LAKEWOOD HEALTHCARE INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- LAKEWOOD HEALTHCARE INC (EIN 71-0680133)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2015-09-01
- IRS object ID
- 201522459349300877
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-09-01T15:35:37-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 208153372 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MALONE & BANKS PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 204 N 27TH ST | AddressLine1Txt |
| City | ARKADELPHIA | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 719234202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710680133 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEWOOD CONVALESCENT HOME INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAKE | BusinessNameControlTxt |
| Phone | 5016239422 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 204 NORTH 27TH STREET | AddressLine1Txt |
| City | ARKADELPHIA | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71923 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CLYDE COVINGTON | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 5016239422 | PhoneNum |
| Signature | 2015-09-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEPHANIE M BANKS | PreparerPersonNm |
| PTIN | P00709038 | PTIN |
| Phone | 8702453975 | PhoneNum |
| Preparation | 2015-09-01 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,986,275 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | LAKEWOODHOTSPRINGS.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | CARE FOR THE ELDERLY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 204 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $23,467 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,350 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,094,034 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,956,744 | CYProgramServiceRevenueAmt |
| PY Investment Income | $28 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $14,789 | PYOtherRevenueAmt |
| CY Other Revenue | $17,181 | CYOtherRevenueAmt |
| PY Total Revenue | $3,132,318 | PYTotalRevenueAmt |
| CY Total Revenue | $3,986,275 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,243,835 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,336,680 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,265,090 | PYOtherExpensesAmt |
| CY Other Expenses | $1,360,602 | CYOtherExpensesAmt |
| PY Total Expenses | $3,508,925 | PYTotalExpensesAmt |
| CY Total Expenses | $3,697,282 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$376,607 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $288,993 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $815,919 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,214,471 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $774,824 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $884,383 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $41,095 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $330,088 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CARE FOR THE ELDERLY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,286,205 | ExpenseAmt |
| Desc | SKILLED NURSING HOME FACILITY ACCOMODATING 80 ELDERLY RESIDENTS, WITH EMPHASIS ON REHABILITATION AND DIGNITY. | Desc |
| Total Program Service Expenses | $3,286,205 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 204 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAT MALONE | PersonNm |
| Phone | 8702453975 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 204 NORTH 27TH STREET | AddressLine1Txt |
| City | ARKADELPHIA | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 71923 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|
| JUDY YOUNG | |||||
| SECRETARY/TR | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PATTY RODDENBERRY | |||||
| Yes (X) | $0 | $0 | $0 | ||
| TAMMY BURKHART | |||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |
| CLYDE COVINGTON | |||||
| PRESIDENT | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KATHY FISCHER | |||||
| VICE PRESIDE | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $12,350 | AllOtherContributionsAmt |
| Total Contributions | $12,350 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NURSING HOME REVENUE | Desc |
| Total Revenue Column | $3,956,744 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,956,744 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,956,744 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEAL INCOME | 623000 | $8,889 | $8,889 |
| CNA - TRAINING & TEST | $7,479 | $7,479 | |
| MISCELLANEOUS INCOME | $813 | $813 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $17,181 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,986,275 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,973,925 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,974,083 | TotalAmt |
| Program Services | $1,846,864 | ProgramServicesAmt |
| Management And General | $127,219 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,202 | TotalAmt |
| Program Services | $118,895 | ProgramServicesAmt |
| Management And General | $77,307 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,395 | TotalAmt |
| Program Services | $122,248 | ProgramServicesAmt |
| Management And General | $44,147 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162 | TotalAmt |
| Management And General | $162 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,911 | TotalAmt |
| Management And General | $60,911 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,264 | TotalAmt |
| Management And General | $9,264 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,445 | TotalAmt |
| Management And General | $11,445 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,804 | TotalAmt |
| Program Services | $90,804 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,661 | TotalAmt |
| Management And General | $1,661 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,323 | TotalAmt |
| Management And General | $30,323 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,809 | TotalAmt |
| Program Services | $71,995 | ProgramServicesAmt |
| Management And General | $1,814 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,621 | TotalAmt |
| Program Services | $17,599 | ProgramServicesAmt |
