RIVERVIEW HEALTH AND REHABILIATION CENTER INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- RIVERVIEW HEALTH AND REHABILIATION CENTER INC (EIN 58-0866101)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-14
- IRS object ID
- 201301349349303985
- Schema version
- 2011v1.5
- 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) |
|---|---|---|
| Timestamp | 2013-05-14T13:24:34-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 580692043 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mauldin & Jenkins LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O Box 1877 | AddressLine1 |
| City | Macon | City |
| State | GA | State |
| ZIP Code | 312021877 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 580866101 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Riverview Health & Rehab Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | RIVE | NameControl |
| Phone | 9123548225 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6711 LaRoche Avenue | AddressLine1 |
| City | Savannah | City |
| State | GA | State |
| ZIP Code | 31406 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Stan Adams | Name |
| Title | Executive Director | Title |
| Phone | 9123548225 | Phone |
| Date Signed | 2013-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Rick Alibozek | Name |
| PTIN | P00108158 | PTIN |
| Phone | 4784648000 | Phone |
| Date Prepared | 2013-05-08 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Stan Adams | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6711 LaRoche Avenue | AddressLine1 |
| City | Savannah | City |
| State | GA | State |
| ZIP Code | 31406 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 13806412 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.riverviewhealth.net | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1963 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | The Corporation was formed to provide affordable long-term care services to residents of Southeast Georgia, particularly Chatham County, Georgia to engage in any and all activities consistent with the furtherance of this purpose. The Corporation accomplishes this through the operation of a 284-bed long-term care facility located in Savannah, Georgia. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 340 | TotalNbrEmployees |
| Total Nbr Volunteers | 140 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 13715203 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 13670119 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5459 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5780 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 294646 | OtherRevenuePriorYear |
| Other Revenue Current Year | 117314 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 14015308 | TotalRevenuePriorYear |
| Total Revenue Current Year | 13793213 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8045972 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8254926 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4551119 | OtherExpensePriorYear |
| Other Expenses Current Year | 5398903 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 12597091 | TotalExpensesPriorYear |
| Total Expenses Current Year | 13653829 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1418217 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 139384 | RevenuesLessExpensesCY |
| Total Assets BOY | 6717844 | TotalAssetsBOY |
| Total Assets EOY | 6719850 | TotalAssetsEOY |
| Total Liabilities BOY | 3547239 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3409861 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3170605 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3309989 | NetAssetsOrFundBalancesEOY |
| Mission Description | The Organization's mission is to provide long-term care at a reasonable price to the elderly in Southeast Georgia, specifically the residents of Chatham County, Georgia. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 11863548 | Expense |
| Revenue | 13735651 | Revenue |
| Description | Riverview Health & Rehabilitation Center, Inc. operates a 284-bed skilled nursing facility located in Savannah, Georgia. The Organization's primary purpose is to provide skilled nursing home care, including rehabilitation services for the elderly. All expenses are related to the cost of care for elderly patients. | Description |
| Total Program Service Expense | 11863548 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 10 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 340 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Organization | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9123548225 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6711 LaRoche Avenue | AddressLine1 |
| City | Savannah | City |
| State | GA | State |
| ZIP Code | 31406 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| Otto Aliffi | ||||||
| Board member emeritus | 0.50 | X | 0 | 0 | 0 | |
| Dana Braun | ||||||
| Counsel | 0.50 | X | 0 | 0 | 0 | |
| Rick Gnann Jr | ||||||
| Board member | 0.50 | X | 0 | 0 | 0 | |
| Herbert Griffin | ||||||
| Board member | 0.50 | X | 0 | 0 | 0 | |
| Ted Kolgaklis | ||||||
| Chairman | 0.50 | X | 0 | 0 | 0 | |
| Dempsey Logue | ||||||
| Board member | 0.50 | X | 0 | 0 | 0 | |
| Wesley Meadows | ||||||
| Treasurer | 1.00 | X | 0 | 0 | 0 | X |
| Celeste Shearhouse | ||||||
| President | 10.00 | X | 0 | 0 | 0 | X |
| Edward Stephens | ||||||
| Board member | 0.50 | X | 0 | 0 | 0 | |
| Susan Turner | ||||||
| Vice President | 5.00 | X | 0 | 0 | 0 | X |
| Steve Booker | ||||||
| Board member | 0.50 | X | 0 | 0 | 0 | |
| Laura Dow | ||||||
| Board member | 0.50 | X | 0 | 0 | 0 | |
| Patricia Lyons | ||||||
| Board member | 0.50 | X | 0 | 0 | 0 | |
| Jessie Petrea III | ||||||
| Board member | 0.50 | X | 0 | 0 | 0 | |
| Helen Taggart | ||||||
| Board member | 0.50 | X | 0 | 0 | 0 | |
| Ray Truitt | ||||||
| Board member | 0.50 | X | 0 | 0 | 0 | |
| William Wessinger | ||||||
| Board member | 0.50 | X | 0 | 0 | 0 | |
| Stan Adams | ||||||
| Executive Director | 40.00 | 92553 | 0 | 0 | X | |
| John Rynell | ||||||
| Corporate Controller | 40.00 | 70000 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 162553 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Rehabcare Group | |||||
