STRATEGY STUDIO / PUBLIC DATA EXPLORER

GLENHAVEN INC: Form 990, tax year 2025

View the entire original 990 at ProPublica ↗

Organization
GLENHAVEN INC (EIN 39-0968652)
Tax period
2025-01-01 to 2025-12-31
Filed
2026-06-30
IRS object ID
202601829349300105
Schema version
2025v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2026-06-30T23:26:04-05:00ReturnTs
Tax Period End2025-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN393647910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI ADVISORY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14890 OWEN AYRES COURT SUITE 200AddressLine1Txt
CityEAU CLAIRECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54701ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2025-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390968652EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GLENHAVEN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGLENBusinessNameControlTxt
Phone7152654555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1612 E OAK STAddressLine1Txt
CityGLENWOOD CITYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54013ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN LARSONPersonNm
Person TitleADMINISTRATORPersonTitleTxt
Phone7152654555PhoneNum
Signature2026-06-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNATE P MULRY CPAPreparerPersonNm
PTINP02334987PTIN
Phone7158323407PhoneNum
Preparation2026-06-30PreparationDt
FieldValueIRS element (for citing)
Tax2025TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN LARSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1612 E OAK STAddressLine1Txt
CityGLENWOOD CITYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54013ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,274,095GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GLENHAVENINC.COM/INDEX.HTMLWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1960FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO PROVIDE THERAPEUTIC, PREVENTATIVE, AND RESTORATIVE CARE TO OUR RESIDENTS THAT WILL ASSIST THEM TO OBTAIN AND MAINTAIN AN OPTIMUM LEVEL OF HEALTH AND WELL-BEING.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee99TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$19,528PYContributionsGrantsAmt
CY Contributions Grants$40,832CYContributionsGrantsAmt
PY Program Service Revenue$3,991,329PYProgramServiceRevenueAmt
CY Program Service Revenue$5,168,171CYProgramServiceRevenueAmt
PY Investment Income$27,911PYInvestmentIncomeAmt
CY Investment Income$24,162CYInvestmentIncomeAmt
PY Other Revenue$32,312PYOtherRevenueAmt
CY Other Revenue$40,930CYOtherRevenueAmt
PY Total Revenue$4,071,080PYTotalRevenueAmt
CY Total Revenue$5,274,095CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,723,413PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,483,457CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,641,564PYOtherExpensesAmt
CY Other Expenses$2,554,167CYOtherExpensesAmt
PY Total Expenses$4,364,977PYTotalExpensesAmt
CY Total Expenses$5,037,624CYTotalExpensesAmt
PY Revenues Less Expenses-$293,897PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$236,471CYRevenuesLessExpensesAmt
Total Assets BOY$8,656,917TotalAssetsBOYAmt
Total Assets EOY$8,629,527TotalAssetsEOYAmt
Total Liabilities BOY$7,934,138TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,670,277TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$722,779NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$959,250NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE THERAPEUTIC, PREVENTATIVE, AND RESTORATIVE CARE TO OUR RESIDENTS THAT WILL ASSIST THEM TO OBTAIN AND MAINTAIN AN OPTIMUM LEVEL OF HEALTH AND WELL-BEING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,582,028ExpenseAmt
Grant$0GrantAmt
Revenue$5,168,171RevenueAmt
DescSKILLED NURSING HOME, 44 BED FACILITY, 16 UNIT COMMUNITY BASED RESIDENTIAL FACILITY, AND 16-UNIT RESIDENTIAL CARE APARTMENT COMPLEX.Desc
Total Program Service Expenses$4,582,028TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee99EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7152654555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1612 E OAK STAddressLine1Txt
CityGLENWOOD CITYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54013ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
KEVIN LARSON
ADMINSTRATOR40.00Yes (X)$128,755$0$6,977
ROBIN MERTEN
DIRECTOR OF NURSING40.00$117,784$0$7,586Yes (X)
SAMANTHA MOE
DIRECTOR OF FINANCE40.00Yes (X)$62,217$0$13,855
PAUL RAMEY
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
LESLEY NELSON
VICE PRESIDENT1.00Yes (X)$0$0$0Yes (X)
JOHN MCCUTCHIN
TREASURER1.00Yes (X)$0$0$0Yes (X)
CYNTHIA TUTTLE
SECRETARY1.00Yes (X)$0$0$0Yes (X)
MELISSA LARSON
DIRECTOR1.00$0$0$0Yes (X)
EVELYN WYLIE
DIRECTOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$308,756TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$28,418TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NORTHERN STAFFING LLC
273 110TH STREETAMERYWI54001STAFFING AGENCY$556,220
TRIAGE LLC
PO BOX 773328CHICAGOIL60677STAFFING AGENCY$326,675
SELECT REHABILITATION
PO BOX 71985CHICAGOIL60694THERAPY SERVICES$213,298
MARTIN BROTHERS
PO BOX 69CEDAR FALLSIA50613FOOD SERVICES$192,206
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$2,516GovernmentGrantsAmt
All Other Contributions$38,316AllOtherContributionsAmt
Total Contributions$40,832TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SKILLED NURSING FACILI623000$4,380,041$4,380,041
COMMUNITY BASED RESIDE623000$586,897$586,897
ASSISTED LIVING REVENU623000$177,233$177,233
DAY CARE REVENUE624410$24,000$24,000
FieldValueIRS element (for citing)
Total Program Service Revenue$5,168,171TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,162TotalRevenueColumnAmt
Exclusion$24,162ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,930TotalRevenueColumnAmt
Exclusion$40,930ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$40,930OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,274,095TotalRevenueColumnAmt
Related Or Exempt Func Income$5,168,171RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$65,092ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$211,804TotalAmt
Management And General$211,804ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,934,530TotalAmt
Program Services$1,813,658ProgramServicesAmt
Management And General$120,872ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$16,359TotalAmt
Program Services$16,359ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$161,509TotalAmt
Program Services$150,616ProgramServicesAmt
Management And General$10,893ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$159,255TotalAmt
Program Services$135,890ProgramServicesAmt
Management And General$23,365ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,870TotalAmt
Management And General$2,870ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$44,392TotalAmt
Management And General$44,392ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$30TotalAmt
Management And General$30ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$11,961TotalAmt
Program Services$11,961ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,485TotalAmt
Program Services$13,485ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$114,035TotalAmt
Program Services$107,382ProgramServicesAmt
Management And General$6,653ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,365TotalAmt
Program Services$1,365ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,531TotalAmt
Program Services$2,531ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$243,502TotalAmt
Program Services$228,794ProgramServicesAmt
Management And General$14,708ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$331,273TotalAmt
Program Services$311,264ProgramServicesAmt
Management And General$20,009ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$86,236TotalAmt
Program Services$86,236ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
NURSING EXPENSES$1,180,465$1,180,465
REPAIRS AND MAINTENANCE$177,922$177,922
FOOD & DIETARY SUPPLIES$162,710$162,710
PROVIDER BED TAX ASSESS$89,760$89,760

