GOOD SHEPHERD GERIATRIC CENTER INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- GOOD SHEPHERD GERIATRIC CENTER INC (EIN 42-0725236)
- Tax period
- 2023-10-01 to 2024-09-30
- Filed
- 2025-08-01
- IRS object ID
- 202522139349301662
- 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 | 2025-08-01T15:15:17-05:00 | ReturnTs |
| Tax Period End | 2024-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 LOCUST STREET SUITE 640 | AddressLine1Txt |
| City | DES MOINES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 503092354 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420725236 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SHEPHERD GERIATRIC CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 6414241740 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1707 | AddressLine1Txt |
| City | MASON CITY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 504021707 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | IAN STOCKBERGER | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6414241740 | PhoneNum |
| Signature | 2025-07-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KATHY FAIRCHILD | PreparerPersonNm |
| PTIN | P00222608 | PTIN |
| Phone | 5155586600 | PhoneNum |
| Preparation | 2025-07-28 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SHEPHERD HEALTH CENTER INC | BusinessNameLine1Txt |
| Business Name Line2 | GOOD SHEPHERD INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | IAN STOCKBERGER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1707 | AddressLine1Txt |
| City | MASON CITY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 504021707 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,033,975 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | GOODSHEPHERDHEALTHCENTER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1946 | FormationYr |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Activity Or Mission | SKILLED NURSING FACILITY, ASSISTED LIVING FACILITY AND INDEPENDENT LIVING FOR ELDERLY. NURSING FACILITY IS MEDICARE AND MEDICAID CERTIFIED. PROVIDE SPEECH, PHYSICAL AND OCCUPATIONAL THERAPY. LICENSED FOR 210 BEDS. ASSISTED LIVING FACILITY - 2 LOCATIONS - LICENSED FOR 106 RESIDENTS. INDEPENDENT LIVING FACILITY - 2 LOCATIONS - PROVIDES LAUNDRY FACILITIES, A NOON MEAL AND INDOOR/OUTDOOR PARKING - 172 APARTMENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 368 | TotalEmployeeCnt |
| Total Volunteers | 26 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,550 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,612,926 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $21,502,073 | CYProgramServiceRevenueAmt |
| PY Investment Income | $313,681 | PYInvestmentIncomeAmt |
| CY Investment Income | $502,163 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,484 | PYOtherRevenueAmt |
| CY Other Revenue | $3,766 | CYOtherRevenueAmt |
| PY Total Revenue | $19,930,091 | PYTotalRevenueAmt |
| CY Total Revenue | $22,013,552 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,269,422 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,485,667 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,625,908 | PYOtherExpensesAmt |
| CY Other Expenses | $7,243,869 | CYOtherExpensesAmt |
| PY Total Expenses | $19,895,330 | PYTotalExpensesAmt |
| CY Total Expenses | $21,729,536 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $34,761 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $284,016 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $50,632,736 | TotalAssetsBOYAmt |
| Total Assets EOY | $52,939,493 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,816,878 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,100,190 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $48,815,858 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $49,839,303 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MISSION STATEMENT: PROVIDING QUALITY CARE AND HOUSING SERVICES FOR NORTH IOWA'S 55+ POPULATION IN A NURTURING CHRISTIAN ATMOSPHERE.OUR COMMITMENT: OUR COMMITMENT IS TO SUPPORT THE ELDERLY IN MAINTAINING OR IMPROVING THEIR QUALTIY OF LIFE. TO FURTHER THAT GOAL WE PROVIDE A PLEASANT, HEALTHY ENVIRONMENT AND A WIDE RANGE OF SERVICES AND ACTIVITIES. OUR PROFESSIONAL STAFF IS DEDICATED TO RESPECTING AND SERVING THE ELDERLY ACCORDING TO THEIR CHOICES, ABILITIES AND NEEDS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,321,320 | ExpenseAmt |
| Revenue | $16,180,667 | RevenueAmt |
| Desc | NURSING HOME CARE: LONG TERM CARE NURSING FACILITY WITH 210 LICENSED BEDS, PROVIDING PHARMACY AND THERAPY SERVICES TO THE RESIDENTS. (180 BEDS) | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,890,536 | ExpenseAmt |
| Revenue | $2,849,868 | RevenueAmt |
| Desc | NURSING HOME CARE: ASSISTED LIVING FACILITY FOR ELDERLY (KENTUCKY RIDGE.) SERVICES INCLUDE PHARMACY AND THERAPY SERVICES. (60 UNITS) | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,227,725 | ExpenseAmt |
