CALVERT COUNTY NURSING CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CALVERT COUNTY NURSING CENTER INC (EIN 52-0890928)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-03
IRS object ID
201420349349300942
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2014-02-03T14:17:58-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN520982413EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GROSS MENDELSOHN & ASSOCIATES PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line136 SOUTH CHARLES ST 18TH FLOORAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21201ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN520890928EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CALVERT COUNTY NURSING CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCALVNameControl
Phone4105352300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line185 HOSPITAL RDAddressLine1
CityPRINCE FREDERICKCity
StateMDState
ZIP Code20678ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHARLES E PHILLIPS JRName
TitleADMINISTRATORTitle
Phone4105352300Phone
Date Signed2014-02-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES E CRISPName
PTINP00025401PTIN
Phone4106855512Phone
Date Prepared2014-01-22DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonHAGNER REID MISTERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line185 HOSPITAL RDAddressLine1
CityPRINCE FREDERICKCity
StateMDState
ZIP Code20678ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11913104GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteCALVERTCOUNTYNURSINGCENTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1966YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionOPERATES A 149 BED COMPREHENSIVE CARE NURSING CENTER LOCATED IN CALVERT COUNTY, MARYLAND.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees242TotalNbrEmployees
Total Nbr Volunteers274TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12524ContributionsGrantsPriorYear
Contributions Grants Current Year8302ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12134064ProgramServiceRevenuePriorYear
Program Service Revenue CY11867584ProgramServiceRevenueCY
Investment Income Prior Year-9471InvestmentIncomePriorYear
Investment Income Current Year-5402InvestmentIncomeCurrentYear
Other Revenue Prior Year36917OtherRevenuePriorYear
Other Revenue Current Year35454OtherRevenueCurrentYear
Total Revenue Prior Year12174034TotalRevenuePriorYear
Total Revenue Current Year11905938TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7891209SalariesEtcPriorYear
Salaries Etc Current Year7936719SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4175450OtherExpensePriorYear
Other Expenses Current Year3713276OtherExpensesCurrentYear
Total Expenses Prior Year12066659TotalExpensesPriorYear
Total Expenses Current Year11649995TotalExpensesCurrentYear
Revenues Less Expenses Prior Year107375RevenuesLessExpensesPriorYear
Revenues Less Expenses CY255943RevenuesLessExpensesCY
Total Assets BOY6244256TotalAssetsBOY
Total Assets EOY6000156TotalAssetsEOY
Total Liabilities BOY2189359TotalLiabilitiesBOY
Total Liabilities EOY1689316TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4054897NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4310840NetAssetsOrFundBalancesEOY
Mission DescriptionCALVERT COUNTY NURSING CENTER, INC. OPERATES A 149 BED COMPREHENSIVE CARE NURSING CENTER LOCATED IN CALVERT COUNTY, MARYLAND.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10121982Expense
Revenue11903038Revenue
DescriptionPROVIDES LONG TERM HEALTH CARE, HOUSING AND SUPPORT FOR THE ELDERLY, INFIRMED AND DISABLED.Description
Total Program Service Expense10121982TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees242NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHARLES E PHILLIPS JRBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4105352300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line185 HOSPITAL RDAddressLine1
CityPRINCE FREDERICKCity
StateMDState
ZIP Code20678ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
HAGNER REID MISTER
PRESIDENT1.00XX000
PHILIP GOLDSTEIN
VICE PRESIDENT1.00XX000
PATRICIA SHAFFNER
SECRETARY1.00XX000
KIRK L SWAIN
TREASURER1.00XX000
ANGELA JEANNIE ALVESTAD
DIRECTOR1.00X000
JACK UPTON
DIRECTOR1.00X000
LLOYD ROBERTSON
DIRECTOR1.00X000
BARBARA J COX
DIRECTOR1.00X000
RUTH REID
DIRECTOR1.00X000
BONNIE MCGUFFIN
DIRECTOR1.00X000
BEVERLY DILLON
DIRECTOR1.00X000
CHARLES E PHILLIPS
ADMINISTRATOR45.00X1500000
LARRY YOUNGER
FORMER ADMINISTRATOR45.00114306090X
FieldValueIRS element (for citing)
Total Reportable Comp From Org129306TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation90TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions8302AllOtherContributions
Total Contributions8302TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNURSING HOME CAREDescription
Business Code623000BusinessCode
Total Revenue Column11867584TotalRevenueColumn
Related Or Exempt Function Income11867584RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11867584TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1764TotalRevenueColumn
Exclusion$1,764ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other7166Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-7166Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-7166TotalRevenueColumn
Exclusion-$7,166ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
BEAUTY & BARBER REVENUE6230002142021420
OTHER REVENUE62300078767876
EMPLOYEE & GUEST MEALS62300045334533

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1625TotalRevenueColumn
Related Or Exempt Function Income1625RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue35454TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11905938TotalRevenueColumn
Related Or Exempt Function Income11903038RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$5,402ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total137618Total
Management And General137618ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6434447Total
Program Services5693247ProgramServices
Management And General741200ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total878319Total
Program Services741302ProgramServices
Management And General137017ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total486335Total
Program Services421012ProgramServices
Management And General65323ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total19297Total
Program Services16738ProgramServices
Management And General2559ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total388807Total
Program Services345960ProgramServices
Management And General42847ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total392463Total
Program Services340422ProgramServices
Management And General52041ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total8888Total
Program Services8888ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4570Total
Management And General4570ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total21393Total
Program Services18556ProgramServices
Management And General2837ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total258488Total
Program Services224212ProgramServices
Management And General34276ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total141068Total
Program Services19514ProgramServices
Management And General121554ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
QUALITY ASSESSMENT856488856488
CONTRACTED SERVICES81508977408941000
FOOD360272360272
OTC & RX DRUGS301282301282

