HIGHLAND MANOR INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HIGHLAND MANOR INC (EIN 41-1733854)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-14
- IRS object ID
- 202342269349300824
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-14T09:16:11-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 N RIVERFRONT DR SUITE 300 | AddressLine1Txt |
| City | MANKATO | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411733854 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLAND MANOR INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HIGH | BusinessNameControlTxt |
| Phone | 5072230800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1314 EIGHTH NORTH STREET | AddressLine1Txt |
| City | NEW ULM | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56073 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CANDAS SCHOUVIELLER | PersonNm |
| Person Title | CEO/ADMINISTRATOR | PersonTitleTxt |
| Phone | 5072330805 | PhoneNum |
| Signature | 2023-08-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CANDAS | PersonFirstNm |
| Person Last | SCHOUVIELLER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOSH SHERBURNE | PreparerPersonNm |
| PTIN | P02039400 | PTIN |
| Phone | 5073868800 | PhoneNum |
| Preparation | 2023-08-07 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OAK HILLS LIVING CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CANDAS SCHOUVIELLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1314 EIGHTH NORTH STREET | AddressLine1Txt |
| City | NEW ULM | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56073 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,112,149 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.OAKHILLSNEWULM.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1958 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | HOUSING SERVICES FOR THE ELDERLY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 324 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $527,579 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $8,197 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,450,391 | PYContributionsGrantsAmt |
| CY Contributions Grants | $353,856 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,145,623 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,530,164 | CYProgramServiceRevenueAmt |
| PY Investment Income | $499,190 | PYInvestmentIncomeAmt |
| CY Investment Income | $672,490 | CYInvestmentIncomeAmt |
| PY Other Revenue | $366,759 | PYOtherRevenueAmt |
| CY Other Revenue | $498,866 | CYOtherRevenueAmt |
| PY Total Revenue | $13,461,963 | PYTotalRevenueAmt |
| CY Total Revenue | $13,055,376 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $113,349 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $116,246 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,987,593 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,036,384 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $82,559 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,412,503 | PYOtherExpensesAmt |
| CY Other Expenses | $4,899,211 | CYOtherExpensesAmt |
| PY Total Expenses | $12,513,445 | PYTotalExpensesAmt |
| CY Total Expenses | $13,051,841 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $948,518 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,535 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,106,207 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,524,031 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,065,756 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,821,035 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,040,451 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,702,996 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO ENRICH AND SUPPORT THE LIVES OF THE ELDERS WE CARE FOR WITH EXCELLENCE, COMPASSION, RESPECT, AND COMPETENCE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,793,792 | ExpenseAmt |
| Grant | $116,246 | GrantAmt |
| Revenue | $11,530,164 | RevenueAmt |
| Desc | HIGHLAND MANOR, INC, (DBA: OAK HILLS LIVING CENTER) IS A 94-BED SKILLED NURSING FACILITY. OAK HILLS LIVING CENTER WAS BUILT IN 1995 WITH 28 PRIVATE ROOMS AND 33 DOUBLE ROOMS. AN ATTACHED 16-UNIT ASSISTED LIVING APARTMENT COMPLEX WAS ADDED AT THIS TIME. OAK HILLS APPLIED FOR AND WAS APPROVED FOR THE MORATORIUM EXCEPTION PROJECT AND EMBARKED ON A $6,000,000 ADDITION AND RENOVATION PROJECT. THE END RESULT IS 22 ADDITIONAL PRIVATE ROOMS BRINGING THE TOTAL TO 50, AND 5 DISTINCT HOUSEHOLDS OF 16 TO 22 RESIDENTS EACH WITH A LIVING ROOM, DINING ROOM, AND KITCHEN. OAK HILLS IS THE ONLY NURSING HOME IN NEW ULM. OAK HILLS LIVING CENTER OFFERS OTHER SERVICES INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY, AND OPERATES A SHORT-STAY REHAB WING FOR RESIDENTS WHO PLAN TO MOVE ON TO ANOTHER LEVEL OF SERVICE. IN 2021, OAK HILLS LIVING CENTER HAD 93.8% OCCUPANCY. OAK HILLS LIVING CENTER ALSO PROVIDES SERVICES TO RESIDENTS OF OAK VIEW APARTMENTS, WHICH IS A 16 UNIT HUD-ASSISTANCE LIVING FACILITY. OAK HILLS ALSO PROVIDED HOME HEALTH CARE TO NEW ULM AND THE SURROUNDING COMMUNITY UNTIL THIS ACTIVITY WAS CEASED ON AUGUST 1, 2019. IN JULY 2013, OAK HILLS BEGAN CONTRACTING WITH VOA TO OFFER ADULT DAY SERVICES IN OUR FACILITY. OAK HILLS CEASED ADULT DAY OPERATIONS ON APRIL 2020 DUE TO COVID-19. | Desc |
| Total Program Service Expenses | $11,793,792 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 324 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | 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 | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAURA BUECHNER CPA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5072330805 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1314 8TH ST | AddressLine1Txt |
| City | NEW ULM | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56073 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| CHRIS JENSEN | |||||||