| 680 South Fourth Street | Louisville | KY | 40202 | Therapy services | 1188447 |
| Ethica Health & Retirement Communities | |||||
| 1005 Boulder Drive | Gray | GA | 31032 | Management services | 274313 |
| Integra Rehabilitation | |||||
| PO Box 1037 | Macon | GA | 31202 | Therapy services | 145373 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Prog.serv.revenue-Rela | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 13670119 | TotalRevenueColumn |
| Related Or Exempt Function Income | 13670119 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 13670119 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5780 | TotalRevenueColumn |
| Exclusion | $5,780 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 23500 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 13199 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 10301 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10301 | TotalRevenueColumn |
| Exclusion | $10,301 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Theft Loss recovery | 900099 | 62571 | 62571 | |
| EMPLOYEE AND GUEST MEA | 900099 | 15393 | $15,393 | |
| BARBER AND BEAUTY - R | 900099 | 14013 | $14,013 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15036 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2961 | RelatedOrExemptFunctionIncome |
| Exclusion | $12,075 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 107013 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13793213 | TotalRevenueColumn |
| Related Or Exempt Function Income | 13735651 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $57,562 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162553 | Total |
| Management And General | 162553 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6799908 | Total |
| Program Services | 6254797 | ProgramServices |
| Management And General | 545111 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35140 | Total |
| Program Services | 30931 | ProgramServices |
| Management And General | 4209 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 722172 | Total |
| Program Services | 671852 | ProgramServices |
| Management And General | 50320 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 535153 | Total |
| Program Services | 469555 | ProgramServices |
| Management And General | 65598 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 274313 | Total |
| Management And General | 274313 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56077 | Total |
| Management And General | 56077 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104007 | Total |
| Management And General | 104007 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1601656 | Total |
| Program Services | 1549720 | ProgramServices |
| Management And General | 51936 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7696 | Total |
| Management And General | 7696 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67258 | Total |
| Program Services | 4074 | ProgramServices |
| Management And General | 63184 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79720 | Total |
| Management And General | 79720 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 428302 | Total |
| Program Services | 377489 | ProgramServices |
| Management And General | 50813 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7440 | Total |
| Program Services | 5628 | ProgramServices |
| Management And General | 1812 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13553 | Total |
| Program Services | 2725 | ProgramServices |
| Management And General | 10828 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134997 | Total |
| Program Services | 134997 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 192368 | Total |
| Program Services | 192368 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191188 | Total |
| Program Services | 39500 | ProgramServices |
| Management And General | 151688 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Dietary Supplies | 645544 | 645544 |
| Nursing Supplies | 421419 | 421419 |
| Bad debt expense | 397002 | 397002 |
| Pharmacy Supplies | 392055 | 392055 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 384308 | Total |
| Program Services | 273892 | ProgramServices |
| Management And General | 110416 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13653829 | Total |
| Program Services | 11863548 | ProgramServices |
| Management And General | 1790281 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 922828 | BOY |
| EOY | 1079563 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1160350 | BOY |
| EOY | 1165886 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2359043 | BOY |
| EOY | 2352250 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69100 | BOY |
| EOY | 97465 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 7448460 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5423774 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2206523 | BOY |
| EOY | 2024686 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6717844 | BOY |
| EOY | 6719850 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1215817 | BOY |
| EOY | 1178984 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2331422 | BOY |
| EOY | 2230877 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3547239 | BOY |
| EOY | 3409861 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3170605 | BOY |
| EOY | 3309989 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3170605 | BOY |
| EOY | 3309989 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6717844 | BOY |
| EOY | 6719850 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 139384 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 42965 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 200 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 50 | CurrentTaxYearMinus2Years |
| Total | 43215 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10541560 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10965465 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12442448 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13715203 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13673080 | CurrentTaxYear |
| Total | 61337756 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10584525 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10965665 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12442498 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13715203 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13673080 | CurrentTaxYear |
| Total | 61380971 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 61380971 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 158750 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 96595 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 48748 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 33147 | CurrentTaxYearMinus1Year |
| Current Tax Year | 29280 | CurrentTaxYear |
| Total | 366520 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 158750 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 96595 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 48748 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 33147 | CurrentTaxYearMinus1Year |
| Current Tax Year | 29280 | CurrentTaxYear |
| Total | 366520 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 20675 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 24314 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 32605 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 285898 | CurrentTaxYearMinus1Year |
| Current Tax Year | 107013 | CurrentTaxYear |
| Total | 470505 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10763950 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11086574 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12523851 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14034248 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13809373 | CurrentTaxYear |
| Total | 62217996 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98650 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98450 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00590 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00890 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 50000 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 186000 | OtherCostOrOtherBasis |
| Book Value | 236000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 194000 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 4544053 | OtherCostOrOtherBasis |
| Depreciation | 3355218 | Depreciation |
| Book Value | 1382835 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2474407 | OtherCostOrOtherBasis |
| Depreciation | 2068556 | Depreciation |
| Book Value | 405851 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2024686 | TotalOfBookValueLandBuildings |
| Total Revenue | 13793213 | TotalRevenue |
| Total Expenses | 13653829 | TotalExpenses |
| Excess Or Deficit For Year | 139384 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 139384 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 13806412 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 13199 | OtherRevenues |
| Revenue Not Rptd F990 | 13199 | RevenueNotRptdF990 |
| Revenue Subtotal | 13793213 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 13793213 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 13667028 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 13199 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 13199 | ExpensesNotRptdF990 |
| Expenses Subtotal | 13653829 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 13653829 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | It is the Corporation's policy to account for any uncertainties in income tax law in accordance with FASB ASC 740-10 "Accounting for Uncertainty in Income Taxes." ASC 740-10 clarifies the accounting for uncertain tax positions and requires that the Corporation recognize the impact of such a tax position in its financial statements if, upon ultimate settlement, that position is more likely than not to be sustained. Management has evaluated the Corporation's tax positions and concluded that the Corporation had maintained its tax-exempt status and had taken no uncertain tax positions that require adjustment to the financial statements. |
| Part XII, Line 2d - Other Adjustments: | Expenses related to rental property 13,199. | |
| Part XIII, Line 2d - Other Adjustments: | Expenses related to rental property 13,199. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 3 | Beginning December 1, 2011, the Corporation entered into a consulting and management contract with an unrelated third party. On April 1, 2012, the unrelated third party began providing full management services for the Corporation. Under the terms of this contract, the management company provides a facility administrator, clinical and accounting services and any other such services as deemed necessary. | |
| Form 990, Part VI, Section B, line 11 | Management reviews the Form 990 with the preparer prior to filing. The Form 990 is not presented to the entire governing body prior to filing. | |
| Form 990, Part VI, Section B, line 12c | The Board is cognizant of any potential conflicts of interest and questions Trustees annually, or more frequently if needed, about any potential conflicts. | |
| Form 990, Part VI, Section B, line 15 | The Executive Director's salary is set by the Board of Directors and is reviewed annually, based on performance. The Executive Director is considered to be the top management official carrying out the Board's policies. The Facility Administrator is employed by and paid through the management company. | |
| Form 990, Part VI, Section C, line 18 | The Corporation's Form 1023 and Form 990 are made available to the public at the Corporation's offices upon request. | |
| Form 990, Part VI, Section C, line 19 | The Corporation's governing documents, conflict of interest policy and financial statements are made available to the public at the Corporation's offices upon request. | |
| Form 990, Part XII, Line 2c | The independent auditor meets with the Board of Directors at the conclusion of the audit to discuss the financial statements and any findings. There were no changes to this process for 2012. | Review of Audited Financial Statements |
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