LAKEWOOD HEALTHCARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: LAKEWOOD HEALTHCARE INC (EIN 71-0680133)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2013-09-04
IRS object ID: 201302479349300760
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
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-09-04T10:44:25-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MALONE & BANKS PLLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	522 W MAURICE	AddressLine1
City	HOT SPRINGS	City
State	AR	State
ZIP Code	71901	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	710680133	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	LAKEWOOD CONVALESCENT HOME INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	LAKE	NameControl
Phone	5016239422	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	260 LAKEPARK DRIVE	AddressLine1
City	HOT SPRINGS	City
State	AR	State
ZIP Code	71901	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	PATSY A MALONE	Name
Title	SECRETARY	Title
Phone	5016239422	Phone
Date Signed	2013-09-04	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	STEPHANIE M BANKS	Name
Phone	5016239422	Phone
Date Prepared	2013-09-04	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	3364260	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	LAKEWOODHOTSPRINGS.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1989	YearFormation
State Legal Domicile	AR	StateLegalDomicile
Activity Or Mission Description	CARE FOR THE ELDERLY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	216	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	2500	ContributionsGrantsPriorYear
Contributions Grants Current Year	4007	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	4175606	ProgramServiceRevenuePriorYear
Program Service Revenue CY	3331595	ProgramServiceRevenueCY
Investment Income Prior Year	31	InvestmentIncomePriorYear
Investment Income Current Year	-20	InvestmentIncomeCurrentYear
Other Revenue Prior Year	41117	OtherRevenuePriorYear
Other Revenue Current Year	28635	OtherRevenueCurrentYear
Total Revenue Prior Year	4219254	TotalRevenuePriorYear
Total Revenue Current Year	3364217	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2734879	SalariesEtcPriorYear
Salaries Etc Current Year	2272394	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1445285	OtherExpensePriorYear
Other Expenses Current Year	1257724	OtherExpensesCurrentYear
Total Expenses Prior Year	4180164	TotalExpensesPriorYear
Total Expenses Current Year	3530118	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	39090	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-165901	RevenuesLessExpensesCY
Total Assets BOY	1506783	TotalAssetsBOY
Total Assets EOY	1113520	TotalAssetsEOY
Total Liabilities BOY	923180	TotalLiabilitiesBOY
Total Liabilities EOY	695818	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	583603	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	417702	NetAssetsOrFundBalancesEOY
Mission Description	CARE FOR THE ELDERLY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	3249261	Expense
Description	SKILLED NURSING HOME FACILITY ACCOMODATING 80 ELDERLY RESIDENTS, WITH EMPHASIS ON REHABILITATION AND DIGNITY.	Description
Total Program Service Expense	3249261	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	7	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	216	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	PAT MALONE	NamePerson
Telephone Number	5016239422	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	522 W MAURICE	AddressLine1
City	HOT SPRINGS	City
State	AR	State
ZIP Code	71913	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitle	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
JUDY YOUNG
FIRST VP	X	X	0	0	0
KERRY OWEN
2ND VICE PRE	X	X	0	0	0
RENEE LUCY
DIRECTOR	X		0	0	0
PATTY RODDENBERRY
TREASURER	X	X	0	0	0
TAMMY BURKHART
DIRECTOR	X		0	0	0
CLYDE COVINGTON
DIRECTOR	X		0	0	0
LOU SIEGEL
PRESIDENT	X	X	0	0	0
PATSY A MALONE
SECRETARY	X	X	0	0	0
ALLEN LEWIS
DIRECTOR	X		0	0	0

Field	Value	IRS element (for citing)
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
All Other Contributions	4007	AllOtherContributions
Total Contributions	4007	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NURSING HOME REVENUE	Description
Total Revenue Column	3331595	TotalRevenueColumn
Related Or Exempt Function Income	3331595	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	3331595	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	23	TotalRevenueColumn
Exclusion	$23	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	43	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-43	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-43	TotalRevenueColumn
Related Or Exempt Function Income	-43	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
BOND FUND INTEREST	623000	12758	$12,758
MEAL INCOME		10710		10710
MISCELLANEOUS INCOME		3007		3007

