| FORM 990, PAGE 6, PART VI, LINE 3 |
THE ORGANIZATION IS MANAGED BY AN UNRELATED THIRD PARTY. UNDER TERMS OF THE MANAGEMENT CONTRACT, THE MANAGEMENT COMPANY PROVIDES A FACILITY ADMINISTRATOR, CLINICAL AND ACCOUNTING SERVICES, AND ANY OTHER SUCH SERVICES AS DEEMED NECESSARY. |
| FORM 990, PAGE 6, PART VI, LINE 11B |
MANAGEMENT REVIEWS FORM 990 WITH THE PREPARER PRIOR TO FILING. FORM 990 IS NOT SENT TO THE ENTIRE GOVERNING BODY PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C |
THE BOARD IS CONGNIZANT OF ANY POTENTIAL CONFLICTS OF INTEREST AND QUESTIONS DIRECTORS ANNUALLY, OR MORE FREQUENTLY IF NEEDED, ABOUT ANY POTENTIAL CONFLICTS. |
| FORM 990, PAGE 6, PART VI, LINE 15A |
THE EXECUTIVE DIRECTOR'S SALARY IS SET BY THE BOARD OF DIRECTORS AND IS REVIEWED ANNUALLY, BASED ON PERFORMANCE. THE EXECUTIVE DIRECTOR IS CONSIDERED TO BE THE TOP MANAGEMENT OFFICIAL CARRYING OUT THE BOARD'S POLICIES. THE FACILITY ADMINISTRATOR IS EMPLOYED BY AND PAID THROUGH THE THIRD-PARTY MANAGEMENT COMPANY. |
| FORM 990, PAGE 6, PART VI, LINE 18 |
THE ORGANIZATION'S FORM 1023 AND FORM 990 ARE MADE AVAILABLE TO THE PUBLIC AT THE ORGANIZATION'S OFFICES UPON REQUEST. |
| FORM 990, PAGE 6, PART VI, LINE 19 |
THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AT THE ORGANIZATION'S OFFICES UPON REQUEST. |
| FORM 990, PART IX, LINE 11G |
AGENCY LABOR 1,920,022 0 0 CONTRACT SERVICES 267,625 253,580 0 THERAPY SERVICES 842,904 0 0 OTHER ADMINISTRATIVE 0 67,249 0 OTHER PROFESSIONAL 0 65,964 0 TOTAL 3,030,551 386,793 0 |
| FORM 990, PART XI, LINE 9 |
RENTAL PROPERTY TAXES IN EXPENSE ON F/S 5,755 RENTAL PROPERTY DEPRECIATION IN EXPENSE ON F/S 7,055 CHANGE IN VALUE OF INTEREST-RATE SWAP 1,342,615 RENTAL PROPERTY TAXES IN EXPENSE ON F/S -5,755 RENTAL PROPERTY DEPRECIATION IN EXPENSE ON F/S -7,055 TOTAL 1,342,615 |
Attach to Form 990 or 990-EZ.