MANOR GROVE INCORPORATED: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MANOR GROVE INCORPORATED (EIN 43-0679177)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-12-11
IRS object ID
201423459349300327
Schema version
2013v3.0
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)
Return2014-12-11T14:12:39-06:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN430765316PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RUBINBROWN LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE NORTH BRENTWOODAddressLine1
CitySAINT LOUISCity
StateMOState
ZIP Code63105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN430679177EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MANOR GROVE INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlMANOBusinessNameControlTxt
Phone3149650864PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 SOUTH KIRKWOOD ROADAddressLine1
CityST LOUISCity
StateMOState
ZIP Code63122ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROSE LANKFORDPersonNm
Person TitleADMINISTRATORPersonTitleTxt
Phone3149650864PhoneNum
Signature2014-12-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN E BUTLERPreparerPersonNm
PTINP00325554PTIN
Phone3142903300PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROSE LANKFORDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 SOUTH KIRKWOOD RDAddressLine1
CityST LOUISCity
StateMOState
ZIP Code63122ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$9,129,614GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MANORGROVE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1907FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTO PRESERVE THE QUALITY OF LIFE THROUGH COMPASSIONATE, EXPERT CARE FROM A HIGHLY SKILLED MULTIDISCIPLINARY TEAM.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee242TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$39,771PYContributionsGrantsAmt
CY Contributions Grants$41,925CYContributionsGrantsAmt
PY Program Service Revenue$8,531,340PYProgramServiceRevenueAmt
CY Program Service Revenue$8,909,678CYProgramServiceRevenueAmt
PY Investment Income$67,637PYInvestmentIncomeAmt
CY Investment Income$115,427CYInvestmentIncomeAmt
PY Other Revenue-$45,648PYOtherRevenueAmt
CY Other Revenue-$326,029CYOtherRevenueAmt
PY Total Revenue$8,593,100PYTotalRevenueAmt
CY Total Revenue$8,741,001CYTotalRevenueAmt
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$5,680,909PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,800,809CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,735,995PYOtherExpensesAmt
CY Other Expenses$2,785,957CYOtherExpensesAmt
PY Total Expenses$8,416,904PYTotalExpensesAmt
CY Total Expenses$8,586,766CYTotalExpensesAmt
PY Revenues Less Expenses$176,196PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$154,235CYRevenuesLessExpensesAmt
Total Assets BOY$11,922,176TotalAssetsBOYAmt
Total Assets EOY$12,011,076TotalAssetsEOYAmt
Total Liabilities BOY$1,241,966TotalLiabilitiesBOYAmt
Total Liabilities EOY$911,579TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,680,210NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,099,497NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PRESERVE THE QUALITY OF LIFE THROUGH COMPASSIONATE, EXPERT CARE FROM A HIGHLY SKILLED MULTIDISCIPLINARY TEAM. WE RECOGNIZE THAT GOOD PEOPLE MAKE THE DIFFERENCE AND ARE THE KEY TO PROVIDING QUALITY CARE TO RESIDENTS WHO COME TO US FOR LONG-TERM CARE. WE ASSIST RESIDENTS IN ACHIEVING THEIR HIGHEST POSSIBLE LEVEL OF PHYSICAL, PSYCHOSOCIAL AND SPIRITUAL POTENTIAL, ALWAYS WORKING TO PROTECT AND ENHANCE THEIR DIGNITY. WE SEEK TO CONTINUALLY IMPROVE THE SERVICES WE PROVIDE TO STAY CURRENT WITH THE CHANGING ENVIRONMENT AND TO MAINTAIN A HOME-LIKE ATMOSPHERE FOR OUR FAMILY OF RESIDENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,382,101ExpenseAmt
Revenue$8,923,775RevenueAmt
DescOWNING AND OPERATING A LICENSED 117-BED SKILLED NURSING FACILITYLOCATED IN ST. LOUIS, MISSOURI. RENOVATIONS FROM FISCAL YEAR 2008ADDED A THERAPY ROOM AND MODIFIED 14 ROOMS FOR MEDICARE RESIDENTS.MANOR GROVE'S HOME-LIKE ENVIRONMENT ASSURES PEACE OF MIND FORRESIDENTS AND THEIR FAMILIES.Desc
Total Program Service Expenses$7,382,101TotalProgramServiceExpensesAmt
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 Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
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 ActivitiesYes (1)FundraisingActivitiesInd
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 MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
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 Document45IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee242EmployeeCnt
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
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 Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROZA KOYENBusinessNameLine1
FieldValueIRS element (for citing)
Phone3149650864PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 SOUTH KIRKWOOD ROADAddressLine1
CityST LOUISCity
StateMOState
ZIP Code63122ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
STEVE DODSON
MEMBER1.00Yes (X)$0$0$0
TODD CLEVELAND
MEMBER1.00Yes (X)$0$0$0
SHEILA EATON
SECRETARY1.00Yes (X)$0$0$0Yes (X)
CAROL BICKEL
MEMBER1.00Yes (X)$0$0$0
DIANE KEEFE
MEMBER1.00Yes (X)$0$0$0
LARRY KING
MEMBER1.00Yes (X)$0$0$0
MILLIE MOULDER
MEMBER1.00Yes (X)$0$0$0
E LEE POTTS
TREASURER1.00Yes (X)$0$0$0Yes (X)
BRIAN REINHOLD
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
PAUL E ROBERTS
CONTROLLER1.00Yes (X)$0$0$0Yes (X)
ANNE ROEHM
MEMBER1.00Yes (X)$0$0$0
SCOTT VOLDING
MEMBER1.00Yes (X)$0$0$0
BOB BRUCKNER
MEMBER1.00Yes (X)$0$0$0
ANNE STUCKEL
VICE PRESIDENT1.00Yes (X)$0$0$0
BOB GRUENEWALD
MEMBER1.00Yes (X)$0$0$0
GEORGE ROLBY
