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SIMPSON MEMORIAL HOME INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
SIMPSON MEMORIAL HOME INC (EIN 42-0950871)
Tax period
2018-07-01 to 2019-06-30
Filed
2019-10-30
IRS object ID
201933039349300333
Schema version
2018v3.1
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)
Return2019-10-30T11:34:10-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN421029744PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1TDT CPAS AND ADVISORS PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11700 42ND ST NEAddressLine1Txt
CityCEDAR RAPIDSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN420950871EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SIMPSON MEMORIAL HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSIMPBusinessNameControlTxt
Phone3196274775PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 N MILLER STREETAddressLine1Txt
CityWEST LIBERTYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52776ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHELLEY WICKSPersonNm
Person TitleADMINISTRATORPersonTitleTxt
Phone3196274775PhoneNum
Signature2019-10-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROSS VANLAAR CPAPreparerPersonNm
PTINP01532250PTIN
Phone3193932374PhoneNum
Preparation2019-10-30PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address52.37.240.203IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-10-30IPDt
IP Tm11:34:10IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1AF3C33E068449F31F79581828F5FE3880F7053FAtSubmissionCreationDeviceId
At Submission Filing Device Id1FC78E67BA81826C8498552DE2266F1703A75F10AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSHELLEY WICKSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 N MILLER STREETAddressLine1Txt
CityWEST LIBERTYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52776ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,022,535GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SIMPSONMEMORIALHOME.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionSIMPSON MEMORIAL HOME, INC WILL CONTINUE THE TRADITION OF BEING A RESPONSIVE PROVIDER OF EXCELLENT QUALITY CARE TO THE COMMUNITIES WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee141TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$9,429PYContributionsGrantsAmt
CY Contributions Grants$16,636CYContributionsGrantsAmt
PY Program Service Revenue$8,527,934PYProgramServiceRevenueAmt
CY Program Service Revenue$8,562,406CYProgramServiceRevenueAmt
PY Investment Income$41,202PYInvestmentIncomeAmt
CY Investment Income$71,096CYInvestmentIncomeAmt
PY Other Revenue$80,440PYOtherRevenueAmt
CY Other Revenue$60,123CYOtherRevenueAmt
PY Total Revenue$8,659,005PYTotalRevenueAmt
CY Total Revenue$8,710,261CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,051,941PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,977,249CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,466,284PYOtherExpensesAmt
CY Other Expenses$3,267,173CYOtherExpensesAmt
PY Total Expenses$8,518,225PYTotalExpensesAmt
CY Total Expenses$8,244,422CYTotalExpensesAmt
PY Revenues Less Expenses$140,780PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$465,839CYRevenuesLessExpensesAmt
Total Assets BOY$14,353,900TotalAssetsBOYAmt
Total Assets EOY$14,447,144TotalAssetsEOYAmt
Total Liabilities BOY$4,311,275TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,972,314TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,042,625NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,474,830NetAssetsOrFundBalancesEOYAmt
MissionSIMPSON MEMORIAL HOME, INC WILL CONTINUE THE TRADITION OF BEING A RESPONSIVE PROVIDER OF EXCELLENT QUALITY CARE TO THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,043,754ExpenseAmt
Revenue$8,562,406RevenueAmt
DescTHE ORGANIZATION OPERATES TWO CAMPUSES THAT ACCEPTS PRIVATE PAY, MEDICARE, MEDICAID, AND LONG-TERM CARE INSURANCE. SIMPSON MEMORIAL HOME AT WEST LIBERTY HAS A 65 BED SNF/NF, 18 BED ASSISTED LIVING, 24 UNIT INDEPENDENT LIVING, AND 6 UNITS OF IL TOWNHOUSES. WILTON RETIREMENT COMMUNITY IN WILTON HAS A 34 BED SNF/NF AND A 24 BED ASSISTED LIVING.Desc
Total Program Service Expenses$7,043,754TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee141EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSHELLEY WICKSPersonNm
Phone3196274775PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 N MILLER STREETAddressLine1Txt
CityWEST LIBERTYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52776ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DERWOOD KEITH
PRESIDENT0.50Yes (X)Yes (X)$0$0$0
KENNETH LINCOLN
VICE PRESIDE0.50Yes (X)Yes (X)$0$0$0
KATHY KEESE
SECRETARY/TR0.50Yes (X)Yes (X)$0$0$0
SANDRA BALLOU
DIRECTOR0.50Yes (X)$0$0$0
BRUCE JIPP
DIRECTOR0.50Yes (X)$0$0$0
GRANT LILIENTHAL
DIRECTOR0.50Yes (X)$0$0$0
JIM CONREY
DIRECTOR0.50Yes (X)$0$0$0
LORI LEGGINS
DIRECTOR0.50Yes (X)$0$0$0
KAREN WRIGHT
DIRECTOR0.50Yes (X)$0$0$0
SHELLEY WICKS
ADMINISTRATO40.00Yes (X)$130,073$0$5,273
FieldValueIRS element (for citing)
Total Reportable Comp From Org$130,073TotalReportableCompFromOrgAmt
Total Other Compensation$5,273TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AEGIS THERAPIES INC
PO BOX 8103FORT SMITHAR72902THERAPIES$504,786
MARTIN BROS DISTRIBUTING CO
406 VIKING RDCEDAR FALLSIA50613FOOD SUPPLIES$283,703
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$16,636AllOtherContributionsAmt