| Revenue | $1,582,133 | RevenueAmt |
| Desc | NURSING HOME CARE: ASSISTED LIVING FACILITY FOR ELDERLY (CORNERSTONE.) SERVICES INCLUDE PHARMACY AND THERAPY SERVICES. (46 UNITS) | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $615,721 | ExpenseAmt |
| Revenue | $889,405 | RevenueAmt |
| Desc | HOUSING PROVISION, GENERAL/OTHER: APARTMENT RENTALS FOR THE ELDERLY, HANDICAPPED AND DISABLED. ADDITIONAL SERVICES AVAILABLE INCLUDE DAILY NOON MEAL, LAUNDRY FACILITIES AND GARAGES/PARKING. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $615,721 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $889,405 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $20,055,302 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | 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 | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| 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 | 26 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 368 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHELLE HORST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6414241740 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 302 2ND ST NE | AddressLine1Txt |
| City | MASON CITY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50401 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| REV DAN GERRIETTS | ||||||||
| CHAIR THRU 11/23, DIRECTOR EFF 12/23 | 0.50 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LES SELTUN | ||||||||
| VICE CHAIR THRU 11/23, CHAIR EFF 12/23 | 0.50 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MASON HARMS | ||||||||
| SEC/TR THRU 11/23, VICE CHAIR EFF 12/23 | 0.50 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CONNIE BLEILE | ||||||||
| DIR THRU 11/23, SEC/TREAS EFF 12/23 | 0.50 | 0.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KATHRYN ALDEN | ||||||||
| DIRECTOR THRU 11/23 | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| GREG BRAUN | ||||||||
| DIRECTOR | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| AMY DIXON | ||||||||
| DIRECTOR | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| DR JOHN BOEDEKER | ||||||||
| DIRECTOR EFF 12/23 | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| BURTON EVERIST | ||||||||
| DIRECTOR THRU 11/23 | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| JASON GEVING | ||||||||
| DIRECTOR THRU 11/23 | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| REV JANE HARRIS | ||||||||
| DIRECTOR EFF 12/23 | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| SAMUEL HUNT | ||||||||
| DIRECTOR THRU 11/23 | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| WHITNEY JOHNSTON | ||||||||
| DIRECTOR | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| MARTHA KOCH | ||||||||
| DIRECTOR EFF 12/23 | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| JOHN LANDER | ||||||||
| DIRECTOR EFF 12/23 | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| KIRK PAULSON | ||||||||
| DIRECTOR THRU 11/23 | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| DAVID RUEN | ||||||||
| DIRECTOR | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| TYLER SCHAEFER | ||||||||
| DIRECTOR | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| SCOTT SHIPMAN | ||||||||
| DIRECTOR | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| SCOTT SMED | ||||||||
| DIRECTOR | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| DR JERROLD WHITE | ||||||||
| DIRECTOR | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| ANNE ZOOK | ||||||||
| DIRECTOR THRU 11/23 | 0.50 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| IAN STOCKBERGER | ||||||||
| CEO | 50.00 | 5.00 | Yes (X) | $303,465 | $0 | $711 | ||
| KIMBER KLEVEN | ||||||||
| ADMINISTRATOR | 47.00 | 3.00 | Yes (X) | $169,624 | $0 | $0 | ||
| TARA DICKINSON | ||||||||
| NURSING SUPERVISOR | 65.00 | 0.00 | $139,871 | $0 | $287 | Yes (X) | ||
| SUSAN MADESEN | ||||||||
| LPN | 53.00 | 0.00 | $114,243 | $0 | $12,822 | Yes (X) | ||
| THEODORE HINES | ||||||||
| NURSING SUPERVISOR | 50.00 | 0.00 | $110,127 | $0 | $14,922 | Yes (X) | ||
| ROBIN RALLS | ||||||||
| DIRECTOR OF NURSING | 50.00 | 0.00 | $111,462 | $0 | $15,675 | Yes (X) | ||
| MICHELLE HORST | ||||||||
| CONTROLLER | 45.00 | 5.00 | $117,383 | $0 | $11,742 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,066,175 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $56,159 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | 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 |
|---|---|---|---|---|---|
| UNITIMED | |||||
| 1000 NORTH 90TH ST SUITE 400 | OMAHA | NE | 68114 | STAFFING AGENCY | $1,981,278 |
| GRAPETREE MEDICAL STAFFING | |||||
| 2501 BOJI BLEND DRIVE SUITE 100 | MILFORD | IA | 51351 | STAFFING AGENCY | $1,121,458 |
| BLUE STONE THERAPY | |||||
| 6750 WESTOWN PARKWAY SUITE 110 | WEST DES MOINES | IA | 50266 | THERAPY SERVICES | $704,559 |
| NURSEFINDERS | |||||
| PO BOX 910738 | DALLAS | TX | 753910738 | STAFFING AGENCY | $164,161 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $5,550 | AllOtherContributionsAmt |
| Total Contributions | $5,550 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NURSING HOME | 623000 | $16,180,667 | $16,180,667 |
| KENTUCKY RIDGE ASSISTED LIVING | 623000 | $2,849,868 | $2,849,868 |
| CORNERSTONE ASSISTED LIVING | 623000 | $1,582,133 | $1,582,133 |
| THE MANOR APT RENTALS FOR ELDERLY | 624200 | $889,405 | $889,405 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $21,502,073 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $516,144 | TotalRevenueColumnAmt |
| Exclusion | $516,144 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,208 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,442 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,766 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,766 | TotalRevenueColumnAmt |
| Exclusion | $3,766 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $13,981 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$13,981 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$13,981 | TotalRevenueColumnAmt |
| Exclusion | -$13,981 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,013,552 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,502,073 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $505,929 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $473,800 | TotalAmt |
| Management And General | $473,800 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,496,314 | TotalAmt |
| Program Services | $11,776,042 | ProgramServicesAmt |
| Management And General | $720,272 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $776,198 | TotalAmt |
| Program Services | $704,739 | ProgramServicesAmt |
| Management And General | $71,459 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $739,355 | TotalAmt |
| Program Services | $671,288 | ProgramServicesAmt |
| Management And General | $68,067 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,876 | TotalAmt |
| Management And General | $2,876 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,700 | TotalAmt |
| Management And General | $47,700 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,952 | TotalAmt |
| Management And General | $30,952 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,040 | TotalAmt |
| Program Services | $33,182 | ProgramServicesAmt |
| Management And General | $88,858 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,303 | TotalAmt |
| Program Services | $120,303 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,690 | TotalAmt |
| Management And General | $41,690 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,492 | TotalAmt |
| Program Services | $124,094 | ProgramServicesAmt |
| Management And General | $75,398 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,044,318 | TotalAmt |
| Program Services | $1,036,578 | ProgramServicesAmt |
| Management And General | $7,740 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,615 | TotalAmt |
| Program Services | $39,602 | ProgramServicesAmt |
| Management And General | $21,013 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,444 | TotalAmt |
| Program Services | $27,453 | ProgramServicesAmt |
| Management And General | $8,991 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,266,684 | TotalAmt |
| Program Services | $1,264,510 | ProgramServicesAmt |
| Management And General | $2,174 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $562,859 | TotalAmt |
| Program Services | $562,859 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| SUPPLIES | $1,986,995 | $1,986,995 |
| THERAPY SERVICES | $753,813 | $753,813 |
| BAD DEBT | $308,723 | $308,723 |
| EQUIPMENT RENTAL & MAIN | $95,118 | $95,118 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $563,247 | TotalAmt |
| Program Services | $550,003 | ProgramServicesAmt |
| Management And General | $13,244 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,729,536 | TotalAmt |
| Program Services | $20,055,302 | ProgramServicesAmt |
| Management And General | $1,674,234 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,971,800 | BOYAmt |
| EOY | $2,402,022 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,963,449 | BOYAmt |
| EOY | $16,144,307 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,384,648 | BOYAmt |
| EOY | $1,616,344 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $926,735 | BOYAmt |
| EOY | $878,335 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,218 | BOYAmt |
| EOY | $94,088 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,631 | BOYAmt |
| EOY | $106,007 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $54,083,929 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $26,592,377 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,714,172 | BOYAmt |
| EOY | $27,491,552 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,298,723 | BOYAmt |
| EOY | $4,077,902 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $176,360 | BOYAmt |
| EOY | $128,936 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,632,736 | BOYAmt |
| EOY | $52,939,493 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,675,871 | BOYAmt |
| EOY | $2,944,311 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,007 | BOYAmt |
| EOY | $155,879 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,816,878 | BOYAmt |
| EOY | $3,100,190 | 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 | $48,815,858 | BOYAmt |
| EOY | $49,839,303 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,815,858 | BOYAmt |
| EOY | $49,839,303 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,632,736 | BOYAmt |
| EOY | $52,939,493 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $284,016 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $786,853 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$47,424 | 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 | $9,297 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,351,950 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $538,030 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $5,550 | CurrentTaxYearAmt |
| Total | $2,904,827 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,764,483 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,873,990 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,418,227 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,612,926 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,504,847 | CurrentTaxYearAmt |
| Total | $101,174,473 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,773,780 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,225,940 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,956,257 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,612,926 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,510,397 | CurrentTaxYearAmt |
| Total | $104,079,300 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $104,079,300 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $298,095 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $278,697 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $193,964 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $324,189 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $526,352 | CurrentTaxYearAmt |
| Total | $1,621,297 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $298,095 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $278,697 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $193,964 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $324,189 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $526,352 | CurrentTaxYearAmt |
| Total | $1,621,297 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,071,875 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,504,637 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,150,221 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,937,115 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,036,749 | CurrentTaxYearAmt |
| Total | $105,700,597 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98470 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98640 | PublicSupportPY509Pct |
| Investment Income CY | 0.01530 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01360 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,812,678 | OtherCostOrOtherBasisAmt |
| Book Value | $1,812,678 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,964,324 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,708,781 | DepreciationAmt |
| Book Value | $17,255,543 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,728,279 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,030,961 | DepreciationAmt |
| Book Value | $1,697,318 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,578,648 | OtherCostOrOtherBasisAmt |
| Depreciation | $852,635 | DepreciationAmt |
| Book Value | $6,726,013 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $27,491,552 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| PATIENT TRUST PAYABLE | $11,324 |
| SECURITY DEPOSIT PAYABLE | $144,555 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $155,879 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $23,076,805 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $786,853 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $276,400 | OtherRevenueAmt |
| Revenue Not Reported | $1,063,253 | RevenueNotReportedAmt |
| Revenue Subtotal | $22,013,552 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $22,013,552 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $22,053,360 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $323,824 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $323,824 | ExpensesNotReportedAmt |
| Expenses Subtotal | $21,729,536 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $21,729,536 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | INCOME TAXES: THE HEALTH CENTER IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTIONS 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR SECTIONS OF THE IOWA CODE. THE HEALTH CENTER FOLLOWS ACCOUNTING GUIDANCE FOR UNCERTAINTY IN INCOME TAXES. THE HEALTH CENTER IS SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT IT HAS UNRELATED BUSINESS INCOME. IN ACCORDANCE WITH THE ACCOUNTING GUIDANCE FOR UNCERTAINTY IN INCOME TAXES, MANAGEMENT EVALUATED THE HEALTH CENTER'S TAX POSITIONS AND CONCLUDED THAT THE HEALTH CENTER HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE NETTED WITH REVENUE ON 990 6,442. PRAIRIE PLACE ON 1ST CONSOLIDATED INCOME 269,958. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE NETTED WITH REVENUE ON 990 6,442. PRAIRIE PLACE ON 1ST CONSOLIDATED EXPENSES 317,382. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| IAN STOCKBERGER | ||||||||||||||
| CEO | $303,465 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $711 | $0 | $304,176 | $0 | $0 | $0 |
| KIMBER KLEVEN | ||||||||||||||
| ADMINISTRATOR | $169,624 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $169,624 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS OF THE CORPORATION ARE ST JAMES LUTHERAN, ST PAUL LUTHERAN, TRINITY LUTHERAN, OUR SAVIOR LUTHERAN AND BETHLEHEM LUTHERAN ALL IN MASON CITY IA; ST PETER LUTHERAN ROCKWELL IA; ZION LUTHERAN CLEAR LAKE, IA; OTHER LUTHERAN CONGREGATIONS WITHIN 50 MILES OF MASON CITY IOWA MAY BECOME MEMBERS BY FOLLWING PROCEDURES DESCRIBED IN THE ORGANIZATIONS ARTICLES OF INCORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS OF THE CORPORATION HAVE TWO VOTING DELEGATES, ONE OF WHOM IS THE PASTOR OR HIS/HER DESIGNATE AND ALSO HAS ONE ADDITIONAL VOTING DELEGATE FOR EACH 400 CONFIRMED MEMBERS OR MAJOR FRACTION THEREOF OVER THE FIRST 200 CONFIRMED MEMBERS. EACH VOTING DELEGATE HAS ONE VOTE ON ANY MATTER TO BE VOTED UPON AT ANY MEETING OF THE MEMBERSHIP. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE ACTIONS OF THE BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY THE MEMBERS OF THE CORPORATION BECAUSE MEMBERS ARE ALLOWED TO VOTE ON ALL MATTERS AT ALL MEETINGS. |
| FORM 990, PART VI, SECTION B, LINE 11B | COPIES OF FORM 990'S ARE PRESENTED TO EACH MEMBER OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS THEN VOTE TO APPROVE THE FORM 990 PRIOR TO SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS MONITORED BY REQUIRING A WRITTEN STATEMENT ANNUALLY FROM EACH BOARD OF DIRECTOR AND KEY EMPLOYEE CONCERNING POTENTIAL CONFLICTS. BOARD MEMBERS ARE EXCLUDED FROM VOTING ON MOTIONS WHEN CONFICTS ARISE. |
| FORM 990, PART VI, SECTION B, LINE 15 | A COMPENSATION COMMITTEE SETS SALARIES BY RESEARCHING PUBLISHED DATA FOR THE STATE OF IOWA FOR COMPENSATION PAID TO EMPLOYEES OF ORGANIZATIONS (BOTH TAXABLE AND NONTAXABLE) OF A COMPARABLE SIZE, PURPOSE AND RESOURCES FOR SIMILAR SERVICES. INDEPENDENT SALARY SURVEYS ARE CONSIDERED AS WELL AS OFFERS FROM SIMILAR ORGANIZATIONS. THE COMMITTEE DOCUMENTS THEIR METHODS AND THE CONCLUSIONS REACHED. PROPOSED SALARIES SET BY THE COMMITTEE ARE SUBJECT TO APPROVAL BY GOVERNING BODY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. |
| FORM 990, PART XI, LINE 9: | LOSS ON CONSOLIDATED ENTITY -47,424. |
| FORM 990, PART XII, LINE 2C | THE FINANCE COMMITTEE REVIEWS THE AUDITED FINANCIAL STATEMENTS WITH THE INDEPENDENT AUDITOR ANNUALLY. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| GOOD SHEPHERD TELEPHONE REASSURANCE | ||||||||||
| P O BOX 1707 | MASON CITY | IA | 504021707 | 421440083 | DAILY PHONE CALL TO ELDERLY TO ENSURE SAFETY | IA | 501(C)(3) | LINE 7 | GOOD SHEPHERD GERIATRIC CENTER INC | Yes (1) |
| SHALOM TOWER TWO INC | ||||||||||
| 302 2ND STREET NE | MASON CITY | IA | 504013412 | 421135447 | APARTMENT RENTALS FOR ELDERLY/DISABLED INDIVIDUALS | IA | 501(C)(3) | LINE 11 | GOOD SHEPHERD GERIATRIC CENTER INC | Yes (1) |
| PRAIRIE PLACE ON 1ST INC | ||||||||||
| P O BOX 1707 | MASON CITY | IA | 504021707 | 474394134 | AFFORDABLE HOUSING FOR SENIOR INDIVIDUALS | IA | 501(C)(4) | GOOD SHEPHERD GERIATRIC CENTER 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 | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | 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 | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GOOD SHEPHERD TELEPHONE REASSURANCE INC | ||
| Q | $88,966 | TIME SPENT & ACTUAL COST |
| PRAIRIE PLACE ON 1ST INC | ||
| D | $641,084 | LOAN |
| SHALOM TOWER TWO INC | ||
| Q | $79,134 | TIME SPENT & ACTUAL COST |
| PRAIRIE PLACE ON 1ST INC | ||
| Q | $47,423 | TIME SPENT & ACTUAL COST |