| Management And General | $9,022 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| QUALITY ASSURANCE FEE | $258,111 | $258,111 |
| FOOD | $190,013 | $190,013 |
| PRESCRIPTION DRUGS | $138,187 | $138,187 |
| CONTRACT-PHYSICAL THERAPI | $44,065 | $44,065 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $425,226 | TotalAmt |
| Program Services | $387,424 | ProgramServicesAmt |
| Management And General | $37,802 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,697,282 | TotalAmt |
| Program Services | $3,286,205 | ProgramServicesAmt |
| Management And General | $411,077 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,182 | BOYAmt |
| EOY | $63,687 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,828 | BOYAmt |
| EOY | $502,595 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,315 | BOYAmt |
| EOY | $17,214 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,976 | BOYAmt |
| EOY | $24,007 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,349,454 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,755,282 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $644,066 | BOYAmt |
| EOY | $594,172 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,461 | BOYAmt |
| EOY | $12,796 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $815,919 | BOYAmt |
| EOY | $1,214,471 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,124 | BOYAmt |
| EOY | $408,106 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $519,129 | BOYAmt |
| EOY | $442,527 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,571 | BOYAmt |
| EOY | $33,750 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $774,824 | BOYAmt |
| EOY | $884,383 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,095 | BOYAmt |
| EOY | $330,088 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,095 | BOYAmt |
| EOY | $330,088 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $815,919 | BOYAmt |
| EOY | $1,214,471 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $288,993 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | 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 | $8,325 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,500 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,007 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,467 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,350 | CurrentTaxYearAmt |
| Total | $50,649 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,164,615 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,216,723 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,347,472 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,108,823 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,973,925 | CurrentTaxYearAmt |
| Total | $18,811,558 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $12,758 | CurrentTaxYearMinus2YearsAmt |
| Total | $12,758 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,172,940 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,219,223 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,364,237 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,132,290 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,986,275 | CurrentTaxYearAmt |
| Total | $18,874,965 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $18,874,965 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $56 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28 | CurrentTaxYearMinus1YearAmt |
| Total | $138 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $56 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28 | CurrentTaxYearMinus1YearAmt |
| Total | $138 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,172,996 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,219,254 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,364,260 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,132,318 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,986,275 | CurrentTaxYearAmt |
| Total | $18,875,103 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $88,000 | OtherCostOrOtherBasisAmt |
| Book Value | $88,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,733,983 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,309,671 | DepreciationAmt |
| Book Value | $424,312 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $527,471 | OtherCostOrOtherBasisAmt |
| Depreciation | $445,611 | DepreciationAmt |
| Book Value | $81,860 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $594,172 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LIABILITIES | $20,286 |
| LEASE PAYABLE | $13,464 |
| GCCA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $33,750 | TotalLiabilityAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | OFFICER SIGNS FORM 990 - COPY IS AVAILABLE TO ALL BOARD MEMBERS TO REVIEW UPON REQUEST |
| FORM 990, PAGE 6, PART VI, LINE 19 | ON SITE WITH A 1.00 CHARGE PER PAGE FOR COPIES. |
| FORM 990, PART IX, LINE 24E | CONTRACT-OCCUPATIONAL THE 41,015 0 0 MEDICAL SUPPLIES 38,259 0 0 INCONTINENCE SUPPLIES 37,006 0 0 BAD DEBTS 29,374 0 0 SUPPLIES - CARE RELATED 22,953 0 0 FOOD SUPPLEMENTS 19,726 0 0 SUPPLIES - HOUSEKEEPING 16,541 0 0 NON PRESCRIPTION DRUGS 15,883 0 0 NURSES AIDE TRAINING 14,813 0 0 TELEPHONE 0 14,339 0 MEDICARE PART A BILLING 14,301 0 0 CONSULTANT FEES - MEDICAL 12,000 0 0 DIETARY - SUPPLIES 11,071 0 0 MEDICAL LAB TESTS 10,673 0 0 CONTRACT-SPEECH THERAPY 9,567 0 0 OXYGEN 7,854 0 0 CONSULTANT FEES - DIETARY 7,800 0 0 SUPPLIES - LAUNDRY 7,607 0 0 REPAIRS & MAINTENANCE 7,331 0 0 PATIENT ACTIVITY SUPPLIES 6,949 0 0 MAINTENANCE SUPPLIES 6,839 0 0 REPAIR & MAINTENANCE 0 6,293 0 VEHICLE - EXPENDIBLE SUPP 6,262 0 0 MEDICAL EQUIPMENT RENTAL 5,656 0 0 TELEVISION 5,025 0 0 CONSULTANT FEES - PHARMAC 5,000 0 0 LINEN 4,723 0 0 LAUNDRY - EQUIPMENT RENTA 4,367 0 0 SUBSCRIPTIONS 0 4,282 0 XRAY 4,005 0 0 DATA PROCESSING FEES 0 3,880 0 DIETARY - NON EXPENDIBLE 3,331 0 0 VEHICLE - INSURANCE 3,139 0 0 CBC EXPENSE 0 2,894 0 PURCHASED SERVICES 2,349 0 0 DIETARY - EQUIPMENT RENTA 1,993 0 0 OFFICE EQUIPMENT MTCE 0 1,855 0 MISCELLANEOUS ADMIN. EXPE 0 1,764 0 VEHICLE - MAINTENANCE 1,346 0 0 INTERNET SERVICE 0 1,308 0 DENTAL EXPENSE 955 0 0 BANK CHARGES 0 907 0 LICENSES 800 0 0 TRAINING - DIRECT CARE 605 0 0 PERSONAL ITEMS 530 0 0 MEDICARE CONSULTANT 520 0 0 DUES-NONALLOWABLE 0 200 0 VEHICLE - LICENSE & TAGS 159 0 0 DUES 0 80 0 MEDICARE PART B BILLING -903 0 0 |
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