Total Contributions$16,636TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NURSING HOME SERVICES623000$8,463,789$8,463,789
OTHER INCOME623000$98,617$98,617
FieldValueIRS element (for citing)
Total Program Service Revenue$8,562,406TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,932TotalRevenueColumnAmt
Exclusion$50,932ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$372,397RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$312,274RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$60,123RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$60,123TotalRevenueColumnAmt
Related Or Exempt Func Income$60,123RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$20,164SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$20,164SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,164TotalRevenueColumnAmt
Exclusion$20,164ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,710,261TotalRevenueColumnAmt
Related Or Exempt Func Income$8,523,912RelatedOrExemptFuncIncomeAmt
Exclusion$169,713ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$141,682TotalAmt
Management And General$141,682ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,076,368TotalAmt
Program Services$3,871,157ProgramServicesAmt
Management And General$205,211ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$49,937TotalAmt
Program Services$43,270ProgramServicesAmt
Management And General$6,667ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$385,062TotalAmt
Program Services$362,325ProgramServicesAmt
Management And General$22,737ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$324,200TotalAmt
Program Services$284,700ProgramServicesAmt
Management And General$39,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,012,555TotalAmt
Program Services$971,176ProgramServicesAmt
Management And General$41,379ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,522TotalAmt
Program Services$1,522ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$50,585TotalAmt
Program Services$33,850ProgramServicesAmt
Management And General$16,735ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$102,350TotalAmt
Program Services$29,541ProgramServicesAmt
Management And General$72,809ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$491,658TotalAmt
Program Services$400,796ProgramServicesAmt
Management And General$90,862ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,550TotalAmt
Program Services$9,033ProgramServicesAmt
Management And General$4,517ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$523,606TotalAmt
Program Services$225,974ProgramServicesAmt
Management And General$297,632ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$153,214TotalAmt
Program Services$64,905ProgramServicesAmt
Management And General$88,309ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RAW FOOD$406,753$406,753
SUPPLIES$334,987$318,311$16,676
BAD DEBT EXPENSE$50,959$50,959
COMPUTER EXPENSE$48,740$48,740

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$76,694TotalAmt
Program Services$20,441ProgramServicesAmt
Management And General$56,253ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,244,422TotalAmt
Program Services$7,043,754ProgramServicesAmt
Management And General$1,200,668ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt
EOY$1,000EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,458,319BOYAmt
EOY$2,079,370EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$510,740BOYAmt
EOY$467,439EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$58,314BOYAmt
EOY$47,166EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$377BOYAmt
EOY$212EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$20,387,375LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,221,036LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,668,123BOYAmt
EOY$11,166,339EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$616,569BOYAmt
EOY$645,326EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$40,458BOYAmt
EOY$40,292EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,353,900BOYAmt
EOY$14,447,144EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$487,890BOYAmt
EOY$516,515EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$902,217BOYAmt
EOY$866,650EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,785,773BOYAmt
EOY$2,446,314EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$185BOYAmt
EOY$185EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$135,210BOYAmt
EOY$142,650EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,311,275BOYAmt
EOY$3,972,314EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,002,352BOYAmt
EOY$10,426,323EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,273BOYAmt
EOY$28,507EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,000BOYAmt
EOY$20,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,042,625BOYAmt
EOY$10,474,830EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,353,900BOYAmt
EOY$14,447,144EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$465,839ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$33,634NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$256,847CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,299CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,443CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,429CurrentTaxYearMinus1YearAmt
Current Tax Year$16,636CurrentTaxYearAmt
