MANOR GROVE INCORPORATED: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MANOR GROVE INCORPORATED (EIN 43-0679177)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-07-24
IRS object ID
201332059349300743
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

FieldValueIRS element (for citing)
Timestamp2013-07-24T14:46:06-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RUBINBROWN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1ONE NORTH BRENTWOODAddressLine1
CitySAINT LOUISCity
StateMOState
ZIP Code63105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN430679177EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MANOR GROVE INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% ROZA KOYENInCareOfName
Name ControlMANONameControl
Phone3149650864Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameROSE LANKFORDName
TitleADMINISTRATORTitle
Phone3149650864Phone
Date Signed2013-07-24DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3142903300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKAREN M LEDBETTERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1711 SOUTH KIRKWOOD ROADAddressLine1
CityST LOUISCity
StateMOState
ZIP Code63122ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9124140GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MANORGROVE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1907YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionTO PRESERVE THE QUALITY OF LIFE THORUGH COMPASSIONATE, EXPERT CARE FROM A HIGHLY SKILLED MULTIDISCIPLINARY TEAM.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees160TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year476718ContributionsGrantsPriorYear
Contributions Grants Current Year24842ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8514895ProgramServiceRevenuePriorYear
Program Service Revenue CY8498127ProgramServiceRevenueCY
Investment Income Prior Year48239InvestmentIncomePriorYear
Investment Income Current Year167224InvestmentIncomeCurrentYear
Other Revenue Prior Year-16957OtherRevenuePriorYear
Other Revenue Current Year-21763OtherRevenueCurrentYear
Total Revenue Prior Year9022895TotalRevenuePriorYear
Total Revenue Current Year8668430TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4934626SalariesEtcPriorYear
Salaries Etc Current Year5407693SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3054753OtherExpensePriorYear
Other Expenses Current Year2793371OtherExpensesCurrentYear
Total Expenses Prior Year7989379TotalExpensesPriorYear
Total Expenses Current Year8201064TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1033516RevenuesLessExpensesPriorYear
Revenues Less Expenses CY467366RevenuesLessExpensesCY
Total Assets BOY10805633TotalAssetsBOY
Total Assets EOY11708671TotalAssetsEOY
Total Liabilities BOY846876TotalLiabilitiesBOY
Total Liabilities EOY1373416TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9958757NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10335255NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7356971Expense
Revenue8498127Revenue
DescriptionOwning and operating a licensed 117-bed skilled nursing facility located in St. Louis, Missouri. Renovations from fiscal year 2008 added a therapy room as well as 14 rooms for Medicare residents. Manor Grove's home-like environment assures peace of mind for residents and their families.Description
Total Program Service Expense7356971TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109642NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees160NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonROZA KOYENNamePerson
Telephone Number3149650864TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
STEVE DODSON
PRESIDENT1.0XX
TODD CLEVELAND
MEMBER1.0X
SHEILA EATON
SECRETARY1.0XX
CHARLIE CACIANO
TREASURER1.0XX
BLAKE SCHNEIDER
CONTROLLER1.0XX
CAROL BICKEL
MEMBER1.0X
DIANE KEEFE
MEMBER1.0X
LARRY KING
MEMBER1.0X
MILLIE MOULDER
MEMBER1.0X
E LEE POTTS
MEMBER1.0X
BRIAN REINHOLD
VICE PRESIDENT1.0XX
PAUL E ROBERTS
MEMBER1.0X
ANNE ROEHM
MEMBER1.0X
SCOTT VOLDING
MEMBER1.0X
BOB BRUCKNER
MEMBER1.0X
ANNE STUCKEL
MEMBER1.0X
ROZA KOYEN
ACCOUNTANT40.0X4803607686
EDWIN ALEXANDER
ADMINISTRATOR40.0X441350
KAREN MLEDBETTER
ADMINISTRATOR40.0X1615302696
FieldValueIRS element (for citing)
Total Reportable Comp From Org108324TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation10382TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ALLIANCE REHAB
1520 KENSINGTON ROAD STE 110OAKBROOKIL60523THERAPY410290
MIDWEST STAFFING SOLUTIONS LLC
PO BOX 823461PHILADELPHIAPA19182STAFFING213088
US FOOD SERVICEALLEN DIVISION
PO BOX 504854ST LOIUSMO63150FOOD SERVICE178592
KADEAN CONSTRUCTION CO
1558 FENPARK DRIVEFENTONMO63026CONSTRUCTION458794
OMNICARE
1504 SOUTH GRAND BOULEVARDST LOUISMO63104PHARMACY182249
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Fundraising Events17450FundraisingEvents
All Other Contributions7392AllOtherContributions
Noncash Contributions17450NoncashContributions
Total Contributions24842TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionELDERLY CAREDescription
Business Code623000BusinessCode
Total Revenue Column8543487TotalRevenueColumn
Related Or Exempt Function Income8498127RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8498127TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column48142TotalRevenueColumn
Exclusion$48,142ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real67650Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real44550Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real23100Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column23100TotalRevenueColumn
Exclusion$23,100ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities460037Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities340955Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities119082Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column119082TotalRevenueColumn