MEMBER1.00Yes (X)$0$0$0
ROZA KOYEN
ACCOUNTANT40.00$49,751$0$9,192Yes (X)
ROSE LANKFORD
ADMINISTRATOR40.00$77,499$0$7,779Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$127,250TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$16,971TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
ALLIANCE REHAB
28100 TORCH PARKWAY SUITE 600WARRENVILLEIL60555THERAPY$337,284
MEDLINE INDUSTRIES INC
DEPT CH 14400PALATINEIL60055MEDICAL SUPPLIES$213,016
MIDWEST STAFFING SOLUTIONS LLC
PO BOX 823461PHILADELPHIAPA19182STAFFING$199,800
US FOOD SERVICEALLEN DIVISION
PO BOX 504854ST LOUISMO63150FOOD & SUPPLIES$182,909
JPKB ASSOCIATES LLC
68 WELDON PARKWAYMARYLAND HEIGHTSMO63043PHARMACY$162,205
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Fundraising$32,000FundraisingAmt
All Other Contributions$9,925AllOtherContributionsAmt
Total Contributions$41,925TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescELDERLY CAREDesc
Business623000BusinessCd
Total Revenue Column$8,909,678TotalRevenueColumnAmt
Related Or Exempt Func Income$8,909,678RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$8,909,678TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$115,427TotalRevenueColumnAmt
Exclusion$115,427ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$40,987RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$301,895RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$260,908RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$260,908TotalRevenueColumnAmt
Exclusion-$260,908ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$7,340FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$32,000ContriRptFundraisingEventAmt
Fundraising Direct Expenses$86,718FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$79,378TotalRevenueColumnAmt
Exclusion-$79,378ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$160GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$160TotalRevenueColumnAmt
Exclusion$160ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,097TotalRevenueColumnAmt
Related Or Exempt Func Income$14,097RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$14,097OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,741,001TotalRevenueColumnAmt
Related Or Exempt Func Income$8,923,775RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$224,699ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$149,656TotalAmt
Management And General$149,656ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,471,772TotalAmt
Program Services$4,268,334ProgramServicesAmt
Management And General$203,438ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$36,885TotalAmt
Program Services$7,377ProgramServicesAmt
Management And General$29,508ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$522,701TotalAmt
Program Services$462,903ProgramServicesAmt
Management And General$59,798ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$619,795TotalAmt
Program Services$370,277ProgramServicesAmt
Management And General$249,518ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,469TotalAmt
Management And General$4,469ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$71,200TotalAmt
Management And General$71,200ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$33,703TotalAmt
Management And General$33,703ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$64,722TotalAmt
Program Services$29,678ProgramServicesAmt
Management And General$35,044ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$60,556TotalAmt
Program Services$48,804ProgramServicesAmt
Management And General$11,752ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$220TotalAmt
Program Services$44ProgramServicesAmt
Management And General$176ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$248,886TotalAmt
Program Services$236,442ProgramServicesAmt
Management And General$12,444ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,052TotalAmt
Program Services$745ProgramServicesAmt
Management And General$307ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$9,673TotalAmt
Program Services$8,983ProgramServicesAmt
Management And General$690ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,119TotalAmt
Management And General$6,119ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$390,037TotalAmt
Program Services$382,236ProgramServicesAmt
Management And General$7,801ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$220,479TotalAmt
Program Services$44,096ProgramServicesAmt
Management And General$176,383ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$752,207$752,207
CONTRACTED SERVICES$299,054$298,044$1,010
FOOD$280,700$280,700
RENTAL AND MAINTENANCE$223,402$99,368$124,034

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$119,478TotalAmt
Program Services$91,863ProgramServicesAmt
Management And General$27,615ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,586,766TotalAmt
Program Services$7,382,101ProgramServicesAmt
Management And General$1,204,665ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$14,708BOYAmt
EOY$14,786EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,814,748BOYAmt
EOY$1,918,738EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$293,541BOYAmt
EOY$247,332EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$39,984BOYAmt
EOY$33,083EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$68,556BOYAmt
EOY$61,559EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,990,919LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,215,812LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,283,719BOYAmt
EOY$6,775,107EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,086,802BOYAmt
EOY$2,639,846EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$319,564BOYAmt
EOY$320,625EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$554BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,922,176BOYAmt
EOY$12,011,076EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$553,243BOYAmt
EOY$474,679EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$688,723BOYAmt
EOY$436,900EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,241,966BOYAmt
EOY$911,579EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,680,210BOYAmt
EOY$11,099,497EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,922,176BOYAmt
EOY$12,011,076EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$154,235ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$265,052OtherChangesInNetAssetsAmt
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$44,884CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$477,718CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,113CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$39,771CurrentTaxYearMinus1YearAmt
Current Tax Year$49,265CurrentTaxYearAmt
Total$649,751TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,573,054CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,514,895CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,520,002CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,541,310CurrentTaxYearMinus1YearAmt
Current Tax Year$8,909,838CurrentTaxYearAmt
Total$41,059,099TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$63,386CurrentTaxYearMinus1YearAmt
Current Tax Year$40,987CurrentTaxYearAmt
Total$104,373TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,617,938CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,992,613CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,558,115CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,644,467CurrentTaxYearMinus1YearAmt
Current Tax Year$9,000,090CurrentTaxYearAmt
Total$41,813,223TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$448,283CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,497CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,120CurrentTaxYearMinus1YearAmt
Current Tax Year$7,441CurrentTaxYearAmt
Total$476,341TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$448,283CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,497CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,120CurrentTaxYearMinus1YearAmt
Current Tax Year$7,441CurrentTaxYearAmt
Total$476,341TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$41,336,882PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$107,731CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,505CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,142CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$80,718CurrentTaxYearMinus1YearAmt
Current Tax Year$115,427CurrentTaxYearAmt
Total$397,523TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$107,731CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,505CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,142CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$80,718CurrentTaxYearMinus1YearAmt
Current Tax Year$115,427CurrentTaxYearAmt
Total$397,523TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$10,867CurrentTaxYearMinus1YearAmt
Total$10,867TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,171CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,097CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$41,047CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$88,895CurrentTaxYearMinus1YearAmt
Current Tax Year$14,097CurrentTaxYearAmt
Total$174,307TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,733,840CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,060,215CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,647,304CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,824,947CurrentTaxYearMinus1YearAmt
Current Tax Year$9,129,614CurrentTaxYearAmt
Total$42,395,920TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97500PublicSupportCY509Pct
Public Support PY5090.97450PublicSupportPY509Pct
Investment Income CY0.00940InvestmentIncomeCYPct
Investment Income PY0.01100InvestmentIncomePYPct
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

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,190,739OtherCostOrOtherBasisAmt
Depreciation$5,618,250DepreciationAmt
Book Value$5,572,489BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,165,352OtherCostOrOtherBasisAmt
Depreciation$723,615DepreciationAmt
Book Value$441,737BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,216,748OtherCostOrOtherBasisAmt
Depreciation$873,947DepreciationAmt
Book Value$342,801BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,775,107TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRESIDENT SECRUITY DEPOSITSDesc
Amt$436,900Amt
FieldValueIRS element (for citing)
Total Liability$436,900TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$9,054,652TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$265,052NetUnrealizedGainsInvstAmt
Other Revenue$54,718OtherRevenueAmt
Revenue Not Reported$319,770RevenueNotReportedAmt
Revenue Subtotal$8,734,882RevenueSubtotalAmt
Investment Expenses Not Incld$6,119InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$6,119RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$8,741,001TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,635,365TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$54,718OtherExpensesIncludedAmt
Expenses Not Reported$54,718ExpensesNotReportedAmt
Expenses Subtotal$8,580,647ExpensesSubtotalAmt
Investment Expenses Not Incld2$6,119InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$6,119ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$8,586,766TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:THIS AMOUNT REPRESENTS SPECIAL EVENT EXPENDITURES REPORTED 54,718. ON THE FINANCIAL STATEMENT AS EXPENSES.
PART XII, LINE 2D - OTHER ADJUSTMENTS:THIS AMOUNT REPRESENTS SPECIAL EVENT EXPENDITURES REPORTED 54,718. ON THE 990. SECTION VIII, LINE 8B AS PART OF DIRECT EXPENSES.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1SOUP'S ONNameOfEvent1Amt
Gross Receipts Event1$39,340GrossReceiptsEvent1Amt
Charitable Contri Event1$32,000CharitableContriEvent1Amt
Gross Revenue Event1$7,340GrossRevenueEvent1Amt
Rent Facility Costs Event1$6,171RentFacilityCostsEvent1Amt
Food And Beverage Event1$32,000FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$48,547OtherDirectExpensesEvent1Amt
Gross Receipts Total$39,340GrossReceiptsTotalAmt
Charitable Contributions Tot$32,000CharitableContributionsTotAmt
Gross Revenue Total Events$7,340GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$6,171RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$32,000FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$48,547OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$86,718DirectExpenseSummaryEventsAmt
Net Income Summary-$79,378NetIncomeSummaryAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJENNIFER LANKFORDPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY RELATIONSHIP WITH ROSE LANKFORD, ADMINISTRATOR AS SHOWN IN PART VIIRelationshipDescriptionTxt
Transaction$30,877TransactionAmt
TransactionEMPLOYMENTTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescEVENT FOODDesc
Contribution28ContributionCnt
Noncash Contributions Rpt F990$32,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE ADMINISTRATOR WILL REVIEW THE PREPARED FORM 990. THE BOARD WILL REVIEW AND APPROVE THE 990 DURING THEIR FIRST MEETING AFTER THE 990 HAS BEEN PREPARED. BOARD MEMBERS WILL BE ABLE TO VOICE ANY COMMENTS OR CONCERNS, DECIDE IF ANY CHANGES NEED TO BE MADE.
FORM 990, PART VI, SECTION B, LINE 12CDIRECTORS OF THE BOARD ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. IF THE ADMINISTRATOR OR THE BOARD MEMBER SUSPECTS A CONFLICT OF INTEREST, IT IS DISCLOSED AT THE NEXT BOARD MEETING. THE BOARD MEMBERS DISCUSS THE ISSUES AND ACCEPT OR DENY THE TRANSACTION. THE DISCLOSURE, DISCUSSION, AND DECISION HAPPEN BEFORE THE TRANSACTION OCCURS. NO RESTRICTIONS HAVE BEEN IMPOSED SO FAR.
FORM 990, PART VI, SECTION B, LINE 15AMANAGEMENT REVIEWS COMPENSATION TO VERIFY AMOUNTS ARE COMPARABLE TO OTHER ENTITIES IN THE SAME REGION AND SIZE AMONG OTHER FACTORS. BOARD OF DIRECTORS REVIEW AND APPROVE COMPENSATION FOR THE ADMINISTRATOR.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION HAS MADE GOVERNING DOCUMENTS, THEIR CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
PART VI, SECTION B, QUESTION 16BTHE ORGANIZATION DOES NOT CURRENTLY HAVE A POLICY IN PLACE FOR THE MONITORING OF THIS INVESTMENT. DURING THE 2011 TAX YEAR SCN, INC. CONVERTED FROM A NON PROFIT ORGANIZATION TO A FOR PROFIT ORGANIZATION WITH FIVE MEMBERS, ALL OF WHICH ARE 501(C)(3) ORGANIZATIONS. SCN, INC. HAS BEEN ORGANIZED TO ENABLE ITS MEMBERS TO TAKE ADVANTAGE OF GROUP DISCOUNTS WHEN PURCHASING SUPPLIES NEEDED FOR OPERATION OF THEIR NURSING HOME AND SKILLED-NURSING FACILITIES.
FORM 990, PART XI, LINE 9:UNREALIZED GAINS 265,052.

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