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$91,630TotalAmt
Program Services$91,630ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,037,624TotalAmt
Program Services$4,582,028ProgramServicesAmt
Management And General$455,596ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$142BOYAmt
EOY$179EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$882,905BOYAmt
EOY$1,103,135EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,618BOYAmt
EOY$21,691EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$429,898BOYAmt
EOY$450,391EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,334BOYAmt
EOY$22,398EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,347,643LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,652,815LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,008,107BOYAmt
EOY$6,694,828EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$318,913BOYAmt
EOY$336,905EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,656,917BOYAmt
EOY$8,629,527EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$292,122BOYAmt
EOY$275,684EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$3,868BOYAmt
EOY$5,532EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$7,638,148BOYAmt
EOY$7,389,061EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,934,138BOYAmt
EOY$7,670,277EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$722,779BOYAmt
EOY$959,250EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$722,779BOYAmt
EOY$959,250EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,656,917BOYAmt
EOY$8,629,527EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$236,471ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$725,666CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$782,102CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,613CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,528CurrentTaxYearMinus1YearAmt
Current Tax Year$40,832CurrentTaxYearAmt
Total$1,606,741TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,593,309CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,148,622CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,541,852CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,991,329CurrentTaxYearMinus1YearAmt
Current Tax Year$5,168,171CurrentTaxYearAmt
Total$19,443,283TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,318,975CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,930,724CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,580,465CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,010,857CurrentTaxYearMinus1YearAmt
Current Tax Year$5,209,003CurrentTaxYearAmt
Total$21,050,024TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$21,050,024PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,873CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,870CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,634CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,911CurrentTaxYearMinus1YearAmt
Current Tax Year$24,162CurrentTaxYearAmt
Total$97,450TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,873CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,870CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,634CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,911CurrentTaxYearMinus1YearAmt
Current Tax Year$24,162CurrentTaxYearAmt
Total$97,450TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$51,055CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$65,924CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$37,832CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,312CurrentTaxYearMinus1YearAmt
Current Tax Year$40,930CurrentTaxYearAmt
Total$228,053TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,377,903CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,005,518CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,646,931CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,071,080CurrentTaxYearMinus1YearAmt
Current Tax Year$5,274,095CurrentTaxYearAmt
Total$21,375,527TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98480PublicSupportCY509Pct
Public Support PY5090.98710PublicSupportPY509Pct
Investment Income CY0.00460InvestmentIncomeCYPct
Investment Income PY0.00420InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$188,315OtherCostOrOtherBasisAmt
Book Value$188,315BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,593,258OtherCostOrOtherBasisAmt
Depreciation$3,330,632DepreciationAmt
Book Value$6,262,626BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,492,327OtherCostOrOtherBasisAmt
Depreciation$1,248,440DepreciationAmt
Book Value$243,887BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$73,743OtherCostOrOtherBasisAmt
Depreciation$73,743DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,694,828TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE ORGANIZATION REQUIRES SECURITY DEPOSITS FROM TENANTS OF ITS APARTMENTS. WITHDRAWALS ARE MADE TO REFUND TENANT DEPOSITS OR TO PAY THE COSTS OF REPAIRING VACANT UNITS. THE ORGANIZATION ALSO HOLDS FUNDS ON BEHALF OF RESIDENTS. THE ORGANIZATION HAS A RESPONSIBILITY FOR BOTH THE ADMINISTRATION AND DISTRIBUTION OF THE FUNDS TO THE RESIDENTS.
PART X, LINE 2:THE ORGANIZATION IS REQUIRED TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION ON THE TECHNICAL MERITS OF THE POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION HAS DETERMINED THERE ARE NO AMOUNTS TO RECORD AS ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA DRAFT OF FORM 990 IS REVIEWED BY THE ADMINISTRATOR AND BOARD OF DIRECTORS BEFORE IT IS SIGNED AND FILED.
FORM 990, PART VI, SECTION B, LINE 12CEACH DIRECTOR, OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY AND UNDERSTANDS THE CORPORATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER THE TRANSACTION OR ARRANGEMENT.
FORM 990, PART VI, SECTION B, LINE 15AIN MANY YEARS, LEADING AGE WISCONSIN DATA IS USED TO DETERMINE THE COMPENSATION OF THE ADMINISTRATOR. ANNUALLY A PERFORMANCE REVIEW IS CONDUCTED, AND YEAR OF EXPERIENCE IS CONSIDERED IN DETERMINING AND APPROVING ADMINISTRATOR COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTATION IS AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HAVENWOOD MANAGER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1612 E OAK STREETAddressLine1Txt
CityGLENWOOD CITYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54013ZIPCd
FieldValueIRS element (for citing)
EIN390968652EIN
Primary ActivitiesLOW-INCOME RESIDENTIAL CARE APARTMENT COMPLEXPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GLENHAVEN INCBusinessNameLine1Txt

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HAVENWOOD LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1612 E OAK STREETAddressLine1Txt
CityGLENWOOD CITYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54013ZIPCd
FieldValueIRS element (for citing)
EIN260440303EIN
Primary ActivitiesLOW-INCOME RESIDENTIAL CARE APARTMENT COMPLEXPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GLENHAVEN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeEXCLUDEDPredominantIncomeTypeTxt
Share Of Total Income-$9ShareOfTotalIncomeAmt
Share Of EOY Assets$706,765ShareOfEOYAssetsAmt
Disproportionate AllocationsYes (1)DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.00010OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd