THE SOMERVILLE HOME INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
THE SOMERVILLE HOME INC (EIN 04-2105741)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-16
IRS object ID
201513209349308201
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-16T13:15:36-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1300 CROWN COLONY DRIVE SUITE 310AddressLine1Txt
CityQUINCYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02169ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042105741EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE SOMERVILLE HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOMEBusinessNameControlTxt
Phone6177760260PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1117 SUMMER STREETAddressLine1Txt
CitySOMERVILLECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02143ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEDWIN J SMITHPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6176256094PhoneNum
Signature2015-11-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJUDY DALEYPreparerPersonNm
PTINP01294075PTIN
Phone6179848100PhoneNum
Preparation2015-10-08PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerEDWIN J SMITHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1117 SUMMER STREETAddressLine1Txt
CitySOMERVILLECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02143ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,214,018GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SOMERVILLEHOME.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1898FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionPROVIDING QUALITY RESIDENTIAL CARE TO THE ELDERLY FROM SOMERVILLE AND SURROUNDING COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee49TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$61,345PYContributionsGrantsAmt
CY Contributions Grants$53,061CYContributionsGrantsAmt
PY Program Service Revenue$1,627,245PYProgramServiceRevenueAmt
CY Program Service Revenue$1,891,059CYProgramServiceRevenueAmt
PY Investment Income$44,795PYInvestmentIncomeAmt
CY Investment Income$107,693CYInvestmentIncomeAmt
PY Other Revenue$14,450PYOtherRevenueAmt
CY Other Revenue$22,425CYOtherRevenueAmt
PY Total Revenue$1,747,835PYTotalRevenueAmt
CY Total Revenue$2,074,238CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,031,032PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$845,815CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$959,392PYOtherExpensesAmt
CY Other Expenses$1,200,678CYOtherExpensesAmt
PY Total Expenses$1,990,424PYTotalExpensesAmt
CY Total Expenses$2,046,493CYTotalExpensesAmt
PY Revenues Less Expenses-$242,589PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$27,745CYRevenuesLessExpensesAmt
Total Assets BOY$3,709,313TotalAssetsBOYAmt
Total Assets EOY$3,753,860TotalAssetsEOYAmt
Total Liabilities BOY$1,150,617TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,095,969TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,558,696NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,657,891NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSINCE 1898, THE SOMERVILLE HOME, A PRIVATE NONPROFIT ORGANIZATION, HAS PROVIDED LONG-TERM RESIDENTIAL CARE TO ELDERLY MEN AND WOMEN FROM SOMERVILLE AND SURROUNDING COMMUNITIES. WE ARE COMMITTED TO OFFERING SENIOR CITIZENS A REASONABLY PRICED OPTION FOR QUALITY RESIDENTIAL SERVICES. WE BELIEVE THAT OUR RESIDENTS SHOULD BE ENCOURAGED TO UTILIZE THEIR BODIES, MINDS AND SPIRITS TO THE MAXIMUM WITHIN THE LIMITS OF THEIR POTENTIAL.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,723,200ExpenseAmt
Revenue$1,906,138RevenueAmt
DescREST HOME - OPERATION OF A 59-BED REST HOME LOCATED IN SOMERVILLE, MASSACHUSETTS LOCATED AT 117 SUMMER STREET. THE REST HOME'S CHARACTER AND CHARM HAS RESPONDED TO THE DOMESTIC NEEDS OF RETIRED PERSONS FOR THE PAST 70 YEARS AND INTENDS TO DO SO FOR MANY MORE YEARS. THE ORGANIZATION'S LONG-TERM PLAN IS TO PROVIDE A SAFE AND SECURE HOMELIKE ENVIRONMENT WHILE ASSURING DIGNITY TO AND PROMOTING THE INDIVIDUAL WORTH OF ALL RESIDENTS.Desc
Total Program Service Expenses$1,723,200TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee49EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKELLEY SFERRAZZAPersonNm
Phone6177760260PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1117 SUMMER STREETAddressLine1Txt
CitySOMERVILLECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02143ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
EDWIN J SMITH
PRESIDENT5.00Yes (X)Yes (X)$0$0$0
ROD LAURENZ
VICE PRESIDENT5.00Yes (X)Yes (X)$0$0$0
ROBERT H COSTELLO JR
TREASURER5.00Yes (X)Yes (X)$0$0$0
SANDRA L MCGOLDRICK
CLERK5.00Yes (X)Yes (X)$0$0$0
SALVATORE BERTOLAMI
TRUSTEE5.00Yes (X)$0$0$0
