2019-11-15T14:36:48-06:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP PO BOX 217 AUSTIN MN 55912 990 2018-01-01 421316873 ONEOTA RIVERVIEW CARE FACILITY ONEO 5633829691 2479 RIVER ROAD DECORAH IA 52101 SCOTT MARNIN ADMINISTRATOR 5633829691 2019-11-15 1 TRENT FAST P00692704 5074347000 67.137.57.251 2019-11-15 08:11:38 CS P 26C8EB6CBFF908C19EE8E81CE4CE9FA3BB38FC5C E08963AC268195C1909E66F47FD4C6D720818CF5 2018 2020-04-17 16:48:07Z WELLINGTON PLACE SCOTT MARNIN 2479 RIVER ROAD DECORAH IA 52101 4494474 0 X N/A X 1988 IA FACILITY PROVIDING SKILLED NURSING, RESIDENTIAL CARE AND ASSISTED LIVING SERVICES. 8 8 167 29 0 0 2061 1202 4527648 4481000 10746 6566 3574 5606 4544029 4494374 0 0 0 0 2895535 2582836 0 0 0 1708540 1741345 4604075 4324181 -60046 170193 6483547 6789604 606481 823209 5877066 5966395 WELLINGTON PLACE IS A LICENSED CAMPUS PROVIDING SKILLED NURSING, NURSING FACILITY, RESIDENTIAL CARE AND ASSISTED LIVING SERVICES TO THOSE WHO QUALIFY UNDER EACH LEVEL OF CARE. 0 0 3841697 0 4481002 WE PROVIDE SKILLED NURSING, NURSING FACILITY, RESIDENTIAL CARE AND ASSISTED LIVING SERVICES TO THOSE WHO QUALIFY UNDER EACH LEVEL OF CARE. WE CURRENTLY OPERATE A 51 BED NURSING FACILITY, 40 BED RESIDENTIAL CARE FACILITY AND 34 ASSISTED LIVING UNITS IN DECORAH, IOWA. 3841697 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 20 0 167 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 1 0 IA X HEALTHCARE OF IOWA INC 3193628916 5925 DRY CREEK LN NE CEDAR RAPIDS IA 52402 MELINDA HANSON PRESIDENT 1.00 X X 0 0 0 LORRAINE SINDELAR VICE PRESIDENT 1.00 X X 0 0 0 JIM THOMPSON SECRETARY 1.00 X X 0 0 0 NORM ALDRIDGE BOARD MEMBER 1.00 X 0 0 0 NANCY HAGEMAN BOARD MEMBER 1.00 X 0 0 0 GARY JOHNSON BOARD MEMBER 1.00 X 0 0 0 BECKY REMMEN BOARD MEMBER 1.00 X 0 0 0 SCOTT MARNIN ADMINISTRATOR 40.00 X 116905 0 10905 116905 0 10905 1 0 0 0 EDGE COMMERCIAL LLC 3155 SE MIEHE DRIVE SUITE 2 GRIMES IA 50111 CONTRACTOR 1275218 DIVERSACARE 5925 DRY CREEK LN NE CEDAR RAPIDS IA 52402 MANAGEMENT FEES & CONSULTING 338781 GRAPETREE MEDICAL STAFFING 2501 BOJI BEND DRIVE SUITE 100 MILFORD IA 51351 STAFFING SERVICES 138010 3 1202 1202 RESIDENT ROOM REVENUE 623000 1859787 1859787 MEDICARE/MEDICAID PAYM 623000 1612417 1612417 ASSISTED LIVING REVENU 623000 1008796 1008796 4481000 6666 6666 100 -100 -100 -100 MISCELLANEOUS REVENUE 623000 4679 4679 MEAL REVENUE 623000 927 927 5606 4494374 4481000 0 12172 115155 115155 2070172 2010069 60103 24222 22284 1938 214232 197093 17139 159055 146331 12724 3570 3570 80494 80494 289625 206257 83368 21833 3324 18509 661900 615076 46824 164862 164862 14244 11128 3116 34946 6678 28268 5365 5365 287403 287403 44206 44206 PHYSICAL THERAPY 49635 49635 OCCUPATIONAL THERAPY 42357 42357 BAD DEBT EXPENSE 13682 13682 DUES & SUBSCRIPTIONS 10254 4343 5911 16969 16969 4324181 3841697 482484 0 1585541 722611 54657 55165 897492 816631 173287 228864 50126 25151 6795057 1932666 3647056 4862391 75388 78791 6483547 6789604 480370 479364 52099 12608 254125 74012 77112 606481 823209 X 4979574 5149764 897492 816631 5877066 5966395 6483547 6789604 X 170193 66723 -147587 X X 0 0 0 X 1537 5635 6467 2061 1202 16902 4403729 4623337 4818852 4527648 4481002 22854568 4405266 4628972 4825319 4529709 4482204 22871470 0 0 0 22871470 3684 2687 6978 10746 6666 30761 3684 2687 6978 10746 6666 30761 11663 12128 3438 3574 5606 36409 4420613 4643787 4835735 4544029 4494476 22938640 0.99710 0.99680 0.00130 0.00120 X 5820194 1422136 4398058 841063 510530 330533 133800 133800 4862391 SECURITY DEPOSITS PAYABLE 77112 77112 X 4641959 147585 147585 4494374 0 4494374 4471766 147585 147585 4324181 0 4324181 PART X, LINE 2: THE ORGANIZATION HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED BY THE ORGANIZATION AS A RESULT OF THIS STANDARD. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WAS REVIEWED BY THE BOARD PRESIDENT PRIOR TO BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE ORGANIZATIONS OFFICERS, MANAGEMENT AND KEY EMPLOYEES IS APPROVED EACH YEAR BY BOARD MEMBERS. COMPARISONS TO SIMILAR ORGANIZATIONS ARE MADE WHEN SALARY IS DETERMINED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -147,587. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED ANNUALLY BY AN INDEPENDENT ACCOUNTANT, RECEIVING AN UNQUALIFIED OPINION FOR THE YEAR ENDED DECEMBER 31, 2018. THE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.