| PRESIDENT | 0.50 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JAY VANCURA | |||||||
| VICE PRESIDENT | 0.50 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BARB DIETZ | |||||||
| SECRETARY/TREASURER | 0.50 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DR JOAN KIRKIVA | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| BETSY PIESER | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| DANIELLE MARTI | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| JUDI NELSON | |||||||
| DIRECTOR-PART YEAR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| MICHELLE MARKGRAF | |||||||
| DIRECTOR-PART YEAR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| JAMES UNKE | |||||||
| DIRECTOR-PART YEAR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| CANDAS SCHOUVIELLER | |||||||
| ADMINISTRATOR | 40.00 | 2.00 | Yes (X) | $131,131 | $0 | $26,792 | |
| ADAM BACK | |||||||
| DIRECTOR OF FINANCE | 40.00 | 2.00 | Yes (X) | $89,560 | $0 | $24,848 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $220,691 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $51,640 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COMMUNITY LIVING SOLUTIONS LLC | |||||
| 2801 E ENTERPRISE AVENUE SUITE 202 | APPLETON | WI | 54913 | ARCHITECTS | $307,493 |
| GLC ON THE GO INC | |||||
| 55 WESTON ROAD SUITE 300 | WESTON | FL | 33326 | POOL NURSES | $303,296 |
| THRIVEON | |||||
| 210 SOUTH 20TH STREET | NEW ULM | MN | 56073 | IT SERVICES | $163,278 |
| AEGIS THERAPIES INC | |||||
| PO BOX 8103 | FORT SMITH | AR | 72902 | THERAPY SERVICES | $157,520 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $353,856 | GovernmentGrantsAmt |
| Total Contributions | $353,856 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENT REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $11,530,164 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,530,164 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,530,164 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $672,490 | TotalRevenueColumnAmt |
| Exclusion | $672,490 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $23,623 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $56,773 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$33,150 | TotalRevenueColumnAmt |
| Exclusion | -$33,150 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| CATERING REVENUE | 722320 | $527,579 | $527,579 | |
| MISCELLANOUS INCOME | 623000 | $3,240 | $3,240 | |
| VENDING MACHINE | 623000 | $1,197 | $1,197 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $532,016 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,055,376 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,530,164 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $527,579 | UnrelatedBusinessRevenueAmt |
| Exclusion | $643,777 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,246 | TotalAmt |
| Program Services | $116,246 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,331 | TotalAmt |
| Management And General | $272,331 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,568,402 | TotalAmt |
| Program Services | $6,113,388 | ProgramServicesAmt |
| Management And General | $455,014 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,045 | TotalAmt |
| Program Services | $86,423 | ProgramServicesAmt |
| Management And General | -$6,378 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $604,315 | TotalAmt |
| Program Services | $546,576 | ProgramServicesAmt |
| Management And General | $57,739 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $511,291 | TotalAmt |
| Program Services | $460,780 | ProgramServicesAmt |
| Management And General | $50,511 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,594 | TotalAmt |
| Management And General | $25,594 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364 | TotalAmt |
| Management And General | $364 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,052 | TotalAmt |
| Management And General | $40,052 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,184,713 | TotalAmt |
| Program Services | $1,184,713 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,954 | TotalAmt |
| Management And General | $16,954 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,721 | TotalAmt |
| Program Services | $260,491 | ProgramServicesAmt |
| Management And General | $85,230 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,539 | TotalAmt |
| Program Services | $153,292 | ProgramServicesAmt |
| Management And General | $9,247 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $446,580 | TotalAmt |
| Program Services | $359,775 | ProgramServicesAmt |
| Management And General | $86,805 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $527 | TotalAmt |
| Program Services | $527 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,220 | TotalAmt |
| Management And General | $10,220 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,561 | TotalAmt |
| Program Services | $216,561 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $653,828 | TotalAmt |
| Program Services | $653,828 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,498 | TotalAmt |
| Management And General | $6,498 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FOOD EXPENSE | $662,923 | $662,923 | |
| MEDICAL SUPPLIES | $588,174 | $588,174 | |
| LICENSE SURCHARGE | $278,894 | $275,293 | $3,601 |
| MISCELLANEOUS | $161,833 | $104,305 | $57,528 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,236 | TotalAmt |
| Program Services | $10,497 | ProgramServicesAmt |
| Management And General | $4,180 | ManagementAndGeneralAmt |
| Fundraising | $82,559 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,051,841 | TotalAmt |
| Program Services | $11,793,792 | ProgramServicesAmt |
| Management And General | $1,175,490 | ManagementAndGeneralAmt |
| Fundraising | $82,559 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $664,397 | BOYAmt |
