Civic Intelligence

Michael Malotz Skilled Nursing Pavilion

990 • Fiscal year 2013 • EIN 31-1587828

Jan 01, 2013 to Dec 31, 2013 • Filed on Jul 30, 2014

120 Odell Avenue10701-1408

(914) 964-3333

Siviq Scores

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

Liabilities / Assets

89th percentile

1.20x

Higher debt load relative to assets than 89% of similar nonprofits.

2013 filings • NTEE L • $10M-$25M nonprofits • Source year 2013

Liabilities / Revenue

32nd percentile

1.39x

Higher debt load relative to revenue than 32% of similar nonprofits.

2013 filings • NTEE L • $10M-$25M nonprofits • Source year 2013

Net Margin

35th percentile

-5.2%

Higher net margin than 35% of similar nonprofits.

2013 filings • NTEE L • $10M-$25M nonprofits • Source year 2013

Top Officer Pay

68th percentile

$230,673

Higher top officer pay than 68% of similar nonprofits.

Top officer pay equals 1.4% of source-year revenue.

2013 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2013

Asset Growth

68th percentile

2.8%

Faster asset growth than 68% of similar nonprofits.

2013 filings • NTEE L • $10M-$25M 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

Assets

Up

$18,993,321

Up $515,621 (+2.8%) from 2012

Net Assets

Down

-$3,800,363

Down $851,022 (-29%) from 2012

Liabilities

Up

$22,793,684

Up $1,366,643 (+6.4%) from 2012

Revenue

$16,430,511

No earlier filing loaded for comparison.

Expenses

Up

$17,281,533

Up $1,914,075 (+12%) from 2012

Net Income

-$851,022

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$30M$20M$10M$0-$10MAssets 2010: $18,955,910Liabilities 2010: $22,216,161Net Assets 2010: -$3,260,2512010Assets 2011: $19,024,050Liabilities 2011: $22,004,533Net Assets 2011: -$2,980,4832011Assets 2012: $18,477,700Liabilities 2012: $21,427,041Net Assets 2012: -$2,949,3412012Assets 2013: $18,993,321Liabilities 2013: $22,793,684Net Assets 2013: -$3,800,3632013Assets 2014: $13,918,706Liabilities 2014: $19,496,327Net Assets 2014: -$5,577,6212014Assets 2015: $2,771,324Liabilities 2015: $1,697,025Net Assets 2015: $1,074,2992015Assets 2016: $216,012Liabilities 2016: $510,512Net Assets 2016: -$294,5002016Assets 2017: $67,286Liabilities 2017: $419,403Net Assets 2017: -$352,1172017Assets 2018: $11,252Liabilities 2018: $475,365Net Assets 2018: -$464,1132018Assets 2019: $18,665Liabilities 2019: $494,898Net Assets 2019: -$476,2332019Assets 2020: $52,641Liabilities 2020: $502,198Net Assets 2020: -$449,5572020

Highlighted filing

2013

Assets$18,993,321
Liabilities$22,793,684
Net Assets-$3,800,363

Operations Trend

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

$30M$20M$10M$0-$10MExpenses 2010: $14,422,7262010Expenses 2011: $14,756,6552011Expenses 2012: $15,367,4582012Revenue 2013: $16,430,511Expenses 2013: $17,281,533Net Income 2013: -$851,0222013Revenue 2014: $15,840,591Expenses 2014: $17,617,849Net Income 2014: -$1,777,2582014Revenue 2015: $27,751,471Expenses 2015: $15,399,551Net Income 2015: $12,351,9202015Revenue 2016: $181,368Expenses 2016: $1,550,167Net Income 2016: -$1,368,7992016Revenue 2017: $106,896Expenses 2017: $1,564,238Net Income 2017: -$1,457,3422017Revenue 2018: $106,838Expenses 2018: $218,834Net Income 2018: -$111,9962018Revenue 2019: $0Expenses 2019: $12,120Net Income 2019: -$12,1202019Revenue 2020: $106,838Expenses 2020: $80,162Net Income 2020: $26,6762020

Highlighted filing

2013

Revenue$16,430,511
Expenses$17,281,533
Net Income-$851,022
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Jul 30, 2014
Return Version
2013v3.0
Gross Receipts
$16,430,511
Mission and Program Overview

Mission

To provide skilled nursing and rehabilitation services to geriatric, subacute and ventilator dependent residents.

