PULASKI HEALTH FOUNDATION INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- PULASKI HEALTH FOUNDATION INC (EIN 23-7125454)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-10-14
- IRS object ID
- 201132879349301118
- Schema version
- 2010v3.2
- 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 | 2011-10-14T13:00:05-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 West Madison Street | AddressLine1 |
| Address Line2 | Suite 700 | AddressLine2 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 606024903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237125454 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PULASKI HEALTH FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PULA | NameControl |
| Phone | 5749463394 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 624 East 13th Street | AddressLine1 |
| City | Winamac | City |
| State | IN | State |
| ZIP Code | 46996 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SCOTT FRITZ | Name |
| Title | PRESIDENT & CHAIRMAN | Title |
| Date Signed | 2011-10-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3128997000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PULASKI HEALTH CARE CENTER | BusinessNameLine1 |
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHARON K MCKINLEY | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 624 East 13th Street | AddressLine1 |
| City | Winamac | City |
| State | IN | State |
| ZIP Code | 46996 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4129068 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PULASKIHEALTHCARECENTER.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1959 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | AS A NOT-FOR-PROFIT, SKILLED NURSING FACILITY, PULASKI HEALTH CARE CENTER IS DEDICATED TO ENHANCING THE LIVES OF OLDER ADULTS THROUGH QUALITY HEALTH CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 117 | TotalNbrEmployees |
| Total Nbr Volunteers | 39 | TotalNbrVolunteers |
| Total Gross UBI | 1673 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 9501 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3499 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3674150 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4075139 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 23837 | InvestmentIncomePriorYear |
| Investment Income Current Year | 9292 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 35858 | OtherRevenuePriorYear |
| Other Revenue Current Year | 34200 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3743346 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4122130 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2495081 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2423535 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1290312 | OtherExpensePriorYear |
| Other Expenses Current Year | 1396768 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 3785393 | TotalExpensesPriorYear |
| Total Expenses Current Year | 3820303 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -42047 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 301827 | RevenuesLessExpensesCY |
| Total Assets BOY | 3112208 | TotalAssetsBOY |
| Total Assets EOY | 3315271 | TotalAssetsEOY |
| Total Liabilities BOY | 1504539 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1405032 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1607669 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1910239 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | AS A NOT-FOR-PROFIT, SKILLED NURSING FACILITY, PULASKI HEALTH CARE CENTER IS DEDICATED TO ENHANCING THE LIVES OF OLDER ADULTS THROUGH QUALITY HEALTH CARE. | MissionDescription |
| Significant Change | false | SignificantChange |
| Expense | 3315015 | Expense |
| Grants | 0 | Grants |
| Revenue | 4089928 | Revenue |
| Description | DIGNITY, QUALITY OF LIFE, AND PROFESSIONAL COMPETENCE - THIS IS THE FOUNDATION OF CARE YOU CAN EXPECT AT PULASKI HEALTH CARE CENTER (PHCC). WHEN A FAMILY MEMBER OR LOVED ONE IS NO LONGER ABLE TO CARE FOR HIMSELF OR HERSELF, WE OFFER COMFORTABLE, SECURE, LIFE CARE IN A SUPPORTIVE ENVIRONMENT. AS A NOT-FOR-PROFIT, SKILLED NURSING FACILITY, PHCC IS DEDICATED TO ENHANCING THE LIVES OF OLDER ADULTS THROUGH QUALITY HEALTH CARE. THE CENTER WAS DEVELOPED AND BUILT BY THE PULASKI HEALTH FOUNDATION, A NOT-FOR-PROFIT ORGANIZATION, WHOSE PRIMARY GOAL WAS TO DESIGN A FACILITY IN PULASKI COUNTY THAT PROVIDED SUPERIOR LONG-TERM CARE FOR OLDER ADULTS. (CONTINUED IN SCHEDULE O) | Description |
| Total Program Service Expense | 3315015 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | true | CreditCounseling |
| Term Or Permanent Endowments | true | 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 | true | 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 | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 12 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 117 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| 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 | 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 | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHARON K MCKINLEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5749463394 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 624 EAST 13TH STREET | AddressLine1 |
| City | WINAMAC | City |
| State | IN | State |
| ZIP Code | 46996 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Individual Trustee Or DirectorIndividualTrusteeOrDirector |
|---|---|---|---|---|---|---|
| SHARON MCKINLEY | ||||||
| ADMINISTRATOR | 50 | X | 58999 | 0 | 7584 | |
| RITA MURRAY | ||||||
| DIRECTOR | 1 | 0 | 0 | 0 | X | |
| LIN MORRISON | ||||||
| TREASURER | 1 | X | 0 | 0 | 0 | X |
| JAMES PIERROU | ||||||
| VICE CHAIRMAN | 1 | X | 0 | 0 | 0 | X |
| JOHN GOBLE | ||||||
| MEMBER-AT-LARGE (EXECUTIVE COMMITTEE) | 1 | X | 0 | 0 | 0 | X |
| LAURA BAILEY | ||||||
| SECRETARY | 1 | X | 0 | 0 | 0 | X |
| ROBERT LIZENBY | ||||||
| DIRECTOR | 1 | 0 | 0 | 0 | X | |
| LINDA MURPHY RN | ||||||
| DIRECTOR | 1 | 0 | 0 | 0 | X | |
| SCOTT FRITZ | ||||||
| PRESIDENT AND CHAIRMAN | 1 | X | 0 | 0 | 0 | X |
| CAROL WIDNER | ||||||
| DIRECTOR | 1 | 0 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 58999 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 7584 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THERACARE INC | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9957 ALLISONVILLE RD | AddressLine1 |
| City | FISHERS | City |
| State | IN | State |
| ZIP Code | 460382006 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | THERAPY SERVICES | DescriptionOfServices |
| Compensation | 143241 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| All Other Contributions | 3499 | AllOtherContributions |
| Total Contributions | 3499 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | RESIDENT SERVICE REVENUE | Description |
| Total Revenue Column | 4075139 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4075139 | RelatedOrExemptFunctionIncome |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4075139 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16090 | TotalRevenueColumn |
| Exclusion | $16,090 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 140 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 6938 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | -6798 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -6798 | TotalRevenueColumn |
| Exclusion | -$6,798 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Business CodeBusinessCode | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| BAD DEBT RECOVERY | 14789 | 14789 | |||
| VENDING/CATERING INCOME | 14073 | 722320 | 1673 | $12,400 | |
| BEAUTY/BARBER SHOP INCOME | 4386 | $4,386 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 952 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $952 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 34200 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4122130 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4089928 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1673 | UnrelatedBusinessRevenue |
| Exclusion | $27,030 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66583 | Total |
| Management And General | 66583 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1984201 | Total |
| Program Services | 1857810 | ProgramServices |
| Management And General | 126391 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 222238 | Total |
| Program Services | 208293 | ProgramServices |
| Management And General | 13945 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150513 | Total |
| Program Services | 136413 | ProgramServices |
| Management And General | 14100 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4067 | Total |
| Management And General | 4067 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25630 | Total |
| Management And General | 25630 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 277492 | Total |
| Program Services | 232508 | ProgramServices |
| Management And General | 44984 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7359 | Total |
| Management And General | 7359 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 472466 | Total |
| Program Services | 415818 | ProgramServices |
| Management And General | 56648 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23871 | Total |
| Management And General | 23871 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103590 | Total |
| Program Services | 103590 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5159 | Total |
| Management And General | 5159 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28301 | Total |
| Management And General | 28301 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 153197 | Total |
| Program Services | 137352 | ProgramServices |
| Management And General | 15845 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38612 | Total |
| Management And General | 38612 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVIDER TAXES | 186800 | 186800 | |
| BAD DEBT EXPENSE | 34449 | 34449 | |
| EMPLOYEE RELATIONS/EDUCATION | 22025 | 22025 | |
| BEAUTY/BARBER SHOP EXPENSES | 1982 | 1982 | |
| DUES, LICENSES, AND SUBSCRIPTIONS | 5727 | 5727 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6041 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 6041 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3820303 | Total |
| Program Services | 3315015 | ProgramServices |
| Management And General | 505288 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500 | BOY |
| EOY | 500 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 578677 | BOY |
| EOY | 633487 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 304281 | BOY |
| EOY | 397436 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 375700 | BOY |
| EOY | 375700 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13572 | BOY |
| EOY | 15160 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63096 | BOY |
| EOY | 35018 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3571697 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1958267 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1533272 | BOY |
| EOY | 1613430 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 104569 | BOY |
| EOY | 105311 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138541 | BOY |
| EOY | 139229 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3112208 | BOY |
| EOY | 3315271 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 201721 | BOY |
| EOY | 211430 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6819 | BOY |
| EOY | 8878 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1295999 | BOY |
| EOY | 1184724 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1504539 | BOY |
| EOY | 1405032 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1520847 | BOY |
| EOY | 1809777 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86822 | BOY |
| EOY | 100462 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1607669 | BOY |
| EOY | 1910239 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3112208 | BOY |
| EOY | 3315271 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 301827 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 743 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | true | AccountantCompileOrReview |
| FS Audited | false | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| 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 | 60637 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1918 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3254 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9501 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3499 | CurrentTaxYear |
| Total | 78809 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3270474 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3423161 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3707509 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3674150 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4075139 | CurrentTaxYear |
| Total | 18150433 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13450 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 15828 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 41217 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 29540 | CurrentTaxYearMinus1Year |
| Current Tax Year | 17738 | CurrentTaxYear |
| Total | 117773 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3344561 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3440907 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3751980 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3713191 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4096376 | CurrentTaxYear |
| Total | 18347015 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 140460 | CurrentTaxYear |
| Total | 140460 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 140460 | CurrentTaxYear |
| Total | 140460 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 18206555 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 30803 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 36983 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 27374 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 25748 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16090 | CurrentTaxYear |
| Total | 136998 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 30803 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 36983 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 27374 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 25748 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16090 | CurrentTaxYear |
| Total | 136998 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5445 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3882 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 208 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 38 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 9573 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6744 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6240 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4854 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14789 | CurrentTaxYear |
| Total | 32627 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3387553 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3488012 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3779562 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3743831 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4127255 | CurrentTaxYear |
| Total | 18526213 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.9827 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98789 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.0074 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00797 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | OTHER INCOME, SCHEDULE A, PART III, SECTION B, LINE 12, MISCELLANEOUS INCOME RECEIVED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSE: 2006 - $6,744 2007 - $6,240 2008 - $0 2009 - $4,854 2010 - $14,789, | GeneralExplanation |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Exmpt Function Expenditures | 0 | TotalExmptFunctionExpenditures |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $195 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 195 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Non Ded Lobby Political Total | 0 | NonDedLobbyPoliticalTotal |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of other lobbying activities | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1i | ReturnReference |
| Explanation | THE ORGANIZATION PAYS ANNUAL DUES TO THE AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (AAHSA) AND THE INDIANA ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (IAHSA). THE FOLLOWING PERCENTAGES OF PROVIDER DUES WERE USED FOR SPECIFIC LOBBYING PURPOSES: AAHSA - 6.2% IAHSA - 5.1% | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | true | IncludedOnFS |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3562 | BeginningOfYearBalance |
| Contributions | 250 | Contributions |
| Investment Earnings Or Losses | 549 | InvestmentEarningsOrLosses |
| Administrative Expenses | 57 | AdministrativeExpenses |
| End Of Year Balance | 4304 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2500 | BeginningOfYearBalance |
| Contributions | 500 | Contributions |
| Investment Earnings Or Losses | 584 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 22 | AdministrativeExpenses |
| End Of Year Balance | 3562 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 0 | BeginningOfYearBalance |
| Contributions | 2500 | Contributions |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 2500 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 28875 | OtherCostOrOtherBasis |
| Book Value | 28875 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2388178 | OtherCostOrOtherBasis |
| Depreciation | 1297625 | Depreciation |
| Book Value | 1090553 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 66749 | OtherCostOrOtherBasis |
| Depreciation | 59268 | Depreciation |
| Book Value | 7481 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1087895 | OtherCostOrOtherBasis |
| Depreciation | 601374 | Depreciation |
| Book Value | 486521 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1613430 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
| Total Of Amounts | 0 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Explanation of escrow agreement | Schedule D, Part IV, Line 2b | THE ORGANIZATION HAS A RESIDENT TRUST ACCOUNT SET UP FOR RESIDENTS' PERSONAL FUNDS. RESIDENTS AND/OR THEIR AUTHORIZED REPRESENTATIVE ARE REQUIRED TO SIGN AN AUTHORIZATION FORM GIVING THE ORGANIZATION THE RIGHT TO MANAGE THE RESIDENTS' PERSONAL FUNDS WHILE HE OR SHE RESIDES AT THE FACILITY. RESIDENTS AND/OR THEIR AUTHORIZED REPRESENTATIVES RECEIVE QUARTERLY REPORTS ACCOUNTING FOR ANY DEPOSITS, INTEREST EARNED, AND WITHDRAWALS FROM THE RESIDENT'S ACCOUNT. |
| Intended uses of endowment funds | Schedule D, Part V, Line 4 | THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUND IS TO SUPPORT THE ORGANIZATION'S ACTIVITIES. |
| FIN 48 (ASC 740) footnote | Schedule D, Part X, Line 2 | THE ORGANIZATION IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. DUE TO ITS TAX-EXEMPT STATUS, THE ORGANIZATION IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE ORGANIZATION'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF INDIANA FOR THE LAST THREE YEARS. THE ORGANIZATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE ORGANIZATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE ORGANIZATION DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT DECEMBER 31, 2010 OR 2009. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROGRAM SERVICE ACCOMPLISHMENTS | FORM 990, PART III, LINE 4A | (CONTINUED FROM III) PULASKI HEALTH CARE CENTER (PHCC) OFFERS THE SERVICES OUR RESIDENTS NEED, INCLUDING SHORT-TERM RESTORATIVE SERVICES, MEDICARE SHORT STAY SERVICES, AND LONG-TERM CONTINUED CARE. THE COMPREHENSIVE CARE PROGRAM IS DESIGNED TO MEET THE DAILY LIVING NEEDS OF EACH RESIDENT. ALL OF OUR PROGRAMS INCLUDE: -24-HOUR NURSING SERVICES -THERAPIES (PHYSICAL, OCCUPATIONAL, AND SPEECH) -MEAL SERVICE, INCLUDING SPECIAL DIETS -ASSISTANCE WITH MEDICATION, PERSONAL HYGIENE, AND AMBULATION -SOCIAL SERVICES -ACTIVITIES AND RECREATION -LAUNDRY AND HOUSEKEEPING SERVICES THE ORGANIZATION'S OCCUPANCY PERCENTAGE FOR THE YEAR ENDED DECEMBER 31, 2010, WAS 94.91%. WITH 58 LICENSED BEDS AVAILABLE, THE ORGANIZATION'S AVERAGE DAILY RESIDENT CENSUS WAS 55.05. THE ORGANIZATION'S PROGRAM SERVICE REVENUES APPROXIMATED $203 PER RESIDENT PER DAY. IN ADDITION, THE ORGANIZATION PROVIDED $160,175 IN CHARITY CARE DURING 2010. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | THE FORM 990 IS REVIEWED IN DETAIL BY MANAGEMENT. THEN A COPY OF THE FULL FORM 990, INCLUDING ALL APPLICABLE SCHEDULES, IS PROVIDED TO EACH BOARD MEMBER AND REVIEWED WITH THE ORGANIZATION'S TAX ADVISORS AT A SCHEDULED BOARD MEETING PRIOR TO FILING WITH THE IRS. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | ANNUAL DISCLOSURE IS PROVIDED TO EACH OFFICER AND BOARD MEMBER (THE ORGANIZATION DOES NOT HAVE ANY KEY EMPLOYEES OR HIGHEST COMPENSATED EMPLOYEES). EACH BOARD MEMBER AND OFFICER COMPLETES AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. ONCE THE QUESTIONNAIRES ARE COMPLETED, THE ADMINISTRATOR REVIEWS THE RESPONSES AND DETERMINES WHETHER OR NOT THERE ARE ANY POTENTIAL CONFLICTS OF INTEREST. IF THERE IS A POTENTIAL CONFLICT OF INTEREST, THE ADMINISTRATOR AND THE BOARD PRESIDENT REVIEW THE CORRESPONDING ISSUE AND DETERMINE IF THERE IS AN ACTUAL CONFLICT OF INTEREST. IF AN ACTUAL CONFLICT OF INTEREST IS DETERMINED TO EXIST, THAT PERSON IS EXCLUDED FROM ANY DISCUSSIONS CONCERNING THE CONFLICTING ISSUE AND IS NOT PERMITTED TO VOTE ON ANY DECISIONS REGARDING THE CONFLICTING ISSUE. ANY PURCHASES AND/OR BIDDING PROPOSALS ARE ALSO REVIEWED FOR ANY POTENTIAL CONFLICTS OF INTEREST PRIOR TO SUBMITTING BIDS OR MAKING PURCHASES. THE BOARD PRESIDENT ATTENDS THE BOARD MEETINGS AND ENSURES THAT COMPLIANCE WITH THESE GUIDELINES ARE FOLLOWED. |
| Process used to establish compensation of top management official | Form 990, Part VI, Section B, Line 15a | THE PROCESS FOR DETERMINING THE COMPENSATION OF THE ORGANIZATION'S ADMINISTRATOR INCLUDED A REVIEW AND APPROVAL BY THE BOARD PRESIDENT AND VICE PRESIDENT, WHO ARE BOTH INDEPENDENT. THE PRESIDENT AND VICE PRESIDENT USED MCKNIGHT'S CAREER GUIDE, WHICH INCLUDED AN AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (AAHSA) NURSING HOME SALARY AND BENEFITS REPORT, AS WELL AS THE MYERS AND STAUFFER LC LONG TERM CARE COMPENSATION REPORT. THE INDIANA ASSOCIATION FOR THE HOMES AND SERVICES OF THE AGING'S SALARY AND WAGE SURVEY IS ALSO REFERENCED FOR THE DECISION PROCESSES. ONCE THE PRESIDENT AND VICE PRESIDENT DETERMINED THE COMPENSATION AMOUNT, THEY REPORTED THEIR FINDINGS AND DECISION TO THE FULL BOARD OF DIRECTORS AT A BOARD MEETING. THIS WAS DOCUMENTED IN THE BOARD MEETING MINUTES, AND WAS LAST DONE IN APRIL OF 2009 FOR THE ADMINISTRATOR'S SALARY. |
| Public Disclosure | Form 990, Part VI, Section C, Line 19 | A COPY OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES | FORM 990, PART VI, SECTION B, LINE 15B | THE ORGANIZATION HAS NO OTHER OFFICERS OR KEY EMPLOYEES TO REPORT IN PART VII; THEREFORE, THIS QUESTION IS NOT APPLICABLE AND HAS BEEN ASNWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 5 | CHANGE IN BENEFICIAL INTEREST IN PULASKI COUNTY COMMUNITY FOUNDATION - 743; |
Schedule R IRS990ScheduleR
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIVERWOOD COMMONS LP | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 624 E 13TH STREET | AddressLine1 |
| City | WINAMAC | City |
| State | IN | State |
| ZIP Code | 46996 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352120174 | EIN |
| Primary Activity | HOUSING | PrimaryActivity |
| Legal Domicile State | IN | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | N/A | PredominantIncomeType |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PULASKI HOUSING ASSOCIATES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 624 EAST 13TH STREET | AddressLine1 |
| City | WINAMAC | City |
| State | IN | State |
| ZIP Code | 46996 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352120172 | EIN |
| Primary Activity | APARTMENT RENTAL | PrimaryActivity |
| Legal Domicile State | IN | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORPORATION | TypeOfEntity |
| Share Of Total Income | 0 | ShareOfTotalIncome |
| Share Of EOY Assets | 70645 | ShareOfEOYAssets |
| Percentage Ownership | 0.75 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| RIVERWOOD COMMONS LP | ||
| A | 9028 | BOOK VALUE |
| RIVERWOOD COMMONS LP | ||
| D | 375700 | BOOK VALUE |