GOOD SHEPHERD HOME: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- GOOD SHEPHERD HOME (EIN 34-4451089)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-10-22
- IRS object ID
- 201842959349300954
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-10-22T12:50:54-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HW&CO | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 23240 Chagrin Blvd Suite 700 | AddressLine1Txt |
| City | Cleveland | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 441225450 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 344451089 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Shepherd Home | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CHRISTOPHER P WIDMAN | InCareOfNm |
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 4199371801 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 Columbus Avenue | AddressLine1Txt |
| City | Fostoria | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44830 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPHER P WIDMAN | PersonNm |
| Person Title | executive director | PersonTitleTxt |
| Phone | 4199371801 | PhoneNum |
| Signature | 2018-10-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Joseph C Sbrocco CPA | PreparerPersonNm |
| PTIN | P00069069 | PTIN |
| Phone | 2168311200 | PhoneNum |
| Preparation | 2018-10-08 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 68.171.14.4 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 34122420182955000002 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2018-10-22 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 34089975C9E51BE86CA840C95A49BD49D8F931EE | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 34089975C9E51BE86CA840C95A49BD49D8F931EE | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHRISTOPHER P WIDMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 COLUMBUS AVE | AddressLine1Txt |
| City | FOSTORIA | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44830 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,840,601 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.goodshepherdhome.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1902 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | THE GOOD SHEPHERD HOME OPERATES A CHRISTIAN COMMUNITY FOR THE ELDERLY, CONSISTING OF A NURSING FACILITY AND ASSISTED LIVING FACILITY AND IS LICENSED AS A HOME FOR THE AGING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 379 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $85,230 | PYContributionsGrantsAmt |
| CY Contributions Grants | $121,641 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,215,539 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,204,382 | CYProgramServiceRevenueAmt |
| PY Investment Income | $122,126 | PYInvestmentIncomeAmt |
| CY Investment Income | $172,085 | CYInvestmentIncomeAmt |
| PY Other Revenue | $201,697 | PYOtherRevenueAmt |
| CY Other Revenue | $299,438 | CYOtherRevenueAmt |
| PY Total Revenue | $13,624,592 | PYTotalRevenueAmt |
| CY Total Revenue | $13,797,546 | 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 | $6,752,691 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,844,434 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,841,402 | PYOtherExpensesAmt |
| CY Other Expenses | $6,308,887 | CYOtherExpensesAmt |
| PY Total Expenses | $12,594,093 | PYTotalExpensesAmt |
| CY Total Expenses | $13,153,321 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,030,499 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $644,225 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $23,742,393 | TotalAssetsBOYAmt |
| Total Assets EOY | $25,435,106 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,575,752 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,117,898 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,166,641 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,317,208 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE GOOD SHEPHERD HOME MAINTAINS AND OPERATES A CHRISTIAN RETIREMENT COMMUNITY FOR THE ELDERLY, CONSISTING OF A NURSING FACILITY AND ASSISTED LIVING FACILITY AND IS LICENSED AS A HOME FOR THE AGING IN THE STATE OF OHIO. THE GOOD SHEPHERD HOME'S MISSION STATEMENT: THIS ORGANIZATION, FOUNDED TO MINISTER TO THE NEEDS OF THE COMMUNITY, IS COMMITTED TO PROVIDING AN ATMOSPHERE THAT ENHANCES THE QUALITY OF LIFE OF OUR RESIDENTS AND FOCUSES ON THEIR INDIVIDUALITY WHILE MAINTAINING A CHRISTIAN ENVIRONMENT IN WHICH TO LIVE AND WORK. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $12,231,255 | ExpenseAmt |
| Revenue | $13,490,481 | RevenueAmt |
| Desc | THE GOOD SHEPHERD HOME WHICH IS A LICENSED HOME FOR THE AGING in OHIO, OPERATES A RETIREMENT COMMUNITY CONSISTING OF A 128-BED SKILLED NURSING FACILITY, A 60-UNIT ASSISTED LIVING APARTMENT FACILITY AND 22 INDEPENDENT LIVING UNITS. THE HOME PROVIDED 59,221 INPATIENT DAYS OF CARE IN 2017 IN ITS NURSING FACILITY. | Desc |
| Total Program Service Expenses | $12,231,255 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 379 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPHER P WIDMAN | PersonNm |
| Phone | 4199371801 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 COLUMBUS AVENUE | AddressLine1Txt |
| City | FOSTORIA | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44830 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| BOB DRIVER | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| LOIS ZOLL | |||||||
| trustee | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| PAUL MYERS | |||||||
| SECRETARY | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| BARBARA CASTER | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| FORD MENNEL | |||||||
| CHAIRPERSON | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| THERESE CLOUSE | |||||||
| TRUSTEE | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |
| JACK JOHNSON | |||||||
| VICE CHAIRPERSON | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JIM SCHRECK | |||||||
| TREASURER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| BARBARA WILCH | |||||||
| ASSISTANT SECRETARY | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| STEVE WHITE | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| PAUL HARRISON | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| MIKE COROCORAN | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| CHRISTOPHER P WIDMAN | |||||||
| EXECUTIVE DIRECTOR | 40.0 | 10.0 | $188,220 | $15,000 | $25,369 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $188,220 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $15,000 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $25,369 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CLOUSE CONSTRUCTION CORP | |||||
