SIMPSON MEMORIAL HOME INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- SIMPSON MEMORIAL HOME INC (EIN 42-0950871)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-01-15
- IRS object ID
- 202500159349303005
- Schema version
- 2023v6.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-01-15T17:24:14-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 882802798 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORGE FINANCIAL & MANAGEMENT CONSULTING | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1245 JORDAN CREEK PKWY STE 100 | AddressLine1Txt |
| City | WEST DES MOINES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 502662343 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420950871 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIMPSON MEMORIAL HOME INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SIMP | BusinessNameControlTxt |
| Phone | 3196274775 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 N MILLER ST | AddressLine1Txt |
| City | WEST LIBERTY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52776 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CINDY MAYS | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 3196274775 | PhoneNum |
| Signature | 2025-01-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROSS VANLAAR CPA | PreparerPersonNm |
| PTIN | P01532250 | PTIN |
| Phone | 5156203050 | PhoneNum |
| Preparation | 2025-01-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CINDY MAYS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 N MILLER STREET | AddressLine1Txt |
| City | WEST LIBERTY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52776 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,480,393 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SIMPSONMEMORIALHOME.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDING CARE IN THE COMMUNITIES WE SERVE WHERE PEOPLE FEE VALUED, SAFE, RESPECTED, AND LOVED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 236 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $65,763 | PYContributionsGrantsAmt |
| CY Contributions Grants | $271,283 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,116,162 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,770,999 | CYProgramServiceRevenueAmt |
| PY Investment Income | $35,289 | PYInvestmentIncomeAmt |
| CY Investment Income | $110,932 | CYInvestmentIncomeAmt |
| PY Other Revenue | $77,529 | PYOtherRevenueAmt |
| CY Other Revenue | $82,057 | CYOtherRevenueAmt |
| PY Total Revenue | $8,294,743 | PYTotalRevenueAmt |
| CY Total Revenue | $9,235,271 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,328,123 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,776,019 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,914,595 | PYOtherExpensesAmt |
| CY Other Expenses | $4,212,122 | CYOtherExpensesAmt |
| PY Total Expenses | $9,242,718 | PYTotalExpensesAmt |
| CY Total Expenses | $9,988,141 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$947,975 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$752,870 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,819,320 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,135,610 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,033,098 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,977,541 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,786,222 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,158,069 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDING CARE IN THE COMMUNITIES WE SERVE WHERE PEOPLE FEEL VALUED, SAFE, RESPECTED, AND LOVED. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $8,549,793 | ExpenseAmt |
| Revenue | $8,770,999 | RevenueAmt |
| Desc | THE ORGANIZATION OPERATES TWO CAMPUSES THAT ACCEPTS PRIVATE PAY, MEDICARE, MEDICAID, AND LONG-TERM CARE INSURANCE. SIMPSON MEMORIAL HOME AT WEST LIBERTY HAS A 55 BED SNF/NF, 18 BED ASSISTED LIVING, 24 UNIT INDEPENDENT LIVING, AND 6 UNITS OF IL TOWNHOUSES. WILTON RETIREMENT COMMUNITY IN WILTON HAS A 34 BED SNF/NF (THAT INCLUDES 10 CCDI BEDS) AND A 24 BED ASSISTED LIVING. | Desc |
| Total Program Service Expenses | $8,549,793 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | Yes (true) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 236 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHAD THOMAS | PersonNm |
| Phone | 3196274775 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 N MILLER STREET | AddressLine1Txt |
| City | WEST LIBERTY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52776 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| CHAD THOMAS | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $95,166 | $0 | $0 | |
| CLIFFORD MCFERREN | ||||||
| ADMINISTRATO | 40.00 | Yes (X) | $91,206 | $0 | $0 | |
| LAURA BRANDT | ||||||
| ADMINISTRATO | 40.00 | Yes (X) | $73,605 | $0 | $9,160 | |
| FRED GRUNDER | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| LORI LEGGINS | ||||||
| PAST PRESIDE | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CINDY MAYS | ||||||
| PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ROBERT MILLER | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| GARY MOELLER | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| TED MAROLF | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| BOB OWEN | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| SARA SEDLACEK | ||||||
| VICE PRESIDE | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DAWN SMITH | ||||||
| SECRETARY/TR | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $259,977 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $9,160 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UNIVERSAL HEALTH SERVICES | |||||
| 367 SOUTH GULPH ROAD | KING OF PRUSSIA | PA | 19406 | GROUP BENEFITS | $439,543 |
| GRAPETREE MEDICAL STAFFING | |||||
| 2501 BOJI BEND DR SUITE 100 | MILFORD | IA | 51351 | STAFFING | $141,990 |
| CITY OF WEST LIBERTY | |||||
| 409 CALHOUN ST | WEST LIBERTY | IA | 52776 | UTILTIES | $138,907 |
| COTTINGHAM & BUTLER | |||||
| 800 MAIN ST | DUBUQUE | IA | 52001 | INSURANCE | $127,431 |
| WESTFIELD INSURANCE | |||||
| 1080 JORDAN CREEK PKWY 170 | WEST DES MOINES | IA | 50266 | INSURANCE | $121,021 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $44,638 | GovernmentGrantsAmt |
| All Other Contributions | $226,645 | AllOtherContributionsAmt |
| Total Contributions | $271,283 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| NURSING HOME SERVICES | 623000 | $8,706,755 | $8,706,755 | |
| OTHER INCOME | 623000 | $64,244 | $64,244 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,770,999 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72,403 | TotalRevenueColumnAmt |
| Exclusion | $72,403 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $307,178 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $225,121 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $82,057 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $82,057 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $82,057 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $58,530 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $20,001 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $38,529 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,529 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $38,529 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,235,271 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,827,341 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $136,647 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,565 | TotalAmt |
| Management And General | $276,565 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,771,513 | TotalAmt |
| Program Services | $4,663,589 | ProgramServicesAmt |
| Management And General | $107,924 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,938 | TotalAmt |
| Program Services | $335,875 | ProgramServicesAmt |
| Management And General | $5,063 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $387,003 | TotalAmt |
| Program Services | $357,957 | ProgramServicesAmt |
| Management And General | $29,046 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,576,474 | TotalAmt |
| Program Services | $1,576,474 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335,397 | TotalAmt |
| Program Services | $318,470 | ProgramServicesAmt |
| Management And General | $16,927 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,653 | TotalAmt |
| Management And General | $55,653 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $453,130 | TotalAmt |
| Program Services | $228,101 | ProgramServicesAmt |
| Management And General | $225,029 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $1,066,336 | $1,055,881 | $10,455 |
| MISCELLANEOUS | $711,686 | $711,686 | |
| EDUCATION | $13,446 | $13,446 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,988,141 | TotalAmt |
| Program Services | $8,549,793 | ProgramServicesAmt |
| Management And General | $1,438,348 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000 | BOYAmt |
| EOY | $1,000 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,995,507 | BOYAmt |
| EOY | $1,213,854 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $475,704 | BOYAmt |
| EOY | $498,279 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,873 | BOYAmt |
| EOY | $58,748 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $422 | BOYAmt |
| EOY | $10,872 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $21,121,061 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,743,081 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,807,646 | BOYAmt |
| EOY | $9,377,980 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,431,619 | BOYAmt |
| EOY | $2,934,010 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,549 | BOYAmt |
| EOY | $40,867 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,819,320 | BOYAmt |
| EOY | $14,135,610 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $561,659 | BOYAmt |
| EOY | $688,440 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $874,017 | BOYAmt |
| EOY | $882,758 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,445,975 | BOYAmt |
| EOY | $1,284,530 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190 | BOYAmt |
| EOY | $490 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,257 | BOYAmt |
| EOY | $121,323 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,033,098 | BOYAmt |
| EOY | $2,977,541 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,442,642 | BOYAmt |
| EOY | $10,761,583 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $343,580 | BOYAmt |
| EOY | $396,486 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,786,222 | BOYAmt |
| EOY | $11,158,069 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,819,320 | BOYAmt |
| EOY | $14,135,610 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$752,870 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $124,717 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $308,613 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,596,410 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $703,860 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $65,763 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $271,283 | CurrentTaxYearAmt |
| Total | $2,945,929 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,143,388 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,254,385 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,746,250 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,350,434 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,013,933 | CurrentTaxYearAmt |
| Total | $43,508,390 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $78,353 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $59,997 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $62,961 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $90,896 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $64,244 | CurrentTaxYearAmt |
| Total | $356,451 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,530,354 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,910,792 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,513,071 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,507,093 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,349,460 | CurrentTaxYearAmt |
| Total | $46,810,770 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $46,810,770 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $79,082 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $62,363 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $45,993 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $40,553 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $72,403 | CurrentTaxYearAmt |
| Total | $300,394 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $79,082 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $62,363 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $45,993 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $40,553 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $72,403 | CurrentTaxYearAmt |
| Total | $300,394 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,609,436 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,973,155 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,559,064 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,547,646 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,421,863 | CurrentTaxYearAmt |
| Total | $47,111,164 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99360 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99400 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (true) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,390 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $370 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $400 | OtherExpendituresAmt |
| End Year Balance | $24,360 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,438 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $352 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $400 | OtherExpendituresAmt |
| End Year Balance | $24,390 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,776 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $62 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $400 | OtherExpendituresAmt |
| End Year Balance | $24,438 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,686 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $223 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $133 | OtherExpendituresAmt |
| End Year Balance | $24,776 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,544 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $262 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $120 | OtherExpendituresAmt |
| End Year Balance | $24,686 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $202,553 | OtherCostOrOtherBasisAmt |
| Book Value | $202,553 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,245,437 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,847,404 | DepreciationAmt |
| Book Value | $8,398,033 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,274,123 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,951,419 | DepreciationAmt |
| Book Value | $322,704 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,398,948 | OtherCostOrOtherBasisAmt |
| Depreciation | $944,258 | DepreciationAmt |
| Book Value | $454,690 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,377,980 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | TENANT SECURITY DEPOSITS | Desc |
| Amt | $121,323 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $121,323 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $9,585,109 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $124,717 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $225,121 | OtherRevenueAmt |
| Revenue Not Reported | $349,838 | RevenueNotReportedAmt |
| Revenue Subtotal | $9,235,271 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $9,235,271 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $10,213,262 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $225,121 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $225,121 | ExpensesNotReportedAmt |
| Expenses Subtotal | $9,988,141 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $9,988,141 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART IV, LINE 2B | THE ORGANIZATION HOLDS, IN TRUST, FUNDS ADVANCED BY RESIDENTS OF THE NURSING FACILITIES TO BE USED AT EACH RESIDENT'S DISCRETION. THE FUNDS ARE MAINTAINED IN A SEPARATE NON-INTEREST BEARING ACCOUNT AND THE ORGANIZATION HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THESE FUNDS. |
| SCHEDULE D, PAGE 2, PART V, LINE 4 | THE PURPOSE OF THE ENDOWMENT FUND IS TO MAKE AN ANNUAL SCHOLARSHIP DISTRIBUTION OF 400. |
| SCHEDULE D, PAGE 3, PART X | THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR SECTION OF THE IOWA INCOME TAX LAW, WHICH PROVIDES INCOME TAX EXEMPTION FOR CORPORATIONS ORGANIZED AND OPERATED EXCLUSIVELY FOR RELIGIOUS, CHARITABLE, OR EDUCATIONAL PURPOSES. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | RENTAL EXPENSES 225,121 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | RENTAL EXPENSES 225,121 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF WILTON IOWA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 426005375 | BondIssuerEIN |
| Bond Issued | 2013-03-18 | BondIssuedDt |
| Issue Price | $4,200,000 | IssuePriceAmt |
| Purpose | 34 BED NURSING HOME | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $2,915,469 | RetiredAmt |
| Total Proceeds | $4,200,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $4,150,000 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $50,000 | CapitalExpendituresAmt |
| Substantial Completion | 2014 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | false | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (true) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | Yes (true) | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | Yes (true) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PURPOSE OF ISSUE DESCRIPTION | FormAndLineReferenceDesc |
| Explanation | CITY OF WILTON, IOWA 34 BED NURSING HOME | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | ONCE A DRAFT IS RECEIVED, COPIES WILL BE PROVIDED TO EACH BOARD MEMBER FOR REVIEW PRIOR TO THE NEXT SCHEDULED BOARD MEETING. AT THE BOARD MEETING, MEMBERS WILL BE ABLE TO ASK QUESTIONS, HAVE DISCUSSION, AND APPROVE IF ACCEPTABLE. IF APPROVAL IS VOTED ON AND PASSES, THE BOARD PRESIDENT WILL SIGN. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE POLICY IS REVIEWED ANNUALLY AT THE START OF EACH FISCAL YEAR DURING A BOARD MEETING AND AS ANY NEW MEMBERS COME ON. CHAD THOMAS, EXECUTIVE DIRECTOR, IS DESIGNATED TO REVIEW ANY POTENTIAL CONFLICTS AND ALERT THE BOARD TO THOSE POTENTIAL CONFLICTS SO THE MATTER CAN BE REVIEWED, DISCUSSED, AND VOTED ON, IF NEEDED, AT A BOARD MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE ADMINISTRATORS AND EXECUTIVE DIRECTOR DEVELOP A PERCENTAGE RANGE FOR WAGE INCREASES FOR ALL EMPLOYEES AT THE BEGINNING OF THE BUDGET YEAR, AND THE BOARD VOTES ON AND APPROVES THAT PERCENTAGE RANGE FOR WAGE INCREASES. ANNUAL EVALUATIONS FOR THE ADMINISTRATORS AND EXECUTIVE DIRECTOR AND STAFF SURVEYS ARE COMPLETED IN JANUARY OF EACH YEAR. THE BOARD REVIEWS THOSE EVALUATIONS AND SURVEYS; REVIEWS INFORMATION FROM AN INDUSTRY WIDE WAGE SURVEY THAT IS UPDATED ANNUALLY; REVIEWS THE BUDGETED PERCENTAGE RANGE FOR WAGE INCREASES; AND THEN SETS ANY SALARY INCREASE FOR THE ADMINISTRATORS AND EXECUTIVE DIRECTOR BY A FULL VOTE OF THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE ADMINISTRATORS AND EXECUTIVE DIRECTOR DEVELOP A PERCENTAGE RANGE FOR WAGE INCREASES FOR ALL EMPLOYEES AT THE BEGINNING OF THE BUDGET YEAR, AND THE BOARD VOTES ON AND APPROVES THAT PERCENTAGE RANGE FOR WAGE INCREASES. ANNUAL EVALUATIONS OF DEPARTMENT DIRECTORS ARE COMPLETED BY THEIR ADMINISTRATOR. ADMINISTRATORS HAVE THE AUTHORITY TO THEN APPROVE WAGE INCREASES FOR THE DEPARTMENT DIRECTORS WITHOUT FURTHER BOARD APPROVAL SO LONG AS THE INCREASES FALL WITHIN THE BUDGETED PERCENTAGE RANGE FOR WAGE INCREASES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC DURING THE TAX YEAR UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | NURSING 37,401 0 0 CONTRACT LABOR 1,109,599 0 0 ICF ANCILLARY SERVICES 29,541 0 0 ACTIVITIES 15 0 0 PERSONAL SERVICES 22,247 0 0 DIETARY 19,630 0 0 LAUNDRY 9,372 0 0 HOUSEKEEPING 174 0 0 MAINTENANCE 207,047 0 0 ASSISTED LIVING 120,271 0 0 INDEPENDENT LIVING 21,177 0 0 TOTAL 1,576,474 0 0 |
| FORM 990, PART XI, LINE 9 | RENTAL EXPENSES 225,121 RENTAL EXPENSES -225,121 |