FRIENDSHIP HEALTH AND REHAB CENTER SOUTH INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- FRIENDSHIP HEALTH AND REHAB CENTER SOUTH INC (EIN 45-4983293)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2016-11-14
- IRS object ID
- 201623199349308362
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-14T14:50:29-06:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 EAST CARY STREET SUITE 1000 | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23219 | 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 | 454983293 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRIENDSHIP HEALTH AND REHAB CENTER SOUTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FRIE | BusinessNameControlTxt |
| Phone | 5402652177 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 367 HERSHBERGER RD NW | AddressLine1Txt |
| City | ROANOKE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24012 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | C MICHAEL SHANNON | PersonNm |
| Person Title | CFO & SECRETARY | PersonTitleTxt |
| Phone | 5402652177 | PhoneNum |
| Signature | 2016-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRISTOPHER T BENNETT | PreparerPersonNm |
| PTIN | P01232201 | PTIN |
| Phone | 8042827636 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 367 HERSHBERGER RD NW | AddressLine1Txt |
| City | ROANOKE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24012 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $500,766 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FRIENDSHIP.US | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE QUALITY RESIDENTIAL AND CLINICAL SERVICES TO OUR RESIDENTS AND COMMUNITY THROUGH THE PROVISION OF APPROPRIATELY LICENSED HOUSING ACCOMODATIONS, RECREATIONAL ACTIVITIES, ASSISTANCE IN DAILY LIVING, REHABILITATIVE SERVICES, AND EXTENDED TERM NURSING CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $500,766 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$324 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | -$324 | PYTotalRevenueAmt |
| CY Total Revenue | $500,766 | 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 | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $512,851 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,897 | PYOtherExpensesAmt |
| CY Other Expenses | $985,795 | CYOtherExpensesAmt |
| PY Total Expenses | $15,897 | PYTotalExpensesAmt |
| CY Total Expenses | $1,498,646 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$16,221 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$997,880 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,015,911 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,242,212 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,255,293 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $21,479,474 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$239,382 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$1,237,262 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION IS TO PROVIDE QUALITY RESIDENTIAL AND CLINICAL SERVICES TO OUR RESIDENTS AND COMMUNITY THROUGH THE PROVISION OF APPROPRIATELY LICENSED HOUSING ACCOMODATIONS, RECREATIONAL ACTIVITIES, ASSISTANCE IN DAILY LIVING, REHABILITATIVE SERVICES, AND EXTENDED TERM NURSING CARE. CENTRAL TO THIS MISSION IS THE COMMITTMENT TO SUPPORT OUR COMMUNITY BY PROVIDING CARE AND SERVICES TO INDIVIDUALS OF VARYING FINANCIAL MEANS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,337,545 | ExpenseAmt |
| Revenue | $500,766 | RevenueAmt |
| Desc | FRIENDSHIP HEALTH AND REHAB CENTER SOUTH COMPLETED CONSTRUCTION IN 2016 AND THE FACILITY OPENED AND ACCEPTED THE FIRST RESIDENT ON APRIL 18, 2016. THE SKILLED NURSING FACILITY HAS 120 PRIVATE, SHORT-TERM BEDS. FRIENDSHIP HEALTH AND REHAB CENTER SOUTH FEATURES A STATE-OF-THE-ART REHABILITATION GYM WITH A HEATED THERAPY POOL, TWO DINING ROOMS, AND RESIDENT COMMON AREA AND OUTDOOR COURTYARDS. THE CENTER IS EQUIPPED AND STAFFED TO PROVIDE INPATIENT REHAB AND SKILLED NURSING CARE INCLUDING PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPY AS WELL AS SPECIALIZED ORTHOPEDIC, CARDIAC, AND NEURO-MUSCULAR CARE. | Desc |
| Total Program Service Expenses | $1,337,545 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY MANAGEMENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5402652177 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 367 HERSHBERGER RD NW | AddressLine1Txt |
| City | ROANOKE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24012 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| EDWIN FEINOUR | |||||||||
| CHAIRMAN | 0.00 | 20.00 | Yes (X) | Yes (X) | $0 | $54,000 | $0 | ||
| CHRISTOPHER BAKER | |||||||||
| DIRECTOR | 0.00 | 1.00 | Yes (X) | $0 | $27,500 | $0 | |||
| EDGAR BAKER | |||||||||
| DIRECTOR | 0.00 | 2.70 | Yes (X) | $0 | $37,100 | $0 | |||
| CYNDA JOHNSON | |||||||||
| DIRECTOR | 0.00 | 1.50 | Yes (X) | $0 | $30,000 | $0 | |||
| GLEN COMBS | |||||||||
| VICE CHAIRMAN | 0.00 | 3.00 | Yes (X) | Yes (X) | $0 | $37,100 | $0 | ||
| LUCIAN GROVE JR | |||||||||
| DIRECTOR | 0.00 | 2.50 | Yes (X) | $0 | $37,100 | $0 | |||
| MARK HAGY | |||||||||
| DIRECTOR | 0.00 | 1.00 | Yes (X) | $0 | $27,500 | $0 | |||
| JOSEPH VIPPERMAN | |||||||||
| DIRECTOR | 0.00 | 4.00 | Yes (X) | $0 | $30,000 | $0 | |||
| CALVIN LILLY | |||||||||
| DIRECTOR | 0.00 | 2.75 | Yes (X) | $0 | $30,000 | $0 | |||
| ROBERT SANDEL | |||||||||
| DIRECTOR | 0.00 | 4.00 | Yes (X) | $0 | $37,100 | $0 | |||
| ROBERT LAWSON | |||||||||
| DIRECTOR | 0.00 | 4.00 | Yes (X) | $0 | $37,100 | $0 | |||
| KATHRYN OELSCHLAGER | |||||||||
| DIRECTOR | 0.00 | 4.00 | Yes (X) | $0 | $30,000 | $0 | |||
| C MICHAEL SHANNON | |||||||||
| CFO & SECRETARY | 0.00 | 40.00 | Yes (X) | $0 | $332,922 | $14,611 | |||
| BARBARA JOHNSON | |||||||||
| VICE PRESIDENT | 0.00 | 40.00 | Yes (X) | $0 | $220,191 | $25,985 | |||
| RUSSELL BARKSDALE | |||||||||
| PRESIDENT & CEO | 0.00 | 40.00 | Yes (X) | $0 | $518,235 | $36,654 | |||
| JESSICA WALTERS | |||||||||
| ADMINISTRATOR | 0.00 | 40.00 | $0 | $136,260 | $22,075 | Yes (X) | |||
| JOHN WILLIAMSON III | |||||||||
| FORMER DIRECTOR | 0.00 | $0 | $42,000 | $0 | Yes (X) | ||||
| MONTY PLYMALE | |||||||||
| FORMER DIRECTOR | 0.00 | $0 | $15,000 | $0 | Yes (X) | ||||
| GARNETT SMITH | |||||||||
| FORMER DIRECTOR | 0.00 | $0 | $18,550 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,697,658 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $99,325 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | 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 |
|---|---|---|---|---|---|
| TURNER LONG CONSTRUCTION | |||||
| 1807 MURRAY RD STE G | ROANOKE | VA | 24018 | CONSTRUCTION | $1,170,904 |
| IES COMMERCIAL INC | |||||
| 1807 MURRAY RD STE G | ROANOKE | VA | 24018 | CONSTRUCTION | $1,017,429 |
| MOORE'S ELECTRICAL & MECHANICAL | |||||
| 1807 MURRAY RD STE G | ROANOKE | VA | 24018 | ELECTRICAL/MECHANICAL | $665,302 |
| TAYLOR BROTHERS | |||||
| 1807 MURRAY RD STE G | ROANOKE | VA | 24018 | CONSTRUCTION | $450,743 |
| JACK ST CLAIR INC | |||||
| PO BOX 12960 | ROANOKE | VA | 24030 | UTILITY INSTALLATIONS | $433,252 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ROOM & BOARD | 623000 | $352,640 | $352,640 |
| ANCILLARY - MEDICARE A | 623000 | $135,612 | $135,612 |
| ANCILLARY - MEDICARE B | 623000 | $8,950 | $8,950 |
| ANCILLARY - PRIVATE | 623000 | $2,252 | $2,252 |
| MEALS-CASH | 623000 | $952 | $952 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $360 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $360 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $500,766 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $500,766 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $500,766 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,997 | TotalAmt |
| Program Services | $312,352 | ProgramServicesAmt |
| Management And General | $33,645 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,393 | TotalAmt |
| Program Services | $2,154 | ProgramServicesAmt |
| Management And General | $239 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,086 | TotalAmt |
| Program Services | $139,772 | ProgramServicesAmt |
| Management And General | $13,314 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,375 | TotalAmt |
| Program Services | $10,238 | ProgramServicesAmt |
| Management And General | $1,137 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,124 | TotalAmt |
| Management And General | $96,124 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,530 | TotalAmt |
| Management And General | $2,530 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $510 | TotalAmt |
| Program Services | $510 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,175 | TotalAmt |
| Program Services | $38,953 | ProgramServicesAmt |
| Management And General | $4,222 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,164 | TotalAmt |
| Management And General | $9,164 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,438 | TotalAmt |
| Program Services | $84,438 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71 | TotalAmt |
| Program Services | $71 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,349 | TotalAmt |
| Program Services | $19,349 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335,887 | TotalAmt |
| Program Services | $335,887 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROJECT DEVELOPMENT COS | $305,318 | $305,318 | |
| PURCHASED SERVICES | $56,797 | $56,071 | $726 |
| TAXES | $32,412 | $32,412 | |
| TRANSPORTATION | $20 | $20 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,498,646 | TotalAmt |
| Program Services | $1,337,545 | ProgramServicesAmt |
| Management And General | $161,101 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $404,507 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $25,811 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $18,764 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,129,017 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $335,887 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,694,019 | BOYAmt |
| EOY | $19,793,130 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $321,892 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,015,911 | BOYAmt |
| EOY | $20,242,212 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $752,715 | BOYAmt |
| EOY | $1,342,803 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,196,599 | BOYAmt |
| EOY | $18,374,771 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $60 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $305,979 | BOYAmt |
| EOY | $1,761,840 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,255,293 | BOYAmt |
| EOY | $21,479,474 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$239,382 | BOYAmt |
| EOY | -$1,237,262 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$239,382 | BOYAmt |
| EOY | -$1,237,262 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,015,911 | BOYAmt |
| EOY | $20,242,212 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$997,880 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $500,766 | CurrentTaxYearAmt |
| Total | $500,766 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $500,766 | CurrentTaxYearAmt |
| Total | $500,766 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $500,766 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $500,766 | CurrentTaxYearAmt |
| Total | $500,766 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
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 | $2,040,207 | OtherCostOrOtherBasisAmt |
| Book Value | $2,040,207 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,806,965 | OtherCostOrOtherBasisAmt |
| Depreciation | $172,587 | DepreciationAmt |
| Book Value | $13,634,378 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,671,460 | OtherCostOrOtherBasisAmt |
| Depreciation | $41,786 | DepreciationAmt |
| Book Value | $1,629,674 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,735,269 | OtherCostOrOtherBasisAmt |
| Depreciation | $121,514 | DepreciationAmt |
| Book Value | $1,613,755 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $875,116 | OtherCostOrOtherBasisAmt |
| Book Value | $875,116 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $19,793,130 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $440,759 |
| CASH DEFICIT | $1,321,081 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,761,840 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $500,766 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $500,766 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $500,766 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,498,646 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,498,646 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,498,646 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | FUNDS MAINTAINED BY ORGANIZATION FOR RESIDENTS IN ACCORDANCE WITH REGULATIONS. |
| PART X, LINE 2: | FRIENDSHIP HEALTH AND REHAB CENTER SOUTH IS A NOT-FOR-PROFIT COMPANY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS NOT GENERALLY SUBJECT TO INCOME TAXES UNDER PRESENT TAX LAWS. FRIENDSHIP HEALTH AND REHAB CENTER SOUTH HAS DETERMINED IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2016. FISCAL YEARS ENDING ON OR AFTER JUNE 30, 2013 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C MICHAEL SHANNON | ||||||||||||||
| CFO & SECRETARY | $0 | $244,746 | $0 | $80,000 | $0 | $8,176 | $0 | $7,477 | $0 | $7,134 | $0 | $347,533 | $0 | $0 |
| BARBARA JOHNSON | ||||||||||||||
| VICE PRESIDENT | $0 | $175,848 | $0 | $43,900 | $0 | $443 | $0 | $6,209 | $0 | $19,776 | $0 | $246,176 | $0 | $0 |
| RUSSELL BARKSDALE | ||||||||||||||
| PRESIDENT & CEO | $0 | $377,549 | $0 | $123,375 | $0 | $17,311 | $0 | $11,592 | $0 | $25,062 | $0 | $554,889 | $0 | $0 |
| JESSICA WALTERS | ||||||||||||||
| ADMINISTRATOR | $0 | $123,963 | $0 | $12,000 | $0 | $297 | $0 | $3,644 | $0 | $18,431 | $0 | $158,335 | $0 | $0 |
| JOHN WILLIAMSON III | ||||||||||||||
| FORMER DIRECTOR | $0 | $42,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $42,000 | $0 | $0 |
| MONTY PLYMALE | ||||||||||||||
