SIMPSON MEMORIAL HOME INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SIMPSON MEMORIAL HOME INC (EIN 42-0950871)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2017-12-14
- IRS object ID
- 201703489349300010
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-12-14T09:16:00-06:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 421029744 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TD&T CPAS AND ADVISORS PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 42ND ST NE | AddressLine1Txt |
| City | CEDAR RAPIDS | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420950871 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIMPSON MEMORIAL HOME INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SIMP | BusinessNameControlTxt |
| Phone | 3196274775 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 N MILLER STREET | AddressLine1Txt |
| City | WEST LIBERTY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52776 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHELLEY WICKS | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 3196274775 | PhoneNum |
| Signature | 2017-12-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMANDA L LANE CPA | PreparerPersonNm |
| PTIN | P01257668 | PTIN |
| Phone | 3193932374 | PhoneNum |
| Preparation | 2017-12-14 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 522C0BFC868B62049CD467203B85449201C544FE | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2AF561AED5CF417DF4A8F4480DC7452C8E7912DA | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SHELLEY WICKS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 N MILLER STREET | AddressLine1Txt |
| City | WEST LIBERTY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52776 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,273,964 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SIMPSONMEMORIALHOME.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Activity Or Mission | SIMPSON 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 Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 242 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $57,299 | PYContributionsGrantsAmt |
| CY Contributions Grants | $29,443 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,959,500 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,846,413 | CYProgramServiceRevenueAmt |
| PY Investment Income | $18,498 | PYInvestmentIncomeAmt |
| CY Investment Income | $27,268 | CYInvestmentIncomeAmt |
| PY Other Revenue | $300,488 | PYOtherRevenueAmt |
| CY Other Revenue | $87,997 | CYOtherRevenueAmt |
| PY Total Revenue | $8,335,785 | PYTotalRevenueAmt |
| CY Total Revenue | $8,991,121 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,455,818 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,796,331 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,107,449 | PYOtherExpensesAmt |
| CY Other Expenses | $3,526,813 | CYOtherExpensesAmt |
| PY Total Expenses | $7,563,267 | PYTotalExpensesAmt |
| CY Total Expenses | $8,323,144 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $772,518 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $667,977 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,214,336 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,920,824 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,983,556 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,002,078 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,230,780 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,918,746 | NetAssetsOrFundBalancesEOYAmt |
| Mission | SIMPSON 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $7,132,665 | ExpenseAmt |
| Revenue | $8,934,410 | RevenueAmt |
| Desc | THE 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. AT WILTON, THE DINING ROOM FOR THE SNF/NF WAS EXPANDED AT THE COST OF 19,228. A DONATION FROM THE TOWNSEND FOUNDATION PAID FOR THIS EXPANSION. | Desc |
| Total Program Service Expenses | $7,132,665 | 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 | Yes (true) | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | 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 | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | 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 | false | 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 | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 242 | 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 | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | false | 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 | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHELLEY WICKS | PersonNm |
| Phone | 3196274303 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 310 E MAXSON STREET | AddressLine1Txt |
| City | WEST LIBERTY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52778 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| DERWOOD KEITH | ||||||
| PRESIDENT | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KENNETH LINCOLN | ||||||
| VICE PRESIDE | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JACK HENDERSON RESIGNED 716 | ||||||
| TREASURER | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LEE GEERTZ RESIGNED 417 | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| SANDY BALLOU | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| BRUCE JIPP | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| KATHRYN KEESE | ||||||
| TREASURER/SE | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GRANT LILIENTHAL JOINED 816 | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| JAMES CONREY JOINED 816 | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| LORI LEGGINS JOINED 517 | ||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |
| SHELLEY WICKS | ||||||
| ADMINISTRATO | 40.00 | Yes (X) | $130,404 | $0 | $5,275 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $130,404 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $5,275 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AEGIS THERAPIES INC | |||||
| PO BOX 8103 | FORT SMITH | AR | 72902 | THERAPIES | $766,809 |
| MARTIN BROS DISTRIBUTING CO | |||||
| 406 VIKING RD | CEDAR FALLS | IA | 50613 | FOOD SUPPLIES | $483,569 |
| MAIN HEALTHCARE PHARMACY | |||||
| 655 LIBERTY WAY | NORTH LIBERTY | IA | 52317 | SUPPLIES | $115,135 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $29,443 | AllOtherContributionsAmt |
| Total Contributions | $29,443 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| NURSING HOME SERVICES | 623000 | $8,736,792 | $8,736,792 | |
| OTHER INCOME | 623000 | $109,621 | $109,621 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,846,413 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,088 | TotalRevenueColumnAmt |
| Exclusion | $26,088 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $368,020 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $280,023 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $87,997 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,997 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $87,997 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $4,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,820 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$2,820 | SecuritiesAmt |
| Other | $4,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,180 | TotalRevenueColumnAmt |
| Exclusion | $1,180 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,991,121 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,824,789 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $136,889 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,679 | TotalAmt |
| Management And General | $136,679 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,918,471 | TotalAmt |
| Program Services | $3,750,810 | ProgramServicesAmt |
| Management And General | $167,661 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $430,497 | TotalAmt |
| Program Services | $423,508 | ProgramServicesAmt |
| Management And General | $6,989 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $310,684 | TotalAmt |
| Program Services | $279,185 | ProgramServicesAmt |
| Management And General | $31,499 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,000 | TotalAmt |
| Management And General | $3,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,140,311 | TotalAmt |
| Program Services | $1,100,925 | ProgramServicesAmt |
| Management And General | $39,386 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $407 | TotalAmt |
| Program Services | $407 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,060 | TotalAmt |
| Program Services | $7,069 | ProgramServicesAmt |
| Management And General | $19,991 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,647 | TotalAmt |
| Program Services | $24,473 | ProgramServicesAmt |
| Management And General | $66,174 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $567,509 | TotalAmt |
| Program Services | $471,879 | ProgramServicesAmt |
| Management And General | $95,630 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,560 | TotalAmt |
| Program Services | $10,230 | ProgramServicesAmt |
| Management And General | $2,330 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $573,551 | TotalAmt |
| Program Services | $231,768 | ProgramServicesAmt |
| Management And General | $341,783 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,417 | TotalAmt |
| Program Services | $51,802 | ProgramServicesAmt |
| Management And General | $124,615 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $393,313 | $379,281 | $14,032 |
| RAW FOOD | $387,975 | $387,975 | |
| COMPUTER EXPENSE | $51,791 | $51,791 | |
| EDUCATION | $25,525 | $11,702 | $13,823 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,747 | TotalAmt |
| Program Services | $1,651 | ProgramServicesAmt |
| Management And General | $75,096 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,323,144 | TotalAmt |
| Program Services | $7,132,665 | ProgramServicesAmt |
| Management And General | $1,190,479 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000 | BOYAmt |
| EOY | $1,000 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,511,160 | BOYAmt |
| EOY | $1,161,637 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $570,397 | BOYAmt |
| EOY | $778,794 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,733 | BOYAmt |
| EOY | $67,216 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,678 | BOYAmt |
| EOY | $37,978 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,253,979 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,018,430 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,626,505 | BOYAmt |
| EOY | $12,235,549 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $357,424 | BOYAmt |
| EOY | $596,857 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,439 | BOYAmt |
| EOY | $41,793 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,214,336 | BOYAmt |
| EOY | $14,920,824 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $396,272 | BOYAmt |
| EOY | $531,821 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $934,828 | BOYAmt |
| EOY | $968,508 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,203,551 | BOYAmt |
| EOY | $3,076,930 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,010 | BOYAmt |
| EOY | $1,445 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,296,826 | BOYAmt |
| EOY | $273,878 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,069 | BOYAmt |
| EOY | $149,496 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,983,556 | BOYAmt |
| EOY | $5,002,078 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,140,350 | BOYAmt |
| EOY | $9,878,397 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,430 | BOYAmt |
| EOY | $20,349 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,000 | BOYAmt |
| EOY | $20,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,230,780 | BOYAmt |
| EOY | $9,918,746 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,214,336 | BOYAmt |
| EOY | $14,920,824 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $667,977 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $19,989 | NetUnrlzdGainsLossesInvstAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 | $227,034 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $179,552 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $256,847 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $57,299 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,443 | CurrentTaxYearAmt |
| Total | $750,175 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,904,944 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,257,081 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,218,234 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,169,341 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,104,812 | CurrentTaxYearAmt |
| Total | $34,654,412 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $87,097 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $88,724 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $109,621 | CurrentTaxYearAmt |
| Total | $285,442 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,131,978 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,436,633 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,562,178 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,315,364 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,243,876 | CurrentTaxYearAmt |
| Total | $35,690,029 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $163,011 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $153,092 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $211,955 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $50,000 | CurrentTaxYearMinus1YearAmt |
| Total | $578,058 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $615,097 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $460,762 | CurrentTaxYearMinus3YearsAmt |
| Total | $1,075,859 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $778,108 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $613,854 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $211,955 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $50,000 | CurrentTaxYearMinus1YearAmt |
| Total | $1,653,917 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $34,036,112 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,699 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $39,933 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $32,415 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,739 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,088 | CurrentTaxYearAmt |
| Total | $160,874 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,699 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $39,933 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $32,415 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,739 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,088 | CurrentTaxYearAmt |
| Total | $160,874 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,167,677 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,476,566 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,594,593 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,342,103 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,269,964 | CurrentTaxYearAmt |
| Total | $35,850,903 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.94940 | PublicSupportCY509Pct |
| Public Support PY509 | 0.92030 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (true) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,182 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $319 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $494 | OtherExpendituresAmt |
| End Year Balance | $25,007 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,356 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $169 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $343 | OtherExpendituresAmt |
| End Year Balance | $25,182 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,255 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $501 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $400 | OtherExpendituresAmt |
| End Year Balance | $25,356 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,893 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $762 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $400 | OtherExpendituresAmt |
| End Year Balance | $25,255 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,542 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $751 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $400 | OtherExpendituresAmt |
| End Year Balance | $24,893 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.79980 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.20020 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $202,554 | OtherCostOrOtherBasisAmt |
| Book Value | $202,554 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,037,198 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,184,861 | DepreciationAmt |
| Book Value | $10,852,337 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,815,733 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,193,134 | DepreciationAmt |
| Book Value | $622,599 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,198,494 | OtherCostOrOtherBasisAmt |
| Depreciation | $640,435 | DepreciationAmt |
| Book Value | $558,059 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,235,549 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | TENANT SECURITY DEPOSITS | Desc |
| Amt | $149,496 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $149,496 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $9,291,133 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $19,989 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $280,023 | OtherRevenueAmt |
| Revenue Not Reported | $300,012 | RevenueNotReportedAmt |
| Revenue Subtotal | $8,991,121 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $8,991,121 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,603,167 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $280,023 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $280,023 | ExpensesNotReportedAmt |
| Expenses Subtotal | $8,323,144 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $8,323,144 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART IV, LINE 2B | THE 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 4 | THE PURPOSE OF THE ENDOWMENT FUND IS TO MAKE AN ANNUAL SCHOLARSHIP DISTRIBUTION OF 400. |
| SCHEDULE D, PAGE 3, PART X | THE 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 2D | RENTAL EXPENSES 280,023 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | RENTAL EXPENSES 280,023 |
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 WILTON IOWA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 426005375 | BondIssuerEIN |
| Bond Issued | 2013-03-18 | BondIssuedDt |
| Issue Price | $4,200,000 | IssuePriceAmt |
| Purpose | 34 BED NURSING HOME | 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 | $1,123,070 | RetiredAmt |
| Total Proceeds | $4,200,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $50,000 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $4,150,000 | CapitalExpendituresAmt |
| Substantial Completion | 2014 | SubstantialCompletionYr |
| Current Refunding | false | 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 |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (true) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| 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 | Yes (true) | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | Yes (true) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K - ADDITIONAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | CITY 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT WAS FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE 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 15A | THE 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 15B | THE 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 19 | THE 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 11G | BACKGROUND CHECKS 1,366 15 0 CONTRACT LABOR 226,356 36 0 PHYSICAL THERAPY 320,740 0 0 OCCUPATIONAL THERAPY 310,233 0 0 SPEECH THERAPY 134,758 0 0 X-RAY SERVICES 6,021 0 0 LAB SERVICES 6,919 0 0 OUTSIDE SERVICES 77,802 5,965 0 PROFESSIONAL FEES 0 33,370 0 OTHER FEES 16,730 0 0 TOTAL 1,100,925 39,386 0 |