WAKONDA HERITAGE MANOR: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- WAKONDA HERITAGE MANOR (EIN 46-0347728)
- Tax period
- 2023-10-01 to 2024-09-30
- Filed
- 2025-08-13
- IRS object ID
- 202522259349301037
- 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 | 2025-08-13T11:11:43-05:00 | ReturnTs |
| Tax Period End | 2024-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5126 | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 571175126 | 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 | 460347728 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAKONDA HERITAGE MANOR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WAKO | BusinessNameControlTxt |
| Phone | 6052672081 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 OHIO ST | AddressLine1Txt |
| City | WAKONDA | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 570732025 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBIN STOCKLAND | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 6052672081 | PhoneNum |
| Signature | 2025-08-13 | 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 | LAURIE HANSON CPA | PreparerPersonNm |
| PTIN | P00851848 | PTIN |
| Phone | 6053391999 | PhoneNum |
| Preparation | 2025-08-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBIN STOCKLAND | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 OHIO ST | AddressLine1Txt |
| City | WAKONDA | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 570732025 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,963,612 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | AVERA.ORG/WAKONDA-HERITAGE-MANOR | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | SD | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE RESIDENT NURSING HOME CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 76 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,570 | PYContributionsGrantsAmt |
| CY Contributions Grants | $20,050 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,065,342 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,912,173 | CYProgramServiceRevenueAmt |
| PY Investment Income | $35,692 | PYInvestmentIncomeAmt |
| CY Investment Income | $31,389 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $3,105,604 | PYTotalRevenueAmt |
| CY Total Revenue | $2,963,612 | 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 | $1,743,647 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,049,927 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,485,101 | PYOtherExpensesAmt |
| CY Other Expenses | $1,285,698 | CYOtherExpensesAmt |
| PY Total Expenses | $3,228,748 | PYTotalExpensesAmt |
| CY Total Expenses | $3,335,625 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$123,144 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$372,013 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,822,119 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,492,941 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $728,077 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $749,020 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,094,042 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,743,921 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WAKONDA HERITAGE MANOR SHALL PROVIDE DESIRABLE HEALTH SERVICES TO THE AREA WITH A CHRISTIAN ATMOSPHERE OF PATIENCE, LOVE AND CONCERN FOR THOSE IT SERVES. WAKONDA HERITAGE MANOR IS COMMITTED TO BEING A FINANCIALLY PRUDENT ORGANIZATION WHICH PARTICIPATES IN THE DEVELOPMENT AND DELIVERY OF HEALTHCARE SERVICES FOR ITS SERVICE AREA WHILE EMPHASIZING CARE THAT MAINTAINS THE DIGNITY OF EACH INDIVIDUAL. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,912,406 | ExpenseAmt |
| Revenue | $2,912,173 | RevenueAmt |
| Desc | WAKONDA HERITAGE MANOR (MANOR) OPERATES A 40-BED NURSING FACILITY, A 6 UNIT ASSISTED-LIVING FACILITY AND AN ELDERLY APARTMENT COMPLEX, LOCATED IN WAKONDA, SOUTH DAKOTA. FOR THE YEAR ENDED SEPTEMBER 30, 2024, WAKONDA HERITAGE MANOR PROVIDED 10,980 NURSING HOME AND ASSISTED LIVING RESIDENT DAYS AND 1,256 RESIDENT DAYS AT PARKVIEW APARTMENTS. | Desc |
| Total Program Service Expenses | $2,912,406 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | 0 | 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 | 0 | 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 | 0 | 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 | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 76 | 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | 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 | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBIN STOCKLAND | PersonNm |
| Phone | 6052672081 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 OHIO ST | AddressLine1Txt |
| City | WAKONDA | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57073 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| RONALD PETERSON | |||||||
| PRESIDENT | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RON HUOT | |||||||
| VICE PRESIDENT | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DONNA HENRIKSEN | |||||||
| SECRETARY/TREASURER | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHERYL KNUDSON | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| MARGO DEVINE MCCUE | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| JILL JOHNSEN | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| KEN GIRARD | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DARBY GANSCHOW | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| JULIE NELSEN | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| ROBIN STOCKLAND | |||||||
| ADMINISTRATOR | 20.00 | Yes (X) | $0 | $0 | $0 | ||
| ALLEN ALSDORF | |||||||
| REGISTERED NURSE | 44.60 | $107,620 | $0 | $17,003 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $107,620 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $17,003 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LAWRENCE RECRUITING SPECIALIST INC | |||||
| PO BOX 850781 | MINNEAPOLIS | MN | 55485 | CONTRACTED NURSING SERVICES | $191,770 |
| AYA HEALTHCARE INC | |||||
| PO BOX 123519 | DALLAS | TX | 75312 | CONTRACTED NURSING SERVICES | $150,126 |
| AVERA SACRED HEART HOSPITAL | |||||
| 501 SUMMIT | YANKTON | SD | 57078 | MANAGEMENT SERVICES | $135,455 |
| AEGIS THERAPIES INC | |||||
| PO BOX 936653 | ATLANTA | GA | 31193 | THERAPY SERVICES | $122,723 |
| US FOODSERVICE | |||||
| 15838 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | DIETARY PURCHASES (FOOD, SUPPLIES) | $110,879 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $20,000 | GovernmentGrantsAmt |
| All Other Contributions | $50 | AllOtherContributionsAmt |
| Total Contributions | $20,050 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENT SERVICES | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $2,865,155 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,865,155 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,018 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $47,018 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,912,173 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,389 | TotalRevenueColumnAmt |
| Exclusion | $31,389 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,963,612 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,912,173 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $31,389 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,738,365 | TotalAmt |
| Program Services | $1,670,416 | ProgramServicesAmt |
| Management And General | $67,949 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,264 | TotalAmt |
| Program Services | $21,394 | ProgramServicesAmt |
| Management And General | $870 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,416 | TotalAmt |
| Program Services | $140,693 | ProgramServicesAmt |
| Management And General | $5,723 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,882 | TotalAmt |
| Program Services | $137,297 | ProgramServicesAmt |
| Management And General | $5,585 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,232 | TotalAmt |
| Management And General | $62,232 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,176 | TotalAmt |
| Management And General | $56,176 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146 | TotalAmt |
| Management And General | $146 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $444,323 | TotalAmt |
| Program Services | $367,883 | ProgramServicesAmt |
| Management And General | $76,440 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,439 | TotalAmt |
| Management And General | $3,439 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,073 | TotalAmt |
| Management And General | $19,073 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,900 | TotalAmt |
| Management And General | $39,900 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,331 | TotalAmt |
| Program Services | $57,549 | ProgramServicesAmt |
| Management And General | $1,782 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,732 | TotalAmt |
| Program Services | $950 | ProgramServicesAmt |
| Management And General | $8,782 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,612 | TotalAmt |
| Management And General | $8,612 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,719 | TotalAmt |
| Program Services | $144,252 | ProgramServicesAmt |
| Management And General | $4,467 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,487 | TotalAmt |
| Management And General | $43,487 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $294,931 | $289,874 | $5,057 |
| EQUIPMENT, LEASE & MAIN | $76,700 | $75,326 | $1,374 |
| CONTINUING EDUCATION | $5,843 | $5,517 | $326 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,054 | TotalAmt |
| Program Services | $1,255 | ProgramServicesAmt |
| Management And General | $11,799 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,335,625 | TotalAmt |
| Program Services | $2,912,406 | ProgramServicesAmt |
| Management And General | $423,219 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,127 | BOYAmt |
| EOY | $183,338 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $449,219 | BOYAmt |
| EOY | $554,947 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,049 | BOYAmt |
| EOY | $44,785 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,906 | BOYAmt |
| EOY | $16,263 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,797,567 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,875,863 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,566,651 | BOYAmt |
| EOY | $1,921,704 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,424,905 | BOYAmt |
| EOY | $629,700 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,262 | BOYAmt |
| EOY | $142,204 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,822,119 | BOYAmt |
| EOY | $3,492,941 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,949 | BOYAmt |
| EOY | $246,051 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $545,128 | BOYAmt |
| EOY | $502,969 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $728,077 | BOYAmt |
| EOY | $749,020 | 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 | $3,073,183 | BOYAmt |
| EOY | $2,719,211 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,859 | BOYAmt |
| EOY | $24,710 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,094,042 | BOYAmt |
| EOY | $2,743,921 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,822,119 | BOYAmt |
| EOY | $3,492,941 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$372,013 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $21,892 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (1) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 0 | FSAuditedInd |
| 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 | $59,840 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $899,354 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $325,319 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,570 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,050 | CurrentTaxYearAmt |
| Total | $1,309,133 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,557,025 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,523,129 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,851,993 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,065,342 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,912,173 | CurrentTaxYearAmt |
| Total | $13,909,662 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,616,865 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,422,483 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,177,312 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,069,912 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,932,223 | CurrentTaxYearAmt |
| Total | $15,218,795 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $110,728 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $112,071 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $86,852 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $220,312 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $196,915 | CurrentTaxYearAmt |
| Total | $726,878 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,117,226 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $892,081 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,337,308 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,331,714 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,389,361 | CurrentTaxYearAmt |
| Total | $6,067,690 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,227,954 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,004,152 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,424,160 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,552,026 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,586,276 | CurrentTaxYearAmt |
| Total | $6,794,568 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $8,424,227 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,947 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,592 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,088 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $35,692 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,389 | CurrentTaxYearAmt |
| Total | $91,708 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,947 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,592 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,088 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $35,692 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,389 | CurrentTaxYearAmt |
| Total | $91,708 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,629,812 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,428,075 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,183,400 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,105,604 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,963,612 | CurrentTaxYearAmt |
| Total | $15,310,503 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.55020 | PublicSupportCY509Pct |
| Public Support PY509 | 0.56700 | PublicSupportPY509Pct |
| Investment Income CY | 0.00600 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00500 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $146 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $146 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAID DUES TO ORGANIZATIONS WHICH HAVE A PORTION OF THE DUES ATTRIBUTED TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $18,146 | BeginningBalanceAmt |
| Additions During Year | $165,186 | AdditionsDuringYearAmt |
| Distributions During Year | $173,152 | DistributionsDuringYearAmt |
| Ending Balance | $10,180 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,859 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,851 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $24,710 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,978 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,881 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $20,859 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,181 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$3,203 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $18,978 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,790 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,391 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $22,181 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,111 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $679 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $19,790 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.57590 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.42410 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,000 | OtherCostOrOtherBasisAmt |
| Book Value | $5,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,038,044 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,283,029 | DepreciationAmt |
| Book Value | $1,755,015 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $741,959 | OtherCostOrOtherBasisAmt |
| Depreciation | $592,834 | DepreciationAmt |
| Book Value | $149,125 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,564 | OtherCostOrOtherBasisAmt |
| Book Value | $12,564 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,921,704 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 1B: | THIS REPRESENTS RESIDENT TRUST FUNDS KEPT FOR RESIDENTS' SPENDING. THIS IS NOT AN ASSET OF THE MANOR. |
| PART V, LINE 4: | THE FUNDS ARE TO BE USED FOR IMPROVEMENTS AT WAKONDA HERITAGE MANOR. |
| PART X, LINE 2: | THE MANOR BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE MANOR WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | AVERA SACRED HEART HEALTH SERVICES PROVIDES MANAGEMENT SERVICES TO WAKONDA HERITAGE MANOR, INC. ROBIN STOCKLAND, ADMINISTRATOR, WAS PAID THROUGH AVERA SACRED HEART HEALTH SERVICES AND PRESIDED OVER THE DAY-TO-DAY OPERATIONS OF WAKONDA HERITAGE MANOR, INC. COMPENSATION PROVIDED TO ROBIN FOR SERVICES TO WAKONDA HERITAGE MANOR WAS AS FOLLOWS: ROBIN STOCKLAND: COMPENSATION $50,320 NONTAXABLE BENEFITS $15,543 THE ADMINISTRATOR IS EMPLOYED BY AVERA SACRED HEART HEALTH SERVICES. PERFORMANCE AND SALARY ARE REVIEWED ANNUALLY BY AVERA SACRED HEART HEALTH SERVICES AND THE WAKONDA HERITAGE MANOR BOARD OF DIRECTORS. |
| 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 | THE ADMINISTRATOR REVIEWS THE FORM 990 BEFORE IT IS FILED WITH THE IRS AND PROVIDES A COPY TO THE BOARD PRIOR TO FILING THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL MEMBERS OF THE BOARD OF DIRECTORS ARE COVERED BY THE CONFLICT OF INTEREST POLICY. THE FULL BOARD IS RESPONSIBLE FOR DETERMINING WHETHER A CONFLICT EXISTS AND FOR REVIEWING THE ACTUAL CONFLICTS. THE DETERMINATIONS ARE MADE ON A CASE BY CASE BASIS. THE DIRECTORS WITH CONFLICTS ABSTAIN FROM DISCUSSION AND VOTING. |
| 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 VII | THE ADMINISTRATOR IS THE TOP MANAGEMENT OFFICIAL AND THE TOP FINANCIAL OFFICIAL OF THE ORGANIZATION. |
| FORM 990, PART IX, LINE 11G | CONTRACTED THERAPY SERVICES: PROGRAM SERVICE EXPENSES 114,127. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 114,127. NURSING & PHYSICIAN PERSONNEL: PROGRAM SERVICE EXPENSES 214,158. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 214,158. OTHER CONTRACT & CONSULTING FEES: PROGRAM SERVICE EXPENSES 39,598. MANAGEMENT AND GENERAL EXPENSES 70,813. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110,411. PROFESSIONAL & OTHER EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,627. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,627. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST OF AVERA HEALTH FOUNDATION 21,892. |