ROSE HILL HOUSE INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ROSE HILL HOUSE INC (EIN 43-1736720)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-14
- IRS object ID
- 201723189349309507
- 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 | 2017-11-14T15:42:59-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 WASHINGTON AVENUE SUITE 1800 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431736720 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROSE HILL HOUSE INC | BusinessNameLine1Txt |
| Business Name Line2 | C/O LUTHERAN SENIOR SERVICES | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ROSE | BusinessNameControlTxt |
| Phone | 3149689313 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1150 HANLEY INDUSTRIAL COURT | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63144 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL J OGIER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3149689313 | PhoneNum |
| Signature | 2017-11-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMANDA TINNEY | PreparerPersonNm |
| PTIN | P01587658 | PTIN |
| Phone | 3149254300 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.137.57.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-09 | IPDt |
| IP Tm | 20:38:16 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 2FD9AEF635F49284691F87E9FE125090855B27AB | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 596EC7DFF9A02DD4A3ECF98026E37F14AAC6C08F | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN KOTOVSKY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1150 HANLEY INDUSTRIAL COURT | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63144 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $422,829 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LSSLIVING.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY. SEE SCHEDULE O FOR SUMMARY OF LSS CONSOLIDATED OPERATIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 5 | TotalEmployeeCnt |
| Total Volunteers | 104 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $412,475 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $418,598 | CYProgramServiceRevenueAmt |
| PY Investment Income | $124 | PYInvestmentIncomeAmt |
| CY Investment Income | $170 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,509 | PYOtherRevenueAmt |
| CY Other Revenue | $4,061 | CYOtherRevenueAmt |
| PY Total Revenue | $422,108 | PYTotalRevenueAmt |
| CY Total Revenue | $422,829 | 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 | $145,409 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $157,675 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $332,914 | PYOtherExpensesAmt |
| CY Other Expenses | $371,311 | CYOtherExpensesAmt |
| PY Total Expenses | $478,323 | PYTotalExpensesAmt |
| CY Total Expenses | $528,986 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$56,215 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$106,157 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,487,636 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,394,445 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,413,149 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,426,115 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,925,513 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$2,031,670 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $389,563 | ExpenseAmt |
| Revenue | $418,598 | RevenueAmt |
| Desc | TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY IN 67 UNITS UNDER THE NATIONAL HOUSING ACT REGULATED BY HUD. THE OCCUPANCY RATE FOR 2016 AND 2015 WAS 98.46% AND 97.53%, RESPECTIVELY. | Desc |
| Total Program Service Expenses | $389,563 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | 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 | 0 | 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 | Yes (1) | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 5 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | 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 | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | 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 | PAUL OGIER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3149689313 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1150 HANLEY INDUSTRIAL COURT | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63144 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| REV WILLIAM T SIMMONS | ||||||||
| CHAIRPERSON | 0.20 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KATHLEEN T MUELLER | ||||||||
| VICE CHAIRPERSON | 0.20 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LEE H BODENDIECK | ||||||||
| SECRETARY | 0.20 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SCOTT M HARTWIG | ||||||||
| ASSISTANT SECRETARY | 0.20 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICHARD J BAGY JR | ||||||||
| BOARD MEMBER | 0.20 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DIANE R DROLLINGER | ||||||||
| BOARD MEMBER | 0.20 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KARL A DUNAJCIK | ||||||||
| BOARD MEMBER | 0.20 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY L DUNN | ||||||||
| BOARD MEMBER | 0.20 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN A KOMLOS | ||||||||
| BOARD MEMBER | 0.20 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DR F MATTHEW KUHLMANN | ||||||||
| BOARD MEMBER | 0.20 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| HARRY MUELLER | ||||||||
| BOARD MEMBER | 0.20 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| GARY OLSON | ||||||||
| BOARD MEMBER | 0.20 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM F ROTH | ||||||||
| BOARD MEMBER | 0.20 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| REV DR SCOTT K SEIDLER | ||||||||
| BOARD MEMBER | 0.20 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SHERRI C STRAND | ||||||||
| BOARD MEMBER | 0.20 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN KOTOVSKY | ||||||||
| PRESIDENT AND CEO | 1.00 | 40.00 | Yes (X) | $0 | $458,230 | $26,486 | ||
| PAUL J OGIER | ||||||||
| CHIEF FINANCIAL OFFICER/TREASURER | 1.00 | 40.00 | Yes (X) | $0 | $310,149 | $30,684 | ||
| MARK W SCHOEDEL | ||||||||
| VP OF CONSTRUCTION AND IT | 1.00 | 40.00 | Yes (X) | $0 | $221,702 | $16,041 | ||
| DALE KREIENKAMP | ||||||||
| VP OF HUMAN RESOURCES | 1.00 | 40.00 | Yes (X) | $0 | $214,553 | $13,934 | ||
| DONALD BELL | ||||||||
| CHIEF OPERATING OFFICER | 1.00 | 40.00 | Yes (X) | $0 | $204,867 | $605 | ||
| CARLA BAUM | ||||||||
| REGIONAL VICE PRESIDENT | 1.00 | 40.00 | Yes (X) | $0 | $182,625 | $7,935 | ||
| GARY ANDERSON | ||||||||
| VICE PRESIDENT CLINICAL EFFECTIVENESS | 1.00 | 40.00 | Yes (X) | $0 | $173,751 | $13,111 | ||
| ILLA DAVID | ||||||||
| CHIEF INFORMATION OFFICER | 1.00 | 40.00 | Yes (X) | $0 | $177,953 | $255 | ||
| KAREN LARSON | ||||||||
| REGIONAL VICE PRESIDENT | 1.00 | 40.00 | Yes (X) | $0 | $177,144 | $7,457 | ||
| MIKE RASO | ||||||||
| REGIONAL VICE PRESIDENT | 1.00 | 40.00 | Yes (X) | $0 | $170,961 | $11,364 | ||
| MARY LAZARE | ||||||||
| VICE PRESIDENT OF HCBS | 1.00 | 40.00 | Yes (X) | $0 | $152,156 | $807 | ||
| DAVE NEWTON | ||||||||
| VICE PRESIDENT BUILDING & DINING SERVICES | 1.00 | 40.00 | Yes (X) | $0 | $107,313 | $527 | ||
| LISA NORWINE | ||||||||
| VP OF ADVANCEMENT | 1.00 | 40.00 | Yes (X) | $0 | $89,098 | $4,004 | ||
| JOSH KING | ||||||||
| CHIEF INFORMATION OFFICER | 1.00 | 40.00 | Yes (X) | $0 | $78,156 | $8,211 | ||
| JOHN TURONGIAN | ||||||||
| EXECUTIVE DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $137,435 | $9,708 | ||
| RITA VICARY | ||||||||
| ADMIN OF MARKETING & SALES | 1.00 | 40.00 | $0 | $140,944 | $12,567 | Yes (X) | ||
| CHAD SNEED | ||||||||
| CONTROLLER | 1.00 | 40.00 | $0 | $142,423 | $10,131 | Yes (X) | ||
| CHARLES WHEELER | ||||||||
| DIR, CLINICAL COMPLIANCE | 1.00 | 40.00 | $0 | $126,129 | $248 | Yes (X) | ||
| TODD YOUNG | ||||||||
| NETWORK DIRECTOR | 1.00 | 40.00 | $0 | $122,558 | $11,996 | Yes (X) | ||
| JEFF BROWN | ||||||||
| SENIOR ARCHITECT | 1.00 | 40.00 | $0 | $122,224 | $8,730 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,510,371 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $194,801 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SENTRY SECURITY AGENCY INC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9021 RIVERVIEW DRIVE | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63137 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | SECURITY SERVICE | ServicesDesc |
| Compensation | $144,082 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RENT REVENUE | Desc |
| Business | 532000 | BusinessCd |
| Total Revenue Column | $418,598 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $418,598 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $418,598 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $170 | TotalRevenueColumnAmt |
