North Rockford Convalescent Home in Rockford, Illinois (IL)

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North Rockford Convalescent Home
Employer Identification Number (EIN)362182076
Name of OrganizationNorth Rockford Convalescent Home
In Care of NameWILLIAM PRATT
Address4141 N Rockton Ave, Rockford, IL 61103
ActivitiesHospital
SubsectionCharitable Organization
Ruling Date06/1937
DeductibilityContributions are deductible
FoundationOrganization that normally receives no more than one third of its support from gross investment income and unrelated business income and at the same time more than one third of its support from contributions, fees, and gross receipts related to exempt purposes
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period2012
Assets$10,000,000 to $49,999,999
Income$1,000,000 to $4,999,999
Filing Requirement990 (all other) or 990EZ return
Asset Amount$14,430,770
Amount of Income$1,133,902
Form 990 Revenue Amount$1,133,902
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Nursing, Convalescent Facilities


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Amount of income in 2012: $1,133,902 (it was $1,133,902 in 2014)
This organization: 

 $1,133,902
Other organizations performing similar types of work: 

 $4,850,977

Assets in 2012: $14,430,770 (it was $14,430,770 in 2014)
North Rockford Convalescent Home: 

 $14,430,770
Other organizations performing similar types of work: 

 $4,393,216

Expenses in 2014: $1,795,335
North Rockford Convalescent Home: 

 $1,795,335
Other organizations performing similar types of work: 

 $4,758,809

Income to expenses ratio in 2014: 0.6
This organization: 

 0.6
Other organizations performing similar types of work: 

 1.1

Grants share in income in 2014: 0.0%
North Rockford Convalescent Home: 

 0.0%
Other organizations performing similar types of work: 

 0.0%

Financial snapshot ($)

Revenue for 2014

Assets at the end of 2014

Functional expenses for 2014

Checklist
2014
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?Yes
Is the organization required to complete Schedule B, Schedule of Contributors?No
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?No
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?No
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?No
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?No
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?No
Did the organization maintain collections of works of art, historical treasures, or other similar assets?No
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?No
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?No
Did the organization report an amount for land, buildings, and equipment?Yes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?No
Did the organization report an amount for investments-program related that is 5% or more of its total assets?No
Did the organization report an amount for other assets that is 5% or more of its total assets?No
Did the organization report an amount for other liabilities?Yes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?No
Did the organization obtain separate, independent audited financial statements for the tax year?No
Was the organization included in consolidated, independent audited financial statements for the tax year?No
Is the organization a school described in section 170(b)(1)(A)(ii)?No
Did the organization maintain an office, employees, or agents outside of the United States?No
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?No
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?No
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?No
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?No
Did the organization report more than $15,000 total of fundraising event gross income and contributions?No
Did the organization report more than $15,000 of gross income from gaming activities?No
Did the organization operate one or more hospital facilities?No
Did the organization attach a copy of its audited financial statements?No
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?No
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?No
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?Yes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?No
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?No
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?No
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?No
Did the organization engage in an excess benefit transaction with a disqualified person during the year?No
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?No
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?No
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?No
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?No
A family member of a current or former officer, director, trustee, or key employee?No
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?No
Did the organization receive more than $25,000 in non-cash contributions?No
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?No
Did the organization liquidate, terminate, or dissolve and cease operations?No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?No
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?No
Was the organization related to any tax-exempt or taxable entity?Yes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?No
Did the organization make any transfers to an exempt non-charitable related organization?No
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?No
Statements Regarding Other IRS Filings and Tax Compliance
2014
The number reported in Box 3 of Form 10960
The number of Forms W-2G0
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?Yes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return0
Did the organization file all required federal employment tax returns?No
Did the organization have unrelated business gross income of $1,000 or more during the year?No
Has it filed a Form 990-T for this year?No
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?No
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?No
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?No
Did the organization file Form 8886-T?No
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?No
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?No
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?No
Did the organization notify the donor of the value of the goods or services provided?No
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?No
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?No
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?No
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?No
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?No
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?No
Did the sponsoring organization make any taxable distributions under section 4966?No
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?No
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities $0
Gross income from members or shareholders$0
Gross income from other sources$0
Is the organization filing Form 990 in lieu of Form 1041?No
The amount of tax-exempt interest received or accrued during the year$0
Is the organization licensed to issue qualified health plans in more than one state?No
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans$0
The amount of reserves on hand$0
Did the organization receive any payments for indoor tanning services during the tax year?No
Has it filed a Form 720 to report these payments?No
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
2014
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization$0
Total reportable compensation from related organizations$479,213
Total estimated amount of other compensation from the organization and related organizations$100,693
Total number of individuals who received more than $100,000 of reportable compensation from the organization3
Total number of independent contractors who received more than $100,000 of compensation from the organization0
Statement of Revenue
2014
Total revenue$1,133,902
Contributions, Gifts, Grants and Other Similar Amounts$0
Program Service Revenue$1,106,300
623000$1,068,601
623000$37,699
All other program service revenue$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$0
Income from investment of tax-exempt bond proceeds$0
Royalties$0
Net rental income$0
Net gain/loss from sales of assets other than inventory$0
Net income/loss from fundraising events$0
Net income/loss from gaming activities$0
Net income/loss from sales of inventory$0
Miscellaneous Revenue$27,602
623000$27,602
All other revenue$0
Statement of Functional Expenses
2014
Total functional expenses$1,795,335
Grants and other assistance to domestic organizations and domestic governments$0
Grants and other assistance to domestic individuals$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, trustees, and key employees$0
Compensation not included above, to disqualified persons$0
Other salaries and wages$0
Pension plan accruals and contributions$0
Other employee benefits$0
Payroll taxes$0
Fees for services (non-employees)
Management$52,630
Legal$78,684
Accounting$49,974
Lobbying$0
Professional fundraising services$0
Investment management fees$0
Other$27,862
Advertising and promotion$49,987
Office expenses$10,623
Information technology$2,634
Royalties$0
Occupancy$261,155
Travel$247
Payments of travel or entertainment expenses for any federal, state, or local public officials$0
Conferences, conventions, and meetings$0
Interest$234,053
Payments to affiliates$0
Depreciation, depletion, and amortization$450,957
Insurance$17,500
Other expenses$305,772
Other expenses$157,377
Other expenses$56,147
Other expenses$4,321
Other expenses$35,412
Balance Sheet
2014
Total assets$14,430,770
Cash - non-interest-bearing$0
Savings and temporary cash investments$41,952
Pledges and grants receivable, net$0
Accounts receivable, net$1,285
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations$0
Notes and loans receivable, net$0
Inventories for sale or use$0
Prepaid expenses and deferred charges$8,490
Land, buildings, and equipment: cost or other basis$10,424,043
Investments - publicly traded securities$0
Investments - other securities$0
Investments - program-related$0
Intangible assets$3,955,000
Other assets$0
Total liabilities$15,092,203
Accounts payable and accrued expenses$761,239
Grants payable$0
Deferred revenue$9,480,964
Tax-exempt bond liabilities$0
Escrow or custodial account liability$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons$0
Secured mortgages and notes payable to unrelated third parties$0
Unsecured notes and loans payable to unrelated third parties$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)$4,850,000
Total net assets or fund balances$-661,433
Unrestricted net assets$-661,433
Temporarily restricted net assets$0
Permanently restricted net assets$0
Capital stock or trust principal, or current funds$0
Paid-in or capital surplus, or land, building, or equipment fund$0
Retained earnings, endowment, accumulated income, or other funds$0
Reason for Public Charity Status (for 2014)
The organization is not a private foundation because it is:An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975
Number of organizations supported0
Sum of amounts of support$0
Support Schedule for Organizations Described in Section 509(a)(2) (for 2010 - 2014)
2010 - 2014 Total
Public support$1,133,902
Subtotal$1,133,902
Gifts, grants, contributions, and membership fees received$0
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose$1,133,902
Gross receipts from activities that are not an unrelated trade or business under section 513$0
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf$0
The value of services or facilities furnished by a governmental unit to the organization without charge$0
Less$0
Amounts received from disqualified persons$0
Amounts received from other than disqualified persons that exceed the greater of $5,000 or 1% of the total support$0
Total support$1,133,902
Public support$1,133,902
Subtotal$0
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources$0
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975$0
Net income from unrelated business activities, whether or not the business is regularly carried on$0
Other income$0
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Rutland Nursing Home Inc585 Schenectady Avenue, Brooklyn, NY 11203-1851NY1969-10$79,025,005
2Seven Acres Jewish Senior Care Services Inc6200 N Braeswood Blvd, Houston, TX 77074-7536TX1944-07$35,681,897
3St Johnland Nursing Center Inc395 Sunken Meadow Rd, Kings Park, NY 11754-1000NY1992-07$35,227,379
4Apostolic Christian Restmor Inc1500 Parkside Ave, Morton, IL 61550-2629IL1978-08$10,800,830
5Independent Order Of Odd Fellows, Odd Felllow Reb Home201 Lafayette Ave E, Mattoon, IL 61938-4641IL1962-05$8,547,347
6Evenglow Lodge215 E Washington St, Pontiac, IL 61764-2011IL1961-10$8,415,106
7Holy Family Villa12220 Will Cook Rd, Palos Park, IL 60464-7332IL$8,123,204
8Fairview Haven Inc605 609 N Fourth St, Fairbury, IL 61739IL1963-08$6,844,918
9Resurrection Rest Home100 N River Rd, Des Plaines, IL 60016-1209IL1946-03$6,678,950
10Sherman Long-Term Care Association, Sherman West Court3075 Highland Pkwy Fl 6, Downers Grove, IL 60515-5563IL1991-07$6,633,169
11Faith Countryside Homes100 Faith Dr, Highland, IL 62249-2638IL1979-11$6,532,810
12Country Health Inc115 W Jefferson St Ste 401, Bloomington, IL 61701-3967IL1967-07$6,316,981
13Lutheran Care Center702 W Cumberland Rd, Altamont, IL 62411-1053IL1979-10$5,190,356
14Burnsides Nursing Home, Community Health CenterPO BOX 219, Marshall, IL 62441-0219IL1964-11$4,850,977
15Southern Medical Bldg & Home Assoc Inc, Daystar Care Center2001 Cedar St, Cairo, IL 62914-1710IL1981-01$2,788,873
16The Center For Exceptional Care1435 Summit St, Elgin, IL 60120-9218IL1993-01$1,520,253
17West Town Senior Residence566 W Lake St, Chicago, IL 60661-1410IL1991-08$1,399,422
18North Rockford Convalescent Home4141 N Rockton Ave, Rockford, IL 61103IL1937-06$1,133,902
19Supportive Care Project Inc120 W Golf Rd, Schaumburg, IL 60195IL1994-11$0
20Warde Corporation, Mcauley Manor400 Sullivan Rd, Aurora, IL 60506-1452IL1946-03$0
Number of organizations performing similar types of work
Alaska1
Alabama5
Arkansas6
Arizona5
California27
Colorado5
Connecticut12
Delaware3
Florida13
Georgia10
Hawaii1
Iowa27
Idaho2
Illinois27
Indiana10
Kansas18
Kentucky5
Louisiana8
Massachusetts35
Maryland18
Maine6
Michigan15
Minnesota26
Missouri24
Mississippi3
Montana2
North Carolina9
North Dakota12
Nebraska9
New Hampshire3
New Jersey9
New Mexico3
New York67
Ohio20
Oklahoma6
Oregon4
Pennsylvania34
Rhode Island6
South Carolina5
South Dakota9
Tennessee11
Texas28
Utah1
Virginia14
Vermont2
Washington10
Wisconsin15
West Virginia7
Wyoming3
Total601

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