Total$369,654TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,218,234CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,169,341CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,104,812CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,811,548CurrentTaxYearMinus1YearAmt
Current Tax Year$8,836,186CurrentTaxYearAmt
Total$42,140,121TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$87,097CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$88,724CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$109,621CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$87,346CurrentTaxYearMinus1YearAmt
Current Tax Year$98,617CurrentTaxYearAmt
Total$471,405TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,562,178CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,315,364CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,243,876CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,908,323CurrentTaxYearMinus1YearAmt
Current Tax Year$8,951,439CurrentTaxYearAmt
Total$42,981,180TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$211,955CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$50,000CurrentTaxYearMinus3YearsAmt
Total$261,955TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$211,955CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$50,000CurrentTaxYearMinus3YearsAmt
Total$261,955TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$42,719,225PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,415CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,739CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,088CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$38,023CurrentTaxYearMinus1YearAmt
Current Tax Year$50,932CurrentTaxYearAmt
Total$174,197TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,415CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,739CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,088CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$38,023CurrentTaxYearMinus1YearAmt
Current Tax Year$50,932CurrentTaxYearAmt
Total$174,197TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,594,593CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,342,103CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,269,964CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,946,346CurrentTaxYearMinus1YearAmt
Current Tax Year$9,002,371CurrentTaxYearAmt
Total$43,155,377TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98990PublicSupportCY509Pct
Public Support PY5090.97380PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,831BeginningYearBalanceAmt
Investment Earnings Or Losses$113InvestmentEarningsOrLossesAmt
Other Expenditures$400OtherExpendituresAmt
End Year Balance$24,544EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,007BeginningYearBalanceAmt
Investment Earnings Or Losses$224InvestmentEarningsOrLossesAmt
Other Expenditures$400OtherExpendituresAmt
End Year Balance$24,831EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,182BeginningYearBalanceAmt
Investment Earnings Or Losses$319InvestmentEarningsOrLossesAmt
Other Expenditures$494OtherExpendituresAmt
End Year Balance$25,007EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,356BeginningYearBalanceAmt
Investment Earnings Or Losses$169InvestmentEarningsOrLossesAmt
Other Expenditures$343OtherExpendituresAmt
End Year Balance$25,182EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,255BeginningYearBalanceAmt
Investment Earnings Or Losses$501InvestmentEarningsOrLossesAmt
Other Expenditures$400OtherExpendituresAmt
End Year Balance$25,356EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.81490PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.18510TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$202,554OtherCostOrOtherBasisAmt
Book Value$202,554BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,037,198OtherCostOrOtherBasisAmt
Depreciation$5,963,909DepreciationAmt
Book Value$10,073,289BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,852,323OtherCostOrOtherBasisAmt
Depreciation$2,532,960DepreciationAmt
Book Value$319,363BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,295,300OtherCostOrOtherBasisAmt
Depreciation$724,167DepreciationAmt
Book Value$571,133BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,166,339TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescTENANT SECURITY DEPOSITSDesc
Amt$142,650Amt
FieldValueIRS element (for citing)
Total Liability$142,650TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$8,988,901TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$33,634NetUnrealizedGainsInvstAmt
Other Revenue$312,274OtherRevenueAmt
Revenue Not Reported$278,640RevenueNotReportedAmt
Revenue Subtotal$8,710,261RevenueSubtotalAmt
Total Revenue Per Form990$8,710,261TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,556,696TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$312,274OtherExpensesIncludedAmt
Expenses Not Reported$312,274ExpensesNotReportedAmt
Expenses Subtotal$8,244,422ExpensesSubtotalAmt
Total Expenses Per Form990$8,244,422TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART IV, LINE 2BTHE ORGANIZATION HOLDS, IN TRUST, FUNDS ADVANCED BY RESIDENTS OF THE NURSING FACILITIES TO BE USED AT EACH RESIDENT'S DISCRETION. THE FUNDS ARE MAINTAINED IN A SEPARATE NON-INTEREST BEARING ACCOUNT AND THE ORGANIZATION HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THESE FUNDS.
