LAKEWOOD HEALTHCARE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LAKEWOOD HEALTHCARE INC (EIN 71-0680133)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-15
IRS object ID
201340469349301639
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)
Timestamp2013-02-15T11:50:32-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MALONE & BANKS PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1522 W MAURICEAddressLine1
CityHOT SPRINGSCity
StateARState
ZIP Code71901ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710680133EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LAKEWOOD CONVALESCENT HOME INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLAKENameControl
Phone5016239422Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1260 LAKEPARK DRIVEAddressLine1
CityHOT SPRINGSCity
StateARState
ZIP Code71901ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePATSY A MALONEName
TitleSECRETARYTitle
Phone5016239422Phone
Date Signed2013-02-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSTEPHANIE M BANKSName
Phone5016239422Phone
Date Prepared2013-02-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts4219254GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionCARE FOR THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees221TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year8325ContributionsGrantsPriorYear
Contributions Grants Current Year2500ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4122165ProgramServiceRevenuePriorYear
Program Service Revenue CY4175606ProgramServiceRevenueCY
Investment Income Prior Year1256InvestmentIncomePriorYear
Investment Income Current Year31InvestmentIncomeCurrentYear
Other Revenue Prior Year42450OtherRevenuePriorYear
Other Revenue Current Year41117OtherRevenueCurrentYear
Total Revenue Prior Year4174196TotalRevenuePriorYear
Total Revenue Current Year4219254TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2788500SalariesEtcPriorYear
Salaries Etc Current Year2734879SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1498049OtherExpensePriorYear
Other Expenses Current Year1445285OtherExpensesCurrentYear
Total Expenses Prior Year4286549TotalExpensesPriorYear
Total Expenses Current Year4180164TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-112353RevenuesLessExpensesPriorYear
Revenues Less Expenses CY39090RevenuesLessExpensesCY
Total Assets BOY1546480TotalAssetsBOY
Total Assets EOY1506783TotalAssetsEOY
Total Liabilities BOY1001967TotalLiabilitiesBOY
Total Liabilities EOY923180TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY544513NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY583603NetAssetsOrFundBalancesEOY
Mission DescriptionCARE FOR THE ELDERLY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3417513Expense
DescriptionSKILLED NURSING HOME FACILITY ACCOMODATING 80 ELDERLY RESIDENTS, WITH EMPHASIS ON REHABILITATION AND DIGNITY.Description
Total Program Service Expense3417513TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees221NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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 BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPAT MALONENamePerson
Telephone Number5016239422TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1522 W MAURICEAddressLine1
CityHOT SPRINGSCity
StateARState
ZIP Code71913ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JUDY YOUNG
1ST VICE PREXX000
KERI OWEN
2ND VICE PREXX000
RENEE LUCY
DIRECTORX000
PATTY RODDENBERRY
TREASURERXX000
TAMMY BURKHART
DIRECTORX000
CLYDE COVINGTON
DIRECTORX000
LOU SIEGEL
PRESIDENTXX000
PATSY A MALONE
SECRETARYXX000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions2500AllOtherContributions
Total Contributions2500TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNURSING HOME REVENUEDescription
Total Revenue Column4175606TotalRevenueColumn
Related Or Exempt Function Income4175606RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4175606TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column31TotalRevenueColumn
Exclusion$31ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INTEREST-BOND FUND6230001509015090
MEAL INCOME1422414224
CNA TRAINING REVENUE78487848

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3955TotalRevenueColumn
Related Or Exempt Function Income3955RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue41117TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4219254TotalRevenueColumn
Related Or Exempt Function Income4216723RelatedOrExemptFunctionIncome
Exclusion$31ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2257502Total
Program Services2001413ProgramServices
Management And General256089ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total274865Total
Program Services255624ProgramServices
Management And General19241ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total202512Total
Program Services190680ProgramServices
Management And General11832ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total69578Total
Management And General69578ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1070462Total
Program Services754056ProgramServices
Management And General316406ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total5438Total
Management And General5438ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total21000Total
Management And General21000ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total112266Total
Program Services112266ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total3597Total
Management And General3597ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total39939Total
Management And General39939ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total91875Total
Program Services86830ProgramServices
Management And General5045ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total31130Total
Program Services16644ProgramServices
Management And General14486ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4180164Total
Program Services3417513ProgramServices
Management And General762651ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY90117BOY
EOY109329EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY184EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY265993BOY
EOY247156EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY20395BOY
EOY15496EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY19347BOY
EOY22563EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2292459LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1523690LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY820841BOY
EOY768769EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY329787BOY
EOY343286EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1546480BOY
EOY1506783EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY285842BOY
EOY281462EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY650000BOY
EOY535000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY61075BOY
EOY99575EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5050BOY
EOY7143EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1001967BOY
EOY923180EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY544513BOY
EOY583603EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY544513BOY
EOY583603EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1546480BOY
EOY1506783EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses39090ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
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 Years44465CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40264CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3417CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8325CurrentTaxYearMinus1Year
Current Tax Year2500CurrentTaxYear
Total98971Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3874397CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4310261CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4138992CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4164615CurrentTaxYearMinus1Year
Current Tax Year4216723CurrentTaxYear
Total20704988Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3918862CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4350525CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4142409CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4172940CurrentTaxYearMinus1Year
Current Tax Year4219223CurrentTaxYear
Total20803959Total
FieldValueIRS element (for citing)
Public Support Total50920803959PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1600CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years379CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years105CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year56CurrentTaxYearMinus1Year
Current Tax Year31CurrentTaxYear
Total2171Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1600CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years379CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years105CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year56CurrentTaxYearMinus1Year
Current Tax Year31CurrentTaxYear
Total2171Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3920462CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4350904CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4142514CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4172996CurrentTaxYearMinus1Year
Current Tax Year4219254CurrentTaxYear
Total20806130Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99990PublicSupportPercentage509
Prior Year Support Percentage0.99980PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis88000OtherCostOrOtherBasis
Book Value88000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1501627OtherCostOrOtherBasis
Depreciation1048958Depreciation
Book Value452669BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis494960OtherCostOrOtherBasis
Depreciation381283Depreciation
Book Value113677BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis207872OtherCostOrOtherBasis
Depreciation93449Depreciation
Book Value114423BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings768769TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
DEBT SERVICE RESERVE FUND165000
REPLACEMENT RESERVE FUND86489
MORTGAGE RESERVE FUND35000
COST OF BONDS ISSUANCE27619
BONDS FUND-SERIES A11072
ESCROW-MIP & HAZARD INSURANCE10963
PATIENT DEPOSITS HELD IN TRUST7143
FieldValueIRS element (for citing)
Total Book Value Other Assets343286TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPATIENT DEPOSITS HELD IN TRUSTDescription
Amount$7,143Amount
FieldValueIRS element (for citing)
Total Of Amounts7143TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BOFFICER SIGNS FORM 990 - COPY IS AVAILABLE TO ALL BOARD MEMBERS TO REVIEW UPON REQUEST
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19ON SITE WITH A 1.00 CHARGE PER PAGE FOR COPIES.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.