Riverside health care system, inc. Which includes st. John's riverside hospital (sjrh) and michael malotz skilled nursing pavilion ("pavilion") is dedicated to providing comprehensive medical care in a compassionate, professional, respectful and ethical manner to every patient. By offering excellence in medical and nursing care, state-of-the-art technologies, continuing education and preventive services, we are committed to improving the care we provide and the quality of life in our community. We are open to new ideas, directions and initiatives that most effectively respond to community health care needs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$7,692,945$7,133,756▼ $559,189
Accounts Receivable$3,006,039$2,948,195▼ $57,844
Prepaid Expenses and Deferred Charges$35,292$81,445▲ $46,153
Cash and Non-Interest-Bearing Accounts$176,670$69,644▼ $107,026
Savings and Temporary Cash Investments$453,312$37,795▼ $415,517
Inventories for Sale or Use$12,768$10,560▼ $2,208
Total Assets$18,477,700$18,993,321▲ $515,621
Other Assets Total$7,100,674$8,711,926▲ $1,611,252
Liabilities
Mortgage Notes Payable Secured by Investment Property$11,939,008$11,585,886▼ $353,122
Other Liabilities$7,806,067$9,456,504▲ $1,650,437
Accounts Payable and Accrued Expenses$1,494,501$1,531,430▲ $36,929
Escrow Account Liability$187,465$219,864▲ $32,399
Total Liabilities$21,427,041$22,793,684▲ $1,366,643
Net Assets / Fund Balance
Unrestricted Net Assets$-2,949,341$-3,800,363▼ $851,022
Total Net Assets Fund Balance$-2,949,341$-3,800,363▼ $851,022
Total Liabilities and Net Assets / Fund Balance$18,477,700$18,993,321▲ $515,621

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$6,399,198$11,622,588$18,021,786
Equipment$734,548$1,986,859$2,721,407
Land$10-$10
Other Assets Org$898,000--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Sherwin ChueControllerPT$196,103$34,570$230,673
Mark PoharAdministratorFT$195,314$33,703$229,017
Sharon CarberryNursing SupervisorFT$104,231$28,613$132,844
Iyad Annabi MdMedical DirectorPT$100,169$23,275$123,444
Ruth ArcigalDirector of NursingFT$100,931$15,440$116,371
Barbara Cronin-lapercheDirector of RehabilitationFT$104,978$6,910$111,888

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
St John's Riverside HospitalVarious Services: Dietary, Lab, Laundry,-$743,920
Mitchellmartin INCPhysical Therapy-$157,991
Revenue and Support

Revenue Composition

Contributions and Grants
$6,621
Program Service Revenue
$16,349,225
Investment Income
$23,516
Other Revenue
$51,149
All Other Contributions
$6,621
Change in Net Assets
$-851,022

Audited Revenue Reconciliation

Revenue per Audited Statements
$16,430,511
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$16,430,511
Total Revenue per Form 990
$16,430,511
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$10,683,483
Other Expenses$6,598,050
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$6,913,021$139,324-$7,052,345
Other Employee Benefits$1,124,714$84,141-$1,208,855
Pension Plan Contributions$1,079,849$13,208-$1,093,057
Occupancy$1,002,219$24,084-$1,026,303
Payroll Taxes$770,457$73,262-$843,719
Depreciation Depletion$745,433$24,273-$769,706
Other Expenses$581,412$78,244-$581,412
Current Officers, Directors, Trustees, and Key Employees-$485,507-$485,507
Fees for Services Other$355,021$10,847-$365,868
Office Expenses$297,105$23,076-$320,181
Insurance$194,123$9,721-$203,844
Interest$106,398$3,465-$109,863
All Other Expenses$93,480--$93,480
Fees for Services Legal-$83,701-$83,701
Information Technology$45,740--$45,740
Fees for Services Accounting-$40,000-$40,000
Conferences and Meetings$3,317$2,079-$5,396
Fees for Services Lobbying-$1,505-$1,505
Total Functional Expenses$16,185,096$1,096,437$0$17,281,533

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$17,281,533
Total Expenses per Audited Statements$17,281,533
Total Expenses per Form 990$17,281,533
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
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
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
DUE TO ST. JOHN'S RIVERSIDE HOSPITAL$8,234,063
Professional Liabilities$898,000
Due to Third Party Payors$324,441
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Riverside health care system, inc. Is the sole member of the pavilion.

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

The sole member of the pavilion has the power to elect and remove the board of trustees.

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

Reserved powers of member the following powers are reserved exclusively to the member, and no attempted exercise of any such powers by anyone other than the member shall be valid or of any force or effect whatsoever: (a) power to elect and remove the board of trustees (b) power to amend the certificate of incorporation and bylaws of the corporation (c) power to acquire, alienate, convey or mortgage the real property, endowment funds or other permanent assets of the corporation (d) power to dispose of all or substantially all of the physical assets of the corporation provided that the board of trustees shall have the right to approve certificate of need applications filed by or on behalf of the corporation and the related use of assets. (e) power to authorize the establishment of subsidiary and sponsored corporations and to approve the initial certificate of incorporation and bylaws of such organizations.

Form 990, Part VI, Section B, Line 11

The irs form 990 is prepared by the controller of michael malotz skilled nursing pavilion and reviewed by the chief financial officer of riverside health care system, inc. The outside accounting firm then reviews the draft form 990 before a copy is provided to the board. The draft was provided by email to all board trustees before its board meeting. The irs form 990 was reviewed and discussed in detail at the meeting prior to filing the form with the irs.

Form 990, Part VI, Section B, Line 12C

The conflict of interest statements are sent by st. John's riverside hospital's director of performance improvement (compliance officer) to all department heads, key employees and board trustees annually at the end of the fiscal year, with the expectation that they be returned to the compliance officer in january of the following year. When returned, the statements are reviewed by the compliance officer. All information is kept confidential and statements are maintained in the compliance office. The compliance officer will consult with outside counsel as necessary concerning any potential problems or possible conflicts of interest. The compliance officer will report any conflicts of interest or possible conflicts of interest to the the board of trustees for review. The individual with the conflict will be excused from voting on the matter in which a decision is made on how to proceed with the potential conflict. Any decision made by the board is documented in the minutes to that meeting.

Form 990, Part VI, Section B, Line 15

The board of trustees reviews and approves salary recommendations of top management employees, key employees and officers. Salary recommendations are provided by riverside health care system's human resources department which includes studies from independent outside firms and sampling of local areas salary structures.

Form 990, Part VI, Section C, Line 18

The pavillion makes its form 1023 and form 990 available to the public upon request. The pavilion's form 990 is also available on guidestar's website, and other similar types of websites.

Form 990, Part VI, Section C, Line 19

The michael malotz skilled nursing pavilion (pavilion) makes its governing documents, conflict of interest policy and financial statements available to the general public upon request. The pavilion also files an annual cost report with the new york state department of health which contains financial statements and related note disclosures, which is available to the public upon request.

Filing and Contact Details

Filer

EIN
31-1587828
Phone
9149643333

Signing Officer

Name
Mark Pohar
Title
Administrator
Phone
9149643333
Signed
2014-07-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mark Pohar
Formed
1998
Legal Domicile
Ny
Voting Board Members
7
Independent Board Members
7
Employees
254
Volunteers
7

Preparer

Preparer
Garrett M Higgins
Phone
9143818900
Supplemental Narrative

Additional Explanations

Form 990, Part XII, Line 2C

The board of trustees assumes the responsibility for oversight of the audit and selection of the independent accounting firm. This process has not changed from the prior year.

Financial Statement Notes

PART IV, LINE 2B:

Residents' funds are held by mmsnp on behalf of the residents. Such funds represent allowances received by residents as well as other residents' funds deposited with mmsnp for safekeeping. The funds are disbursed by mmsnp at the request of, or on behalf of residents for their personal use.

PART X, LINE 2:

Mmsnp recognizes the effect of income tax positions only if those positions are more likely than not to be sustained. Management has determined that mmsnp had no uncertain tax positions that would require financial statement recognition or disclosure. Mmsnp is no longer subject to examinations by the applicable taxing jurisdictions for periods prior to december 31, 2010.

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IRS990/ActivityOrMissionDesc0RIVERSIDE HEALTH CARE SYSTEM, INC. WHICH INCLUDES ST. JOHN'S RIVERSIDE HOSPITAL (SJRH) AND MICHAEL MALOTZ SKILLED NURSING PAVILION ("PAVILION") IS DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL CARE IN A COMPASSIONATE, PROFESSIONAL, RESPECTFUL AND ETHICAL MANNER TO EVERY PATIENT. BY OFFERING EXCELLENCE IN MEDICAL AND NURSING CARE, STATE-OF-THE-ART TECHNOLOGIES, CONTINUING EDUCATION AND PREVENTIVE SERVICES, WE ARE COMMITTED TO IMPROVING THE CARE WE PROVIDE AND THE QUALITY OF LIFE IN OUR COMMUNITY. WE ARE OPEN TO NEW IDEAS, DIRECTIONS AND INITIATIVES THAT MOST EFFECTIVELY RESPOND TO COMMUNITY HEALTH CARE NEEDS.
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt9104231
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10100169
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt11100931
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt12104978
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt2TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt3TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt4TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt5TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt6TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt7ADMINISTRATOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8CONTROLLER
IRS990/Form990PartVIISectionAGrp/TitleTxt9NURSING SUPERVISOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR OF NURSING
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR OF REHABILITATION
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01998
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt07
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt016430511
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt07
IRS990/IndivRcvdGreaterThan100KCnt06
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InformationTechnologyGrp/ProgramServicesAmt045740
IRS990/InformationTechnologyGrp/TotalAmt045740
IRS990/InsuranceGrp/ManagementAndGeneralAmt09721
IRS990/InsuranceGrp/ProgramServicesAmt0194123
IRS990/InsuranceGrp/TotalAmt0203844
IRS990/InterestGrp/ManagementAndGeneralAmt03465
IRS990/InterestGrp/ProgramServicesAmt0106398
IRS990/InterestGrp/TotalAmt0109863
IRS990/InventoriesForSaleOrUseGrp/BOYAmt012768
IRS990/InventoriesForSaleOrUseGrp/EOYAmt010560
IRS990/InvestmentIncomeGrp/ExclusionAmt023516
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt023516
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt021
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt013609447
IRS990/LandBldgEquipBasisNetGrp/BOYAmt07692945
IRS990/LandBldgEquipBasisNetGrp/EOYAmt07133756
IRS990/LandBldgEquipCostOrOtherBssAmt020743203
IRS990/LegalDomicileStateCd0NY
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd01
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MiscellaneousRevenueGrp/ExclusionAmt03911
IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt03911
IRS990/MissionDesc0TO PROVIDE SKILLED NURSING AND REHABILITATION SERVICES TO GERIATRIC, SUBACUTE AND VENTILATOR DEPENDENT RESIDENTS.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt011939008
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt011585886
IRS990/NetAssetsOrFundBalancesBOYAmt0-2949341
IRS990/NetAssetsOrFundBalancesEOYAmt0-3800363
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt024084
IRS990/OccupancyGrp/ProgramServicesAmt01002219
IRS990/OccupancyGrp/TotalAmt01026303
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt023076
IRS990/OfficeExpensesGrp/ProgramServicesAmt0297105
IRS990/OfficeExpensesGrp/TotalAmt0320181
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt07100674
IRS990/OtherAssetsTotalGrp/EOYAmt08711926
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt084141
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt01124714
IRS990/OtherEmployeeBenefitsGrp/TotalAmt01208855
IRS990/OtherExpensesGrp/Desc0BAD DEBT EXPENSE
IRS990/OtherExpensesGrp/Desc1PURCH & CONTRACTED SERV
IRS990/OtherExpensesGrp/Desc2MEDICAL SUPPLIES
IRS990/OtherExpensesGrp/Desc3NYS CASH ASSESSMENT
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt078244
IRS990/OtherExpensesGrp/ProgramServicesAmt01360000
IRS990/OtherExpensesGrp/ProgramServicesAmt1816376
IRS990/OtherExpensesGrp/ProgramServicesAmt2696431
IRS990/OtherExpensesGrp/ProgramServicesAmt3581412
IRS990/OtherExpensesGrp/TotalAmt01360000
IRS990/OtherExpensesGrp/TotalAmt1894620
IRS990/OtherExpensesGrp/TotalAmt2696431
IRS990/OtherExpensesGrp/TotalAmt3581412
IRS990/OtherLiabilitiesGrp/BOYAmt07806067
IRS990/OtherLiabilitiesGrp/EOYAmt09456504
IRS990/OtherRevenueMiscGrp/BusinessCd0812930
IRS990/OtherRevenueMiscGrp/BusinessCd1900099
IRS990/OtherRevenueMiscGrp/BusinessCd2900099
IRS990/OtherRevenueMiscGrp/Desc0EMPLOYEE PARKING
IRS990/OtherRevenueMiscGrp/Desc1TELEPHONE/TELEVISION INCOME
IRS990/OtherRevenueMiscGrp/Desc2REBATE
IRS990/OtherRevenueMiscGrp/ExclusionAmt019097
IRS990/OtherRevenueMiscGrp/ExclusionAmt118962
IRS990/OtherRevenueMiscGrp/ExclusionAmt29179
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt019097
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt118962
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt29179
IRS990/OtherRevenueTotalAmt051149
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0139324
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt06913021
IRS990/OtherSalariesAndWagesGrp/TotalAmt07052345
IRS990/OtherWebsiteInd0X
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt073262
IRS990/PayrollTaxesGrp/ProgramServicesAmt0770457
IRS990/PayrollTaxesGrp/TotalAmt0843719
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt013208
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt01079849
IRS990/PensionPlanContributionsGrp/TotalAmt01093057
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt035292
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt081445
IRS990/PrincipalOfficerNm0MARK POHAR
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0623000
IRS990/ProgramServiceRevenueGrp/BusinessCd1623000
IRS990/ProgramServiceRevenueGrp/BusinessCd2623000
IRS990/ProgramServiceRevenueGrp/BusinessCd3623000
IRS990/ProgramServiceRevenueGrp/Desc0MEDICAID
IRS990/ProgramServiceRevenueGrp/Desc1MEDICARE
IRS990/ProgramServiceRevenueGrp/Desc2COMMERCIAL INSURANCE
IRS990/ProgramServiceRevenueGrp/Desc3PRIVATE PAY
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt09251922
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt14498261
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt21777931
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt3821111
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt09251922
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt14498261
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt21777931
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt3821111
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt03537
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt029148
IRS990/PYOtherExpensesAmt05365801
IRS990/PYOtherRevenueAmt035112
IRS990/PYProgramServiceRevenueAmt015330802
IRS990/PYRevenuesLessExpensesAmt031141
IRS990/PYSalariesCompEmpBnftPaidAmt010001657
IRS990/PYTotalExpensesAmt015367458
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt015398599
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-851022
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd01
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt016349225
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0453312
IRS990/SavingsAndTempCashInvstGrp/EOYAmt037795
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearAmt03150
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus1YearAmt0950
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus2YearsAmt04420
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus3YearsAmt01325
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus4YearsAmt0500
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt010345
IRS990ScheduleA/Form990ScheduleAPartIVGrp/ExplanationTxt0VENDING MACHINES INCOME - 2009 AMOUNT: $ 2,725. 2010 AMOUNT: $ 2,551. 2013 AMOUNT: $ 1,937. CASH DISCOUNT - 2009 AMOUNT: $ 418. 2010 AMOUNT: $ 242. MEDICAL ABSTRACTION FEES - 2009 AMOUNT: $ 1,566. 2010 AMOUNT: $ 4,716. 2013 AMOUNT: $ 7. REFUNDS AND REBATES - 2009 AMOUNT: $ 1,346. 2010 AMOUNT: $ 6,015. 2011 AMOUNT: $ 8,089. 2012 AMOUNT: $ 3,863. 2013 AMOUNT: $ 9,179. SOLD SERVICES - 2009 AMOUNT: $ 12,000. 2010 AMOUNT: $ 9,000. EMPLOYEE PARKING FEES - 2009 AMOUNT: $ 9,577. 2010 AMOUNT: $ 12,949. 2011 AMOUNT: $ 19,195. 2012 AMOUNT: $ 19,700. 2013 AMOUNT: $ 19,097. OTHER - 2009 AMOUNT: $ 2,555. 2011 AMOUNT: $ 966. 2012 AMOUNT: $ 11,549. 2013 AMOUNT: $ 1,967. TELEPHONE/TELEVISION INCOME - 2013 AMOUNT: $ 18,962.
IRS990ScheduleA/Form990ScheduleAPartIVGrp/FormAndLineReferenceDesc0SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME:
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt06621
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt03537
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt050565
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt07109
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt03155
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt070987
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt023516
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt029148
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt041336
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt045935
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt064582
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt0204517
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt016349225
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt015330802
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt014916272
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt013592296
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt013275709
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt073464304
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt023516
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt029148
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt041336
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt045935
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt064582
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt0204517
IRS990ScheduleA/InvestmentIncomeCYPct00.00280
IRS990ScheduleA/InvestmentIncomePYPct00.00370
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt051149
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt035112
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt028250
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt035473
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt030187

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