SCHEDULE D, PAGE 2, PART V, LINE 4THE PURPOSE OF THE ENDOWMENT FUND IS TO MAKE AN ANNUAL SCHOLARSHIP DISTRIBUTION OF 400.
SCHEDULE D, PAGE 3, PART XTHE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR SECTION OF THE IOWA INCOME TAX LAW, WHICH PROVIDES INCOME TAX EXEMPTION FOR CORPORATIONS ORGANIZED AND OPERATED EXCLUSIVELY FOR RELIGIOUS, CHARITABLE, OR EDUCATIONAL PURPOSES. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
SCHEDULE D, PAGE 4, PART XI, LINE 2DRENTAL EXPENSES 312,274
SCHEDULE D, PAGE 4, PART XII, LINE 2DRENTAL EXPENSES 312,274

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF WILTON IOWABusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN426005375BondIssuerEIN
Bond Issued2013-03-18BondIssuedDt
Issue Price$4,200,000IssuePriceAmt
Purpose34 BED NURSING HOMEPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,753,686RetiredAmt
Total Proceeds$4,200,000TotalProceedsAmt
Issuance Costs From Proceeds$50,000IssuanceCostsFromProceedsAmt
Capital Expenditures$4,150,000CapitalExpendituresAmt
Substantial Completion2014SubstantialCompletionYr
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestYes (true)BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebateYes (true)ExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K - ADDITIONAL INFORMATIONFormAndLineReferenceDesc
ExplanationCITY OF WILTON, IOWA PART IV - LINE 2B - EXCEPTION TO REBATE THE EXCEPTION IS DERIVED FROM THE EXPENDITURE OF FUNDS WITHIN A CERTAIN TIME FRAME AND NOT HAVING THE FUNDS INVESTED BEYOND THE TIME FRAME. THE TRANSACTION WAS TO BE A DRAW DOWN LOAN AND THUS THE FUNDS WERE TO BE DRAWN AS NEEDED AND SPENT WITHIN A SHORT TIME AFTER DRAW.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BA COPY OF THE 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT WAS FILED.
FORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AT THEIR JUNE BOARD MEETING AND THE REVIEW IS DOCUMENTED IN THE BOARD MINUTES.
FORM 990, PAGE 6, PART VI, LINE 15ATHE ADMINISTRATOR BUDGETED THE AMOUNT OF HER SALARY INCREASE FOR THE FISCAL YEAR. THEN THE BUDGETED AMOUNT WAS APPROVED BY VOTE OF THE BOARD OF DIRECTORS. NO EVALUATION PROCESS WAS PERFORMED.
FORM 990, PAGE 6, PART VI, LINE 15BTHE ADMINISTRATOR REVIEWS THE DEPARTMENT HEADS' PERFORMANCES ANNUALLY AND THEN BUDGETS THE AMOUNT THAT SHE WOULD LIKE TO PAY THE DEPARTMENT HEADS. THE BOARD VOTES ON THESE AMOUNTS.
FORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC DURING THE TAX YEAR UPON REQUEST.
FORM 990, PART IX, LINE 11GBACKGROUND CHECKS 1,665 0 0 CONTRACT LABOR 110,916 0 0 PHYSICAL THERAPY 334,989 0 0 OCCUPATIONAL THERAPY 311,137 0 0 SPEECH THERAPY 99,680 0 0 X-RAY SERVICES 3,079 0 0 LAB SERVICES 2,798 0 0 OUTSIDE SERVICES 84,871 3,253 0 PROFESSIONAL FEES 0 38,126 0 OTHER FEES 22,041 0 0 TOTAL 971,176 41,379 0