704,109 | OtherRevenueAmt |
| Revenue Not Reported | -$794,331 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,887,357 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $13,887,357 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,192,501 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $11,410 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $11,410 | ExpensesNotReportedAmt |
| Expenses Subtotal | $13,181,091 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $13,181,091 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE TO PROVIDE GENERAL SUPPORT TO THE ORGANIZATION AS NEEDED FROM THE EARNINGS. THE ENDOWMENT FUNDS ARE COMPRISED OF BOARD DESIGNATED AND PERMANENT ENDOWMENTS. THE BREAKOUT OF THESE FUNDS ARE AS FOLLOWS: BOARD DESIGNATED: -21.92% PERMANENT ENDOWMENT: 121.92% |
| PART X, LINE 2: | THE ORGANIZATION APPLIES A MORE-LIKELY-THAN-NOT MEASUREMENT METHODOLOGY TO REFLECT THE FINANCIAL STATEMENT IMPACT OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. AFTER EVALUATING THE TAX POSITIONS TAKEN, NONE ARE CONSIDERED TO BE UNCERTAIN; THEREFORE, NO AMOUNTS HAVE BEEN RECOGNIZED AS OF DECEMBER 31, 2016 AND 2015. IF INCURRED, INTEREST AND PENALTIES ASSOCIATED WITH TAX POSITIONS ARE RECORDED IN THE PERIOD ASSESSED AS GENERAL AND ADMINISTRATIVE EXPENSES. NO INTEREST OR PENALTIES HAVE BEEN ASSESSED AS OF DECEMBER 31, 2016 AND 2015. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | IMPAIRMENT LOSS ON PROPERTY & EQUIPMENT -715,519. FUNDRAISING EVENT EXPENSES 11,410. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSES 11,410. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ART SHOW | Event1Nm |
| Gross Receipts Event1 | $20,443 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $17,886 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $2,557 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $11,410 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $20,443 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $17,886 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $2,557 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $11,410 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $11,410 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$8,853 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANET BURNS | PersonNm |
| Title | CEO | TitleTxt |
| Base Compensation Filing Org | $139,933 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $38,845 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $6,396 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $185,174 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLORADO HEALTH FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 840752932 | BondIssuerEIN |
| CUSIP | 19648A5H4 | CUSIPNum |
| Bond Issued | 2015-12-03 | BondIssuedDt |
| Issue Price | $42,276,406 | IssuePriceAmt |
| Purpose | CONSTRUCTION; REFUND PRIOR ISSUE | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $42,276,406 | TotalProceedsAmt |
| In Reserve Fund | $3,136,403 | InReserveFundAmt |
| Capitalized Interest | $1,014,887 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $1,432,676 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $21,985,203 | OtherSpentProceedsAmt |
| Unspent | $14,707,237 | UnspentAmt |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE FORM 990 IS PREPARED BY A THIRD PARTY AND PROVIDED TO THE BOARD FOR APPROVAL BEFORE IT IS FILED. THE CEO EXAMINES THE FORM 990 FOR ACCURACY OF FINANCIAL AND INFORMATIONAL DATA AND DISCUSSES ANY ISSUES WITH THE PREPARER. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE REMINDED AT MEETINGS TO DISCLOSE ANY CONFLICT OF INTEREST THEY MAY HAVE. NO DIRECTOR OR OFFICER OF THE CORPORATION SHALL ENGAGE IN ANY COURSE OF CONDUCT WHICH MAY RESULT IN A CONFLICT OF INTEREST OR HAVE ANY FINANCIAL INTEREST IN ANY CONTRACTUAL ARRANGEMENT ENTERED INTO BY THE CORPORATION IN CONNECTION WITH THE RENDITION OF SERVICES, THE PROVISIONS OF GOODS OR SUPPLIES, MANAGEMENT OF THE FACILITY, PROCUREMENT OF FURNISHINGS OR EQUIPMENT OR OTHER MATTERS WHATSOEVER. WHEN DECISIONS ARE MADE BY THE BOARD, THE PRESIDENT OF THE BOARD WILL ASK IF ANYONE HAS A CONFLICT OF INTEREST ON THAT PARTICULAR ISSUE. IF THAT PERSON DOES, THEY ARE RECUSED FROM VOTING ON THE ISSUE. |
| FORM 990, PART VI, SECTION B, LINE 15A | DURING 2013, THE ORGANIZATION ENGAGED AN OUTSIDE FIRM TO PERFORM AN EXECUTIVE COMPENSATION STUDY. A COMPENSATION COMMITTEE APPROVES COMPENSATION CHANGES AND WILL CONDUCT SEMI-ANNUAL MEASUREMENT MEETINGS WITH THE CEO. ALL DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. INTERESTED PARTIES MAY USE THE CONTACT INFORMATION LISTED ON PART VI OF FORM 990 TO REQUEST REVIEW OF THESE RECORDS. |
| FORM 990, PART IX, LINE 11G | COMMUNITY RELATIONS: PROGRAM SERVICE EXPENSES 1,502. MANAGEMENT AND GENERAL EXPENSES 1,502. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,004. CONSULTING: PROGRAM SERVICE EXPENSES 128,910. MANAGEMENT AND GENERAL EXPENSES 3,037. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 131,947. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 63,363. MANAGEMENT AND GENERAL EXPENSES 15,178. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,541. DENTAL: PROGRAM SERVICE EXPENSES 1,044. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,044. LABORATORY: PROGRAM SERVICE EXPENSES 90,673. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,673. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 18,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,000. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 29,961. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,961. NURSING: PROGRAM SERVICE EXPENSES 121,496. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 121,496. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 490,238. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 490,238. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 541,815. MANAGEMENT AND GENERAL EXPENSES 342. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 542,157. RADIOLOGY: PROGRAM SERVICE EXPENSES 65,356. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,356. SPEECH THERAPY: PROGRAM SERVICE EXPENSES 190,879. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 190,879. |
| FORM 990, PART XI, LINE 9: | IMPAIRMENT LOSS -715,519. |
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