GLEN HAVEN HOME INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- GLEN HAVEN HOME INC (EIN 42-1088300)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-14
- IRS object ID
- 201321349349307077
- Schema version
- 2012v2.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T17:13:24-07:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PELZER ACCOUNTING LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 32805 GASTON AVE | AddressLine1 |
| City | MALVERN | City |
| State | IA | State |
| ZIP Code | 51551 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421088300 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GLEN HAVEN HOME INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GLEN | NameControl |
| Phone | 7125273101 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 302 6TH STREET | AddressLine1 |
| City | GLENWOOD | City |
| State | IA | State |
| ZIP Code | 51534 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RON ROSS | Name |
| Title | ADMINISTRATOR | Title |
| Phone | 7125273101 | Phone |
| Date Signed | 2013-05-06 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMIE L PELZER | Name |
| Phone | 7122493449 | Phone |
| Date Prepared | 2013-05-14 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RON ROSS | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 302 6TH STREET | AddressLine1 |
| City | GLENWOOD | City |
| State | IA | State |
| ZIP Code | 51534 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5191417 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.glenhavenhome.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1964 | YearFormation |
| State Legal Domicile | IA | StateLegalDomicile |
| Activity Or Mission Description | Nursing Home & Assisted Living Care for the Elderly | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 188 | TotalNbrEmployees |
| Total Nbr Volunteers | 25 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 1468 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1286 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4872419 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5190127 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4873891 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5191417 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3026201 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3178967 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1615085 | OtherExpensePriorYear |
| Other Expenses Current Year | 1783749 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4641286 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4962716 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 232605 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 228701 | RevenuesLessExpensesCY |
| Total Assets BOY | 3108796 | TotalAssetsBOY |
| Total Assets EOY | 3206981 | TotalAssetsEOY |
| Total Liabilities BOY | 2754509 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2623993 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 354287 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 582988 | NetAssetsOrFundBalancesEOY |
| Mission Description | Nursing Home & Assisted Living Care for the Elderly | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 3111378 | Expense |
| Revenue | 5671250 | Revenue |
| Description | PROVIDE NURSING CARE AND ASSITED LIVING FOR THE ELDERLY -INCLUDES NURSING, LAUNDRY, DIETARY, ACTIVITIES, AND SOCIAL SERVICES | Description |
| Total Program Service Expense | 3111378 | 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 | false | ReportOtherAssets |
| Report Other Liabilities | false | 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 | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | 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 |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 7 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 188 | 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 |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | 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 | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | 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
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HHS SOLUTIONS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7125273101 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 302 6TH STREET | AddressLine1 |
| City | GLENWOOD | City |
| State | IA | State |
| ZIP Code | 51534 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (5 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| RON ROSS | ||||||
| President | 4.00 | X | X | 0 | 0 | 0 |
| LARRY RAABE | ||||||
| Vice President | 0.00 | X | X | 0 | 0 | 0 |
| MATT ROSS | ||||||
| Secretary | 4.00 | X | X | 0 | 0 | 0 |
| GEORGANNE WILLIAMS | ||||||
| Board Member | 0.00 | X | 0 | 0 | 0 | |
| DAVID JASKIERNY | ||||||
| Board Member | 0.00 | 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 |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HHS SOLUTIONS | |||||
| 6649 FLINT RIDGE RD | LINCOLN | NE | 68506 | Management | 172480 |
| COMMUNITY PHARMACY SERVICES | |||||
| BOX 524 | GRETNA | NE | 68028 | Supplies | 117020 |
| PEGLER-SYSCO | |||||
| PO BOX 82605 | LINCOLN | NE | 68501 | Food | 236836 |
| ENCORE REHAB SERVICES | |||||
| 30230 ORCHARD LAKE ROAD SUITE 100 | FARMINGTON HILLS | MI | 48334 | Therapy | 315549 |
| MEDLINE INDUSTRIES | |||||
| DEPT CH 14400 | PALATINE | IL | 60055 | Supplies | 114049 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Fundraising Events | 1286 | FundraisingEvents |
| Total Contributions | 1286 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Program Service | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 5190127 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5190127 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4 | TotalRevenueColumn |
| Exclusion | $4 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 1286 | CntrbtnsRprtdFundraisingEvents |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5191417 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5190127 | RelatedOrExemptFunctionIncome |
| Exclusion | $4 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2723874 | Total |
| Program Services | 2323390 | ProgramServices |
| Management And General | 400484 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187004 | Total |
| Program Services | 2292 | ProgramServices |
| Management And General | 184712 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 268089 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 268089 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175174 | Total |
| Program Services | 86240 | ProgramServices |
| Management And General | 88934 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8444 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 8444 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2920 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 2920 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80426 | Total |
| Program Services | 33975 | ProgramServices |
| Management And General | 46451 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20997 | Total |
| Program Services | 3425 | ProgramServices |
| Management And General | 17572 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1801 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1801 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96769 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 96769 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96922 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 96922 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121692 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 121692 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Auto Expense | 183 | 0 | 183 | 0 |
| Dues | 20109 | 0 | 20109 | 0 |
| Fines/Penalties | 165152 | 0 | 165152 | 0 |
| Bank Charges | 2135 | 0 | 2135 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 991025 | Total |
| Program Services | 662056 | ProgramServices |
| Management And General | 328969 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4962716 | Total |
| Program Services | 3111378 | ProgramServices |
| Management And General | 1851338 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 162632 | BOY |
| EOY | 376228 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 631231 | BOY |
| EOY | 540529 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14071 | BOY |
| EOY | 14071 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54606 | BOY |
| EOY | 48181 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4780601 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2560040 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2233782 | BOY |
| EOY | 2220561 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12474 | BOY |
| EOY | 7411 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3108796 | BOY |
| EOY | 3206981 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 572989 | BOY |
| EOY | 550317 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2115571 | BOY |
| EOY | 2036224 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65949 | BOY |
| EOY | 37452 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2754509 | BOY |
| EOY | 2623993 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 354287 | BOY |
| EOY | 582988 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 354287 | BOY |
| EOY | 582988 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3108796 | BOY |
| EOY | 3206981 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 228701 | 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) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Public Support Total170 | 0 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Pertcentage170 | 0 | PublicSupportPertcentage170 |
| Public Support Total509 | 0 | PublicSupportTotal509 |
| Public Support Percentage509 | 0 | PublicSupportPercentage509 |
| Investment Income Percentage | 0 | InvestmentIncomePercentage |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 19352 | OtherCostOrOtherBasis |
| Book Value | 19352 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3385758 | OtherCostOrOtherBasis |
| Depreciation | 1407712 | Depreciation |
| Book Value | 1978046 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 631495 | OtherCostOrOtherBasis |
| Depreciation | 482111 | Depreciation |
| Book Value | 149384 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 556097 | OtherCostOrOtherBasis |
| Depreciation | 530058 | Depreciation |
| Book Value | 26039 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 187899 | OtherCostOrOtherBasis |
| Depreciation | 140159 | Depreciation |
| Book Value | 47740 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2220561 | TotalOfBookValueLandBuildings |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | HHS SOLUTIONS | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | President | Relationship |
| Amount Of Transaction | 172480 | AmountOfTransaction |
| Description Of Transaction | Management Services | DescriptionOfTransaction |
| Sharing Of Revenues | true | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI, Line 2 | Ron D Ross, President & Matt Ross, Secretary (Father & Son) |
| Pt VI, Line 7a | The board members and directors are authorized to elect any other board members. |
| Pt VI, Line 7b | All decisions of the governing body are subject to approval by the members and directors. |
| Pt VI, Line 19 | All governing documents, conflict of interest policies, and financial statements are available to the public upon request made at the office. |
| Pt VI, Line 11b | A copy of the Form 990 is made available to the Board of Directors for review. |
| Form 990, Part IX, Line 24f | SUPPLIES 329293. 245777. 83516. 0. GENERAL/OTHER 762. 198. 564. 0. UTILITIES 126984. 0. 126984. 0. FOOD COSTS 331235. 331235. 0. 0. REPAIRS 43564. 8467. 35097. 0. SPECIAL EVENTS 1170. 1170. 0. 0. THERAPY/OXYGEN 22479. 22479. 0. 0. TAXES 55401. 0. 55401. 0. DRUG TESTING/EDUCATION 3087. 3087. 0. 0. TRANSPORTATION 63591. 49643. 13948. 0. EQUIPMENT RENTAL 12829. 0. 12829. 0. BEAUTY SHOP 630. 0. 630. 0. |
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