Exclusion$119,082ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events7395GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events17450CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses70205FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-62810TotalRevenueColumn
Exclusion-$62,810ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column14031TotalRevenueColumn
Exclusion$14,031ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code623990BusinessCode
Total Revenue Column3916TotalRevenueColumn
Related Or Exempt Function Income3916RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3916TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8668430TotalRevenueColumn
Related Or Exempt Function Income8502043RelatedOrExemptFunctionIncome
Exclusion$141,545ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total167161Total
Management And General167161ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4241348Total
Program Services4106254ProgramServices
Management And General135094ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total33142Total
Program Services29980ProgramServices
Management And General3162ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total429568Total
Program Services383181ProgramServices
Management And General46387ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total536474Total
Program Services502672ProgramServices
Management And General33802ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1847Total
Management And General1847ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total54593Total
Management And General54593ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total22271Total
Management And General22271ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total86176Total
Program Services84890ProgramServices
Management And General1286ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total56021Total
Program Services54663ProgramServices
Management And General1358ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3730Total
Program Services3640ProgramServices
Management And General90ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total219284Total
Program Services214276ProgramServices
Management And General5008ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1644Total
Program Services418ProgramServices
Management And General1226ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6058Total
Program Services4862ProgramServices
Management And General1196ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1217Total
Management And General1217ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total345078Total
Program Services337196ProgramServices
Management And General7882ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total254610Total
Program Services68214ProgramServices
Management And General186396ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES754276754276
FOOD255034255034
MISCELLANEOUS16588912295742932
RENTAL AND MAINTENANCE259046128504130542

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total306597Total
Program Services305954ProgramServices
Management And General643ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8201064Total
Program Services7356971ProgramServices
Management And General844093ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1677577BOY
EOY2401198EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY350352BOY
EOY228949EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY32418BOY
EOY32649EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY79985BOY
EOY178074EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13685647LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6192298LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6946296BOY
EOY7493349EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1401026BOY
EOY1055069EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY317979BOY
EOY319383EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10805633BOY
EOY11708671EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY390776BOY
EOY592379EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY456100BOY
EOY781037EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY846876BOY
EOY1373416EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9958757BOY
EOY10335255EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10805633BOY
EOY11708671EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses467366ReconcilationRevenueExpenses
Reconcilation Other Changes-90868ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years74306CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years97103CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years44884CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year477718CurrentTaxYearMinus1Year
Current Tax Year38113CurrentTaxYear
Total732124Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6339455CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6133094CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6573054CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8514895CurrentTaxYearMinus1Year
Current Tax Year8520002CurrentTaxYear
Total36080500Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6413761CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6230197CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6617938CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8992613CurrentTaxYearMinus1Year
Current Tax Year8558115CurrentTaxYear
Total36812624Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year393378CurrentTaxYearMinus1Year
Total393378Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year393378CurrentTaxYearMinus1Year
Total393378Total
