2022-08-29T16:24:50-05:00 2021-12-31 420714325 RSM US LLP 201 FIRST ST SE STE 800 CEDAR RAPIDS IA 524011512 990 2021-01-01 431821821 THE CAPSTONE GROUP INC CAPS 7705781754 3831 FENWAY CROSSING MARIETTA GA 300626923 MICHAEL A MICHAUD PRESIDENT 7705781754 2022-08-29 1 MICHAEL MICHAUD XXX-XX-XXXX SHAWNA HULS P01315330 3192985333 2022-08-29 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MICHAEL A MICHAUD 3831 FENWAY CROSSING MARIETTA GA 300626923 10495942 0 X N/A X 1998 MO OPERATION OF LONG-TERM HEALTH CARE FACILITIES 3 2 198 193 0 0 0 0 9216930 10476913 16350 19029 0 0 9233280 10495942 0 0 0 0 4497222 4262738 0 0 0 3903569 4873847 8400791 9136585 832489 1359357 12220051 12402417 7483707 6925696 4736344 5476721 OPERATION OF LONG-TERM HEALTH CARE FACILITIES 0 0 7934535 10476913 OPERATION OF LONG-TERM HEALTH CARE FACILITIES. THE CAPSTONE GROUP OWNS TWO FACILITIES, ONE IN GUTHRIE CENTER, IA AND ONE IN MARION, IA. THE GUTHRIE CENTER FACILITY OFFERS A FULL SPECTRUM OF CARE NEEDS, WITH SEVENTEEN (17) INDEPENDENT LIVING APARTMENTS FOR SENIOR CITIZENS, FOURTEEN (14) ASSISTED LIVING UNITS, AND FIFTY-EIGHT (58) SKILLED NURSING BEDS. IN TOTAL THE NEW HOMESTEAD IS CAPABLE OF SERVING, SHOULD THERE BE DEMAND, UP TO ONE-HUNDRED AND TWENTY-SIX (126) RESIDENTS WERE THERE TO BE COUPLES IN ALL INDEPENDENT LIVING AND ASSISTED LIVING APARTMENTS. THE MARION FACILITY IS FOCUSED ON SKILLED NURSING CARE AND IS LICENSED FOR FIFTY (50) BEDS. 7934535 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 42 0 1 198 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 2 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 X MICHAEL A MICHAUD 7705781754 3831 FENWAY CROSSING MARIETTA GA 300626923 MICHAEL A MICHAUD PRESIDENT & TREASURER 40.00 X X 97968 0 0 JOHN WHITAKER SECRETARY 3.00 X X 6000 0 0 GREGORY T SLESSOR VICE PRESIDENT 3.00 X X 8000 0 0 111968 0 0 2 0 0 0 HEALTHCARE OF IOWA 4080 1ST AVE NE CEDAR RAPIDS IA 52402 MANAGEMENT 515262 MARTIN BROTHERS 406 VIKING RD CEDAR FALLS IA 50613 FOOD SUPPLIES 413779 IOWA MEDICAID ENTERPRISES 100 ARMY POST RD DES MOINES IA 50315 QUALITY ACCESS FEES 390673 GRAPETREE MEDICAL STAFFING 2501 BOJI BEND DRIVE SUITE 100 MILFORD IA 51351 PURCHASED NURSING SERVICES 241324 FUSION MEDICAL STAFFING 11808 GRANT STREET SUITE 100 OMAHA NE 68164 PURCHASED NURSING SERVICES 216868 10 MEDICAID 623000 3780469 3780469 PRIVATE PAY 623000 3034506 3034506 MEDICARE A 623000 1028425 1028425 COVID AID 623000 916038 916038 PPP LOAN FORGIVENESS 623000 790900 790900 926575 926575 10476913 19029 19029 10495942 10476913 0 19029 X 111968 97968 14000 3590537 3142031 448506 283824 159331 124493 276409 249241 27168 650082 497611 152471 43114 43114 114253 114253 1602696 1602696 31467 31467 50841 50841 20113 3449 16664 12819 8221 4598 300097 300097 392661 392661 84596 84596 SUPPLIES 875439 875439 UTILITIES 257928 242252 15676 REPAIRS AND MAINTENANCE 174729 174729 MISCELLANEOUS 93673 89520 4153 169339 14693 154646 9136585 7934535 1202050 0 1564456 1836465 189775 189613 905368 1011304 27008 27038 10190469 2591698 7704340 7598771 1357995 1315228 471109 423998 12220051 12402417 584033 801117 37974 60725 6861700 6063854 7483707 6925696 X 4736344 5476721 4736344 5476721 12220051 12402417 1359357 14420 -633400 0 X 0 1 X 1 0 X 5655 5655 8331416 8890249 8249869 9216930 10476913 45165377 8331416 8895904 8249869 9216930 10476913 45171032 0 0 0 45171032 25890 3728 13200 16350 19029 78197 25890 3728 13200 16350 19029 78197 164518 164518 8357306 8899632 8427587 9233280 10495942 45413747 0.99470 0.99400 0.00170 0.00190 X 905880 905880 7507901 1509220 5998681 1474934 1082478 392456 301754 301754 7598771 OTHER INVESTMENTS 1315228 C 1315228 X 10423560 14420 -86802 -72382 10495942 0 10495942 9049783 0 9049783 86802 86802 9136585 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES ON BUSINESS RELATED INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS ALSO EXEMPT FROM STATE INCOME TAXES. THE ORGANIZATION MAY BE SUBJECT TO FEDERAL AND STATE INCOME TAXES ON ANY NET INCOME FROM UNRELATED BUSINESS ACTIVITIES. THE ORGANIZATION FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY AND UNRELATED BUSINESS TAXABLE INCOME (UBIT) IS REPORTED ON THE 990-T, AS APPROPRIATE. MANAGEMENT HAS EVALUATED THEIR MATERIAL TAX POSITIONS, WHICH INCLUDE MATTERS SUCH AS THE TAX EXEMPT STATUS AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UBIT. AS OF DECEMBER 31, 2021 AND 2020, THERE WERE NO UNCERTAIN TAX POSITIONS IDENTIFIED AND RECORDED AS A LIABILITY. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -86,802. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 86,802. FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE 1/1/17, HEALTHCARE OF IOWA AND ITS AFFILIATED ORGANIZATIONS, SUCH AS ASSISTED LIVING PARTNERS, TOOK OVER MANAGEMENT RESPONSIBILITIES FOR ALL LEVELS OF CARE. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B ALL BOARD MEMBERS REVIEW FORM 990 AND SHARE QUESTIONS, WHICH ARE ADDRESSED BY THE TAX PREPARER. IN ADDITION, THE FINAL FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS SUFFICIENTLY PRIOR TO FILING THE FORM SO THAT ANY FINAL COMMENTS COULD BE PROVIDED TO THE ORGANIZATION IN TIME TO PERMIT ANY NECESSARY REVISIONS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT REQUIRES ANNUAL EXECUTION OF A CERTIFICATION WITH RESPECT TO CONFLICTS AND ROUTINE DISCLOSURE IF THERE IS A CONFLICT IN CONNECTION WITH A MATTER THAT COMES BEFORE THE BOARD. THE BOARD MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY BY REQUIRING THE ANNUAL CERTIFICATION AND BY REMINDING BOARD MEMBERS OF THEIR OBLIGATIONS WITH RESPECT TO CONFLICT ON AN ON-GOING BASIS. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST THEN THEY WILL NOT VOTE ON THE CONFLICTING ISSUE AT HAND. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD MET IN PRIVATE MAY 8, 2017 TO DISCUSS COMPENSATION FOR THE PRESIDENT/EXECUTIVE DIRECTOR, WHO WAS ABSENT DURING THE DISCUSSION. THE BOARD REVIEWED THE REQUIREMENTS OF THE POSITION, THE PRESIDENT/EXECUTIVE DIRECTOR'S QUALIFICATIONS, AND A COMPENSATION ANALYSIS BASED ON THE POSITION AS PREPARED BY AN INDEPENDENT CONSULTANT IN KANSAS CITY, MO. THE BOARD THEN DETERMINED THE PRESIDENT/EXECUTIVE DIRECTOR'S SALARY TO BE REASONABLE AND CONSISTENT WITH THE COMPANY'S EXECUTIVE COMPENSATION POLICY. THE BOARD MET AGAIN IN JAN 14, 2020 TO REVIEW THE PRESIDENT/EXECUTIVE DIRECTOR'S SALARY, WHICH WAS REDUCED IN VIEW OF BUSINESS CONDITIONS. THE BOARD MET AGAIN ON MARCH 3, 2022 TO REVIEW THE PRESIDENT/EXECUTIVE DIRECTOR'S SALARY. THE BOARD DECIDED TO INCREASE THE SALARY IN VIEW OF BUSINESS CONDITIONS AND COST OF LIVING INCREASES AND RESTORED IT TO ITS ORIGINAL LEVEL ESTABLISHED IN 2012. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES - THERAPY SERVICES: PROGRAM SERVICE EXPENSES 348,609. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 348,609. OUTSIDE SERVICES - NURSING: PROGRAM SERVICE EXPENSES 1,254,087. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,254,087. TNH OPERATIONS LLC 3831 FENWAY CROSSING MARIETTA GA 30062 853751356 HEALTH CARE GA 0 0 THE CAPSTONE GROUP INC TNH PROPERTY LLC 3831 FENWAY CROSSING MARIETTA GA 30062 853769617 HEALTH CARE GA 0 0 THE CAPSTONE GROUP INC WH OPERATIONS LLC 3831 FENWAY CROSSING MARIETTA GA 30062 853787408 HEALTH CARE GA 0 0 THE CAPSTONE GROUP INC WH PROPERTY LLC 3831 FENWAY CROSSING MARIETTA GA 30062 853803488 HEALTH CARE GA 0 0 THE CAPSTONE GROUP INC