Civic Intelligence

Fal-Terre Haute Inc

990 • Fiscal year 2013 • EIN 20-4137895

Jan 01, 2013 to Dec 31, 2013 • Filed on Aug 07, 2014

Organization ProfileN/A
3330 Cumberland Blvd No 90030339

(770) 433-1711

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

71st percentile

0.05x

Higher debt load relative to assets than 71% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Liabilities / Revenue

94th percentile

0.81x

Higher debt load relative to revenue than 94% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Net Margin

15th percentile

-21%

Higher net margin than 15% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Top Officer Pay

73rd percentile

$0

Higher top officer pay than 73% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Asset Growth

28th percentile

-11%

Faster asset growth than 28% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Balance Sheet
Liabilities / Assets71st percentile

Assets

Down

$266,983

Down $32,790 (-11%) from 2012

Net Assets

Down

$254,519

Down $3,230 (-1.3%) from 2012

Liabilities

Down

$12,464

Down $29,560 (-70%) from 2012

Revenue And Expenses
Liabilities / Revenue94th percentileNet Margin15th percentile

Revenue

$15,371

No earlier filing loaded for comparison.

Expenses

Down

$18,601

Down $2,478,241 (-99%) from 2012

Net Income

-$3,230

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth28th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.5M$1.0M$500K$0Assets 2010: $1,224,881Liabilities 2010: $148,951Net Assets 2010: $1,075,9302010Assets 2011: $1,393,248Liabilities 2011: $142,044Net Assets 2011: $1,251,2042011Assets 2012: $299,773Liabilities 2012: $42,024Net Assets 2012: $257,7492012Assets 2013: $266,983Liabilities 2013: $12,464Net Assets 2013: $254,5192013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2013

Assets$266,983
Liabilities$12,464
Net Assets$254,519
Open 2013 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2010: $2,109,6162010Expenses 2011: $2,404,0402011Expenses 2012: $2,496,8422012Revenue 2013: $15,371Expenses 2013: $18,601Net Income 2013: -$3,2302013Revenue 2014: $127Expenses 2014: $254,646Net Income 2014: -$254,5192014

Highlighted filing

2013

Revenue$15,371
Expenses$18,601
Net Income-$3,230
Open 2013 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Aug 7, 2014
Return Version
2013v3.0
Gross Receipts
$15,371
Mission and Program Overview

Mission

To provide nursing home care.

Own and operate nursing homes

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$230,055$257,594▲ $27,539
Rtn Earn Endowment Incm Other Fnds$257,749$254,519▼ $3,230
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$299,773$266,983▼ $32,790
Other Assets Total$69,718$9,389▼ $60,329
Liabilities
Other Liabilities$38,964$0▼ $38,964
Accounts Payable and Accrued Expenses$3,060$12,464▲ $9,404
Total Liabilities$42,024$12,464▼ $29,560
Net Assets / Fund Balance
Total Net Assets Fund Balance$257,749$254,519▼ $3,230
Total Liabilities and Net Assets / Fund Balance$299,773$266,983▼ $32,790
Compensation and Service Providers
Top Officer Pay73rd percentile

Board Members and Trustees

NameTitle
James JarosikDirector
Jason SchreiberDirector
Karen AustinDirector
Terence SchwartzDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$13,432
Investment Income
$0
Other Revenue
$1,939
Change in Net Assets
$-3,230
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$18,601
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Accounting$2,210--$2,210
Other Expenses$370--$370
All Other Expenses$76--$76
Total Functional Expenses$18,601$0$0$18,601
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

“The organization has delegated the management of the nursing home to greystone healthcare management.”

Form 990, Part VI, Section A, Line 6

“The organization is a non-stock corporation and its sole member is the foundation for adult living, inc.”

Form 990, Part VI, Section A, Line 7A

“The organization's member elects the officers of the organization.”

Form 990, Part VI, Section A, Line 7B

“In accordance with the organization's bylaws, certain transactions require the approval of the organization's single member.”

Form 990, Part VI, Section B, Line 11

“Form 990 is prepared by hlb gross collins, p.c., an independent certified public accounting firm. Form 990 is then provided to management for their review, approval, and signature. Form 990 is typically electronically filed after management reviews and provides an electronic filing signature document to tax preparer.”

Form 990, Part VI, Section C, Line 19

“The organization will make its governing documents and financial statements available to persons upon request.”

Form 990, Part VI, Section A, Line 9

“Terence schwartz - 35 montrose road, scarsdale, ny 10583 karen austin - c/o deaconess hospital, 311 straight street, cincinnati, oh 45219 jason schreiber - 2135 n. Clifton avenue, chicago, il 60614 james jarosik - 344 highland avenue, upper montclair, nj 07043”

Form 990, Part VII

“Terence schwartz - 35 montrose road, scarsdale, ny 10583. Karen austin - c/o deaconess hospital, 311 straight street, cincinnati, oh 45219. Jason schreiber - 2135 n. Clifton avenue, chicago, il 60614. James jarosik - 344 highland avenue, upper montclair, nj 07043.”

Filing and Contact Details

Filer

EIN
20-4137895
Phone
7704331711

Signing Officer

Name
Elaine Bolick
Title
President of Parent Org
Phone
7704331711
Signed
2014-08-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Elaine Bolick
Formed
2006
Legal Domicile
De
Voting Board Members
4
Independent Board Members
4
Employees
0
Volunteers
0

Preparer

Preparer
Cynthia Gibbs
Phone
7704331711
Raw XML AppendixShowing 400 of 457 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0THE ORGANIZATION'S MISSION IS TO PROVIDE NURSING HOME CARE. THE ORGANIZATION'S NURSING HOME, TERRE HAUTE NURSING AND REHABILITATION CENTER,LOCATED ON 830 SOUTH 6TH STREET, TERRE HAUTE, IN, WAS SOLD IN 2012 AND A NEW NURSING HOME HAS NOT YET BEEN PURCHASED. ALL REVENUES AND EXPENSES ARE FROM ACTIVITIES TO WIND DOWN.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION HAS DELEGATED THE MANAGEMENT OF THE NURSING HOME TO GREYSTONE HEALTHCARE MANAGEMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION IS A NON-STOCK CORPORATION AND ITS SOLE MEMBER IS THE FOUNDATION FOR ADULT LIVING, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION'S MEMBER ELECTS THE OFFICERS OF THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3IN ACCORDANCE WITH THE ORGANIZATION'S BYLAWS, CERTAIN TRANSACTIONS REQUIRE THE APPROVAL OF THE ORGANIZATION'S SINGLE MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4FORM 990 IS PREPARED BY HLB GROSS COLLINS, P.C., AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM. FORM 990 IS THEN PROVIDED TO MANAGEMENT FOR THEIR REVIEW, APPROVAL, AND SIGNATURE. FORM 990 IS TYPICALLY ELECTRONICALLY FILED AFTER MANAGEMENT REVIEWS AND PROVIDES AN ELECTRONIC FILING SIGNATURE DOCUMENT TO TAX PREPARER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO PERSONS UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6TERENCE SCHWARTZ - 35 MONTROSE ROAD, SCARSDALE, NY 10583 KAREN AUSTIN - C/O DEACONESS HOSPITAL, 311 STRAIGHT STREET, CINCINNATI, OH 45219 JASON SCHREIBER - 2135 N. CLIFTON AVENUE, CHICAGO, IL 60614 JAMES JAROSIK - 344 HIGHLAND AVENUE, UPPER MONTCLAIR, NJ 07043
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7TERENCE SCHWARTZ - 35 MONTROSE ROAD, SCARSDALE, NY 10583. KAREN AUSTIN - C/O DEACONESS HOSPITAL, 311 STRAIGHT STREET, CINCINNATI, OH 45219. JASON SCHREIBER - 2135 N. CLIFTON AVENUE, CHICAGO, IL 60614. JAMES JAROSIK - 344 HIGHLAND AVENUE, UPPER MONTCLAIR, NJ 07043.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION A, LINE 9
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VII
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine11FAL MERIDIAN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine12FAL ESSEX
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine13FAL HIGHLAND
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine14FAL LINTON
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine15FAL ROCKVILLE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine16FAL CORYDON
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine17FAL MOUNTAIN CREST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine18FOUNDATION FOR ADULT LIVING
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0204137814
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1204137744
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt7OWN AND OPERATE NURSING HOME
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt8OWNS 501(C)(3) ORGANIZATIONS THAT OWN AND OPERATE NURSING HOMES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0509(A)(2)
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt8509(A)(2)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine103330 CUMBERLAND BLVD SUITE 900
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine113330 CUMBERLAND BLVD SUITE 900
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine123330 CUMBERLAND BLVD SUITE 900
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine133330 CUMBERLAND BLVD SUITE 900
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine143330 CUMBERLAND BLVD SUITE 900
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine153330 CUMBERLAND BLVD SUITE 900
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IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
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IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
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Document Assets

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Filings

Displayed year

2013 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$266,983
Liabilities
$12,464
Net assets
$254,519
Revenue
$15,371
Expenses
$18,601
Net income
-$3,230
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2014Summary only. Only limited summary data is available for this year.$0.00$0.00$0.00$0.00$0.25$0.25
2013Detailed filing. Detailed filing data is available for this year.$0.27$0.01$0.25$0.02$0.02$0.00
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.30$0.04$0.26$2.50
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.39$0.14$1.25$2.40
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.22$0.15$1.08$2.11