ELMWOOD NURSING HOME INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ELMWOOD NURSING HOME INC (EIN 39-1190907)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-02-06
- IRS object ID
- 201720379349301067
- Schema version
- 2015v3.0
- 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 | 2017-02-06T13:38:21-06:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wipfli LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3703 Oakwood Hills Pkwy | AddressLine1Txt |
| City | Eau Claire | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391190907 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELMWOOD NURSING HOME INC | BusinessNameLine1Txt |
| Business Name Line2 | HERITAGE OF ELMWOOD NURSING HOME | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ELMW | BusinessNameControlTxt |
| Phone | 7158323003 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 232 E SPRINGER AVE | AddressLine1Txt |
| City | ELMWOOD | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54740 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mike Christensen | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7158323003 | PhoneNum |
| Signature | 2017-02-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | HOLLY POKRANDT CPA | PreparerPersonNm |
| PTIN | P00449155 | PTIN |
| Phone | 7158323407 | PhoneNum |
| Preparation | 2017-02-06 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Mike Christensen | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3410 Sky Park Blvd | AddressLine1Txt |
| City | Eau Claire | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,656,088 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://heritageofelmwood.com/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Other Organization Dsc | Wisconsin No | OtherOrganizationDsc |
| Formation | 1972 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | To respond to the spiritual, physical, and social needs of people in order to enhance human dignity and growth by providing high quality service. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 108 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,641 | PYContributionsGrantsAmt |
| CY Contributions Grants | $49,501 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,848,438 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,499,351 | CYProgramServiceRevenueAmt |
| PY Investment Income | $15,980 | PYInvestmentIncomeAmt |
| CY Investment Income | $18,463 | CYInvestmentIncomeAmt |
| PY Other Revenue | $33,503 | PYOtherRevenueAmt |
| CY Other Revenue | $88,773 | CYOtherRevenueAmt |
| PY Total Revenue | $2,903,562 | PYTotalRevenueAmt |
| CY Total Revenue | $2,656,088 | 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 | $1,912,740 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,923,842 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $814,911 | PYOtherExpensesAmt |
| CY Other Expenses | $916,326 | CYOtherExpensesAmt |
| PY Total Expenses | $2,727,651 | PYTotalExpensesAmt |
| CY Total Expenses | $2,840,168 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $175,911 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$184,080 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,842,053 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,600,039 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $445,682 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $387,748 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,396,371 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,212,291 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To respond to the spiritual, physical, and social needs of people in order to enhance human dignity and growth by providing high quality service. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,561,692 | ExpenseAmt |
| Revenue | $2,499,351 | RevenueAmt |
| Desc | The primary activity of the organization is to provide skilled nursing care for the aged and disabled of the surrounding area. The organization serves the Elmwood, Wisconsin area community by operating a 46-bed skilled nursing facility. The Heritage of Elmwood provided 11,337 resident days of care in fiscal year 2016. The facility offers long-term and short-term care along with rehabilitative services to their senior residents. Some of the specialized care services include physical therapy, speech therapy, occupational therapy, IV and oxygen therapy, restorative care, and tracheotomy care. | Desc |
| Total Program Service Expenses | $2,561,692 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 108 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | 0 | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | 0 | TaxableDistributionsInd |
| Distribution To Donor | 0 | DistributionToDonorInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mike Christensen | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7158323003 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3410 Sky Park Blvd | AddressLine1Txt |
| City | Eau Claire | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt |
|---|---|---|---|---|---|---|---|
| Jamie Reitz | |||||||
| Secretary/Treasurer | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| Dan Schuler | |||||||
| Vice President | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| Dolores Radtke | |||||||
| President | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| Neil Boltik | |||||||
| Village Board Representative | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| Donette Stewart | |||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| Donna Lien | |||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| Susan Pelzel | |||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| Rodney Gilles | |||||||
| Administrator (7/15 - 12-15) | 40.00 | $40,009 | $0 | $0 | Yes (X) | ||
| Erin Baskin | |||||||
| Administrator (1/16 - 2/16) | 40.00 | $10,462 | $0 | $0 | Yes (X) | ||
| Betsy Henck | |||||||
| Administrator (3/16 - 5/16) | 40.00 | $9,539 | $0 | $0 | Yes (X) | ||
| Ellen Larson | |||||||
| Administrator | 40.00 | $4,462 | $0 | $0 | Yes (X) | ||
| Mike Christensen | |||||||
| CEO (Effective January 1, 2016) | 10.00 | $0 | $0 | $0 | Yes (X) | 30.00 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $64,472 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $45,064 | GovernmentGrantsAmt |
| All Other Contributions | $4,437 | AllOtherContributionsAmt |
| Total Contributions | $49,501 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Nursing Care and Housi | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $2,499,351 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,499,351 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,499,351 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,463 | TotalRevenueColumnAmt |
| Exclusion | $18,463 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $34,115 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $34,115 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,115 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $34,115 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Other Revenue | 811000 | $42,111 | $42,111 |
| Transportation Revenue | 480000 | $7,940 | $7,940 |
| Senior Meals Program | 624210 | $4,607 | $4,607 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $54,658 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,656,088 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,588,124 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $18,463 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,472 | TotalAmt |
| Management And General | $64,472 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,551,047 | TotalAmt |
| Program Services | $1,510,168 | ProgramServicesAmt |
| Management And General | $40,879 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,127 | TotalAmt |
| Management And General | $9,127 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,453 | TotalAmt |
| Program Services | $158,403 | ProgramServicesAmt |
| Management And General | $11,050 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,743 | TotalAmt |
| Program Services | $121,282 | ProgramServicesAmt |
| Management And General | $8,461 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,290 | TotalAmt |
| Management And General | $55,290 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,123 | TotalAmt |
| Management And General | $1,123 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,267 | TotalAmt |
| Management And General | $22,267 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,791 | TotalAmt |
| Program Services | $167,791 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,372 | TotalAmt |
| Management And General | $13,372 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,993 | TotalAmt |
| Program Services | $1,526 | ProgramServicesAmt |
| Management And General | $47,467 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,638 | TotalAmt |
| Management And General | $4,638 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,939 | TotalAmt |
| Program Services | $89,939 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,548 | TotalAmt |
| Program Services | $3,548 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,343 | TotalAmt |
| Program Services | $82,343 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,726 | TotalAmt |
| Program Services | $63,726 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Food and Dietary Expens | $126,489 | $126,489 |
| NH Assessment | $93,850 | $93,850 |
| Supplies and Other | $75,513 | $75,513 |
| Bad Debt Expense - Prog | $30,390 | $30,390 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,054 | TotalAmt |
| Program Services | $36,724 | ProgramServicesAmt |
| Management And General | $330 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,840,168 | TotalAmt |
| Program Services | $2,561,692 | ProgramServicesAmt |
| Management And General | $278,476 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,090 | BOYAmt |
| EOY | $10,868 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,029,987 | BOYAmt |
| EOY | $1,839,555 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,727 | BOYAmt |
| EOY | $191,173 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,917 | BOYAmt |
| EOY | $12,927 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,489 | BOYAmt |
| EOY | $18,094 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,714,841 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,187,419 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,843 | BOYAmt |
| EOY | $527,422 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,000 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,842,053 | BOYAmt |
| EOY | $2,600,039 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $287,967 | BOYAmt |
| EOY | $171,695 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,715 | BOYAmt |
| EOY | $216,053 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $445,682 | BOYAmt |
| EOY | $387,748 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,396,371 | BOYAmt |
| EOY | $2,212,291 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,396,371 | BOYAmt |
| EOY | $2,212,291 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,842,053 | BOYAmt |
| EOY | $2,600,039 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$184,080 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | $6,016 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,573 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,051 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,641 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,437 | CurrentTaxYearAmt |
| Total | $24,718 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,834,850 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,811,004 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,721,794 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,848,438 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,499,351 | CurrentTaxYearAmt |
| Total | $13,715,437 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,840,866 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,814,577 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,726,845 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,854,079 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,503,788 | CurrentTaxYearAmt |
| Total | $13,740,155 | 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 | $13,740,155 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $54,297 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,729 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $52,180 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $49,483 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,463 | CurrentTaxYearAmt |
| Total | $224,152 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $54,297 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,729 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $52,180 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $49,483 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,463 | CurrentTaxYearAmt |
| Total | $224,152 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,895,163 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,864,306 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,779,025 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,903,562 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,522,251 | CurrentTaxYearAmt |
| Total | $13,964,307 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98390 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98170 | PublicSupportPY509Pct |
| Investment Income CY | 0.01610 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01830 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $383 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $383 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Elmwood Nursing Home Inc Heritage of Elmwood Nursing Home pays annual association dues to the Leading Age. These dues are primarily for access to education materials and staff training and development. A portion of the annual dues were used in conjunction with lobbying activities with the goal of improving the overall industry envrionment. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,000 | OtherCostOrOtherBasisAmt |
| Book Value | $7,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,795,310 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,424,797 | DepreciationAmt |
| Book Value | $370,513 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $852,604 | OtherCostOrOtherBasisAmt |
| Depreciation | $752,010 | DepreciationAmt |
| Book Value | $100,594 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,927 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,612 | DepreciationAmt |
| Book Value | $49,315 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $527,422 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $2,656,088 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,656,088 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,656,088 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,840,168 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,840,168 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,840,168 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D | FormAndLineReferenceDesc |
| Explanation | The June 30, 2016 audited financial statements consisted of a single period statement of net position due to first year audit. An audited statement of activities consisting of total revenue and total expenses was not reported. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dan Schuler | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Current Officer | RelationshipDescriptionTxt |
| Transaction | $80,226 | TransactionAmt |
| Transaction | Purchased property | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part IV | FormAndLineReferenceDesc |
| Explanation | (A) Name of person: Dan Schuler (B) Relationship between interested person and organization: current officer secretary - treasurer (C) Amount of transaction: 80,226 (D) Description of transaction: purchased property, liability, workers compensation insurance, and directors and officers insurance from United Heartland through insurance agent Dan Schuler (E) Sharing of organization revenues? = No | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Heritage of Elmwood has members. |
| Form 990, Part VI, Section A, line 7a | The organization's members elect the governing board. |
| Form 990, Part VI, Section A, line 8b | The organization does not appoint any committees to act on behalf of the governing body. |
| Form 990, Part VI, Section B, line 11 | A copy of the form 990 was made available to the members of the organization's governing body prior to the submission of the return. The form 990 was also reviewed by management prior to submission. |
| Form 990, Part VI, Section B, line 12c | The board of directors reviews the policy annually and they disclose any conflicts at that time. |
| Form 990, Part VI, Section B, line 15 | The board of directors annually reviews compensation amounts for the employees of the organization. |
| Form 990, Part VI, Section C, line 19 | Elmwood Nursing Home Inc. makes its governing documents, conflict of interest policy, and financial statements available to the public upon request at its business location. |
| Form 990, Part XII, Line 2c: | The Board of Directors of Elmwood Nursing Home Inc. Heritage of Elmwood Nursing Home reviews the audited financial statements at its board meeting and is responsible for the oversight and selection of the independent accountant. The board also takes time during the presentation of the annual financial statements to meet with the independent auditors. |