| EOY | $725,277 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,578,257 | BOYAmt |
| EOY | $1,517,762 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,048,803 | BOYAmt |
| EOY | $1,365,984 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,947 | BOYAmt |
| EOY | $160,446 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $19,530,470 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $12,378,084 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,304,000 | BOYAmt |
| EOY | $7,152,386 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,487,090 | BOYAmt |
| EOY | $1,238,253 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $846,046 | BOYAmt |
| EOY | $1,301,552 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,667 | BOYAmt |
| EOY | $62,371 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,106,207 | BOYAmt |
| EOY | $13,524,031 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $809,049 | BOYAmt |
| EOY | $901,078 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,000 | BOYAmt |
| EOY | $2,000 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,235,951 | BOYAmt |
| EOY | $5,900,475 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,756 | BOYAmt |
| EOY | $17,482 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,065,756 | BOYAmt |
| EOY | $6,821,035 | 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 | $6,194,405 | BOYAmt |
| EOY | $5,401,444 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $846,046 | BOYAmt |
| EOY | $1,301,552 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,040,451 | BOYAmt |
| EOY | $6,702,996 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,106,207 | BOYAmt |
| EOY | $13,524,031 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,535 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$337,468 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$3,522 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | $161,154 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $121,028 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $399,042 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,450,391 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $353,856 | CurrentTaxYearAmt |
| Total | $2,485,471 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,363,168 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,914,114 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,043,511 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,145,623 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,530,164 | CurrentTaxYearAmt |
| Total | $54,996,580 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,524,322 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,035,142 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,442,553 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,596,014 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,884,020 | CurrentTaxYearAmt |
| Total | $57,482,051 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $90,297 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,591 | CurrentTaxYearAmt |
| Total | $119,888 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,339 | CurrentTaxYearMinus4YearsAmt |
| Total | $37,339 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,339 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus1 Year | $90,297 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,591 | CurrentTaxYearAmt |
| Total | $157,227 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $57,324,824 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $67,391 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $71,084 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $96,030 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $499,190 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $672,490 | CurrentTaxYearAmt |
| Total | $1,406,185 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $67,391 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $71,084 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $96,030 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $499,190 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $672,490 | CurrentTaxYearAmt |
| Total | $1,406,185 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $310,265 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $384,944 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $347,746 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $384,349 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $527,579 | CurrentTaxYearAmt |
| Total | $1,954,883 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $75,823 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $64,285 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $55,070 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $36,476 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,060 | CurrentTaxYearAmt |
| Total | $259,714 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,977,801 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,555,455 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,941,399 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,516,029 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,112,149 | CurrentTaxYearAmt |
| Total | $61,102,833 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.93820 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97440 | PublicSupportPY509Pct |
| Investment Income CY | 0.02300 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01390 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER MISC REVENUE - 2017 AMOUNT: $ 75,823. 2018 AMOUNT: $ 64,285. 2019 AMOUNT: $ 55,070. 2020 AMOUNT: $ 36,476. 2021 AMOUNT: $ 28,060. | ExplanationTxt |
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 | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,900 | OtherCostOrOtherBasisAmt |
| Book Value | $27,900 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,322,121 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,200,422 | DepreciationAmt |
| Book Value | $5,121,699 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $218,958 | OtherCostOrOtherBasisAmt |
| Depreciation | $191,492 | DepreciationAmt |
| Book Value | $27,466 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,980,193 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,986,170 | DepreciationAmt |
| Book Value | $994,023 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $981,298 | OtherCostOrOtherBasisAmt |
| Book Value | $981,298 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,152,386 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN FOUNDATION | Desc |
| Book Value | $1,301,552 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $1,301,552 | TotalBookValueSecuritiesAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE CENTER HOLDS SECURITY DEPOSITS THAT ARE REQUIRED TO BE PAID UPON ENTRANCE INTO THE FACILITY, BY THE RESIDENT, TO COVER ANY UNEXPECTED DAMAGE TO THE UNIT. THIS AMOUNT IS PAID BACK TO THE RESIDENT ONCE ALL PROPER DEDUCTIONS (IF NECESSARY) ARE REMOVED FROM THE ORGINAL DEPOSIT FOR DAMAGES THAT HAVE BEEN INCURRED ON THE UNIT. THE CENTER HOLDS MONEY FOR THE RESIDENTS IN RESIDENT TRUST ACCOUNTS. THESE ACCOUNTS ACT LIKE CHECKING ACCOUNTS FOR THE RESIDENT AND ARE IN CUSTODY OF THE FACILITY. THE MONEY IS DUE BACK TO RESIDENT IF THE RESIDENT IS TO MOVE OUT AT ANYTIME. BOTH SECURITY DEPOSITS AND RESIDENT TRUSTS MONIES ARE HELD IN SEPARATE ACCOUNTS BY THE FACILITY. |
| PART X, LINE 2: | THE CENTER AND APARTMENTS ARE ORGANIZED AS MINNESOTA NONPROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). EACH ENTITY IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE CENTER AND APARTMENTS ARE SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO THEIR EXEMPT PURPOSE. THE CENTER'S AND THE APARTMENTS' ANNUAL TAX FILINGS ARE SUBJECT TO REVIEW BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE CENTER IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAXEXEMPT STATUS. THE CENTER HAS INCOME FROM ACTIVITIES CONSIDERED UNRELATED TO ITS 501(C)(3) STATUS. INCOME TAXES ARE RECORDED AT THE PREVAILING STATUTORY RATES AND ARE INCLUDED IN OPERATING EXPENSES. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 44 | RecipientCnt |
| Cash Grant | $115,867 | CashGrantAmt |
| Valuation Method Used | N/A | ValuationMethodUsedDesc |
| Non Cash Assistance | N/A | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | OAK HILLS LIVING CENTER HAS A SCHOLARSHIP PROGRAM AVAILABLE TO EMPLOYEES WHO WORK MORE THAN 20 HOURS PER WEEK AND ARE ENROLLED IN A NURSING PROGRAM (RN OR LPN). THE ORGANIZATION PAYS THE SCHOOL DIRECTLY AND REQUIRES THE SCHOOL TO SUBMIT A CLASS SCHEDULE WITH THE TUITION BILL. IN ADDITION, THE SCHOOL MUST SUBMIT A COPY OF THE SCHOLARSHIP RECIPIENT'S GRADES WHEN THE CLASS IS COMPLETED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CANDAS SCHOUVIELLER | PersonNm |
| Title | ADMINISTRATOR | TitleTxt |
| Base Compensation Filing Org | $131,131 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $8,085 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $18,707 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $157,923 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
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 | BROWN COUNTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 416005765 | BondIssuerEIN |
| Bond Issued | 2021-03-31 | BondIssuedDt |
| Issue Price | $6,400,000 | IssuePriceAmt |
| Purpose | IMPROVEMENTS TO SKILLED NURSING FACILITY | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $519,034 | RetiredAmt |
| Total Proceeds | $6,400,000 | TotalProceedsAmt |
| Capital Expenditures | $6,400,000 | CapitalExpendituresAmt |
| Substantial Completion | 2011 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Concerning UBI | 1.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 1.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE NO OTHER COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ADMINISTRATOR REVIEWED THE DRAFT 990 IN DETAIL AND PROVIDED A COPY TO THE BOARD PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL OFFICERS AND DIRECTORS ARE COVERED BY THE POLICY. THE ADMINISTRATOR OR BOARD OF DIRECTORS DETERMINES WHETHER A CONFLICT EXISTS. THESE POTENTIAL CONFLICTS ARE REVIEWED AT THE BOARD MEETING. IF A CONFLICT ARISES WITH A BOARD MEMBER, THEY ARE ASKED TO REMOVE THEMSELVES FROM DISCUSSION AND VOTE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PROCESS FOR DETERMINING THE COMPENSATION OF THE ADMINISTRATOR IS AS FOLLOWS: THE BOARD OF DIRECTORS IS GIVEN A COPY OF THE AGING SERVICES SALARY SURVEY INFORMATION FOR THE PURPOSE OF DETERMINING FAIR COMPENSATION FOR THE ADMINISTRATOR. THIS PROCESS IS DONE ON AN ANNUAL BASIS. THE PROCESS FOR DETERMINING THE COMPENSATION OF THE OTHER EMPLOYEES IS AS FOLLOWS. THE ADMINISTRATOR IS GIVEN A COPY OF THE AGING SERVICES SALARY SURVEY INFORMATION FOR THE PURPOSE OF DETERMINING FAIR COMPENSATION FOR ALL OTHER EMPLOYEES OF THE ORGANIZATION AND MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS. THIS PROCESS IS DONE ON AN ANNUAL BASIS. THE REVIEW OF COMPENSATION DELIBERATION IS DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | TRANSFERS TO FOUNDATION -3,522. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNT HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| OAK VIEW APARTMENTS INC | ||||||||||
| 1314 EIGHTH N STREET | NEW ULM | MN | 56073 | 411992121 | ELDERLY HOUSING | MN | 501(C)(3) | LINE 10 | HIGHLAND MANOR INC | Yes (1) |
| OAK HILLS MEMORIAL FOUNDATION | ||||||||||
| 1314 EIGHTH N STREET | NEW ULM | MN | 56073 | 411733850 | FUND SUPPORT | MN | 501(C)(3) | LINE 7 | HIGHLAND MANOR INC | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OAK HILLS MEMORIAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $29,591 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |