COLFAX HEALTH AND REHABILITATION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- COLFAX HEALTH AND REHABILITATION (EIN 39-1039081)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-05-04
- IRS object ID
- 201631259349301573
- Schema version
- 2015v2.1
- 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 | 2016-05-04T16:32:00-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | 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 PARKWAY | 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 | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391039081 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLFAX HEALTH AND REHABILITATION | BusinessNameLine1Txt |
| Business Name Line2 | CENTER INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COLF | BusinessNameControlTxt |
| Phone | 7159623186 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 PARK DRIVE | AddressLine1Txt |
| City | COLFAX | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54730 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JILL GENGLER | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 7159623186 | PhoneNum |
| Signature | 2016-05-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DONNA NELSON CPA | PreparerPersonNm |
| PTIN | P00968978 | PTIN |
| Phone | 7158323407 | PhoneNum |
| Preparation | 2016-04-27 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JILL GENGLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 PARK DRIVE | AddressLine1Txt |
| City | COLFAX | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54730 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,411,574 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.COLFAXHEALTHANDREHAB.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE COMPREHENSIVE SHORT TERM REHAB AS WELL AS LONG TERM CARE AND ASSISTED LIVING SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 142 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $13,377 | PYContributionsGrantsAmt |
| CY Contributions Grants | $20,813 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,925,598 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,252,871 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,415 | PYInvestmentIncomeAmt |
| CY Investment Income | -$88 | CYInvestmentIncomeAmt |
| PY Other Revenue | $132,081 | PYOtherRevenueAmt |
| CY Other Revenue | $102,646 | CYOtherRevenueAmt |
| PY Total Revenue | $4,072,471 | PYTotalRevenueAmt |
| CY Total Revenue | $4,376,242 | 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 | $2,731,888 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,675,535 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,172 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,103,732 | PYOtherExpensesAmt |
| CY Other Expenses | $2,047,705 | CYOtherExpensesAmt |
| PY Total Expenses | $4,835,620 | PYTotalExpensesAmt |
| CY Total Expenses | $4,723,240 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$763,149 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$346,998 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,448,608 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,025,097 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,560,018 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,483,505 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$111,410 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$458,408 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OUR MISSION IS TO EMBRACE OUR RESIDENTS, THEIR FAMILIES, AND OUR STAFF, IN A SETTING THAT FEELS LIKE HOME. WE ARE COMMITTED TO PROVIDING EXCEPTIONAL, INDIVIDUALIZED CARE WITH COMPASSION, PRIDE AND RESPECT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,064,884 | ExpenseAmt |
| Revenue | $3,275,650 | RevenueAmt |
| Desc | COLFAX HEALTH AND REHABILITATION CENTER, INC. (THE "COMPANY") OPERATES A 40-BED NURSING FACILITY IN COLFAX, WISCONSIN, SERVING SKILLED AND INTERMEDIATE CARE RESIDENTS. TOTAL PATIENT DAYS FOR 2015 WERE 12,851. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,136,972 | ExpenseAmt |
| Revenue | $977,221 | RevenueAmt |
| Desc | THE COMPANY OPERATES A 16-BED COMMUNITY BASED RESIDENTIAL FACILITY (CBRF) AND A 12-UNIT RESIDENTIAL CARE APARTMENT COMPLEX (RCAC). THERE WERE 4,741 RESIDENT DAYS IN THE CBRF AND 4,871 RESIDENT DAYS IN THE RCAC IN 2015. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $4,201,856 | 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 | 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 | 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 | 12 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 142 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | 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 | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JILL GENGLER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7159623186 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 PARK DRIVE | AddressLine1Txt |
| City | COLFAX | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54730 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| MARY ELLEN MATHEWS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $500 | $0 | $0 | |
| DALE ROSTAMO | ||||||
| DIRECTOR | 1.00 | Yes (X) | $500 | $0 | $0 | |
| DONNA JOHNSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $500 | $0 | $0 | |
| AL STAI | ||||||
| PRESIDENT (THROUGH JUNE) | 1.00 | Yes (X) | $500 | $0 | $0 | Yes (X) |
| DEL GUNDERSON | ||||||
| ACTING PRESIDENT | 1.00 | Yes (X) | $500 | $0 | $0 | Yes (X) |
| SCOTT MILLER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JILL GENGLER | ||||||
| ADMINISTRATOR | 40.00 | $74,850 | $0 | $11,561 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $77,350 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $11,561 | 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 |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WIPFLI LLP | |||||
| PO BOX 3160 | MILWAUKEE | WI | 53201 | ACCOUNTING | $176,537 |
| MIDWEST PHYSICAL THERAPY | |||||
| 1731 17TH AVENUE | BLOOMER | WI | 54724 | THERAPY | $165,691 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $20,813 | AllOtherContributionsAmt |
| Total Contributions | $20,813 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SKILLED NURSING | 623000 | $3,275,650 | $3,275,650 |
| ASSISTED LIVING | 623000 | $977,221 | $977,221 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,252,871 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $68 | TotalRevenueColumnAmt |
| Exclusion | $68 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $137,822 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $35,176 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $102,646 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $102,646 | TotalRevenueColumnAmt |
| Exclusion | $102,646 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $156 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$156 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$156 | TotalRevenueColumnAmt |
| Exclusion | -$156 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,376,242 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,252,871 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $102,558 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,911 | TotalAmt |
| Management And General | $88,911 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,075,206 | TotalAmt |
| Program Services | $1,962,011 | ProgramServicesAmt |
| Management And General | $113,195 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,520 | TotalAmt |
| Program Services | $3,328 | ProgramServicesAmt |
| Management And General | $192 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,930 | TotalAmt |
| Program Services | $278,773 | ProgramServicesAmt |
| Management And General | $15,157 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,968 | TotalAmt |
| Program Services | $195,254 | ProgramServicesAmt |
| Management And General | $18,714 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,395 | TotalAmt |
| Management And General | $1,395 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,084 | TotalAmt |
| Management And General | $96,084 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,902 | TotalAmt |
| Program Services | $274,350 | ProgramServicesAmt |
| Management And General | $46,552 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,569 | TotalAmt |
| Management And General | $17,569 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,276 | TotalAmt |
| Management And General | $43,104 | ManagementAndGeneralAmt |
| Fundraising | $2,172 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,453 | TotalAmt |
| Management And General | $13,453 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $555,063 | TotalAmt |
| Program Services | $555,063 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,863 | TotalAmt |
| Program Services | $466 | ProgramServicesAmt |
| Management And General | $5,397 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,410 | TotalAmt |
| Program Services | $12,709 | ProgramServicesAmt |
| Management And General | $1,701 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $432,194 | TotalAmt |
| Program Services | $432,194 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,680 | TotalAmt |
| Management And General | $53,680 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| FOOD | $186,267 | $186,267 |
| MEDICAL EXPENSES | $163,840 | $163,840 |
| BED ASSESSMENT | $81,600 | $81,600 |
| SUPPLIES | $58,290 | $58,290 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,819 | TotalAmt |
| Program Services | -$2,289 | ProgramServicesAmt |
| Management And General | $4,108 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,723,240 | TotalAmt |
| Program Services | $4,201,856 | ProgramServicesAmt |
| Management And General | $519,212 | ManagementAndGeneralAmt |
| Fundraising | $2,172 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,272 | BOYAmt |
| EOY | $316,773 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,666 | BOYAmt |
| EOY | $61,172 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,528 | BOYAmt |
| EOY | $6,655 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $375,127 | BOYAmt |
| EOY | $236,317 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,924 | BOYAmt |
| EOY | $4,674 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,063,972 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,838,925 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,644,972 | BOYAmt |
| EOY | $10,225,047 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,119 | BOYAmt |
| EOY | $174,459 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,448,608 | BOYAmt |
| EOY | $11,025,097 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $586,597 | BOYAmt |
| EOY | $554,146 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,973,421 | BOYAmt |
| EOY | $10,929,359 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,560,018 | BOYAmt |
| EOY | $11,483,505 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$140,938 | BOYAmt |
| EOY | -$470,063 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,528 | BOYAmt |
| EOY | $11,655 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$111,410 | BOYAmt |
| EOY | -$458,408 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,448,608 | BOYAmt |
| EOY | $11,025,097 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$346,998 | 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 | $305 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $490 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $206,346 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,377 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,813 | CurrentTaxYearAmt |
| Total | $241,331 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,559,235 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,252,031 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,228,584 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,925,598 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,252,871 | CurrentTaxYearAmt |
| Total | $18,218,319 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,559,540 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,252,521 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,434,930 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,938,975 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,273,684 | CurrentTaxYearAmt |
| Total | $18,459,650 | 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 | $18,459,650 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,306 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $534 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $527 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,503 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $68 | CurrentTaxYearAmt |
| Total | $5,938 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,306 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $534 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $527 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,503 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $68 | CurrentTaxYearAmt |
| Total | $5,938 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $132,014 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $133,400 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $128,294 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $132,081 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $127,105 | CurrentTaxYearAmt |
| Total | $652,894 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,693,860 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,386,455 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,563,751 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,073,559 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,400,857 | CurrentTaxYearAmt |
| Total | $19,118,482 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96550 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96410 | PublicSupportPY509Pct |
| Investment Income CY | 0.00030 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00060 | 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 | $527 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $527 | 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 | COLFAX HEALTH AND REHABILITATION CENTER, INC. PAYS ANNUAL ASSOCIATION DUES TO LEADINGAGE WISCONSIN. 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 ENVIRONMENT. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $411,185 | OtherCostOrOtherBasisAmt |
| Book Value | $411,185 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,426,964 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,367,875 | DepreciationAmt |
| Book Value | $9,059,089 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,225,823 | OtherCostOrOtherBasisAmt |
| Depreciation | $471,050 | DepreciationAmt |
| Book Value | $754,773 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,225,047 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $4,409,246 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $35,176 | OtherRevenueAmt |
| Revenue Not Reported | $35,176 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,374,070 | RevenueSubtotalAmt |
| Other Revenues Not Included | $2,172 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,172 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $4,376,242 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,756,244 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $35,176 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $35,176 | ExpensesNotReportedAmt |
| Expenses Subtotal | $4,721,068 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,172 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,172 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,723,240 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES NET AGAINST REVENUE 35,176. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSE 2,172. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES NET AGAINST REVENUE 35,176. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 2,172. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE NO COMMITTEES OF THE BOARD OF DIRECTORS WHICH HAVE AUTHORITY TO ACT ON BEHALF OF THE ENTIRE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11 | ALL MEMBERS OF THE BOARD OF DIRECTORS RECEIVED A COMPLETE COPY OF FORM 990 ONE WEEK PRIOR TO FILING AND WERE GIVEN THE OPPORTUNITY TO REVIEW THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ADMINISTRATOR'S SALARY IS APPROVED BY THE BOARD OF DIRECTORS. CHANGES IN APPROVED SALARY ARE DOCUMENTED IN THE BOARD MINUTES. THE ADMINISTRATOR DETERMINES THE SALARIES OF OTHER EMPLOYEES OF THE ORGANIZATION BASED ON MARKET DATA. CHANGES IN WAGES FOR THESE INDIVIDUALS ARE ALSO DOCUMENTED IN THE BOARD MINUTES. FOR THE PAST SEVERAL YEARS, KEY EMPLOYEES HAVE RECEIVED PAY ADJUSTMENTS COMPARABLE TO OTHER STAFF MEMBERS - 2.5% IN 2015 AND 2014. ANY BONUSES THAT ARE PAID ARE APPROVED BY THE BOARD OF DIRECTORS, RECORDED IN THE BOARD MINUTES, AND BASED ON GUIDANCE FROM AN INDEPENDENT THIRD PARTY. |
| FORM 990, PART VI, SECTION C, LINE 19 | COLFAX HEALTH AND REHABILITATION, INC. MAKES ITS FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC ON A PER REQUEST BASIS. |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR SELECTION OF AN INDEPENDENT ACCOUNTANT, AND THE ADMINISTRATOR OVERSEES THE AUDIT PROCESS. THERE HAS BEEN NO CHANGE TO THIS PROCESS IN 2015. |