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total145171Total
Management And General145171ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11649995Total
Program Services10121982ProgramServices
Management And General1528013ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1198539BOY
EOY1555424EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY889874BOY
EOY609862EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1696420BOY
EOY1296840EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY61785BOY
EOY55730EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY64953BOY
EOY142481EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8271804LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5935603LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2310664BOY
EOY2336201EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY4266BOY
EOY3618EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17755BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6244256BOY
EOY6000156EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY939160BOY
EOY960629EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY14602BOY
EOY43021EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY627915BOY
EOY455765EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY607682BOY
EOY229901EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2189359BOY
EOY1689316EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4054897BOY
EOY4310840EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4054897BOY
EOY4310840EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6244256BOY
EOY6000156EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses255943ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years101132CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19615CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27725CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12524CurrentTaxYearMinus1Year
Current Tax Year8302CurrentTaxYear
Total169298Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10750561CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11722316CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12075898CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12134064CurrentTaxYearMinus1Year
Current Tax Year11867584CurrentTaxYear
Total58550423Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10851693CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11741931CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12103623CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12146588CurrentTaxYearMinus1Year
Current Tax Year11875886CurrentTaxYear
Total58719721Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50958719721PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7028CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4125CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2995CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2409CurrentTaxYearMinus1Year
Current Tax Year1764CurrentTaxYear
Total18321Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7028CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4125CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2995CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2409CurrentTaxYearMinus1Year
Current Tax Year1764CurrentTaxYear
Total18321Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31107CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29495CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35319CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36917CurrentTaxYearMinus1Year
Current Tax Year35454CurrentTaxYear
Total168292Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10889828CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11775551CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12141937CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12185914CurrentTaxYearMinus1Year
Current Tax Year11913104CurrentTaxYear
Total58906334Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99680PublicSupportPercentage509
Prior Year Support Percentage0.99620PriorYearSupportPercentage
Investment Income Percentage0.00030InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00040PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc1AgentTrusteeEtc
Beginning Balance39470BeginningBalance
Additions During Year557495AdditionsDuringYear
Distributions During Year564867DistributionsDuringYear
Ending Balance32098EndingBalance
Included On FS0IncludedOnFS

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6353445OtherCostOrOtherBasis
Depreciation4286446Depreciation
Book Value2066999BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1895772OtherCostOrOtherBasis
Depreciation1647157Depreciation
Book Value248615BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22587OtherCostOrOtherBasis
Depreciation2000Depreciation
Book Value20587BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2336201TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO THIRD PARTY PAYORS, NETDescription
Amount$229,901Amount
FieldValueIRS element (for citing)
Total Of Amounts229901TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt11886346TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities109000DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990109000RevenueNotRptdF990
Revenue Subtotal11777346RevenueSubtotal
Other Revenues Not Included128592OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt128592RevenueNotRptdOnFinStmt
Total Revenue Per Form99011905938TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11630403TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities109000DonatedServicesUseOfFacilities
Expenses Not Rptd F990109000ExpensesNotRptdF990
Expenses Subtotal11521403ExpensesSubtotal
Other Expenses Not Included128592OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt128592ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011649995TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 1B:RESIDENT FUNDS HELD FOR SAFEKEEPING.
PART X, LINE 2:THE ORGANIZATION HAD NO LIABILITY FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION'S FEDERAL EXEMPT ORGANIZATION RETURNS ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR A PERIOD OF THREE YEARS AFTER THE RETURNS ARE FILED.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
RECOVERY OF BAD DEBTSPART XI, LINE 4B - OTHER ADJUSTMENTS:
RECOVERY OF BAD DEBTSPART XII, LINE 4B - OTHER ADJUSTMENTS:
PART XI, LINE 4B: RECOVERY OF BAD DEBTS $128,592 PART XII, LINE 4B: RECOVERY OF BAD DEBTS $128,592

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonLARRY YOUNGERNamePerson
TitleFORMER ADMINISTRATORTitle
Base Compensation Filing Org114306BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org90NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org114396TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11LINE 11A EXPLANATION - THE FORM 990 IS REVIEWED BY THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS REVIEWED AND DISCUSSED ANNUALLY AT A REGULARLY SCHEDULED BOARD MEETING. EACH BOARD MEMBER IS REQUIRED TO ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT, DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST. DURING THE YEAR, ANY NEW VENDORS ARE THOROUGHLY INVESTIGATED TO INSURE THAT THERE ARE NO CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICT OF INTEREST IS DISCUSSED WITH THE FULL BOARD AND THE PROPER DUE DILIGENCE IS PERFORMED TO INSURE THAT COST OF SERVICES IS EQUAL TO OR LESS THAN MARKET AND THAT PROPER QUALIFICATIONS ARE MET.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS HAS ULTIMATE AUTHORITY OVER THE CEO/ADMINISTRATOR'S COMPENSATION. COMPENSATION IS DETERMINED BASED ON A REVIEW OF PERFORMANCE UTILIZING COMPARABLE COMPENSATION DATA FROM VARIOUS SOURCES, SUCH AS SALARY SURVEYS AND OTHER SIMILAR ENTITIES' FORM 990 REPORTING. THE BOARD OF DIRECTORS APPROVES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES THROUGH THE BUDGET APPROVAL PROCESS. COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES IS DETERMINED BASED ON A REVIEW OF INDIVIDUAL PERFORMANCE UTILIZING COMPARABLE COMPENSATION DATA FROM VARIOUS SOURCES.
FORM 990, PART VI, SECTION C, LINE 19ALL REQUIRED DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.

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