Totals
- Total revenue
- $964,568
- Total expenses
- $744,272
- Contributions and grants received
- $187,427
- Grants paid
- $0
- Program service revenue
- $662,669
- Investment income
- $114,404
- Other revenue
- $68
- Total assets, end of year
- $1,721,555
- Total liabilities, end of year
- $1,049,562
- Net assets or fund balances, end of year
- $671,993
- Program services expenses (Part IX)
- $668,538
- Management and general expenses
- $75,734
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $668,538
Program services were 89.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1f · All other contributions, gifts and grants
$187,427
-
1g · Noncash contributions included above
$167,497
-
2a · Program service revenue: ASSISTED LIVING FEES
total $662,669 · related or exempt $662,669
-
3 · Investment income
total $17,545 · excluded $17,545
-
7a · Gross sales of assets other than inventory
securities $369,124
-
7b · Less cost or other basis and sales expenses
securities $272,265
-
7c · Gain or loss
securities $96,859
-
7d · Net gain or loss
total $96,859 · related or exempt $96,859
-
11a · Other revenue: MISCELLANEOUS
total $68 · related or exempt $68
-
11e · Other revenue, total
$68
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $372,717 · program services $309,293 · management and general $63,424
-
9 · Other employee benefits
total $24,916 · program services $22,646 · management and general $2,270
-
10 · Payroll taxes
total $36,026 · program services $25,986 · management and general $10,040
-
11c · Fees: accounting
total $4,100 · program services $4,100
-
12 · Advertising and promotion
total $3,461 · program services $3,461
-
13 · Office expenses
total $6,539 · program services $6,539
-
16 · Occupancy
total $50,839 · program services $50,839
-
20 · Interest
total $45,285 · program services $45,285
-
22 · Depreciation, depletion and amortization
total $61,736 · program services $61,736
-
23 · Insurance
total $52,109 · program services $52,109
-
24a · Other expenses: FOOD
total $41,675 · program services $41,675
-
24b · Other expenses: REPAIRS
total $35,812 · program services $35,812
-
24c · Other expenses: SUPPLIES
total $5,397 · program services $5,397
-
24d · Other expenses: MISCELLANEOUS
total $3,321 · program services $3,321
-
24e · All other expenses
total $339 · program services $339
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $0 · end of year $112,333
-
4 · Accounts receivable
beginning of year $852 · end of year $5,368
-
10a · Land, buildings and equipment: cost or other basis
$2,299,657
-
10b · Land, buildings and equipment: accumulated depreciation
$1,165,576
-
10c · Land, buildings and equipment, net
beginning of year $1,166,035 · end of year $1,134,081
-
12 · Investments: other securities
beginning of year $385,876 · end of year $161,895
-
13 · Investments: program-related
beginning of year $148,979 · end of year $307,878
-
17 · Accounts payable and accrued expenses
beginning of year $79,585 · end of year $94,627
-
23 · Secured mortgages and notes payable
beginning of year $937,148 · end of year $880,982
-
25 · Other liabilities
beginning of year $56,853 · end of year $73,953
-
29 · Capital stock, trust principal or current funds
beginning of year $10,100 · end of year $10,200
-
30 · Paid-in or capital surplus, or land, building or equipment fund
beginning of year $0 · end of year $0
-
31 · Retained earnings, endowment or other funds
beginning of year $618,056 · end of year $661,793
Mission and programs · 2022
Mission
OPERATION OF AN ASSISTED LIVING FACILITY TO PROVIDE QUALITY HOUSING FOR FIFTEEN RESIDENTS.
Activities or mission (Part I)
COUNTRY LIVING IS AN ASSISTED LIVING CENTER DEDICATED TO PROVIDING QUALITY HOUSING TO THE SENIORS IN OUR COMMUNITY AT AN AFFORDABLE PRICE.
-
OPERATION OF AN ASSISTED LIVING FACILITY SERVING FIFTEEN RESIDENTS NEEDS.
Expenses $542,707 · Revenue $677,243
-
OPERATION OF AN ASSISTED LIVING FACILITY PROVIDING FOR FOUR MEDICAID RESIDENT ROOMS.
Expenses $125,831 · Revenue $82,353
As filed on the 2022 return.
Listed in Part VII
-
Katherine FrancisKATHERINE FRANCIS
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Joseph BrummerJOSEPH BRUMMER
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
Martha HadsallMARTHA HADSALL
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Ronald PoorRONALD POOR
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Gerald WolffGERALD WOLFF
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Patricia BertholfPATRICIA BERTHOLF
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Kristin StoughtonKRISTIN STOUGHTON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
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.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 1 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202303129349304070
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