FURP.ORG / PUBLIC DATA EXPLORER

MANOR GROVE INCORPORATED: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MANOR GROVE INCORPORATED (EIN 43-0679177)
Tax period
2016-07-01 to 2017-06-30
Filed
2017-12-11
IRS object ID
201743459349300649
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-12-11T14:57:51-06:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN430765316PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RubinBrown LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1One North BrentwoodAddressLine1Txt
CitySaint LouisCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN430679177EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Manor Grove IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMANOBusinessNameControlTxt
Phone3149650864PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 South Kirkwood RoadAddressLine1Txt
CitySt LouisCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63122ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGeorge RolbyPersonNm
Person TitleBoard PresidentPersonTitleTxt
Phone3149650864PhoneNum
Signature2017-12-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJohn E ButlerPreparerPersonNm
PTINP00325554PTIN
Phone3142903300PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.219.218.18IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-12-11IPDt
IP Tm10:14:20IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id1C4CBC63CB38A79D905D5D782F958D4264BAACFAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGeorge RolbyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 SOUTH KIRKWOOD RDAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63122ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,538,672GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MANORGROVE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1907FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTO PRESERVE THE QUALITY OF LIFE THROUGH COMPASSIONATE, EXPERT CARE FROM A HIGHLY SKILLED MULTIDISCIPLINARY TEAM.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee221TotalEmployeeCnt
Total Volunteers22TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$58,402PYContributionsGrantsAmt
CY Contributions Grants$45,974CYContributionsGrantsAmt
PY Program Service Revenue$9,048,910PYProgramServiceRevenueAmt
CY Program Service Revenue$9,359,302CYProgramServiceRevenueAmt
PY Investment Income$634,467PYInvestmentIncomeAmt
CY Investment Income$102,525CYInvestmentIncomeAmt
PY Other Revenue-$89,689PYOtherRevenueAmt
CY Other Revenue-$81,586CYOtherRevenueAmt
PY Total Revenue$9,652,090PYTotalRevenueAmt
CY Total Revenue$9,426,215CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,864,200PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,191,430CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,917,024PYOtherExpensesAmt
CY Other Expenses$2,975,232CYOtherExpensesAmt
PY Total Expenses$8,781,224PYTotalExpensesAmt
CY Total Expenses$9,166,662CYTotalExpensesAmt
PY Revenues Less Expenses$870,866PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$259,553CYRevenuesLessExpensesAmt
Total Assets BOY$13,034,038TotalAssetsBOYAmt
Total Assets EOY$13,661,213TotalAssetsEOYAmt
Total Liabilities BOY$1,001,164TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,053,773TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$12,032,874NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,607,440NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PRESERVE THE QUALITY OF LIFE THROUGH COMPASSIONATE, EXPERT CARE FROM A HIGHLY SKILLED MULTIDISCIPLINARY TEAM. WE RECOGNIZE THAT GOOD PEOPLE MAKE THE DIFFERENCE AND ARE THE KEY TO PROVIDING QUALITY CARE TO RESIDENTS WHO COME TO US FOR LONG-TERM CARE. WE ASSIST RESIDENTS IN ACHIEVING THEIR HIGHEST POSSIBLE LEVEL OF PHYSICAL, PSYCHOSOCIAL AND SPIRITUAL POTENTIAL, ALWAYS WORKING TO PROTECT AND ENHANCE THEIR DIGNITY. WE SEEK TO CONTINUALLY IMPROVE THE SERVICES WE PROVIDE TO STAY CURRENT WITH THE CHANGING ENVIRONMENT AND TO MAINTAIN A HOME-LIKE ATMOSPHERE FOR OUR FAMILY OF RESIDENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,760,568ExpenseAmt
Revenue$9,338,543RevenueAmt
DescOwning and operating a licensed 117-bed skilled nursing facilitylocated in St. Louis, Missouri. Renovations from fiscal year 2008added a therapy room and modified 14 rooms for Medicare residents.Manor Grove's home-like environment assures peace of mind forresidents and their families. In 2015, a new parking lot was added on the north-west side of the main building to accomodate parking needsof family members and employees. In 2017, the renovation of the secondfloor took place which made the second floor much more attractive and comfortable to the current and prospective residents.Desc
Total Program Service Expenses$7,760,568TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document54IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee221EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROZA KOYENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3149650864PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 SOUTH KIRKWOOD ROADAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63122ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
GEORGE ROLBY
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
LUKE BAUMSTARK
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
SHEILA EATON
SECRETARY1.00Yes (X)Yes (X)$0$0$0
STEVE DODSON
TREASURER1.00Yes (X)Yes (X)$0$0$0
BOB GRUENEWALD
CONTROLLER1.00Yes (X)Yes (X)$0$0$0
BOB BRUCKNER
MEMBER1.00Yes (X)$0$0$0
DIANE KEEFE
MEMBER1.00Yes (X)$0$0$0
MILLIE MOULDER
MEMBER1.00Yes (X)$0$0$0
ANNE ROEHM
MEMBER1.00Yes (X)$0$0$0
PAUL ROBERTS
MEMBER1.00Yes (X)$0$0$0
DR CHARLES TADROS
MEMBER1.00Yes (X)$0$0$0
E Lee Potts
MEMBER1.00Yes (X)$0$0$0
ROSE LANKFORD
ADMINISTRATOR40.00Yes (X)$89,613$0$8,546
ROZA KOYEN
ACCOUNTANT40.00Yes (X)$55,951$0$9,531
FieldValueIRS element (for citing)
Total Reportable Comp From Org$145,564TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$18,077TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
US FOOD SERVICEALLEN DIVISION
PO BOX 504854ST LOUISMO63150FOOD & SUPPLIES$238,440
MEDLINE INDUSTRIES INC
DEPT CH 14400PALATINEIL60055MEDICAL SUPPLIES & EQUIPMENT$193,424
ACCOUNTABLE HEALTHCARE STAFFING
2200 W PORT PLAZA SUITE 323ST LOUISMO63146NURSING STAFFING$191,889
ALLIANCE REHAB
28100 TORCH PARKWAY SUITE 600WARRENVILLEIL60555THERAPY$181,503
JCARRINGTON GROUP
655 CRAIG RD SUITE 252ST LOUISMO63141MARKETING$145,578
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Fundraising$33,901FundraisingAmt
All Other Contributions$12,073AllOtherContributionsAmt
Noncash Contributions$53,960NoncashContributionsAmt
Total Contributions$45,974TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescELDERLY CAREDesc
Business623000BusinessCd
Total Revenue Column$9,359,302TotalRevenueColumnAmt
Related Or Exempt Func Income$9,359,302RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$9,359,302TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$102,525TotalRevenueColumnAmt
Exclusion$102,525ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$27,600RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$19,691RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$7,909RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,909TotalRevenueColumnAmt
Exclusion$7,909ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$24,030FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$33,901ContriRptFundraisingEventAmt
Fundraising Direct Expenses$92,766FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$68,736TotalRevenueColumnAmt
Exclusion-$68,736ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$20,759TotalRevenueColumnAmt
Related Or Exempt Func Income-$20,759RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total-$20,759OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,426,215TotalRevenueColumnAmt
Related Or Exempt Func Income$9,338,543RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$41,698ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$170,537TotalAmt
Management And General$170,537ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,719,030TotalAmt
Program Services$4,460,232ProgramServicesAmt
Management And General$258,798ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$39,588TotalAmt
Program Services$7,918ProgramServicesAmt
Management And General$31,670ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$557,887TotalAmt
Program Services$491,031ProgramServicesAmt
Management And General$66,856ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$704,388TotalAmt
Program Services$398,144ProgramServicesAmt
Management And General$306,244ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,010TotalAmt
Program Services$1,802ProgramServicesAmt
Management And General$7,208ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$75,277TotalAmt
Program Services$15,055ProgramServicesAmt
Management And General$60,222ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$43,374TotalAmt
Program Services$41,861ProgramServicesAmt
Management And General$1,513ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$140,193TotalAmt
Program Services$49,644ProgramServicesAmt
Management And General$90,549ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$59,432TotalAmt
Program Services$46,835ProgramServicesAmt
Management And General$12,597ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$188TotalAmt
Program Services$38ProgramServicesAmt
Management And General$150ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$251,596TotalAmt
Program Services$239,016ProgramServicesAmt
Management And General$12,580ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,454TotalAmt
Program Services$1,288ProgramServicesAmt
Management And General$166ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,461TotalAmt
Program Services$7,655ProgramServicesAmt
Management And General$2,806ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$422,831TotalAmt
Program Services$414,375ProgramServicesAmt
Management And General$8,456ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$194,943TotalAmt
Program Services$38,988ProgramServicesAmt
Management And General$155,955ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$656,700$656,700
CONTRACTED SERVICES$413,694$412,449$1,245
RENTAL AND MAINTENANCE$303,894$119,556$184,338
FOOD$283,771$283,771

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$108,414TotalAmt
Program Services$74,210ProgramServicesAmt
Management And General$34,204ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,166,662TotalAmt
Program Services$7,760,568ProgramServicesAmt
Management And General$1,406,094ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,909BOYAmt
EOY$7,823EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,630,685BOYAmt
EOY$1,328,817EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$208,784BOYAmt
EOY$292,813EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$43,605BOYAmt
EOY$50,262EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$104,507BOYAmt
EOY$95,843EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,880,488LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,370,839LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,704,139BOYAmt
EOY$6,509,649EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,010,262BOYAmt
EOY$5,051,303EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$323,147BOYAmt
EOY$324,703EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,034,038BOYAmt
EOY$13,661,213EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$582,864BOYAmt
EOY$630,684EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$14,289EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$418,300BOYAmt
EOY$408,800EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,001,164BOYAmt
EOY$1,053,773EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,032,874BOYAmt
EOY$12,607,440EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,034,038BOYAmt
EOY$13,661,213EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$259,553ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$315,013OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$39,771CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,265CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$45,169CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$62,872CurrentTaxYearMinus1YearAmt
Current Tax Year$70,004CurrentTaxYearAmt
Total$267,081TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,541,310CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,909,838CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,001,935CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,048,910CurrentTaxYearMinus1YearAmt
Current Tax Year$9,359,302CurrentTaxYearAmt
Total$44,861,295TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$63,386CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$40,987CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,434CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,172CurrentTaxYearMinus1YearAmt
Current Tax Year$27,600CurrentTaxYearAmt
Total$183,579TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,644,467CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,000,090CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,082,538CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,127,954CurrentTaxYearMinus1YearAmt
Current Tax Year$9,456,906CurrentTaxYearAmt
Total$45,311,955TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,120CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,441CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,203CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,217CurrentTaxYearMinus1YearAmt
Current Tax Year$6,272CurrentTaxYearAmt
Total$42,253TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,120CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,441CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,203CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,217CurrentTaxYearMinus1YearAmt
Current Tax Year$6,272CurrentTaxYearAmt
Total$42,253TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$45,269,702PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$80,718CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$115,427CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$137,653CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$634,467CurrentTaxYearMinus1YearAmt
Current Tax Year$102,525CurrentTaxYearAmt
Total$1,070,790TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$80,718CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$115,427CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$137,653CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$634,467CurrentTaxYearMinus1YearAmt
Current Tax Year$102,525CurrentTaxYearAmt
Total$1,070,790TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,867CurrentTaxYearMinus4YearsAmt
Total$10,867TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$88,895CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,097CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,748CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,444CurrentTaxYearMinus1YearAmt
Current Tax Year-$20,759CurrentTaxYearAmt
Total$92,425TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,824,947CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,129,614CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,221,939CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,770,865CurrentTaxYearMinus1YearAmt
Current Tax Year$9,538,672CurrentTaxYearAmt
Total$46,486,037TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97380PublicSupportCY509Pct
Public Support PY5090.97320PublicSupportPY509Pct
Investment Income CY0.02300InvestmentIncomeCYPct
Investment Income PY0.02230InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$418,080OtherCostOrOtherBasisAmt
Book Value$418,080BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,404,676OtherCostOrOtherBasisAmt
Depreciation$5,999,486DepreciationAmt
Book Value$5,405,190BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,049,315OtherCostOrOtherBasisAmt
Depreciation$619,310DepreciationAmt
Book Value$430,005BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,008,417OtherCostOrOtherBasisAmt
Depreciation$752,043DepreciationAmt
Book Value$256,374BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,509,649TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$9,783,034TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$315,013NetUnrealizedGainsInvstAmt
Other Revenue$41,806OtherRevenueAmt
Revenue Not Reported$356,819RevenueNotReportedAmt
Revenue Subtotal$9,426,215RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,426,215TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,208,468TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$41,806OtherExpensesIncludedAmt
Expenses Not Reported$41,806ExpensesNotReportedAmt
Expenses Subtotal$9,166,662ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$9,166,662TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b:Security Deposits held on behalf of residents
Part XI, Line 2d - Other Adjustments:SPECIAL EVENT EXPENDITURES REPORTED AS EXPENSE ON THE FINANCIAL STATEMENTS 41,806.
Part XII, Line 2d - Other Adjustments:SPECIAL EVENT EXPENDITURES OFFSET AGAINST REVENUE ON FORM 990, SECTION VIII LINE 8B 41,806.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1SOUP'S ONEvent1Nm
Gross Receipts Event1$57,931GrossReceiptsEvent1Amt
Charitable Contri Event1$33,901CharitableContriEvent1Amt
Gross Revenue Event1$24,030GrossRevenueEvent1Amt
Rent Facility Costs Event1$5,479RentFacilityCostsEvent1Amt
Food And Beverage Event1$52,200FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$35,087OtherDirectExpensesEvent1Amt
Gross Receipts Total$57,931GrossReceiptsTotalAmt
Charitable Contributions Tot$33,901CharitableContributionsTotAmt
Gross Revenue Total Events$24,030GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$5,479RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$52,200FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$35,087OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$92,766DirectExpenseSummaryEventsAmt
Net Income Summary-$68,736NetIncomeSummaryAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
JENNIFER LANKFORD
FAMILY RELATIONSHIP WITH ROSE LANKFORD, ADMINISTRATOR$3,089EMPLOYMENT0
Bob Borders
Family RELATIONSHIP WITH ROSE LANKFORD, ADMINISTRATOR$34,397Contractor0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Event Food29$50,960Fair Market Value
Yes (X)Piano1$3,000Fair Market Value
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
ExplanationNon-cash contributions are recorded by the number of contributions received.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bTHE ADMINISTRATOR WILL REVIEW THE PREPARED FORM 990. THE BOARD WILL REVIEW AND APPROVE THE 990 DURING THEIR FIRST MEETING AFTER THE 990 HAS BEEN PREPARED. BOARD MEMBERS WILL BE ABLE TO VOICE ANY COMMENTS OR CONCERNS, DECIDE IF ANY CHANGES NEED TO BE MADE.
Form 990, Part VI, Section B, line 12cDIRECTORS OF THE BOARD ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. IF THE ADMINISTRATOR OR THE BOARD MEMBER SUSPECTS A CONFLICT OF INTEREST, IT IS DISCLOSED AT THE NEXT BOARD MEETING. THE BOARD MEMBERS DISCUSS THE ISSUES AND ACCEPT OR DENY THE TRANSACTION. THE DISCLOSURE, DISCUSSION, AND DECISION HAPPEN BEFORE THE TRANSACTION OCCURS. NO RESTRICTIONS HAVE BEEN IMPOSED SO FAR.
Form 990, Part VI, Section B, line 15aMANAGEMENT REVIEWS COMPENSATION TO VERIFY AMOUNTS ARE COMPARABLE TO OTHER ENTITIES IN THE SAME REGION AND SIZE AMONG OTHER FACTORS. BOARD OF DIRECTORS REVIEW AND APPROVE COMPENSATION FOR THE ADMINISTRATOR.
Form 990, Part VI, Section C, line 19THE ORGANIZATION HAS MADE GOVERNING DOCUMENTS, THEIR CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
Part VI, Section B, Question 16BINVESTMENT IN SCN, INC. THE ORGANIZATION ADOPTED A POLICY IN 2015 FOR THE MONITORING OF THIS INVESTMENT. DURING THE 2011 TAX YEAR SCN, INC. CONVERTED FROM A NON PROFIT ORGANIZATION TO A FOR PROFIT ORGANIZATION WITH FIVE MEMBERS, ALL OF WHICH ARE 501(C)(3) ORGANIZATIONS. SCN, INC. HAS BEEN ORGANIZED TO ENABLE ITS MEMBERS TO TAKE ADVANTAGE OF GROUP DISCOUNTS WHEN PURCHASING SUPPLIES AND SERVICES NEEDED FOR OPERATION OF THEIR NURSING HOME AND SKILLED-NURSING FACILITIES.
Form 990, Part XI, line 9:UNREALIZED GAINS 315,013.
Part XII line 2cThe organization has not changed its method of supervising the audit in the last year.