STRATEGY STUDIO / PUBLIC DATA EXPLORER

INDIANA SENIOR HOUSING HEALTH CARE PROPERTIES INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
INDIANA SENIOR HOUSING HEALTH CARE PROPERTIES INC (EIN 46-3385153)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-12
IRS object ID
202103169349302395
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-12T11:32:44-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 N MERIDIAN ST SUITE 200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN463385153EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INDIANA SENIOR HOUSING HEALTHBusinessNameLine1Txt
Business Name Line2CARE PROPERTIES INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlINDIBusinessNameControlTxt
Phone8123329295PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1226 S COLLEGE SQAddressLine1Txt
CityBLOOMINGTONCityNm
State AbbreviationINStateAbbreviationCd
ZIP47404ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATHY ETTENSOHNPersonNm
Person TitleTREASURERPersonTitleTxt
Phone8123329295PhoneNum
Signature2021-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKATHYPersonFirstNm
Person LastETTENSOHNPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANGELA N CRAWFORD CPAPreparerPersonNm
PTINP00573197PTIN
Phone3176334705PhoneNum
Preparation2021-11-12PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CEDAR VILLAGE SENIOR LIVINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKATHY ETTENSOHNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1226 S COLLEGE SQAddressLine1Txt
CityBLOOMINGTONCityNm
State AbbreviationINStateAbbreviationCd
ZIP47404ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$24,270,450GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionISH STRIVES TO PROMOTE, PROVIDE, AND SUPPORT RESIDENTIAL, CUSTODIAL, NURSING, MEDICAL, AND HOSPITAL CARE FOR THE ELDERLY BY OPERATING AND MAINTAIN FACILITIES FOR THE CARE OF THE AGED AND ELDERLY.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee408TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$110,017PYContributionsGrantsAmt
CY Contributions Grants$4,062,507CYContributionsGrantsAmt
PY Program Service Revenue$20,762,260PYProgramServiceRevenueAmt
CY Program Service Revenue$19,288,246CYProgramServiceRevenueAmt
PY Investment Income$256PYInvestmentIncomeAmt
CY Investment Income$2,963CYInvestmentIncomeAmt
PY Other Revenue$34,498PYOtherRevenueAmt
CY Other Revenue$916,734CYOtherRevenueAmt
PY Total Revenue$20,907,031PYTotalRevenueAmt
CY Total Revenue$24,270,450CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,060,476PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,919,971CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$13,129,975PYOtherExpensesAmt
CY Other Expenses$9,909,338CYOtherExpensesAmt
PY Total Expenses$23,190,451PYTotalExpensesAmt
CY Total Expenses$20,834,309CYTotalExpensesAmt
PY Revenues Less Expenses-$2,283,420PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,436,141CYRevenuesLessExpensesAmt
Total Assets BOY$38,827,391TotalAssetsBOYAmt
Total Assets EOY$38,938,663TotalAssetsEOYAmt
Total Liabilities BOY$31,566,778TotalLiabilitiesBOYAmt
Total Liabilities EOY$28,629,924TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,260,613NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,308,739NetAssetsOrFundBalancesEOYAmt
MissionISH STRIVES TO PROMOTE, PROVIDE, AND SUPPORT RESIDENTIAL, CUSTODIAL, NURSING, MEDICAL, AND HOSPITAL CARE FOR THE ELDERLY BY OPERATING AND MAINTAIN FACILITIES FOR THE CARE OF THE AGED AND ELDERLY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$15,960,365ExpenseAmt
Grant$5,000GrantAmt
Revenue$19,291,646RevenueAmt
DescISH STRIVES TO PROMOTE, PROVIDE, AND SUPPORT RESIDENTIAL, CUSTODIAL, NURSING, MEDICAL, AND HOSPITAL CARE FOR THE ELDERLY BY OPERATING AND MAINTAIN FACILITIES FOR THE CARE OF THE AGED AND ELDERLY.Desc
Total Program Service Expenses$15,960,365TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document433IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee408EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8123329295PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1226 S COLLEGE SQAddressLine1Txt
CityBLOOMINGTONCityNm
State AbbreviationINStateAbbreviationCd
ZIP47404ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JAMES LOWELL WHITLACH
PRESIDENT2.00Yes (X)Yes (X)$8,000$0$0
KATHY ETTENSOHN
TREASURER2.00Yes (X)Yes (X)$8,000$0$0
DENNIS MCGUIRE
SECRETARY2.00Yes (X)Yes (X)$8,000$0$0
HIRSCH WISE
BOARD MEMBER2.00Yes (X)$8,000$0$0
MICHAEL MOBLEY
ADMINISTRATOR40.00$182,598$0$7,947Yes (X)
MELISSA HINES
DIRECTOR OF NURSING40.00$110,842$0$8,107Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$325,440TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$16,054TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LIFESPAN THERAPY
118 MEDICAL DRIVECARMELIN46032THERAPY$1,790,512
SKILLED CARE PHARM OF OHIO
6175 HI-TECK COURTMASONOH28201PHARMACY$469,412
UNIDINE CORPORATION
1000 WASHINGTON ST STE 510BOSTONMA02118CONTRACTED SERVICES DIETARY$403,463
ENERVISE LLC
10226 ALLIANCE RDBLUE ASHOH45242HVAC SERVICES$215,573
INDIANA UNIVERSITY HEALTH
2501 RELIABLE PARKWAYCHICAGOIL60686COVID TESTING$185,100
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Government Grants$1,461,804GovernmentGrantsAmt
All Other Contributions$2,600,703AllOtherContributionsAmt
Total Contributions$4,062,507TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT & RESIDENT SERVICE REVENUDesc
Business900099BusinessCd
Total Revenue Column$19,288,246TotalRevenueColumnAmt
Related Or Exempt Func Income$19,288,246RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$19,288,246TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,963TotalRevenueColumnAmt
Exclusion$2,963ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,400RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,400RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,400TotalRevenueColumnAmt
Related Or Exempt Func Income$3,400RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescWORKERS COMPENSATION REFUNDDesc
Business900099BusinessCd
Total Revenue Column$908,514TotalRevenueColumnAmt
Exclusion$908,514ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,820TotalRevenueColumnAmt
Exclusion$4,820ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$913,334OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,270,450TotalRevenueColumnAmt
Related Or Exempt Func Income$19,291,646RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$916,297ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Program Services$5,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$32,000TotalAmt
Management And General$32,000ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,456,942TotalAmt
Program Services$8,244,494ProgramServicesAmt
Management And General$1,212,448ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$20,577TotalAmt
Program Services$17,939ProgramServicesAmt
Management And General$2,638ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$580,155TotalAmt
Program Services$505,775ProgramServicesAmt
Management And General$74,380ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$830,297TotalAmt
Program Services$723,847ProgramServicesAmt
Management And General$106,450ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$160,525TotalAmt
Management And General$160,525ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,635TotalAmt
Management And General$9,635ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$33,983TotalAmt
Management And General$33,983ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,455,345TotalAmt
Program Services$1,892,402ProgramServicesAmt
Management And General$562,943ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$76,608TotalAmt
Management And General$76,608ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$415,321TotalAmt
Program Services$170,419ProgramServicesAmt
Management And General$244,902ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$221,734TotalAmt
Management And General$221,734ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$909,047TotalAmt
Program Services$23,161ProgramServicesAmt
Management And General$885,886ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$19,427TotalAmt
Management And General$19,427ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,345,120TotalAmt
Program Services$1,030,445ProgramServicesAmt
Management And General$314,675ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$994,228TotalAmt
Program Services$761,640ProgramServicesAmt
Management And General$232,588ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$126,805TotalAmt
Management And General$126,805ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,983,388$1,983,388
QUALITY ASSESSMENT FEE$785,648$601,855$183,793
DUES & SUB.$82,077$82,077

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$290,447TotalAmt
Management And General$290,447ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,834,309TotalAmt
Program Services$15,960,365ProgramServicesAmt
Management And General$4,873,944ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$456,844BOYAmt
EOY$968,760EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,793,269BOYAmt
EOY$1,624,405EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$95,976BOYAmt
EOY$78,479EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$38,066,723LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,347,172LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$36,387,992BOYAmt
EOY$35,719,551EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$93,310BOYAmt
EOY$547,468EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$38,827,391BOYAmt
EOY$38,938,663EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,060,816BOYAmt
EOY$675,184EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$105,094EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$26,964,255BOYAmt
EOY$26,723,081EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,541,707BOYAmt
EOY$1,126,565EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,566,778BOYAmt
EOY$28,629,924EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,260,613BOYAmt
EOY$10,308,739EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,260,613BOYAmt
EOY$10,308,739EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$38,827,391BOYAmt
EOY$38,938,663EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,436,141ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$388,015OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$193,441CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$110,017CurrentTaxYearMinus1YearAmt
Current Tax Year$4,971,021CurrentTaxYearAmt
Total$5,274,479TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$11,305,234CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,762,260CurrentTaxYearMinus1YearAmt
Current Tax Year$19,288,246CurrentTaxYearAmt
