HENDERSON COUNTY RETIREMENT CENTER INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HENDERSON COUNTY RETIREMENT CENTER INC (EIN 36-3378161)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-08-11
- IRS object ID
- 201722239349301257
- 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 | 2017-08-11T10:26:26-07:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WDM COMPUTER SERVICES INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 HARRISON ST | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 623016752 | 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 | 363378161 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENDERSON COUNTY RETIREMENT CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEND | BusinessNameControlTxt |
| Phone | 3099241990 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 604 OAKWOOD DRIVE | AddressLine1Txt |
| City | STRONGHURST | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61480 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DIANA DORAN | PersonNm |
| Person Title | BOARD PRESIDENT | PersonTitleTxt |
| Phone | 3099241990 | PhoneNum |
| Signature | 2017-03-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES HULL CPA | PreparerPersonNm |
| Phone | 2172281950 | PhoneNum |
| Preparation | 2017-08-11 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 216.138.44.204 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-08-11 | IPDt |
| IP Tm | 10:26:10 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 88696162DCF6F4087B7FF7BFCEE88B2E17A4845B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 88696162DCF6F4087B7FF7BFCEE88B2E17A4845B | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DIANA DORAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 417 | AddressLine1Txt |
| City | Stronghurst | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61480 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,439,592 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.oaklanenurseandrehab.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | NURSING HOME To provide elder care to anyone who is in need. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 130 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | -$4,587 | TotalGrossUBIAmt |
| PY Contributions Grants | $16,833 | PYContributionsGrantsAmt |
| CY Contributions Grants | $28,805 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,068,633 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,366,918 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,838 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,727 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,720 | PYOtherRevenueAmt |
| CY Other Revenue | $15,505 | CYOtherRevenueAmt |
| PY Total Revenue | $3,100,024 | PYTotalRevenueAmt |
| CY Total Revenue | $3,421,955 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,648,760 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,759,076 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,345,329 | PYOtherExpensesAmt |
| CY Other Expenses | $1,449,801 | CYOtherExpensesAmt |
| PY Total Expenses | $2,994,089 | PYTotalExpensesAmt |
| CY Total Expenses | $3,208,877 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $105,935 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $213,078 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,094,546 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,188,041 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,052,661 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,933,078 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,041,885 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,254,963 | NetAssetsOrFundBalancesEOYAmt |
| Mission | NURSING HOME | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,957,385 | ExpenseAmt |
| Revenue | $3,387,010 | RevenueAmt |
| Desc | INTERMEDIATED & SKILLED CARE NURSING HOME WITH 60 BEDS AND 21,960 PATIENT DAYS AVAILABLE FOR CARE | Desc |
| Total Program Service Expenses | $2,957,385 | 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 | Yes (true) | 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 | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 130 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (true) | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WDM COMPUTER SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2172281950 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 HARRISON | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| DIANA DORAN | ||||||
| BOARD PRES. | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RALPH TATGE | ||||||
| BOARD V.P. | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARY REED | ||||||
| BOARD TREAS | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| NANCY STEVENSON | ||||||
| BOARD SEC. | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JAYNE OLSEN | ||||||
| BOARD MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID GERST | ||||||
| BOARD MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | |
| TOM EDMONDS | ||||||
| BOARD MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | |
| TOM PULLEN | ||||||
| BOARD MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | |
| JUDY ROESSLER | ||||||
| BOARD MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rehabcare Group | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 503534 | AddressLine1Txt |
| City | St Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63150 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Therapy Services | ServicesDesc |
| Compensation | $254,356 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $1,175 | MembershipDuesAmt |
| Fundraising | $10 | FundraisingAmt |
| All Other Contributions | $27,620 | AllOtherContributionsAmt |
| Noncash Contributions | $18,375 | NoncashContributionsAmt |
| Total Contributions | $28,805 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt |
|---|---|---|
| ROUTINE SERVICE-PRIVATE SNF | 623000 | $985,028 |
| Routine Service-Medicare | 623000 | $270,600 |
| Routine Service-Medicaid | 623000 | $628,489 |
| DIAPER REVENUE | 623000 | $14,371 |
| Physical Therapy B | 623000 | $46,526 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,421,904 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,366,918 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,227 | TotalRevenueColumnAmt |
| Exclusion | $10,227 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,050 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,637 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$4,587 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,587 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$4,587 | UnrelatedBusinessRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $500 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $500 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $500 | TotalRevenueColumnAmt |
| Exclusion | $500 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $10 | ContriRptFundraisingEventAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Uniform Sales | 623000 | ||
| Personal Purchases Income | 623000 | ||
| Canteen & Gift Shop | 623000 | $5,348 | $5,348 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,744 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,744 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $20,092 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,421,955 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,387,010 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$4,587 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,727 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,565,737 | TotalAmt |
| Program Services | $1,408,119 | ProgramServicesAmt |
| Management And General | $157,618 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,430 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $9,430 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,440 | TotalAmt |
| Program Services | $68,440 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,469 | TotalAmt |
| Program Services | $115,469 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,047 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,047 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,122 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $27,122 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,247 | TotalAmt |
| Program Services | $305,672 | ProgramServicesAmt |
| Management And General | $575 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,544 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $12,544 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,015 | TotalAmt |
| Program Services | $216,196 | ProgramServicesAmt |
| Management And General | $11,819 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,149 | TotalAmt |
| Program Services | $25,149 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,549 | TotalAmt |
| Program Services | $137,333 | ProgramServicesAmt |
| Management And General | $5,216 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,183 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $7,183 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,874 | TotalAmt |
| Program Services | $97,874 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,327 | TotalAmt |
| Program Services | $188,055 | ProgramServicesAmt |
| Management And General | $11,272 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,705 | TotalAmt |
| Program Services | $108,894 | ProgramServicesAmt |
| Management And General | $4,811 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Oxygen Lease | $1,036 | $1,036 | $0 | $0 |
| Raw Food | $95,678 | $95,678 | $0 | $0 |
| Raw Food-SLF | $37,809 | $37,809 | $0 | $0 |
| Suppliments | $5,806 | $5,806 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,710 | TotalAmt |
| Program Services | $145,855 | ProgramServicesAmt |
| Management And General | $2,855 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,208,877 | TotalAmt |
| Program Services | $2,957,385 | ProgramServicesAmt |
| Management And General | $251,492 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,705 | BOYAmt |
| EOY | $24,912 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $825,456 | BOYAmt |
| EOY | $754,900 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $403,654 | BOYAmt |
| EOY | $624,551 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,589 | BOYAmt |
| EOY | $33,626 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,860 | BOYAmt |
| EOY | $40,011 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,954,530 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,296,758 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,720,823 | BOYAmt |
| EOY | $2,657,772 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,459 | BOYAmt |
| EOY | $52,269 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,094,546 | BOYAmt |
| EOY | $4,188,041 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $216,016 | BOYAmt |
| EOY | $163,760 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,836,645 | BOYAmt |
| EOY | $1,769,318 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,052,661 | BOYAmt |
| EOY | $1,933,078 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,041,885 | BOYAmt |
| EOY | $2,254,963 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,041,885 | BOYAmt |
| EOY | $2,254,963 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,094,546 | BOYAmt |
| EOY | $4,188,041 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $213,078 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY170 | 0 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $122,390 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $541,527 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $50,347 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,833 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,805 | CurrentTaxYearAmt |
| Total | $759,902 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,932,550 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,959,656 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,999,477 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,068,633 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,366,918 | CurrentTaxYearAmt |
| Total | $15,327,234 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,054,940 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,501,183 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,049,824 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,085,466 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,395,723 | CurrentTaxYearAmt |
| Total | $16,087,136 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66,573 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $489,695 | CurrentTaxYearMinus3YearsAmt |
| Total | $556,268 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66,573 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $489,695 | CurrentTaxYearMinus3YearsAmt |
| Total | $556,268 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $15,530,868 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,406 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,969 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,530 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,838 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,727 | CurrentTaxYearAmt |
| Total | $62,470 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,406 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,969 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,530 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,838 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,727 | CurrentTaxYearAmt |
| Total | $62,470 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,379 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,036 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,212 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,104 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,744 | CurrentTaxYearAmt |
| Total | $87,475 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,237,081 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.95650 | PublicSupportCY509Pct |
| Public Support PY509 | 0.95520 | PublicSupportPY509Pct |
| Investment Income CY | 0.00380 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00360 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt III Ln 12 | FormAndLineReferenceDesc |
| Explanation | Other Income Part III, Line 12 Description: Miscellaneous Income 2012: -208. 2013: 6507. 2014: 111. 2015: 1501. 2016: 1116. Description: Rebates 2012: 0. 2013: 0. 2014: 1595. 2015: 473. 2016: 388. Description: Sales of Supplies to Employees 2012: 1961. 2013: 3090. 2014: 0. 2015: 0. 2016: 112. Description: Misc Other Income Listed Part VIII, Line 11 2012: 10627. 2013: 10440. 2014: 17505. 2015: 19130. 2016: 13124. Description: Rounding 2012: -1. 2013: -1. 2014: 1. 2015: 0. 2016: 4. | ExplanationTxt |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Org Leg Ctrl | false | DisclosedOrgLegCtrlInd |
| Disclosed For Charitable Prps | false | DisclosedForCharitablePrpsInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $22,500 | InvestmentCostOrOtherBasisAmt |
| Book Value | $22,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $4,588,616 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $2,268,157 | DepreciationAmt |
| Book Value | $2,320,459 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,343,414 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,028,601 | DepreciationAmt |
| Book Value | $314,813 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,657,772 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Interest Receivable | $1,085 |
| Construction In Process | $79,714 |
| Deposits | -$27,930 |
| Rental Deposits | -$600 |
| Rounding |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $52,269 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $3,421,955 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $3,421,955 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $3,421,955 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,208,877 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $3,208,877 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $3,208,877 | TotalExpensesPerForm990Amt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Doran Insurance | |||
| Board President | $100 | Insurance | false |
| Doran Construction | |||
| Son of Board Pres. | $17,645 | Construction and Repairs | false |
| Tom Doran | |||
| Husband of Board Pres. | $1,157 | Housekeeping/Laundry Supplies | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (49 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 2 | Diana Doran provides unsurance services to several other officers/key employees |
| Pt VI, Line 6 | Members are accepted through a $25 membership fee. |
| Pt VI, Line 7a | The complete membership is allowed to nominate and vote for the Board of Directors. |
| Pt VI, Line 8a | The Board of Directors document each meeting through minutes that are read and approved at the following meeting. |
| Pt VI, Line 8b | The Board of Directors do not document committe meetings through board minutes. |
| Pt VI, Line 11b | The 990 is presented to the President of the Board for review, approval, and signitures before filing. |
| Pt VI, Line 15a | The salary of the Administrator is reviewed and approved by the Board of Directors through a yearly review/budget process. |
| Pt VI, Line 15b | The Board of Directors delegates the Administrator and Manager to reveiw and all other salaries and submit proposals to the Board of Directors for approval. |
| Form 990EZ, Part I, Line 8 | MISC REVENUE |
| Form 990EZ, Part II, Line 24 | Accounts Receivable - Net |
| Form 990EZ, Part II, Line 24 | Inventories |
| Form 990EZ, Part II, Line 24 | Prepaids |
| Form 990EZ, Part II, Line 24 | Surety bond |
| Form 990EZ, Part II, Line 26 | Accounts Payable & Accrued Expenses |
| Form 990EZ, Part II, Line 26 | Bonds, Mortgages & Other Notes |
| Form 990, Part VI, Line 9 | Diana Doran BOX 417 CARMAN IL 61425 |
| Form 990, Part VI, Line 9 | Jayne Olson Box 1 Gladstone IL 61437 |
| Form 990, Part VI, Line 9 | MARY REED RR 1 LITTLE YORK IL 61453 |
| Form 990, Part VI, Line 9 | NANCY STEVENSON RR 1 GLADSTONE IL 61437 |
| Form 990, Part VI, Line 9 | RALPH TATGE BOX 535 STRONGHURST IL 61480 |
| Form 990, Part VI, Line 9 | JUDY ROESSLER BOX 11 MEDIA IL 61460 |
| Form 990, Part VI, Line 9 | TOM EDMONDS BOX 129 LOMAX IL 61454 |
| Form 990, Part VI, Line 9 | TOM PULLEN BOX 199 GLADSTONE IL 61437 |
| Form 990, Part VI, Line 9 | DAVID GERST BOX 111 LOMAX IL 61454 |
| Form 990, Part IX, Line 24e | Dietary-Special Events 3243. 3243. 0. 0. |
| Form 990, Part IX, Line 24e | Dues and Subscriptions 3902. 3902. 0. 0. |
| Form 990, Part IX, Line 24e | Dues and Sucscriptions-SLF 1380. 1380. 0. 0. |
| Form 990, Part IX, Line 24e | Public Aid Fee 32940. 32940. 0. 0. |
| Form 990, Part IX, Line 24e | License & Fees 2840. 2840. 0. 0. |
| Form 990, Part IX, Line 24e | License & fees-SLF 0. 0. 0. 0. |
| Form 990, Part IX, Line 24e | 607 Bed Tax 69635. 69635. 0. 0. |
| Form 990, Part IX, Line 24e | Auto Exp 10249. 10249. 0. 0. |
| Form 990, Part IX, Line 24e | Vehicular Repairs/Gas-SLF 870. 870. 0. 0. |
| Form 990, Part IX, Line 24e | Auto Gas & Oil 2592. 2592. 0. 0. |
| Form 990, Part IX, Line 24e | Transportation Exp-SLF 170. 170. 0. 0. |
| Form 990, Part IX, Line 24e | Reimbursement for Mileage 147. 0. 147. 0. |
| Form 990, Part IX, Line 24e | Criminal Background Checks 199. 199. 0. 0. |
| Form 990, Part IX, Line 24e | Background checks-SLF 0. 0. 0. 0. |
| Form 990, Part IX, Line 24e | Patient Background Checks 842. 842. 0. 0. |
| Form 990, Part IX, Line 24e | Employee Drug Tests 1745. 1745. 0. 0. |
| Form 990, Part IX, Line 24e | Employee Drug Test-SLF 32. 32. 0. 0. |
| Form 990, Part IX, Line 24e | Background Checks-Volunteers 0. 0. 0. 0. |
| Form 990, Part IX, Line 24e | Bad Debt 15216. 15216. 0. 0. |
| Form 990, Part IX, Line 24e | Contributions 471. 0. 471. 0. |
| Form 990, Part IX, Line 24e | Contributions-SLF 20. 0. 20. 0. |
| Form 990, Part IX, Line 24e | Misc Exp. 2067. 0. 2067. 0. |
| Form 990, Part IX, Line 24e | Misc Exp.-SLF 150. 0. 150. 0. |
| Form 990, Part IX, Line 24e | Bank fees 0. 0. 0. 0. |
| Form 990, Part IX, Line 24e | Rounding 0. 0. 0. 0. |
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