| 4382 WEST TOWNSHIP ROAD 90 | NEW RIEGEL | OH | 44853 | CONSTRUCTION | $921,036 |
| FUNCTIONAL PATHWAYS | |||||
| 4320 BRIDGETOWN RD | CINCINNATI | OH | 45211 | THERAPY SERVICES | $662,092 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $121,641 | AllOtherContributionsAmt |
| Total Contributions | $121,641 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENT SERVICE REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $13,204,382 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,204,382 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,204,382 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $180,881 | TotalRevenueColumnAmt |
| Exclusion | $180,881 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $47,598 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $34,259 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,339 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,339 | TotalRevenueColumnAmt |
| Exclusion | $13,339 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,796 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$8,796 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$8,796 | TotalRevenueColumnAmt |
| Exclusion | -$8,796 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MISCELLANEOUS INCOME | 900099 | $268,382 | $268,382 |
| REIMBURSEMENT OF EXPENSES BY AFFILIATE | 900099 | $17,717 | $17,717 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $286,099 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,797,546 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,490,481 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $185,424 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,590 | TotalAmt |
| Program Services | $106,795 | ProgramServicesAmt |
| Management And General | $106,795 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,325,557 | TotalAmt |
| Program Services | $5,216,276 | ProgramServicesAmt |
| Management And General | $109,281 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,977 | TotalAmt |
| Program Services | $45,098 | ProgramServicesAmt |
| Management And General | $1,879 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $690,095 | TotalAmt |
| Program Services | $662,491 | ProgramServicesAmt |
| Management And General | $27,604 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $568,215 | TotalAmt |
| Program Services | $545,486 | ProgramServicesAmt |
| Management And General | $22,729 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,641 | TotalAmt |
| Management And General | $41,641 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,639 | TotalAmt |
| Management And General | $12,639 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $925,328 | TotalAmt |
| Program Services | $850,930 | ProgramServicesAmt |
| Management And General | $74,398 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,001 | TotalAmt |
| Management And General | $70,001 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,503 | TotalAmt |
| Program Services | $111,507 | ProgramServicesAmt |
| Management And General | $83,996 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,270 | TotalAmt |
| Program Services | $99,270 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $659,974 | TotalAmt |
| Program Services | $646,207 | ProgramServicesAmt |
| Management And General | $13,767 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,510 | TotalAmt |
| Program Services | $49,510 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,821 | TotalAmt |
| Program Services | $10,821 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,972 | TotalAmt |
| Program Services | $345,972 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $943,715 | TotalAmt |
| Program Services | $863,315 | ProgramServicesAmt |
| Management And General | $80,400 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,082 | TotalAmt |
| Program Services | $130,283 | ProgramServicesAmt |
| Management And General | $13,799 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FOOD SUPPLIES | $637,556 | $637,556 | |
| FRANCHISE FEE | $588,498 | $588,498 | |
| MAINTENANCE | $538,324 | $490,060 | $48,264 |
| MEDICAL SUPPLIES | $450,532 | $450,532 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $595,521 | TotalAmt |
| Program Services | $380,648 | ProgramServicesAmt |
| Management And General | $214,873 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,153,321 | TotalAmt |
| Program Services | $12,231,255 | ProgramServicesAmt |
| Management And General | $922,066 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $520,780 | BOYAmt |
| EOY | $394,841 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,440 | BOYAmt |
| EOY | $264,898 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,124,377 | BOYAmt |
| EOY | $1,169,877 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,566 | BOYAmt |
| EOY | $119,600 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $28,220,952 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,892,868 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,346,101 | BOYAmt |
| EOY | $17,328,084 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,614,089 | BOYAmt |
| EOY | $4,161,196 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,501 | BOYAmt |
| EOY | $128,900 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,136,682 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $715,539 | BOYAmt |
| EOY | $731,028 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,742,393 | BOYAmt |
| EOY | $25,435,106 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,327,106 | BOYAmt |
| EOY | $1,286,269 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $879,700 | BOYAmt |
| EOY | $1,276,358 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,825,000 | BOYAmt |
| EOY | $4,510,000 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,114,200 | BOYAmt |
| EOY | $3,869,539 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,429,746 | BOYAmt |
| EOY | $1,175,732 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,575,752 | BOYAmt |
| EOY | $12,117,898 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,063,664 | BOYAmt |
| EOY | $13,234,471 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,700 | BOYAmt |
| EOY | $2,000 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,277 | BOYAmt |
| EOY | $80,737 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,166,641 | BOYAmt |
| EOY | $13,317,208 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,742,393 | BOYAmt |
