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Nonprofiteer
← BROOKS SKILLED NURSING FACILITY HOLDINGS A INC

Form 990 for tax year 2023

Filed by BROOKS SKILLED NURSING FACILITY HOLDINGS A INC.

Totals

Total revenue
$906,601
Total expenses
$905,193
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$906,601
Investment income
$0
Other revenue
$0
Total assets, end of year
$21,514,848
Total liabilities, end of year
$28,440,995
Net assets or fund balances, end of year
-$6,926,147
Program services expenses (Part IX)
$905,193
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$905,193

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Douglas M Baer

    Chairman / CEO

    Total calculated
    $652,428
    From this org
    $0
    From related orgs
    $583,131
    Other
    $69,297
    Hours/week
    1 + 51 related

    Schedule J breakdown matched by us

    Base
    $0 + $579,270 related
    Bonus
    $0
    Other
    $0 + $3,861 related
    Deferred
    $0 + $51,959 related
    Nontaxable benefits
    $0 + $17,338 related
    Filer's total
    $0 + $652,428 related
  • J Britton Tabor

    CFO

    Total calculated
    $444,528
    From this org
    $0
    From related orgs
    $436,599
    Other
    $7,929
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $432,738 related
    Bonus
    $0
    Other
    $0 + $3,861 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $7,929 related
    Filer's total
    $0 + $444,528 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3
THE ORGANIZATION DOES NOT COMPENSATE ANY OFFICERS OR KEY EMPLOYEES DIRECTLY. CERTAIN BOARD MEMBERS AND MANAGEMENT OFFICIALS ARE COMPENSATED BY BROOKS HEALTH SYSTEM, A RELATED ORGANIZATION. THE BOARD OF BROOKS HEALTH SYSTEM USES THE FOLLOWING METHODS TO DETERMINE EXECUTIVE COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION STUDY OR SURVEY - APPROVAL BY COMPENSATION COMMITTEE

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2023
Filed
6 December 2024
IRS schema version
2023v5.1
Source object
202423419349301017

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