| Exclusion | $170 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| LAUNDRY AND VENDING RE | 532000 | $3,707 | $3,707 |
| DAMAGES, CLEANING AND | 532000 | $283 | $283 |
| FORFEITED TENANT SECUR | 532000 | $67 | $67 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4 | TotalRevenueColumnAmt |
| Exclusion | $4 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,061 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $422,829 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $418,598 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,231 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,376 | TotalAmt |
| Program Services | $67,856 | ProgramServicesAmt |
| Management And General | $52,520 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,705 | TotalAmt |
| Program Services | $16,181 | ProgramServicesAmt |
| Management And General | $12,524 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,594 | TotalAmt |
| Program Services | $4,844 | ProgramServicesAmt |
| Management And General | $3,750 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,570 | TotalAmt |
| Management And General | $34,570 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,830 | TotalAmt |
| Management And General | $13,830 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,569 | TotalAmt |
| Program Services | $21,569 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,202 | TotalAmt |
| Management And General | $1,202 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,076 | TotalAmt |
| Program Services | $52,924 | ProgramServicesAmt |
| Management And General | $16,152 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,651 | TotalAmt |
| Program Services | $50,144 | ProgramServicesAmt |
| Management And General | $507 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $673 | TotalAmt |
| Program Services | $673 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $425 | TotalAmt |
| Management And General | $425 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,357 | TotalAmt |
| Program Services | $116,183 | ProgramServicesAmt |
| Management And General | $1,174 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,781 | TotalAmt |
| Program Services | $10,673 | ProgramServicesAmt |
| Management And General | $108 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| RESIDUAL RECEIPTS RETUR | $38,315 | $38,315 | |
| RECREATION EXPENSE | $5,153 | $5,153 | |
| TENANT SERVICES EXPENSE | $5,048 | $5,048 | |
| MISCELLANEOUS EXPENSE | $2,661 | $2,661 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $528,986 | TotalAmt |
| Program Services | $389,563 | ProgramServicesAmt |
| Management And General | $139,423 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,131 | BOYAmt |
| EOY | $35,724 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,396 | BOYAmt |
| EOY | $132,691 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,535 | BOYAmt |
| EOY | $1,765 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,779 | BOYAmt |
| EOY | $4,387 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,477,640 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,284,121 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,292,438 | BOYAmt |
| EOY | $2,193,519 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,357 | BOYAmt |
| EOY | $26,359 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,487,636 | BOYAmt |
| EOY | $2,394,445 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,514 | BOYAmt |
| EOY | $10,707 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,366,600 | BOYAmt |
| EOY | $4,366,600 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,035 | BOYAmt |
| EOY | $48,808 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,413,149 | BOYAmt |
| EOY | $4,426,115 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,925,513 | BOYAmt |
| EOY | -$2,031,670 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,925,513 | BOYAmt |
| EOY | -$2,031,670 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,487,636 | BOYAmt |
| EOY | $2,394,445 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$106,157 | 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $388,286 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $384,474 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $379,087 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $412,475 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $418,602 | CurrentTaxYearAmt |
| Total | $1,982,924 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $388,286 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $384,474 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $379,087 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $412,475 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $418,602 | CurrentTaxYearAmt |
| Total | $1,982,924 | 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) |
|---|---|---|
| Current Tax Year Minus4 Years | $56,803 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $55,873 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $58,266 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $85,750 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $88,757 | CurrentTaxYearAmt |
| Total | $345,449 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $56,803 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $55,873 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $58,266 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $85,750 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $88,757 | CurrentTaxYearAmt |
| Total | $345,449 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,637,475 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $741 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $504 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $98 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $124 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $170 | CurrentTaxYearAmt |
| Total | $1,637 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $741 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $504 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $98 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $124 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $170 | CurrentTaxYearAmt |
| Total | $1,637 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $4,286 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,509 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,057 | CurrentTaxYearAmt |
| Total | $17,852 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $389,027 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $384,978 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $383,471 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $422,108 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $422,829 | CurrentTaxYearAmt |
| Total | $2,002,413 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.81780 | PublicSupportCY509Pct |
| Public Support PY509 | 0.83280 | PublicSupportPY509Pct |
| Investment Income CY | 0.00080 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00130 | 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 | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | LAUNDRY AND VENDING REVENUE - 2014 AMOUNT: $ 3,783. 2015 AMOUNT: $ 4,185. 2016 AMOUNT: $ 3,707. DAMAGES AND CLEANING FEES - 2014 AMOUNT: $ 39. 2015 AMOUNT: $ 5,324. 2016 AMOUNT: $ 283. FOREFEITED TENANT SECURITY DEPOSITS - 2014 AMOUNT: $ 464. 2016 AMOUNT: $ 67. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $317,400 | OtherCostOrOtherBasisAmt |
| Book Value | $317,400 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,764,283 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,066,726 | DepreciationAmt |
| Book Value | $1,697,557 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $395,957 | OtherCostOrOtherBasisAmt |
| Depreciation | $217,395 | DepreciationAmt |
| Book Value | $178,562 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,193,519 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| SECURITY DEPOSITS | $25,859 |
| DUE TO LSS | $22,949 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $48,808 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $422,829 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $422,829 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $422,829 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $528,986 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $528,986 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $528,986 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN KOTOVSKY | ||||||||||||||
| PRESIDENT AND CEO | $0 | $343,041 | $0 | $26,713 | $0 | $88,476 | $0 | $11,459 | $0 | $15,027 | $0 | $484,716 | $0 | $20,000 |
| PAUL J OGIER | ||||||||||||||
| CHIEF FINANCIAL OFFICER/TREASURER | $0 | $280,942 | $0 | $27,354 | $0 | $1,853 | $0 | $10,550 | $0 | $20,134 | $0 | $340,833 | $0 | $20,000 |
| MARK W SCHOEDEL | ||||||||||||||
| VP OF CONSTRUCTION AND IT | $0 | $187,964 | $0 | $29,171 | $0 | $4,567 | $0 | $9,079 | $0 | $6,962 | $0 | $237,743 | $0 | $23,410 |
| DALE KREIENKAMP | ||||||||||||||
| VP OF HUMAN RESOURCES | $0 | $182,452 | $0 | $27,554 | $0 | $4,547 | $0 | $7,182 | $0 | $6,752 | $0 | $228,487 | $0 | $23,410 |
| DONALD BELL | ||||||||||||||
| CHIEF OPERATING OFFICER | $0 | $204,867 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $605 | $0 | $205,472 | $0 | $20,000 |
| CARLA BAUM | ||||||||||||||
| REGIONAL VICE PRESIDENT | $0 | $174,667 | $0 | $4,518 | $0 | $3,440 | $0 | $3,603 | $0 | $4,332 | $0 | $190,560 | $0 | $1,705 |
| GARY ANDERSON | ||||||||||||||
| VICE PRESIDENT CLINICAL EFFECTIVENES | $0 | $157,733 | $0 | $12,000 | $0 | $4,018 | $0 | $6,425 | $0 | $6,686 | $0 | $186,862 | $0 | $3,410 |
| ILLA DAVID | ||||||||||||||
| CHIEF INFORMATION OFFICER | $0 | $177,953 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $255 | $0 | $178,208 | $0 | $0 |
| KAREN LARSON | ||||||||||||||
| REGIONAL VICE PRESIDENT | $0 | $165,629 | $0 | $9,194 | $0 | $2,321 | $0 | $3,126 | $0 | $4,331 | $0 | $184,601 | $0 | $1,705 |
| MIKE RASO | ||||||||||||||
| REGIONAL VICE PRESIDENT | $0 | $164,128 | $0 | $4,519 | $0 | $2,314 | $0 | $6,934 | $0 | $4,430 | $0 | $182,325 | $0 | $1,705 |
| MARY LAZARE | ||||||||||||||
| VICE PRESIDENT OF HCBS | $0 | $152,156 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $807 | $0 | $152,963 | $0 | $0 |
| RITA VICARY | ||||||||||||||
| ADMIN OF MARKETING & SALES | $0 | $124,866 | $0 | $12,000 | $0 | $4,078 | $0 | $5,886 | $0 | $6,681 | $0 | $153,511 | $0 | $3,410 |
| CHAD SNEED | ||||||||||||||
| CONTROLLER | $0 | $140,549 | $0 | $0 | $0 | $1,874 | $0 | $5,804 | $0 | $4,327 | $0 | $152,554 | $0 | $1,705 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE PARENT ORGANIZATION, LUTHERAN SENIOR SERVICES, USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. |
| PART I, LINE 4B | JOHN KOTOVSKY - SEC 457(F) PLAN - $20,000 PAUL OGIER - SEC 457(F) PLAN - $20,000 MARK SCHOEDEL - SEC 457(F) PLAN - $20,000 DALE KREIENKAMP - SEC 457(F) PLAN - $20,000 DONALD BELL - SEC 457(F) PLAN - $20,000 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 | LUTHERAN SENIOR SERVICES IS A LARGE COMPLEX ORGANIZATION THAT IS COMPRISED OF 19 SEPARATE LEGAL ENTITIES, EACH OF WHICH FILES ITS OWN TAX RETURN. DUE TO THE REQUIREMENTS FOR COMPLETING THESE 990'S (WHICH ARE FILED BY 16 OF THE 19 LSS ENTITIES), SOME OF THE INFORMATION CONTAINED WITHIN THE FORM, SUCH AS REVENUE AND EXPENSES, IS RELATED ONLY TO THAT PARTICULAR ENTITY. HOWEVER, SOME OF THE INFORMATION, SUCH AS EXECUTIVE COMPENSATION, RELATES TO THE ENTIRE ORGANIZATION. TO HELP MAKE THIS INFORMATION MORE MEANINGFUL, THE FOLLOWING PARAGRAPH PROVIDES A SUMMARY OF THE OVERALL OPERATIONS OF LSS. LUTHERAN SENIOR SERVICES IS A NOT FOR PROFIT ORGANIZATION OWNED BY 104 LUTHERAN CHURCHES AND WAS INITIALLY FOUNDED IN 1858. LUTHERAN SENIOR SERVICES OPERATES TEN SENIOR LIVING COMMUNITIES SERVING OVER 3,000 OLDER ADULTS, EIGHT AFFORDABLE HOUSING COMMUNITIES SERVING OVER 570 OLDER ADULTS AND A VARIETY OF IN HOME SERVICES PROGRAMS SERVING OVER 5,000 OLDER ADULTS. IN 2016, LSS HAD TOTAL OPERATING INCOME OF APPROXIMATELY $209,000,000, PROVIDED APPROXIMATELY $11,850,000 IN BENEVOLENT CARE, HAD OVER 75,000 VOLUNTEER HOURS, AND EMPLOYED 18 CHAPLAINS. |
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION DELEGATES MANAGEMENT DUTIES INCLUDING SUPERVISING PERSONNEL, OPERATIONS, AND BUDGETING TO LUTHERAN SENIOR SERVICES, THE PARENT COMPANY. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE GOVERNING BOARD MEMBERS ARE ELECTED BY ASSOCIATED CHURCHES. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE GOVERNING BODY IS PROVIDED A COPY OF THE FORM 990 FOR REVIEW PRIOR TO FILING. APPROVAL OF THE FORM 990 IS DELEGATED TO THE AUDIT COMMITTEE OF THE GOVERNING BODY PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL DIRECTORS AND EMPLOYEES WILL DISCLOSE A CONFLICT OF INTEREST ON THE "CONFLICT OF INTEREST FORM" IN THE FOLLOWING SITUATIONS AND IN OTHER CIRCUMSTANCES WHICH HE/SHE THINKS MIGHT CAUSE A CONFLICT BETWEEN HIS/HER PERSONAL INTERESTS AND HIS/HER FIDUCIARY DUTY: FINANCIAL INTERESTS, INSIDE INFORMATION, CONFLICTING INTEREST OTHER THAN FINANCIAL, GIFTS AND FAVORS. THE FOLLOWING LSS EMPLOYEES ARE REQUIRED TO SIGN A "CONFLICT OF INTEREST FORM" ANNUALLY: PRESIDENT, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER/TREASURER, VICE PRESIDENT OF CONSTRUCTION AND IT, VICE PRESIDENT OF HUMAN RESOURCES, ALL DIRECTORS, ADMINISTRATORS AND ASSISTANT ADMINISTRATORS. THE CORPORATE COMPLIANCE OFFICER FOLLOWS UP WITH ANY CONFLICTS OF INTERESTS AND DOCUMENTS THE RESOLUTIONS OF THE CONFLICTS. THESE FORMS ARE KEPT BY THE CORPORATE COMPLIANCE OFFICE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE FILING ORGANIZATION DID NOT COMPENSATE ANY OFFICERS, DIRECTORS OR KEY EMPLOYEES. THE COMPENSATION PROCESS USED BY THE PARENT ORGANIZATION, LUTHERAN SENIOR SERVICES, IS AS FOLLOWS: THE BOARD OF DIRECTORS ESTABLISHED A SEPARATE COMPENSATION COMMITTEE CHARGED WITH PERFORMING AN ANNUAL PERFORMANCE REVIEW OF THE CEO AND REVIEWING THE CEO'S COMPENSATION PACKAGE. THE COMPENSATION COMMITTEE ENGAGED A THIRD-PARTY GLOBAL HUMAN CAPITAL CONSULTING FIRM TO: (1) DEVELOP AN ANNUAL CEO PERFORMANCE REVIEW PROCESS, INCLUDING A NEW EVALUATION FORM, AND (2) DEVELOP A COMPENSATION PACKAGE BASED ON ITS KNOWLEDGE OF SIMILARLY SIZED NON-PROFIT ORGANIZATIONS IN ORDER TO ENSURE THAT THE COMPENSATION PAID TO THE CEO IS REASONABLE. ALL MEMBERS OF THE BOARD COMPLETE AN ANNUAL EVALUATION, WHICH THE COMPENSATION COMMITTEE SUMMARIZES AND REVIEWS. THE COMPENSATION COMMITTEE THEN MAKES A RECOMMENDATION TO THE FULL BOARD OF DIRECTORS FOR ANY COMPENSATION ADJUSTMENTS. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALTHOUGH NOT A REQUIREMENT, THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND OTHER DOCUMENTS TO ALL WHO REQUEST ONE OR MORE OF THESE ITEMS. |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THIS PROCESS IS CONSISTENT WITH THE PRIOR YEARS. |
| FORM 990, PART V, LINE 2A AND FORM 990, PAGE 10, PART IX, LINE 7, 9, AND 10 | THE ORGANIZATION'S PAYROLL IS PROCESSED WITH LUTHERAN SENIOR SERVICES, THE PARENT COMPANY, W-2'S AND W-3'S WERE NOT ISSUED BY ROSE HILL HOUSE, INC. AS OF DECEMBER 31, 2016. THE ORGANIZATION DID PAY THE SALARIES, EMPLOYMENT TAXES, AND EMPLOYEE BENEFITS FOR THE ORGANIZATION'S EMPLOYEES. THERE WERE 5 FULL-TIME EMPLOYEES DEDICATED TO ROSE HILL HOUSE, INC. AS OF DECEMBER 31, 2016. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LUTHERAN SENIOR SERVICES | |||||||||||
| 1150 HANLEY INDUSTRIAL COURT | ST LOUIS | MO | 63144 | 430654862 | SENIOR LIVING | MO | 501(C)(3) | LINE 10 | N/A | 0 | |
| HILLTOP MANOR ASSOCIATION INC | |||||||||||
| 1150 HANLEY INDUSTRIAL COURT | ST LOUIS | MO | 63144 | 020667342 | LOW INCOME HOUSING FOR THE ELDERLY | MO | 501(C)(3) | LINE 10 | N/A | 0 | |
| WESTFIELD MANOR ASSOCIATION | |||||||||||
| 1150 HANLEY INDUSTRIAL COURT | ST LOUIS | MO | 63144 | 020568032 | LOW INCOME HOUSING FOR THE ELDERLY | IL | 501(C)(3) | LINE 10 | N/A | 0 | |
| HALLS FERRY MANOR INC | |||||||||||
| 1150 HANLEY INDUSTRIAL COURT | ST LOUIS | MO | 63144 | 431660879 | LOW INCOME HOUSING FOR THE ELDERLY | MO | 501(C)(3) | LINE 10 | N/A | 0 | |
| DUNN ROAD MANOR INC | |||||||||||
| 1150 HANLEY INDUSTRIAL COURT | ST LOUIS | MO | 63144 | 431874215 | LOW INCOME HOUSING FOR THE ELDERLY | MO | 501(C)(3) | LINE 10 | N/A | 0 | |
| ROSE HILL HOUSE II INC | |||||||||||
| 1150 HANLEY INDUSTRIAL COURT | ST LOUIS | MO | 63144 | 201889216 | LOW INCOME HOUSING FOR THE ELDERLY | MO | 501(C)(3) | LINE 10 | N/A | 0 | |
| LUTHERAN SENIOR SERVICES ENDOWMENT FUND | |||||||||||
| 1150 HANLEY INDUSTRIAL COURT | ST LOUIS | MO | 63144 | 431818832 | MANAGES CHARITABLE FUNDS FOR ALL LSS RELATED ENTITIES | MO | 501(C)(3) | LINE 12A, I | 0 | LUTHERAN SENIOR SERVICES | |
| MERIDIAN VILLAGE ASSOCIATION | |||||||||||
| 1150 HANLEY INDUSTRIAL COURT | ST LOUIS | MO | 63144 | 371415588 | SENIOR LIVING | IL | 501(C)(3) | LINE 10 | N/A | 0 | |
| MACKENZIE HUD 202 - II | |||||||||||
| 1150 HANLEY INDUSTRIAL COURT | ST LOUIS | MO | 63144 | 454000626 | LOW INCOME HOUSING FOR THE ELDERLY | MO | 501(C)(3) | LINE 10 | N/A | 0 | |
| MACKENZIE HUD 202 | |||||||||||
| 1150 HANLEY INDUSTRIAL COURT | ST LOUIS | MO | 63144 | 273777863 | LOW INCOME HOUSING FOR THE ELDERLY | MO | 501(C)(3) | LINE 10 | N/A | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |