MANOR GROVE INCORPORATED: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: MANOR GROVE INCORPORATED (EIN 43-0679177)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2016-12-13
IRS object ID: 201603489349300530
Schema version: 2015v2.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule L
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-12-13T12:25:53-06:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	430765316	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	RubinBrown LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	One North Brentwood	AddressLine1Txt
City	Saint Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	430679177	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Manor Grove Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MANO	BusinessNameControlTxt
Phone	3149650864	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	711 South Kirkwood Road	AddressLine1Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63122	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROSE LANKFORD	PersonNm
Person Title	ADMINISTRATOR	PersonTitleTxt
Phone	3149650864	PhoneNum
Signature	2016-12-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	John E Butler	PreparerPersonNm
PTIN	P00325554	PTIN
Phone	3142903300	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ROSE LANKFORD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	711 SOUTH KIRKWOOD RD	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63122	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$9,770,865	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MANORGROVE.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1907	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	TO PRESERVE THE QUALITY OF LIFE THROUGH COMPASSIONATE, EXPERT CARE FROM A HIGHLY SKILLED MULTIDISCIPLINARY TEAM.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	247	TotalEmployeeCnt
Total Volunteers	27	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$38,912	PYContributionsGrantsAmt
CY Contributions Grants	$58,402	CYContributionsGrantsAmt
PY Program Service Revenue	$9,001,869	PYProgramServiceRevenueAmt
CY Program Service Revenue	$9,048,910	CYProgramServiceRevenueAmt
PY Investment Income	$137,653	PYInvestmentIncomeAmt
CY Investment Income	$634,467	CYInvestmentIncomeAmt
PY Other Revenue	-$56,132	PYOtherRevenueAmt
CY Other Revenue	-$89,689	CYOtherRevenueAmt
PY Total Revenue	$9,122,302	PYTotalRevenueAmt
CY Total Revenue	$9,652,090	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	$5,733,458	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$5,864,200	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,730,982	PYOtherExpensesAmt
CY Other Expenses	$2,917,024	CYOtherExpensesAmt
PY Total Expenses	$8,464,440	PYTotalExpensesAmt
CY Total Expenses	$8,781,224	CYTotalExpensesAmt
PY Revenues Less Expenses	$657,862	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$870,866	CYRevenuesLessExpensesAmt
Total Assets BOY	$12,731,218	TotalAssetsBOYAmt
Total Assets EOY	$13,034,038	TotalAssetsEOYAmt
Total Liabilities BOY	$973,900	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,001,164	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$11,757,318	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$12,032,874	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO 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 Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$7,428,554	ExpenseAmt
Revenue	$9,057,354	RevenueAmt
Desc	Owning 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.	Desc
Total Program Service Expenses	$7,428,554	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	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	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	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	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
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	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	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	49	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	247	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	0	QuidProQuoContributionsInd
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	14	GoverningBodyVotingMembersCnt
Independent Voting Member	14	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ROZA KOYEN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3149650864	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	711 SOUTH KIRKWOOD ROAD	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63122	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
STEVE DODSON
PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
TODD CLEVELAND
MEMBER	1.00	Yes (X)		$0	$0	$0
SHEILA EATON
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
DIANE KEEFE
MEMBER	1.00	Yes (X)		$0	$0	$0
MILLIE MOULDER
MEMBER	1.00	Yes (X)		$0	$0	$0
E LEE POTTS
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
PAUL ROBERTS
MEMBER	1.00	Yes (X)		$0	$0	$0
ANNE ROEHM
MEMBER	1.00	Yes (X)		$0	$0	$0
BOB BRUCKNER
MEMBER	1.00	Yes (X)		$0	$0	$0
ANNE STUCKEL
VICE PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
BOB GRUENEWALD
MEMBER	1.00	Yes (X)		$0	$0	$0
GEORGE ROLBY
CONTROLLER	1.00	Yes (X)	Yes (X)	$0	$0	$0
LUKE BAUMSTARK
MEMBER	1.00	Yes (X)		$0	$0	$0
DR CHARLES TADROS
MEMBER	1.00	Yes (X)		$0	$0	$0
ROZA KOYEN
ACCOUNTANT	40.00		Yes (X)	$53,484	$0	$9,233
ROSE LANKFORD
ADMINISTRATOR	40.00		Yes (X)	$86,370	$0	$8,303

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$139,854	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$17,536	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
JW BOMMARITO CONSTRUCTION
6795 LANGLEY	ST LOUIS	MO	63123	PARKING LOT CONSTRUCTION	$441,485
ALLIANCE REHAB
28100 TORCH PARKWAY SUITE 600	WARRENVILLE	IL	60555	THERAPY	$281,997
US FOOD SERVICEALLEN DIVISION
PO BOX 504854	ST LOUIS	MO	63150	FOOD & Supplies	$235,077
MEDLINE INDUSTRIES INC
DEPT CH 14400	PALATINE	IL	60055	MEDICAL SUPPLIES	$197,500
MIDWEST STAFFING SOLUTIONS LLC
PO BOX 823461	PHILADELPHIA	PA	191823461	STAFFING	$145,451

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	8	CntrctRcvdGreaterThan100KCnt
Fundraising	$45,963	FundraisingAmt
All Other Contributions	$12,439	AllOtherContributionsAmt
Noncash Contributions	$43,930	NoncashContributionsAmt
Total Contributions	$58,402	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	ELDERLY CARE	Desc
Business	623000	BusinessCd
Total Revenue Column	$9,048,910	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,048,910	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$9,048,910	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$634,467	TotalRevenueColumnAmt
Exclusion	$634,467	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$16,172	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$32,938	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$16,766	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$16,766	TotalRevenueColumnAmt
Exclusion	-$16,766	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$4,470	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$45,963	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$85,837	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$81,367	TotalRevenueColumnAmt
Exclusion	-$81,367	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,444	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,444	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$8,444	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,652,090	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,057,354	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$536,334	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$161,822	TotalAmt
Management And General	$161,822	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$4,442,254	TotalAmt
Program Services	$4,213,441	ProgramServicesAmt
Management And General	$228,813	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$37,090	TotalAmt
Program Services	$7,418	ProgramServicesAmt
Management And General	$29,672	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$522,674	TotalAmt
Program Services	$466,200	ProgramServicesAmt
Management And General	$56,474	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$700,360	TotalAmt
Program Services	$381,690	ProgramServicesAmt
Management And General	$318,670	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$18,207	TotalAmt
Program Services	$3,641	ProgramServicesAmt
Management And General	$14,566	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$77,307	TotalAmt
Management And General	$77,307	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$35,074	TotalAmt
Program Services	$13,221	ProgramServicesAmt
Management And General	$21,853	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$92,798	TotalAmt
Program Services	$41,017	ProgramServicesAmt
Management And General	$51,781	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$62,954	TotalAmt
Program Services	$48,683	ProgramServicesAmt
Management And General	$14,271	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$250,581	TotalAmt
Program Services	$238,052	ProgramServicesAmt
Management And General	$12,529	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,036	TotalAmt
Program Services	$1,702	ProgramServicesAmt
Management And General	$334	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$12,270	TotalAmt
Program Services	$8,918	ProgramServicesAmt
Management And General	$3,352	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$408,263	TotalAmt
Program Services	$400,098	ProgramServicesAmt
Management And General	$8,165	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$205,617	TotalAmt
Program Services	$41,123	ProgramServicesAmt
Management And General	$164,494	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$625,243	$625,243
CONTRACTED SERVICES	$441,647	$440,512	$1,135
FOOD	$291,149	$291,149
RENTAL AND MAINTENANCE	$281,477	$127,355	$154,122

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$112,401	TotalAmt
Program Services	$79,091	ProgramServicesAmt
Management And General	$33,310	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,781,224	TotalAmt
Program Services	$7,428,554	ProgramServicesAmt
Management And General	$1,352,670	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,467	BOYAmt
EOY	$8,909	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,273,830	BOYAmt
EOY	$1,630,685	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$203,122	BOYAmt
EOY	$208,784	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$32,154	BOYAmt
EOY	$43,605	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$199,980	BOYAmt
EOY	$104,507	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$13,671,213	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$6,967,074	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$6,602,262	BOYAmt
EOY	$6,704,139	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,094,456	BOYAmt
EOY	$4,010,262	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$322,947	BOYAmt
EOY	$323,147	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,731,218	BOYAmt
EOY	$13,034,038	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$533,500	BOYAmt
EOY	$582,864	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$440,400	BOYAmt
EOY	$418,300	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$973,900	BOYAmt
EOY	$1,001,164	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow SFAS117	Yes (X)	OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$11,757,318	BOYAmt
EOY	$12,032,874	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$12,731,218	BOYAmt
EOY	$13,034,038	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$870,866	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$595,310	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	$38,113	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$39,771	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$49,265	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$45,169	CurrentTaxYearMinus1YearAmt
Current Tax Year	$62,872	CurrentTaxYearAmt
Total	$235,190	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$8,520,002	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,541,310	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$8,909,838	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$9,001,935	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,048,910	CurrentTaxYearAmt
Total	$44,021,995	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$63,386	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$40,987	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$35,434	CurrentTaxYearMinus1YearAmt
Current Tax Year	$16,172	CurrentTaxYearAmt
Total	$155,979	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$8,558,115	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,644,467	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,000,090	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$9,082,538	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,127,954	CurrentTaxYearAmt
Total	$44,413,164	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,497	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$15,120	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,441	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,203	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,217	CurrentTaxYearAmt
Total	$41,478	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)
Current Tax Year Minus4 Years	$5,497	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$15,120	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,441	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,203	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,217	CurrentTaxYearAmt
Total	$41,478	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$44,371,686	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$48,142	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$80,718	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$115,427	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$137,653	CurrentTaxYearMinus1YearAmt
Current Tax Year	$634,467	CurrentTaxYearAmt
Total	$1,016,407	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$48,142	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$80,718	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$115,427	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$137,653	CurrentTaxYearMinus1YearAmt
Current Tax Year	$634,467	CurrentTaxYearAmt
Total	$1,016,407	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$10,867	CurrentTaxYearMinus3YearsAmt
Total	$10,867	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$41,047	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$88,895	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$14,097	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,748	CurrentTaxYearMinus1YearAmt
Current Tax Year	$8,444	CurrentTaxYearAmt
Total	$154,231	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$8,647,304	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,824,947	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,129,614	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$9,221,939	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,770,865	CurrentTaxYearAmt
Total	$45,594,669	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.97320	PublicSupportCY509Pct
Public Support PY509	0.97570	PublicSupportPY509Pct
Investment Income CY	0.02230	InvestmentIncomeCYPct
Investment Income PY	0.00950	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,324,389	OtherCostOrOtherBasisAmt
Depreciation	$5,670,397	DepreciationAmt
Book Value	$5,653,992	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$973,699	OtherCostOrOtherBasisAmt
Depreciation	$563,826	DepreciationAmt
Book Value	$409,873	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$955,045	OtherCostOrOtherBasisAmt
Depreciation	$732,851	DepreciationAmt
Book Value	$222,194	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$6,704,139	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$9,100,097	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$595,310	NetUnrealizedGainsInvstAmt
Other Revenue	$43,317	OtherRevenueAmt
Revenue Not Reported	-$551,993	RevenueNotReportedAmt
Revenue Subtotal	$9,652,090	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$9,652,090	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$8,824,541	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$43,317	OtherExpensesIncludedAmt
Expenses Not Reported	$43,317	ExpensesNotReportedAmt
Expenses Subtotal	$8,781,224	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$8,781,224	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 43,317.
Part XII, Line 2d - Other Adjustments:	SPECIAL EVENT EXPENDITURES OFFSET AGAINST REVENUE ON FORM 990, SECTION VIII LINE 8B 43,317.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	SOUP'S ON	Event1Nm
Gross Receipts Event1	$50,433	GrossReceiptsEvent1Amt
Charitable Contri Event1	$45,963	CharitableContriEvent1Amt
Gross Revenue Event1	$4,470	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$5,473	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$43,460	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$36,904	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$50,433	GrossReceiptsTotalAmt
Charitable Contributions Tot	$45,963	CharitableContributionsTotAmt
Gross Revenue Total Events	$4,470	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$5,473	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$43,460	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$36,904	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$85,837	DirectExpenseSummaryEventsAmt
Net Income Summary	-$81,367	NetIncomeSummaryAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JENNIFER LANKFORD
FAMILY RELATIONSHIP WITH ROSE LANKFORD, ADMINISTRATOR	$33,199	EMPLOYMENT	0
Bob Borders
Family RELATIONSHIP WITH ROSE LANKFORD, ADMINISTRATOR	$30,338	Contractor	0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Event Food	23	$42,520	Fair Market Value
Yes (X)	Furniture	1	$1,410	Fair Market Value

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Column (b):	FormAndLineReferenceDesc
Explanation	Non-cash contributions are recorded by the number of contributions received.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, line 11	THE 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 12c	DIRECTORS 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 15a	MANAGEMENT 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 19	THE ORGANIZATION HAS MADE GOVERNING DOCUMENTS, THEIR CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
Part VI, Section B, Question 16B	INVESTMENT 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 -595,310.