Total$51,355,740TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$11,498,675CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,872,277CurrentTaxYearMinus1YearAmt
Current Tax Year$24,259,267CurrentTaxYearAmt
Total$56,630,219TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$56,630,219PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$327,249CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,584CurrentTaxYearMinus1YearAmt
Current Tax Year$6,363CurrentTaxYearAmt
Total$344,196TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$327,249CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,584CurrentTaxYearMinus1YearAmt
Current Tax Year$6,363CurrentTaxYearAmt
Total$344,196TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$4,066CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,028CurrentTaxYearMinus1YearAmt
Current Tax Year$913,334CurrentTaxYearAmt
Total$941,428TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$11,829,990CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,906,889CurrentTaxYearMinus1YearAmt
Current Tax Year$25,178,964CurrentTaxYearAmt
Total$57,915,843TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME - 2018 AMOUNT: $ 4,066. 2019 AMOUNT: $ 24,028. 2020 AMOUNT: $ 913,334.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,045,400OtherCostOrOtherBasisAmt
Book Value$5,045,400BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,410,746OtherCostOrOtherBasisAmt
Depreciation$1,892,120DepreciationAmt
Book Value$28,518,626BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$391,869OtherCostOrOtherBasisAmt
Depreciation$33,138DepreciationAmt
Book Value$358,731BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,218,708OtherCostOrOtherBasisAmt
Depreciation$421,914DepreciationAmt
Book Value$1,796,794BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$35,719,551TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLES$217,325
ACCRUED INTEREST$99,799
SERVICE BUREAU FEE PAYABLE$730,610
SECURITY DEPOSITS$78,831
FieldValueIRS element (for citing)
Total Liability$1,126,565TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$23,882,435TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$388,015OtherRevenueAmt
Revenue Not Reported-$388,015RevenueNotReportedAmt
Revenue Subtotal$24,270,450RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$24,270,450TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$20,834,309TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$20,834,309ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$20,834,309TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:CEDAR VILLAGE IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION UNDER SECTION 501 OF THE UNITED STATES INTERNAL REVENUE CODE. AS SUCH, CEDAR VILLAGE IS GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, CEDAR VILLAGE IS REQUIRED TO FILE FEDERAL FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, WHICH IS AN INFORMATIONAL RETURN ONLY. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY CEDAR VILLAGE AND RECOGNIZE A TAX LIABILITY IF CEDAR VILLAGE HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY CEDAR VILLAGE, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. CEDAR VILLAGE IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:UNREALIZED LOSS ON DERIVATIVE -388,015.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1THE UNIVERSITY OF CINCINNATI FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 19970AddressLine1Txt
CityCINCINNATICityNm
State AbbreviationOHStateAbbreviationCd
ZIP452190970ZIPCd
FieldValueIRS element (for citing)
Recipient EIN310896555RecipientEIN
IRC Section501C3IRCSectionDesc
Cash Grant$5,000CashGrantAmt
Purpose Of GrantCONTRIBUTIONPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANTS ARE MONITORED THROUGH A CAPITAL EXPENSE BUDGET.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonMICHAEL MOBLEYPersonNm
TitleADMINISTRATORTitleTxt
Base Compensation Filing Org$170,598BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$12,000BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$7,947NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$190,545TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3CEDAR VILLAGE HAS A MANAGEMENT AGREEMENT WITH A THIRD PARTY, CARDON MANAGEMENT COMPANY LLC (MANAGER), AN EXPERIENCED MULTI-FACILITY LONG-TERM CARE MANAGER, TO MANAGE THE FACILITY ON BEHALF OF CEDAR VILLAGE FOR AN INITIAL TERM THAT EXPIRES ON MAY 31, 2025. THE AGREEMENT STATES THE GOVERNING BOARD OF CEDAR VILLAGE WILL RETAIN ULTIMATE AUTHORITY AND LEGAL RESPONSIBILITY FOR THE OPERATION AND CONTROL OF THE FACILITY.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 IS REVIEWED AND SIGNED BY THE TREASURER. THE SECRETARY ALSO RECEIVES A COPY OF FORM 990 TO RETAIN IN THE ORGANIZATION'S RECORDS AND IS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETCJAMES LOWELL WHITLACH - 226 S COLLEGE SQ, BLOOMINGTON, IN 47404. KATHY ETTENSOHN - 21 SE THIRD STREET STE 500, EVANSVILLE, IN 47708. DENNIS MCGUIRE - 3690 STERLING AVE, BLOOMINGTON, IN 47401. HIRSCH WISE - 8150 CORP PARK DR STE 160, CINCINNATI, OH 45242. MICHAEL MOBLEY - 226 S COLLEGE SQ, BLOOMINGTON, IN 47404.
FORM 990, PART IX, LINE 11GCONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,892,402. MANAGEMENT AND GENERAL EXPENSES 562,943. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,455,345.
FORM 990, PART XI, LINE 9:UNREALIZED LOSS ON DERIVATIVE -388,015.
FORM 990, PART XII, LINE 2CTHE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.