BRIAN BRADY
TRUSTEE5.00Yes (X)$0$0$0
AGNES M CAMERON
TRUSTEE5.00Yes (X)$0$0$0
JOSEPH K CIAMPA
TRUSTEE5.00Yes (X)$0$0$0
JOHN M CONNOLLY
TRUSTEE5.00Yes (X)$0$0$0
FRANCES GAYRON
TRUSTEE5.00Yes (X)$0$0$0
ARNOLD J KNOX JR
TRUSTEE5.00Yes (X)$0$0$0
SUZANNE MARSHALL
TRUSTEE5.00Yes (X)$0$0$0
GEORGE F MCLEAN
TRUSTEE5.00Yes (X)$0$0$0
DAVID F O'BRIEN
TRUSTEE5.00Yes (X)$0$0$0
JOSEPH J SULLIVAN
TRUSTEE5.00Yes (X)$0$0$0
JEANNETTE AMAZEEN THOMAS
TRUSTEE5.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UNIDINE
PO BOX 60479CHARLOTTENC28260DINING SERVICES$263,294
PREMIER MEDICAL STAFFING
339 MAIN STREETNASHUANH03060NURSING PURCHASED SERVICES$145,482
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$53,061AllOtherContributionsAmt
Noncash Contributions$2,483NoncashContributionsAmt
Total Contributions$53,061TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$1,891,059TotalRevenueColumnAmt
Related Or Exempt Func Income$1,891,059RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,891,059TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,739TotalRevenueColumnAmt
Exclusion$45,739ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$174,880SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$112,926SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$61,954SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,954TotalRevenueColumnAmt
Exclusion$61,954ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$34,200FundraisingGrossIncomeAmt
Fundraising Direct Expenses$26,854FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,346TotalRevenueColumnAmt
Exclusion$7,346ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business623000BusinessCd
Total Revenue Column$15,079TotalRevenueColumnAmt
Related Or Exempt Func Income$15,079RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$15,079OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,074,238TotalRevenueColumnAmt
Related Or Exempt Func Income$1,906,138RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$115,039ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$700,572TotalAmt
Program Services$493,508ProgramServicesAmt
Management And General$207,064ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$19,779TotalAmt
Program Services$14,526ProgramServicesAmt
Management And General$5,253ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$69,109TotalAmt
Program Services$50,754ProgramServicesAmt
Management And General$18,355ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$56,355TotalAmt
Program Services$41,388ProgramServicesAmt
Management And General$14,967ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$29,841TotalAmt
Management And General$29,841ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,375TotalAmt
Management And General$27,375ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$10,634TotalAmt
Management And General$10,634ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$576,048TotalAmt
Program Services$571,445ProgramServicesAmt
Management And General$4,603ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,274TotalAmt
Program Services$2,274ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$47,627TotalAmt
Program Services$42,426ProgramServicesAmt
Management And General$5,201ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$25,212TotalAmt
Program Services$25,212ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$116,406TotalAmt
Program Services$116,406ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,566TotalAmt
Program Services$3,566ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$39,676TotalAmt
Program Services$39,676ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$216,489TotalAmt
Program Services$216,489ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$19,197TotalAmt
Program Services$19,197ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
SUPPLIES$37,347$37,347
MAINTENANCE$23,939$23,939
BAD DEBT$8,887$8,887
FOOD$7,335$7,335

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$8,825TotalAmt
Program Services$8,825ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,046,493TotalAmt
Program Services$1,723,200ProgramServicesAmt
Management And General$323,293ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$22,045BOYAmt
EOY$36,134EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$66,346BOYAmt
EOY$106,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$63,422BOYAmt
EOY$72,609EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$51,180BOYAmt
EOY$63,452EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,229,978LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,152,162LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,141,843BOYAmt
EOY$2,077,816EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,359,489BOYAmt
EOY$1,392,375EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,988BOYAmt
EOY$5,474EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,709,313BOYAmt
EOY$3,753,860EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$104,653BOYAmt
EOY$175,327EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,042,689BOYAmt
EOY$918,076EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,275BOYAmt
EOY$2,566EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,150,617BOYAmt
EOY$1,095,969EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,880,683BOYAmt
EOY$1,971,699EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$508,249BOYAmt
EOY$516,428EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$169,764BOYAmt
EOY$169,764EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,558,696BOYAmt
EOY$2,657,891EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,709,313BOYAmt
EOY$3,753,860EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$27,745ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$71,450NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$41,136CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,775CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,814CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$61,345CurrentTaxYearMinus1YearAmt
Current Tax Year$53,061CurrentTaxYearAmt
Total$195,131TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,830,691CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,752,920CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,650,985CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,627,245CurrentTaxYearMinus1YearAmt
Current Tax Year$1,891,059CurrentTaxYearAmt
Total$8,752,900TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,871,827CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,764,695CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,678,799CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,688,590CurrentTaxYearMinus1YearAmt
Current Tax Year$1,944,120CurrentTaxYearAmt
Total$8,948,031TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$710,097CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$692,316CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$635,281CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$599,665CurrentTaxYearMinus1YearAmt
Current Tax Year$667,577CurrentTaxYearAmt
Total$3,304,936TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$710,097CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$692,316CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$635,281CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$599,665CurrentTaxYearMinus1YearAmt
Current Tax Year$667,577CurrentTaxYearAmt
Total$3,304,936TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$5,643,095PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,485CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,939CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,131CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$38,621CurrentTaxYearMinus1YearAmt
Current Tax Year$45,739CurrentTaxYearAmt
Total$180,915TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,485CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,939CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,131CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$38,621CurrentTaxYearMinus1YearAmt
Current Tax Year$45,739CurrentTaxYearAmt
Total$180,915TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$6,603CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,450CurrentTaxYearMinus1YearAmt
Current Tax Year$49,279CurrentTaxYearAmt
Total$70,332TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,899,312CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,797,634CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,721,533CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,741,661CurrentTaxYearMinus1YearAmt
Current Tax Year$2,039,138CurrentTaxYearAmt
Total$9,199,278TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.61340PublicSupportCY509Pct
Public Support PY5090.61890PublicSupportPY509Pct
Investment Income CY0.01970InvestmentIncomeCYPct
Investment Income PY0.01780InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$678,013BeginningYearBalanceAmt
Investment Earnings Or Losses$48,825InvestmentEarningsOrLossesAmt
Other Expenditures$40,646OtherExpendituresAmt
End Year Balance$686,192EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$638,378BeginningYearBalanceAmt
Investment Earnings Or Losses$86,733InvestmentEarningsOrLossesAmt
Other Expenditures$47,098OtherExpendituresAmt
End Year Balance$678,013EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$600,006BeginningYearBalanceAmt
Investment Earnings Or Losses$77,823InvestmentEarningsOrLossesAmt
Other Expenditures$39,451OtherExpendituresAmt
End Year Balance$638,378EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$676,230BeginningYearBalanceAmt
Investment Earnings Or Losses-$41,014InvestmentEarningsOrLossesAmt
Other Expenditures$35,210OtherExpendituresAmt
End Year Balance$600,006EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$635,575BeginningYearBalanceAmt
Investment Earnings Or Losses$72,655InvestmentEarningsOrLossesAmt
Other Expenditures$32,000OtherExpendituresAmt
End Year Balance$676,230EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.24740PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.75260TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,460OtherCostOrOtherBasisAmt
Book Value$30,460BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$250,789OtherCostOrOtherBasisAmt
Depreciation$250,789DepreciationAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,492,415OtherCostOrOtherBasisAmt
Depreciation$2,585,988DepreciationAmt
Book Value$1,906,427BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$416,496OtherCostOrOtherBasisAmt
Depreciation$275,567DepreciationAmt
Book Value$140,929BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,818OtherCostOrOtherBasisAmt
Depreciation$39,818DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,077,816TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO THIRD-PARTY PAYERSDesc
Amt$2,566Amt
FieldValueIRS element (for citing)
Total Liability$2,566TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,135,054TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$71,450NetUnrealizedGainsInvstAmt
Revenue Not Reported$71,450RevenueNotReportedAmt
Revenue Subtotal$2,063,604RevenueSubtotalAmt
Investment Expenses Not Incld$10,634InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$10,634RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,074,238TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,035,859TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,035,859ExpensesSubtotalAmt
Investment Expenses Not Incld2$10,634InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$10,634ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,046,493TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:TEMPORARILY RESTRICTED NET ASSETS ARE INTENDED TO BE USED FOR PERMANENTLY RESTRICTED NET ASSET APPRECIATION LIMITED AS TO EXPENDITURE BY STATE LAW, THE LUXURY FUND AND VARIOUS OTHER USES. THE INCOME EARNED ON THE PERMANENTLY RESTRICTED NET ASSETS IS INTENDED TO BE USED TO IMPROVE THE QUALITY OF CARE AND QUALITY OF LIFE OF THE RESIDENTS. THE CORPUS IS INVESTED IN PERPETUITY.
PART X, LINE 2:THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. THE ENTITY'S 2011 THROUGH 2014 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE AUTHORITIES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE ORGANIZATION DELEGATES BROAD AUTHORITY OF DISCRETIONARY VOTING OVER FINANCIAL AND FIDUCIARY MATTERS TO AN EXECUTIVE COMMITTEE (COMPOSED OF BOARD MEMBERS INCLUDING FOUR OFFICERS AND FOUR VOTING MEMBERS).
FORM 990, PART VI, SECTION B, LINE 11THE BOARD IS PROVIDED A COMPLETE COPY OF FORM 990. THE FORM 990 IS THEN DISCUSSED AT THE NEXT BOARD MEETING WHERE THE IT IS SIGNED BY THE TREASURER AFTER IT HAS BEEN VOTED FOR APPROVAL. THE APPROVAL IS THEN RECORDED IN MINUTES OF THE MEETING.
FORM 990, PART VI, SECTION B, LINE 12CANY INSTANCES OF A CONFLICT OF INTEREST WOULD GO THROUGH AN INVESTIGATION OF THE EXECUTIVE COMMITTEE AND THEN PRESENTED TO THE FULL BOARD. IF NEEDED THE BOARD MEMBER COULD BE REMOVED BY VOTE AND LEGAL ACTION TAKEN IF NEEDED. ROD LAURENZ, VICE PRESIDENT, MUST LEAVE ROOM DURING ANY DISCUSSION AND ABSTAIN FROM ANY VOTE CONCERNING INVESTMENT PORTFOLIO.
FORM 990, PART VI, SECTION B, LINE 15THE INDEPENDENT BOARD REVIEWS COMPARABLE COMPENSATION DATA TO DETERMINE AN APPROPRIATE SALARY. A VOTE IS CAST BY THE BOARD TO APPROVE OR DENY THE SALARY AND THE OUTCOME IS RECORDED IN THE MINUTES OF THE MEETING.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPLANT CONTRACTED SERVICES : PROGRAM SERVICE EXPENSES 38,732. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,732. DIETARY SERVICES : PROGRAM SERVICE EXPENSES 351,194. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 351,194. MEDICAL WASTE FEES : PROGRAM SERVICE EXPENSES 564. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 564. NURSING PURCHASE SERVICE : PROGRAM SERVICE EXPENSES 180,955. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 180,955. PAYROLL SERVICES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,603. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,603.

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