FieldValueIRS element (for citing)
Public Support Total50936419246PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years168048CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years152875CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years107731CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year45505CurrentTaxYearMinus1Year
Current Tax Year48142CurrentTaxYear
Total522301Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years168048CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years152875CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years107731CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year45505CurrentTaxYearMinus1Year
Current Tax Year48142CurrentTaxYear
Total522301Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25332CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12393CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8171CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22097CurrentTaxYearMinus1Year
Current Tax Year41047CurrentTaxYear
Total109040Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6607141CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6395465CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6733840CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9060215CurrentTaxYearMinus1Year
Current Tax Year8647304CurrentTaxYear
Total37443965Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97263PublicSupportPercentage509
Prior Year Support Percentage0.97017PriorYearSupportPercentage
Investment Income Percentage0.01395InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01666PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis418079OtherCostOrOtherBasis
Book Value418079BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis11076605OtherCostOrOtherBasis
Depreciation4772908Depreciation
Book Value6303697BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1114810OtherCostOrOtherBasis
Depreciation608036Depreciation
Book Value506774BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1076153OtherCostOrOtherBasis
Depreciation811354Depreciation
Book Value264799BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7493349TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
RESIDENT SECRUITY DEPOSITS$461,700
LONG TERM NOTES PAYABLE$319,337
FieldValueIRS element (for citing)
Total Of Amounts781037TotalOfAmounts
Total Revenue8668430TotalRevenue
Total Expenses8201064TotalExpenses
Excess Or Deficit For Year467366ExcessOrDeficitForYear
Net Unrealized GL On Investments-90689NetUnrealizedGLOnInvestments
Total Adjustments-90689TotalAdjustments
Excess Or Deficit Per FS376677ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8630496TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-90689NetUnrealizedGainsInvestments
Other Revenues52755OtherRevenues
Revenue Not Rptd F990-37934RevenueNotRptdF990
Revenue Subtotal8668430RevenueSubtotal
Total Revenue Per Form9908668430TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8253819TotExpensesEtcAuditedFinclStmt
Other Expenses Included52755OtherExpensesIncluded
Expenses Not Rptd F99052755ExpensesNotRptdF990
Expenses Subtotal8201064ExpensesSubtotal
Total Expenses Per Form9908201064TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
Part XII, Line 2dThis amount represents special event expenditures reported on the financial statement as expenses.
Part XIII, Line 2dThis amount represents special event expenditures reported on the 990, Section VIII, Line 8b as part of direct expenses.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SOUP'S ONNameOfEvent1
Gross Receipts Event124845GrossReceiptsEvent1
Charitable Contributions Event117450CharitableContributionsEvent1
Gross Revenue Event17395GrossRevenueEvent1
Rent Facility Costs Event1945RentFacilityCostsEvent1
Food And Beverage Event117450FoodAndBeverageEvent1
Entertainment Event1500EntertainmentEvent1
Other Direct Expenses Event151310OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total24845GrossReceiptsTotal
Charitable Contributions Total17450CharitableContributionsTotal
Gross Revenue Total Events7395GrossRevenueTotalEvents
Rent Facility Costs Total Events945RentFacilityCostsTotalEvents
Food And Beverage Total Events17450FoodAndBeverageTotalEvents
Entertainment Total Events500EntertainmentTotalEvents
Other Direct Expenses Total Events51310OtherDirectExpensesTotalEvents
Direct Expense Summary Events70205DirectExpenseSummaryEvents
Net Income Summary-62810NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
990 REVIEW PROCESSFORM 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.
CONFLICT OF INTERESTFORM 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. DURING THE 2011 REPORTING PERIOD, THE ORGANIZATION PAID A BOARD MEMBER $26,262 FOR ARCHITECTUAL SERVICES RENDERED TO THE ORGANIZATION. ALTHOUGH THIS AMOUNT IS LESS THAN THE REQUIRED PART IV OR SCHEDULE L DISCLOSURE THRESHOLD,THE BOARD INCLUDES THE INFORMATION IN THE INTEREST OF FULL DISCLOSURE.
COMPENSATION REVIEWFORM 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.
GOVERNING DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION HAS MADE GOVERNING DOCUMENTS, THEIR CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
RECONCILIATION OF NET ASSETSFORM 990 PART XI LINE 5NET ASSETS FROM THE BEGINNING OF THE YEAR DIFFER BY ($90,868) WHICH REPRESENTS $90,698 OF UNREALIZED LOSSES AND $179 CHANGE IN TEMPORARILY RESTRICTED ASSETS.
INVESTMENT IN SCN, INC.PART VI, SECTION B QUESTION 16BTHE ORGANIZATION DOES NOT CURRENTLY HAVE A POLICY IN PLACE FOR THE MONITORING OF THIS INVESTMENT. DURING THE YEAR SCN, INC. CONVERTED FROM A NON PROFIT ORGANIZATION TO A FOR PROFIT ORGANIZATION WITH FIVE MEMBERS, ALL OF WHICH ARE 501(C)(3) ORGNAIZATIONS. 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.

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