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2160	TotalRevenueColumn
Related Or Exempt Function Income	2160	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	28635	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3364217	TotalRevenueColumn
Related Or Exempt Function Income	3347429	RelatedOrExemptFunctionIncome
Exclusion	$12,781	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1946602	Total
Program Services	1847752	ProgramServices
Management And General	98850	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	140150	Total
Program Services	140150	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	185642	Total
Program Services	131645	ProgramServices
Management And General	53997	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	965	Total
Management And General	965	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	75427	Total
Program Services	75427	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	7904	Total
Management And General	7904	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	14119	Total
Management And General	14119	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	78939	Total
Program Services	78939	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	3691	Total
Management And General	3691	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	42960	Total
Management And General	42960	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	114130	Total
Program Services	110296	ProgramServices
Management And General	3834	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	21531	Total
Program Services	13579	ProgramServices
Management And General	7952	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
QUALITY ASSURANCE FEE	212142	212142
FOOD	195911	195911
MEDICAL SUPPLIES	57976	57976
CONTRACT-PHYSICAL THERAPI	38330	38330

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	393699	Total
Program Services	347114	ProgramServices
Management And General	46585	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	3530118	Total
Program Services	3249261	ProgramServices
Management And General	280857	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	109329	BOY
EOY	53518	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	184	BOY
EOY	184	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	247156	BOY
EOY	242576	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	15496	BOY
EOY	11065	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	22563	BOY
EOY	9641	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	2308118	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1603274	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	768769	BOY
EOY	704844	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	343286	BOY
EOY	91692	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1506783	BOY
EOY	1113520	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	281462	BOY
EOY	149949	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	535000	BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	99575	BOY
EOY	527658	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	7143	BOY
EOY	18211	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	923180	BOY
EOY	695818	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	583603	BOY
EOY	417702	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	583603	BOY
EOY	417702	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1506783	BOY
EOY	1113520	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-165901	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Federal Grant Audit Required	false	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	40264	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3417	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8325	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2500	CurrentTaxYearMinus1Year
Current Tax Year	4007	CurrentTaxYear
Total	58513	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4310261	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4138992	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4164615	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4216723	CurrentTaxYearMinus1Year
Current Tax Year	3347472	CurrentTaxYear
Total	20178063	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Current Tax Year	12758	CurrentTaxYear
Total	12758	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4350525	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4142409	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4172940	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4219223	CurrentTaxYearMinus1Year
Current Tax Year	3364237	CurrentTaxYear
Total	20249334	Total

Field	Value	IRS element (for citing)
Public Support Total509	20249334	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	379	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	105	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	56	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	31	CurrentTaxYearMinus1Year
Current Tax Year	23	CurrentTaxYear
Total	594	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	379	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	105	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	56	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	31	CurrentTaxYearMinus1Year
Current Tax Year	23	CurrentTaxYear
Total	594	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4350904	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4142514	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4172996	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4219254	CurrentTaxYearMinus1Year
Current Tax Year	3364260	CurrentTaxYear
Total	20249928	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	1.00000	PublicSupportPercentage509
Prior Year Support Percentage	0.99990	PriorYearSupportPercentage
Investment Income Percentage	0.00000	InvestmentIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	88000	OtherCostOrOtherBasis
Book Value	88000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1688652	OtherCostOrOtherBasis
Depreciation	1168585	Depreciation
Book Value	520067	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	531466	OtherCostOrOtherBasis
Depreciation	434689	Depreciation
Book Value	96777	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	704844	TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescription	Book ValueBookValue
DEBT SERVICE RESERVE FUND	80123
OTHER ASSETS	6237
PATIENT DEPOSITS HELD IN TRUST	5332
MORTGAGE RESERVE FUND
BONDS FUND-SERIES A
REPLACEMENT RESERVE FUND
ESCROW-MIP & HAZARD INSURANCE
COST OF BONDS ISSUANCE

Field	Value	IRS element (for citing)
Total Book Value Other Assets	91692	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
OTHER LIABILITIES	$12,879
PATIENT DEPOSITS HELD IN TRUST	$5,332

Field	Value	IRS element (for citing)
Total Of Amounts	18211	TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	OFFICER SIGNS FORM 990 - COPY IS AVAILABLE TO ALL BOARD MEMBERS TO REVIEW UPON REQUEST
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	ON SITE WITH A 1.00 CHARGE PER PAGE FOR COPIES.
OTHER EXPENSES	FORM 990, PART IX, LINE 24E	CONTRACT-OCCUPATIONAL THE 37,666 0 0 INCONTINENCE SUPPLIES 29,030 0 0 SUPPLIES - CARE RELATED 22,030 0 0 SUPPLIES - HOUSEKEEPING 20,042 0 0 PRESCRIPTION DRUGS 18,959 0 0 BAD DEBTS 18,449 0 0 REPAIRS & MAINTENANCE 18,395 0 0 OXYGEN 15,776 0 0 CONSULTANT FEES - MEDICAL 13,000 0 0 NURSES AIDE TRAINING 12,960 0 0 CONSULTANT FEES - DIETARY 12,600 0 0 FOOD SUPPLEMENTS 12,333 0 0 MAINTENANCE SUPPLIES 11,919 0 0 LINEN 10,557 0 0 NON PRESCRIPTION DRUGS 10,203 0 0 REPAIR & MAINTENANCE 0 9,007 0 MEDICARE PART A BILLING 8,759 0 0 TELEPHONE 0 8,456 0 PENALTY 0 8,450 0 DIETARY - SUPPLIES 8,429 0 0 VEHICLE - EXPENDIBLE SUPP 7,988 0 0 PATIENT ACTIVITY SUPPLIES 7,012 0 0 SUPPLIES - LAUNDRY 6,652 0 0 CONSULTANT FEES - PHARMAC 5,500 0 0 TELEVISION 5,450 0 0 CONTRACT-SPEECH THERAPY 5,214 0 0 SUBSCRIPTIONS 0 4,788 0 BANK CHARGES 0 4,782 0 MEDICARE PART B BILLING 4,772 0 0 LAUNDRY - EQUIPMENT RENTA 4,101 0 0 VEHICLE - INSURANCE 3,484 0 0 DATA PROCESSING FEES 0 3,456 0 PURCHASED SERVICES 2,952 0 0 VEHICLE - MAINTENANCE 2,330 0 0 OFFICE EQUIPMENT MTCE 0 2,296 0 DIETARY - NON EXPENDIBLE 2,214 0 0 DIETARY - EQUIPMENT RENTA 1,677 0 0 CBC EXPENSE 0 1,412 0 MEDICAL EQUIPMENT RENTAL 1,353 0 0 MISCELLANEOUS ADMIN. EXPE 0 1,238 0 MEDICARE CONSULTANT 1,170 0 0 LICENSES 1,100 0 0 MEDICAL LAB TESTS 1,071 0 0 INTERNET SERVICE 0 1,011 0 EDUCATIONAL SEMINARS 0 859 0 EMPLOYEE TESTS - DRUG 0 600 0 PERSONAL ITEMS 547 0 0 XRAY 419 0 0 MEDICAL EQUIPMENT REPAIRS 322 0 0 OTHER NON-ALLOWABLE 305 0 0 TRAINING - DIRECT CARE 295 0 0 DUES 0 180 0 FEES 0 50 0 LAWN SERVICE 46 0 0 VEHICLE - LICENSE & TAGS 33 0 0

LAKEWOOD HEALTHCARE INC: Form 990, tax year 2012

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990 IRS990

The Books Are In Care Of TheBooksAreInCareOf

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

Program Service Revenue ProgramServiceRevenue

Investment Income InvestmentIncome

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Gain Or Loss GainOrLoss

Net Gain Or Loss Investments NetGainOrLossInvestments

Other Revenue Misc OtherRevenueMisc (3 entries)

Miscellaneous Revenue MiscellaneousRevenue

Total Revenue TotalRevenue

Other Salaries And Wages OtherSalariesAndWages

Other Employee Benefits OtherEmployeeBenefits

Payroll Taxes PayrollTaxes

Fees For Services Legal FeesForServicesLegal

Fees For Services Accounting FeesForServicesAccounting

Advertising Advertising

Office Expenses OfficeExpenses

Occupancy Occupancy

Travel Travel

Interest Interest

Depreciation Depletion DepreciationDepletion

Insurance Insurance

Other Expenses OtherExpenses (4 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Cash Non Interest Bearing CashNonInterestBearing

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Accounts Receivable AccountsReceivable

Inventories For Sale Or Use InventoriesForSaleOrUse

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Other Assets Total OtherAssetsTotal

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Other Liabilities OtherLiabilities

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Schedule A IRS990ScheduleA

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Total509 Total509

Gross Investment Income509 GrossInvestmentIncome509

Investment Income And UBTI InvestmentIncomeAndUBTI

Total Support Total TotalSupportTotal

Schedule D IRS990ScheduleD

Land Land

Buildings Buildings

Equipment Equipment

Other Assets OtherAssets (8 entries)

Other Liabilities OtherLiabilities (2 entries)

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

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