| FORMER DIRECTOR | $0 | $15,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $15,000 | $0 | $0 |
| GARNETT SMITH | ||||||||||||||
| FORMER DIRECTOR | $0 | $18,550 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,550 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | C. MICHAEL SHANNON RECEIVED $7,780 FOR A NON-QUALIFIED RETIREMENT PROGRAM. RUSSELL BARKSDALE RECEIVED $17,002 FOR A NON-QUALIFIED RETIREMENT PROGRAM. THE PROGRAM IS AN EXECUTIVE INVESTMENT TRUST PLAN FOR HIGHLY COMPENSATED AND MANAGEMENT EMPLOYEES. EACH PRESENT AND FUTURE EMPLOYEE OF THE COMPANY AND ITS SUBSIDIARIES WHOM THE COMMITTEE (THE EMPLOYMENT COMPENSATION COMMITTEE OF THE BOARD) DETERMINES TO BE AN ELIGIBLE EMPLOYEE SHALL BE ELIGIBLE TO RECEIVE AN AWARD UNDER THE PLAN. THE EMPLOYEE MUST BE A FULL-TIME ACTIVE PARTICIPANT TO RECEIVE AN AWARD. |
| PART I, LINE 6 | THE INDIVIDUALS RECEIVED VARIABLE COMPENSATION PAYMENTS BASED ON A PERFORMANCE SCORECARD AS OUTLINED BELOW. IN TURN, THE SCORECARD MEASURES ARE BASED ON A NUMBER OF MEASURES IN THE CATEGORIES OF FINANCIAL PERFORMANCE, QUALITY PERFORMANCE, INNOVATION AND GROWTH FOR THE AFFILIATED CORPORATIONS. C. MICHAEL SHANNON, CFO AND SECRETARY, RECEIVED $80,000 BARBARA JOHNSON, VICE-PRESIDENT, RECEIVED $43,900 RUSSELL BARKSDALE, CEO, RECEIVED $123,375 JESSICA WALTERS, ADMINISTRATOR, RECEIVED $12,000 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIRGINIA SMALL BUSINESS FINANCING AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issued | 2014-07-01 | BondIssuedDt |
| Issue Price | $18,904,080 | IssuePriceAmt |
| Purpose | CONSTRUCTION OF 120 BED SKILLED NURSING FACILITY | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $200,666 | RetiredAmt |
| Total Proceeds | $18,904,080 | TotalProceedsAmt |
| Capitalized Interest | $71,593 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $321,892 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $18,088,810 | CapitalExpendituresAmt |
| Substantial Completion | 2016 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | Yes (1) | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BB&T | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 7.000000000000 | TermOfHedgePct |
| Superintegrated Hedge | 0 | SuperintegratedHedgeInd |
| Hedge Terminated | 0 | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | 990 SCH K, PART I, LINE A(F) | FormAndLineReferenceDesc |
| Explanation | THE PROCEEDS FOR THE OBLIGATION ARE USED TO REIMBURSE FRIENDSHIP FOUNDATION FOR COSTS INCURRED IN FUNDING THE CONSTRUCTION OF A 120 BED SKILLED NURSING FACILITY (FRIENDSHIP HEALTH AND REHAB SOUTH). | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE CORPORATION PAYS MANAGEMENT FEES TO FRIENDSHIP FOUNDATION AND VALLEY MANAGEMENT CO., INC. TO PROVIDE MANAGEMENT OF ALL ASPECTS OF THE OPERATION, INCLUDING, BUT NOT LIMITED TO HUMAN RESOURCE SERVICES, ACCOUNTING, BILLING, COLLECTIONS, PAYROLL, AND GENERAL ADMINISTRATION. VALLEY MANAGEMENT IS RESPONSIBLE FOR COORDINATING THE PREPARATION OF MONTHLY FINANCIAL STATEMENTS, MAINTAINING AND MANAGING BANK ACCOUNTS AND WORKING CAPITAL. FRIENDSHIP FOUNDATION AND VALLEY MANAGEMENT ARE ALSO RESPONSIBLE FOR APPLYING FOR, OBTAINING, AND MAINTAINING ALL NECESSARY LICENSES, PERMITS, CONSENTS, AND APPROVALS FROM ALL GOVERNMENTAL AGENCIES WNICH HAVE JURISDICTION OVER THE OPERATION OF THE ORGANIZATION. THE TWO COMPANIES AGREE TO OPERATE AND MAINTAIN THE ORGANIZATION IN COMPLIANCE WITH THE REQUIREMENTS OF ANY STATUTE, ORDINANCE, LAW, RULE, REGULATION OR ORDER OF ANY GOVERNMENTAL OR REGULATORY BODY HAVING JURISDICTION OVER THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE CORPORATION HAS ONE MEMBER, FRIENDSHIP FOUNDATION. |
| FORM 990, PART VI, SECTION B, LINE 11 | AN INDEPENDENT ACCOUNTING FIRM PREPARES THE FORM 990 AND FORWARDS IT TO THE CFO AND CEO FOR REVIEW. THE CFO AND CEO RETURN THE FORM 990 TO THE CPA TO RESOLVE QUESTIONS AND MAKE CHANGES. THE FORM 990 GOES BACK TO THE CFO AND CEO TO ENSURE QUESTIONS AND CHANGES HAVE BEEN MADE. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH BOARD MEMBER BY THE CFO APPROXIMATELY 2 WEEKS PRIOR TO THE DUE DATE. THEY ARE GIVEN 1 WEEK TO REVIEW AND FORWARD QUESTIONS TO THE CFO. REVIEW QUESTIONS ARE RESOLVED AND THE FORM 990 IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE POLICY IS INCLUDED IN BOTH THE EMPLOYEE HANDBOOK AND THE CODE OF CONDUCT, WHICH IS ISSUED TO AND DISCUSSED WITH EACH EMPLOYEE AND BOARD MEMBER. AN ANNUAL LETTER AFFIRMING THE POLICY AND ASKING FOR WRITTEN DECLARATIONS OF ANY POTENTIAL CONFLICTS IS SENT TO ALL BOARD MEMBERS AND APPROXIAMTELY 20% OF EMPLOYEES (ALL MANAGERS, BUSINESS OFFICE STAFF, PURCHASING DEPARTMENT STAFF, HUMAN RESOURCES STAFF, ETC). RESPONSES ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER, REPORTED TO THE BOARD, AND ACTED UPON AS NEEDED. ALSO, THE CORPORATION IS AWARE OF THE BUSINESS AFFILIATIONS OF OFFICERS AND DIRECTORS AND ENSURES THAT EACH IS AWARE OF THE AFFILIATIONS. WHENEVER DISCUSSIONS OCCUR IN WHICH A CONFLICT EXISTS, THE INDIVIDUAL RECUSES HIM/HERSELF FROM THE PROCEEDINGS SO THE OTHER MEMBERS CAN DISCUSS THE MATTER FREELY. EACH YEAR AT ITS CORPORATE GOVERNANCE COMMITTEE MEETING AND ANNUAL BOARD MEETING A REPORT IS MADE TO THE BOARD OF DIRECTORS DESCRIBING THE BUSINESS AFFILIATIONS AND ANY BUSINESS TRANSACTIONS THAT OCCURRED DURING THE YEAR BETWEEN THE CORPORATION AND THE EXTERNAL BUSINESSES IN WHICH THE DIRECTORS OR OFFICERS ARE INVOLVED. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION COMMITTEE OF THE BOARD ROUTINELY ENGAGES AN EXTERNAL CONSULTANT TO REVIEW BENCHMARK COMPENSATION DATA FOR THE CEO AND OTHER KEY MANAGEMENT POSITIONS. A NUMBER OF NATIONALLY RECOGNIZED SALARY SURVEYS ARE UTILIZED AS PART OF THIS PROCESS AND THE CONSULTANT'S WRITTEN REPORT IS RECEIVED BY THE COMMITTEE AND THE FULL BOARD. ANNUALLY, THE COMMITTEE REVIEWS THE COMPENSATION FOR EACH MEMBER OF THIS GROUP UTILIZING THE BENCHMARK DATA AND ANY ADJUSTMENTS IN COMPENSATION ARE RECOMMENDED FROM THE COMPENSATION COMMITTEE TO THE FULL BOARD FOR CONSIDERATION AND APPROVAL. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST, THE COMPANY WILL PROVIDE COPIES OF GOVERNING DOCUMENTS, POLICIES, FINANCIAL STATEMENTS, AND FORM 990'S TO PERSONS ASKING FOR THE DOCUMENTS. |
| FORM 990, PART VII: | THE ORGANIZATION SHARES BOARD MEMBERS AND OFFICERS WITH RELATED ORGANIZATIONS. THE AVERAGE HOURS A WEEK THAT EACH INDIVIDUAL SPENDS WITH EACH ORGANIZATION IS AS FOLLOWS: FRIENDSHIP HEALTH AND REHAB CENTER, INC.: CALVIN LILLY .88 EDWIN R. FEINOUR 6.39 EDGAR K. BAKER.86 GLEN COMBS .96 LUCIAN GROVE, JR. .80 JOE VIPPERMAN 1.28 ROBERT LAWSON 1.28 ROBERT SANDEL 1.28 CYNDA JOHNSON .48 KATHRYN OELSCHLAGER 1.28 CHRISTOPHER BAKER .32 MARK HAGY .32 FRIENDSHIP APARTMENT VILLAGE CORP.: CALVIN LILLY .08 EDWIN R. FEINOUR .59 EDGAR K. BAKER .08 GLEN COMBS .09 LUCIAN GROVE, JR. .07 JOE VIPPERMAN .12 ROBERT LAWSON .12 ROBERT SANDEL .12 CYNDA JOHNSON .04 KATHRYN OELSCHLAGER .12 CHRISTOPHER BAKER .03 MARK HAGY .03 EASTWOOD ASSISTED LIVING, INC.: CALVIN LILLY .08 EDWIN R. FEINOUR .59 EDGAR K. BAKER .08 GLEN COMBS .09 LUCIAN GROVE, JR. .07 JOE VIPPERMAN .12 ROBERT LAWSON .12 ROBERT SANDEL .12 CYNDA JOHNSON .04 KATHRYN OELSCHLAGER .12 CHRISTOPHER BAKER .03 MARK HAGY .03 VALLEY MANAGEMENT CO., INC.: CALVIN LILLY .49 EDWIN R. FEINOUR 3.58 EDGAR K. BAKER .48 GLEN COMBS .54 LUCIAN GROVE, JR. .45 JOE VIPPERMAN .72 ROBERT LAWSON .72 ROBERT SANDEL .72 CYNDA JOHNSON .27 KATHRYN OELSCHLAGER .72 CHRISTOPHER BAKER .18 MARK HAGY .18 BARBARA JOHNSON 40.00 RUSSELL BARKSDALE 40.00 MIKE SHANNON 40.00 FRIENDSHIP OUTPATIENT & WELLNESS, INC.: CALVIN LILLY .03 EDWIN R. FEINOUR .20 EDGAR K. BAKER .03 GLEN COMBS .03 LUCIAN GROVE, JR. .02 JOE VIPPERMAN .04 ROBERT LAWSON .04 ROBERT SANDEL .04 CYNDA JOHNSON .01 KATHRYN OELSCHLAGER .04 CHRISTOPHER BAKER .01 MARK HAGY .01 FRIENDSHIP FOUNDATION INC: CALVIN LILLY 1.19 EDWIN R. FEINOUR 8.66 EDGAR K. BAKER 1.17 GLEN COMBS 1.30 LUCIAN GROVE, JR. 1.08 JOE VIPPERMAN 1.73 ROBERT LAWSON 1.73 ROBERT SANDEL 1.73 CYNDA JOHNSON .65 KATHRYN OELSCHLAGER 1.73 CHRISTOPHER BAKER .43 MARK HAGY .43 |
| FORM 990, PART VII: | MONTY PLYMALE, GARNETT SMITH, AND JOHN WILLIAMSON III ARE FORMER DIRECTORS. THEY COMPLETED THEIR TERM WITHIN THE FISCAL YEAR BUT RECEIVED COMPENSATION DURING THE CALENDAR YEAR REPORTABLE ON THIS 990. |
| FORM 990, PART XII, LINE 2: | THE CORPORATION PARTICIPATES IN A CONSOLIDATED AUDIT WITH AFFILIATED COMPANIES REPORTED ON SCHEDULE R. WHEN FINISHED THE AUDITED STATEMENTS ARE PRESENTED TO THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS BY THE EXTERNAL AUDITORS. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| FRIENDSHIP HEALTH AND REHAB CENTER INC | ||||||||||
| 367 HERSHBERGER RD NW | ROANOKE | VA | 24012 | 237126857 | LONG TERM NURSING CARE | VA | 501 (C) (3) | LINE 9 | FRIENDSHIP FOUNDATION | Yes (1) |
| FRIENDSHIP FOUNDATION | ||||||||||
| 367 HERSHBERGER RD NW | ROANOKE | VA | 24012 | 541427948 | CONTROLLING ORGANIZATION, MANAGEMENT SERVICES | VA | 501 (C) (3) | LINE 11C, III-FI | Yes (1) | |
| FRIENDSHIP APARTMENT VILLAGE CORP | ||||||||||
| 367 HERSHBERGER RD NW | ROANOKE | VA | 24012 | 540847686 | INDEPENDENT LIVING HOUSING | VA | 501 (C) (3) | LINE 9 | FRIENDSHIP FOUNDATION | Yes (1) |
| EASTWOOD ASSISTED LIVING INC | ||||||||||
| 367 HERSHBERGER RD NW | ROANOKE | VA | 24012 | 540738784 | ASSISTED LIVING FACILITY | VA | 501 (C) (3) | LINE 9 | FRIENDSHIP FOUNDATION | Yes (1) |
| FRIENDSHIP OUTPATIENT & WELLNESS SERVICES INC | ||||||||||
| 367 HERSHBERGER RD NW | ROANOKE | VA | 24012 | 260152373 | OUTPATIENT THERAPY SERVICES | VA | 501 (C) (3) | LINE 9 | FRIENDSHIP FOUNDATION | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| FRIENDSHIP PROPERTIES INC | |||||||||
| 367 HERSHBERGER RD NW | ROANOKE | VA | 24012 | 541262492 | LEASING COMPANY | VA | N/A | C | 0 |
| PROFESSIONAL HEALTH CARE SERVICES INC | |||||||||
| 367 HERSHBERGER RD NW | ROANOKE | VA | 24012 | 541421581 | HOME CARE SERVICES | VA | N/A | C | 0 |
| FRIENDSHIP PHARMACY INC | |||||||||
| 367 HERSHBERGER RD NW | ROANOKE | VA | 24012 | 541461437 | PHARMACY SERVICES | VA | N/A | C | 0 |
| VALLEY MANAGEMENT COMPANY INC | |||||||||
| 367 HERSHBERGER RD NW | ROANOKE | VA | 24012 | 541461444 | MANAGEMENT | VA | N/A | C | 0 |
| LTC SERVICES INC | |||||||||
| 367 HERSHBERGER RD NW | ROANOKE | VA | 24012 | 541461441 | MAINTENANCE | VA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| FRIENDSHIP FOUNDATION | ||
| M | $57,996 | CASH |
| FRIENDSHIP HEALTH & REHAB CENTER INC | ||
| P | $926,990 | CASH |
| LTC SERVICES INC | ||
| P | $197,921 | CASH |