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SIMPSON MEMORIAL HOME INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SIMPSON MEMORIAL HOME INC (EIN 42-0950871)
Tax period
2017-07-01 to 2018-06-30
Filed
2018-11-02
IRS object ID
201813069349300531
Schema version
2017v2.3
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)
Return2018-11-02T08:55:47-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

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 Line11245 JORDAN CREEK PKWY SUITE 100AddressLine1Txt
CityWEST DES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP502662300ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

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
Signature2018-11-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCOURTNEY L DERONDE CPAPreparerPersonNm
PTINP01245662PTIN
Phone5156575800PhoneNum
Preparation2018-11-01PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.16.49IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-02IPDt
IP Tm08:55:47IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdA42E0CF4B0CFABFAFDAD50D00CF409967B1ADB50AtSubmissionCreationDeviceId
At Submission Filing Device Id809B74AE8DEA3E834F081DCB3170EB269EBEFB14AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
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$8,949,525GrossReceiptsAmt
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 Employee239TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$29,443PYContributionsGrantsAmt
CY Contributions Grants$9,429CYContributionsGrantsAmt
PY Program Service Revenue$8,846,413PYProgramServiceRevenueAmt
CY Program Service Revenue$8,527,934CYProgramServiceRevenueAmt
PY Investment Income$27,268PYInvestmentIncomeAmt
CY Investment Income$41,202CYInvestmentIncomeAmt
PY Other Revenue$87,997PYOtherRevenueAmt
CY Other Revenue$80,440CYOtherRevenueAmt
PY Total Revenue$8,991,121PYTotalRevenueAmt
CY Total Revenue$8,659,005CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,796,331PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,051,941CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,526,813PYOtherExpensesAmt
CY Other Expenses$3,466,284CYOtherExpensesAmt
PY Total Expenses$8,323,144PYTotalExpensesAmt
CY Total Expenses$8,518,225CYTotalExpensesAmt
PY Revenues Less Expenses$667,977PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$140,780CYRevenuesLessExpensesAmt
Total Assets BOY$14,920,824TotalAssetsBOYAmt
Total Assets EOY$14,353,900TotalAssetsEOYAmt
Total Liabilities BOY$5,002,078TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,311,275TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,918,746NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,042,625NetAssetsOrFundBalancesEOYAmt
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$7,273,849ExpenseAmt
Revenue$8,527,934RevenueAmt
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$7,273,849TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
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
Employee239EmployeeCnt
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
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)$130,377$0$5,493
FieldValueIRS element (for citing)
Total Reportable Comp From Org$130,377TotalReportableCompFromOrgAmt
Total Other Compensation$5,493TotalOtherCompensationAmt
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$744,304
MAIN HEALTHCARE PHARMACY
655 LIBERTY WAYNORTH LIBERTYIA52317CONSULT &SUPPLY$107,346
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$9,429AllOtherContributionsAmt
Total Contributions$9,429TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NURSING HOME SERVICES623000$8,440,588$8,440,588
OTHER INCOME623000$87,346$87,346
FieldValueIRS element (for citing)
Total Program Service Revenue$8,527,934TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,023TotalRevenueColumnAmt
Exclusion$38,023ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$370,960RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$290,520RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$80,440RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$80,440TotalRevenueColumnAmt
Related Or Exempt Func Income$80,440RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,099SecuritiesAmt
Other$80OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,099SecuritiesAmt
Other$80OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,179TotalRevenueColumnAmt
Exclusion$3,179ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,659,005TotalRevenueColumnAmt
Related Or Exempt Func Income$8,521,028RelatedOrExemptFuncIncomeAmt
Exclusion$128,548ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$138,679TotalAmt
Management And General$138,679ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,139,390TotalAmt
Program Services$3,930,983ProgramServicesAmt
Management And General$208,407ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$36,302TotalAmt
Program Services$33,522ProgramServicesAmt
Management And General$2,780ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$407,518TotalAmt
Program Services$381,596ProgramServicesAmt
Management And General$25,922ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$330,052TotalAmt
Program Services$291,371ProgramServicesAmt
Management And General$38,681ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,149,007TotalAmt
Program Services$1,111,009ProgramServicesAmt
Management And General$37,998ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,909TotalAmt
Program Services$3,909ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$41,274TotalAmt
Program Services$23,174ProgramServicesAmt
Management And General$18,100ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$101,450TotalAmt
Program Services$24,234ProgramServicesAmt
Management And General$77,216ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$491,300TotalAmt
Program Services$400,588ProgramServicesAmt
Management And General$90,712ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,545TotalAmt
Program Services$9,677ProgramServicesAmt
Management And General$3,868ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$545,778TotalAmt
Program Services$226,529ProgramServicesAmt
Management And General$319,249ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$171,807TotalAmt
Program Services$51,774ProgramServicesAmt
Management And General$120,033ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RAW FOOD$411,269$411,269
SUPPLIES$364,737$352,775$11,962
COMPUTER EXPENSE$47,625$47,625
BAD DEBT EXPENSE$44,485$44,485

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$80,098TotalAmt
Program Services$21,439ProgramServicesAmt
Management And General$58,659ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,518,225TotalAmt
Program Services$7,273,849ProgramServicesAmt
Management And General$1,244,376ManagementAndGeneralAmt
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$1,161,637BOYAmt
EOY$1,458,319EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$778,794BOYAmt
EOY$510,740EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$67,216BOYAmt
EOY$58,314EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$37,978BOYAmt
EOY$377EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$20,301,019LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,632,896LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,235,549BOYAmt
EOY$11,668,123EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$596,857BOYAmt
EOY$616,569EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$41,793BOYAmt
EOY$40,458EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,920,824BOYAmt
EOY$14,353,900EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$531,821BOYAmt
EOY$487,890EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$968,508BOYAmt
EOY$902,217EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,076,930BOYAmt
EOY$2,785,773EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$1,445BOYAmt
EOY$185EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$273,878BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$149,496BOYAmt
EOY$135,210EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,002,078BOYAmt
EOY$4,311,275EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,878,397BOYAmt
EOY$10,002,352EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,349BOYAmt
EOY$20,273EOYAmt

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$9,918,746BOYAmt
EOY$10,042,625EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,920,824BOYAmt
EOY$14,353,900EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$140,780ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$16,901NetUnrlzdGainsLossesInvstAmt
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$179,552CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$256,847CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$57,299CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,443CurrentTaxYearMinus1YearAmt
Current Tax Year$9,429CurrentTaxYearAmt
Total$532,570TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,257,081CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,218,234CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,169,341CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,104,812CurrentTaxYearMinus1YearAmt
Current Tax Year$8,811,548CurrentTaxYearAmt
Total$38,561,016TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$87,097CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$88,724CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$109,621CurrentTaxYearMinus1YearAmt
Current Tax Year$87,346CurrentTaxYearAmt
Total$372,788TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,436,633CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,562,178CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,315,364CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,243,876CurrentTaxYearMinus1YearAmt
Current Tax Year$8,908,323CurrentTaxYearAmt
Total$39,466,374TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$153,092CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$211,955CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$50,000CurrentTaxYearMinus2YearsAmt
Total$415,047TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$460,762CurrentTaxYearMinus4YearsAmt
Total$460,762TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$613,854CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$211,955CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$50,000CurrentTaxYearMinus2YearsAmt
Total$875,809TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$38,590,565PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$39,933CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,415CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,739CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,088CurrentTaxYearMinus1YearAmt
Current Tax Year$38,023CurrentTaxYearAmt
Total$163,198TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$39,933CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,415CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,739CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,088CurrentTaxYearMinus1YearAmt
Current Tax Year$38,023CurrentTaxYearAmt
Total$163,198TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,476,566CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,594,593CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,342,103CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,269,964CurrentTaxYearMinus1YearAmt
Current Tax Year$8,946,346CurrentTaxYearAmt
Total$39,629,572TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97380PublicSupportCY509Pct
Public Support PY5090.94940PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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$25,007BeginningYearBalanceAmt
Investment Earnings Or Losses$224InvestmentEarningsOrLossesAmt
Other Expenditures$400OtherExpendituresAmt
End Year Balance$24,831EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,255BeginningYearBalanceAmt
Investment Earnings Or Losses$501InvestmentEarningsOrLossesAmt
Other Expenditures$400OtherExpendituresAmt
End Year Balance$25,356EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,893BeginningYearBalanceAmt
Investment Earnings Or Losses$762InvestmentEarningsOrLossesAmt
Other Expenditures$400OtherExpendituresAmt
End Year Balance$25,255EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.80540PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.19460TermEndowmentBalanceEOYPct
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$5,578,751DepreciationAmt
Book Value$10,458,447BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,833,284OtherCostOrOtherBasisAmt
Depreciation$2,373,464DepreciationAmt
Book Value$459,820BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,227,983OtherCostOrOtherBasisAmt
Depreciation$680,681DepreciationAmt
Book Value$547,302BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,668,123TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescTENANT SECURITY DEPOSITSDesc
Amt$135,210Amt
FieldValueIRS element (for citing)
Total Liability$135,210TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$8,932,624TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$16,901NetUnrealizedGainsInvstAmt
Other Revenue$290,520OtherRevenueAmt
Revenue Not Reported$273,619RevenueNotReportedAmt
Revenue Subtotal$8,659,005RevenueSubtotalAmt
Total Revenue Per Form990$8,659,005TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,808,745TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$290,520OtherExpensesIncludedAmt
Expenses Not Reported$290,520ExpensesNotReportedAmt
Expenses Subtotal$8,518,225ExpensesSubtotalAmt
Total Expenses Per Form990$8,518,225TotalExpensesPerForm990Amt

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 290,520
SCHEDULE D, PAGE 4, PART XII, LINE 2DRENTAL EXPENSES 290,520

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$1,414,227RetiredAmt
Total Proceeds$4,200,000TotalProceedsAmt
Issuance Costs From Proceeds$50,000IssuanceCostsFromProceedsAmt
Capital Expenditures$4,150,000CapitalExpendituresAmt
Substantial Completion2014SubstantialCompletionYr
Current RefundingfalseCurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
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 1,668 0 0 CONTRACT LABOR 253,208 0 0 PHYSICAL THERAPY 291,055 0 0 OCCUPATIONAL THERAPY 331,186 0 0 SPEECH THERAPY 113,326 0 0 X-RAY SERVICES 5,876 0 0 LAB SERVICES 2,547 0 0 OUTSIDE SERVICES 89,016 5,427 0 PROFESSIONAL FEES 0 32,571 0 OTHER FEES 23,127 0 0 TOTAL 1,111,009 37,998 0