| EOY | $25,435,106 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $644,225 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $387,545 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,118,797 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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 | $224,663 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $364,840 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $104,504 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $85,230 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $121,641 | CurrentTaxYearAmt |
| Total | $900,878 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,785,945 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,130,225 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,884,929 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,215,539 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,204,382 | CurrentTaxYearAmt |
| Total | $60,221,020 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,010,608 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,495,065 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,989,433 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,300,769 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,326,023 | CurrentTaxYearAmt |
| Total | $61,121,898 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $61,121,898 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $228,972 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $171,633 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $84,474 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $122,126 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $180,881 | CurrentTaxYearAmt |
| Total | $788,086 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $228,972 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $171,633 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $84,474 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $122,126 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $180,881 | CurrentTaxYearAmt |
| Total | $788,086 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $152,217 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $155,951 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $194,467 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $241,930 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $286,099 | CurrentTaxYearAmt |
| Total | $1,030,664 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,391,797 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,822,649 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,268,374 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,664,825 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,793,003 | CurrentTaxYearAmt |
| Total | $62,940,648 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97110 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97470 | PublicSupportPY509Pct |
| Investment Income CY | 0.01252 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01196 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,040,890 | OtherCostOrOtherBasisAmt |
| Book Value | $1,040,890 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,232,632 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,011,884 | DepreciationAmt |
| Book Value | $15,220,748 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,323,734 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,510,694 | DepreciationAmt |
| Book Value | $813,040 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $623,696 | OtherCostOrOtherBasisAmt |
| Depreciation | $370,290 | DepreciationAmt |
| Book Value | $253,406 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $17,328,084 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| REFUNDABLE LIFE USE FEES | $677,600 |
| INTEREST RATE SWAP | $401,876 |
| DEFERRED COMPENSATION OBLIGATI | $96,256 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,175,732 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $14,283,867 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $387,545 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $111,415 | OtherRevenueAmt |
| Revenue Not Reported | $498,960 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,784,907 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $12,639 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $12,639 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $13,797,546 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,174,941 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $34,259 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $34,259 | ExpensesNotReportedAmt |
| Expenses Subtotal | $13,140,682 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $12,639 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $12,639 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $13,153,321 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, part XI, #2d | TOTAL OTHER REVENUE NOT REPORTED ON TAX Form 990: CHANGE IN FV OF INTEREST RATE SWAP $ 94,696. CHANGE IN FV OF BENEFICIAL INTEREST $ 12,460. TRANSFER TO AFFILIATE <$ 30,000.> RENTAL EXPENSES $ 34,259. ----------- $111,415. |
| Schedule D, part XII, #2d | TOTAL OTHER EXPENSES NOT REPORTED ON TAX FORM 990: Rental Expenses $ 34,259. ----------- $ 34,259. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPHER P WIDMAN | PersonNm |
| Title | EXECUTIVE DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $188,220 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $15,000 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $25,369 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $0 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $213,589 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $15,000 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | PARTICIPATION IN 457 PLAN: CHRISTOPHER P. WIDMAN $18,000. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | City of Fostoria OH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 346400520 | BondIssuerEIN |
| Bond Issued | 2016-09-30 | BondIssuedDt |
| Issue Price | $5,130,000 | IssuePriceAmt |
| Purpose | REFUNDING OF PRIOR TAX-EXEMPT BOND | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $620,000 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $5,130,000 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $0 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $0 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2006 | SubstantialCompletionYr |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (true) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | Yes (true) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | Yes (true) | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Morgan Stanley Capit | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 21.583 | TermOfHedgePct |
| Superintegrated Hedge | false | SuperintegratedHedgeInd |
| Hedge Terminated | false | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Page 6, Part VI, Section C, #19 | DOCUMENTS AVAILABLE TO PUBLIC: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Page 6, Part VI, Section B, #12c | MONITOR AND ENFORCE CONFLICT OF INTEREST POLICY: The organization's board reviews the conflict of interest policy annually and REQUIRES ITS MEMBERS TO SIGN IT ANNUALLY. |
| Page 6, Part VI, Section B, #11B | FORM 990 REVIEW PROCESS: The Form 990 is prepared by our outside accounting firm and then provided to the Executive Director, Accounting Manager and Finance Committee for their review. Prior to the filing of the return, the Form 990 is sent to our Board of Directors. |
| Page 6, Part VI, Section B, #15a | Process for determining compensation: On an annual basis, the Board of Directors will do the Following: a.) Complete an annual performance and compensation analysis of the Executive Director. b.) The Personnel Committee of the Board will meet with the Executive Director on an annual basis to review their performance and establish any new goals necessary. c.) The Executive Director will ensure participation in the annual compensation survey conducted by Leading Age, Leading Age Ohio, or The Board and Administrator. Information from the surveys will be shared with the chair of the Personnel Committee. d.) The Personnel Committee will report to the full board in executive session their observations and recommendation regarding the Executive Director. e.) All Board Members will participate in the evaluation process. f.) The Board will use the compensation surveys and other related documentation in consultation with the Executive Director to set appropriate compensation levels for the upcoming year. It is the intent of this Board to set compensation at a level in excess of the 50th percentile of the surveys or on par with local organizations, whichever is greater. Furthermore, the general performance of the Home will be a determining factor in the final wage consideration. |
| Page 6, Part VI, Section A, #6 & 7a | Member CLASSES: Number and qualification of members: A. This corporation shall be governed by a twelve (12) member Board of Trustees, eleven (11) of whom shall be elected from and by the membership and one (1) of whom shall be elected by the Northern Ohio District of the Church of the Brethren. At no time shall a sufficient number of Trustees related as (i) husbands and wives (ii) siblings or (iii) parent and child, constitute the quorum requirement for conducting Corporate business. B. At least Four (4) members of the Board of Trustees shall be members of the Northern Ohio District of the Church of the Brethren. C. At least six (6) members of the Board of Trustees shall be residents within the communities and geographic areas served by Good Shepherd Home regardless of church affiliation. D. One (1) member shall be a resident living within the campus of Good Shepherd Home. E. At least one (1) member who is not a Church of the Brethren member shall have a non-Fostoria 44830 address. F. Each member of the Board of Trustees must be a member. In the event the Northern Ohio District of the Church of the Brethren elects a Board member who is not a corporate member, that Board member shall automatically become a corporate member. Election of Members: A. Members shall be elected to membership at the annual meeting of the members of the corporation. B. An affirmative vote of a majority of the members present shall be required for election. C. The Board of Trustees may elect qualified members to fill vacancies that occur between annual meetings to ensure a minimum of twelve (12) members. Membership Status: A member, once elected, shall retain membership status with the corporation until he/she dies, resigns or is removed with or without cause. The Board of Trustees retains the right to establish terms and/or fees for membership. Voting Rights: Each member shall be entitled to one vote on each matter submitted to a vote of the membership. The vote of the majority of those members present shall decide any questions brought before such meeting, unless the question is one upon which, by law, the Articles of Incorporation or these regulations requires a different vote, in which case such expressed. provision shall govern and control. Proxy voting shall not be allowed. Removal of Members: The Board of Trustees may, by affirmative vote of a majority of the Trustees, remove a member with or without cause. Any member whose removal has been proposed by the Trustees shall be given the opportunity to be heard at the annual meeting or a special meeting called for that purpose. |
| PAGE 12, PART XI, #9 | RECONCILIATION OF NET ASSETS: TOTAL OTHER CHANGES IN NET ASSETS OR FUND BALANCES: CHANGE IN FV OF INTEREST RATE SWAP $ 94,696. CHANGE IN FV OF BENEFICIAL INTEREST $ 12,460. TRANSFER TO AFFILIATE <$ 30,000.> TRANSFER OF EQUITY $1,041,641. ------------ $1,118,797. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRETHREN HOLDINGS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 COLUMBUS AVENUE | AddressLine1Txt |
| City | FOSTORIA | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44830 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830995120 | EIN |
| Primary Activities | HOLDING | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $30,002 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SHEPH H | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Good Shepherd Housing Corporation | ||||||||||
| 725 columbus avenue | fostoria | OH | 44830 | 203170750 | HUD 202 | OH | 501(c)(3) | 10 | na | false |
| Wesley Village Inc | ||||||||||
| 725 Columbus Avenue | Fostoria | OH | 44830 | 341211001 | rental housin | OH | 501(C)(3) | 7 | GOOD SHEPH H | Yes (true) |
| Wesley Residential Communities Inc | ||||||||||
| 725 Columbus Avenue | Fostoria | OH | 44830 | 274558074 | management | OH | 501(C)(3) | 10 | WESLEY VLG | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SENIOR PHARMACY SERVICES LTD | ||||||||||||||
| 5155 NORTH HIGH STREET | COLUMBUS | OH | 43214 | 454618459 | PHARMACY | OH | NA | Related | $35,917 | $339,574 | false | $0 | false | 0.20000 |
| Wesley Commons LLC | ||||||||||||||
| 725 Columbus Avenue | Fostoria | OH | 44830 | 311579725 | rental | OH | NA | Related | $0 | $1,315,607 | false | $0 | false | 0.99949 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wesley Village | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | 1Q | TransactionTypeTxt |
| Involved | $117,042 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |