STRATEGY STUDIO / PUBLIC DATA EXPLORER

EVERGREEN RETIREMENT COMMUNITY INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
EVERGREEN RETIREMENT COMMUNITY INC (EIN 39-1081800)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-10-30
IRS object ID
202533039349300548
Schema version
2024v5.2
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

FieldValueIRS element (for citing)
Return2025-10-30T10:46:44-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN393647910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI ADVISORY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1170 N RADNOR-CHESTER RD SUITE 200AddressLine1Txt
CityRADNORCityNm
State AbbreviationPAStateAbbreviationCd
ZIP19087ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391081800EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EVERGREEN RETIREMENT COMMUNITY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlEVERBusinessNameControlTxt
Phone9202332340PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11130 NORTH WESTFIELD STREETAddressLine1Txt
CityOSHKOSHCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54902ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBILLIE JO HIGGINSPersonNm
Person TitleTREASURERPersonTitleTxt
Phone9202332340PhoneNum
Signature2025-10-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSOLOMON MARDAKHAEVPreparerPersonNm
PTINP01806552PTIN
Phone6105653930PhoneNum
Preparation2025-10-17PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKENNETH A ARNESONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11130 NORTH WESTFIELD STREETAddressLine1Txt
CityOSHKOSHCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54902ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$26,946,272GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.EVERGREENOSHKOSH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1965FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionGUIDED BY CHRISTIAN IDEALS THAT NURTURE ALL PEOPLE, WE STRIVE TO PROVIDE EXCEPTIONAL LIVING ENVIRONMENTS, SERVICES AND EXPERIENCES FOR PEOPLE 55 AND OLDER.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee473TotalEmployeeCnt
Total Volunteers120TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,184,170PYContributionsGrantsAmt
CY Contributions Grants$864,769CYContributionsGrantsAmt
PY Program Service Revenue$22,494,234PYProgramServiceRevenueAmt
CY Program Service Revenue$25,604,002CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$431,127CYInvestmentIncomeAmt
PY Other Revenue$337,068PYOtherRevenueAmt
CY Other Revenue$46,374CYOtherRevenueAmt
PY Total Revenue$24,015,472PYTotalRevenueAmt
CY Total Revenue$26,946,272CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,202,252PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,910,560CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,434,547PYOtherExpensesAmt
CY Other Expenses$12,566,205CYOtherExpensesAmt
PY Total Expenses$22,636,799PYTotalExpensesAmt
CY Total Expenses$25,476,765CYTotalExpensesAmt
PY Revenues Less Expenses$1,378,673PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,469,507CYRevenuesLessExpensesAmt
Total Assets BOY$48,166,998TotalAssetsBOYAmt
Total Assets EOY$47,934,660TotalAssetsEOYAmt
Total Liabilities BOY$30,234,864TotalLiabilitiesBOYAmt
Total Liabilities EOY$28,533,019TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,932,134NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$19,401,641NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionGUIDED BY CHRISTIAN IDEALS THAT NURTURE ALL PEOPLE, WE STRIVE TO PROVIDE EXCEPTIONAL LIVING ENVIRONMENTS, SERVICES AND EXPERIENCES FOR PEOPLE 55 AND OLDER.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$21,934,080ExpenseAmt
Grant$0GrantAmt
Revenue$25,631,476RevenueAmt
DescEVERGREEN IS A NONPROFIT CONTINUING CARE RETIREMENT COMMUNITY (CCRC) SERVING OLDER ADULTS, AGES 55 AND OLDER. IDEAL FOR THOSE LOOKING FOR A LIFESTYLE OF CHOICE, FREEDOM, SAFETY, COMMUNITY AND VALUE, EVERGREEN IS MORE THAN JUST A SENIOR LIVING COMMUNITY. EVERGREEN'S 35-ACRE CAMPUS IS NOT ONLY HOME TO ALMOST 300 RESIDENTS, BUT IT IS ALSO A DESTINATION FOR FAMILIES, COMMUNITY MEMBERS, VOLUNTEERS, NONPROFIT GROUPS AND OTHER VISITORS. LOCATED IN A PLEASANT RESIDENTIAL NEIGHBORHOOD IN OSHKOSH, WISCONSIN AMONG BEAUTIFUL, NATURAL SURROUNDINGS AND BORDERED BY OUR OWN OAK SAVANNA WOODLANDS, EVERGREEN PROVIDES LIVELY OPPORTUNITIES FOR YOU AND YOUR FRIENDS TO LIVE AS YOU CHOOSE. CHOOSE FROM THREE STYLES OF INDEPENDENT LIVING ACCOMMODATIONS, FOUR LEVELS OF ASSISTED LIVING, SHORT-TERM REHAB AND POST SURGICAL CARE, LONG-TERM SKILLED NURSING, OR EVERGREEN AT HOME SERVICES TO MEET YOUR UNIQUE NEEDS. LIFE ENRICHMENT ABOUNDS AT EVERGREEN. THERAPEUTIC SWIMMING POOLS, AN AEROBIC STUDIO, LAPIDARY SHOP, AND SUPPERS WITH THE CHEF ARE JUST A FEW OF THE MANY OPPORTUNITIES THAT ENCOURAGE ACTIVE LIFESTYLES. PARTNERSHIPS WITH THE UNIVERSITY OF WISCONSIN OSHKOSH, LEARNING IN RETIREMENT AND THE OSHKOSH GALLERY WALK ALSO PROVIDE ENTERTAINING AND FULFILLING EXPERIENCES AND ENSURE THAT NO TWO DAYS ARE THE SAME. AT EVERGREEN, POSSIBILITIES AWAIT.Desc
Total Program Service Expenses$21,934,080TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document104IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee473EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BILLIE JO HIGGINSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9202332340PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11130 NORTH WESTFIELD STREETAddressLine1Txt
CityOSHKOSHCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54902ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
BARBARA RAU
CHAIRMAN (THRU MAY 2024)1.001.00Yes (X)Yes (X)$0$0$0
TOM RAMSEY
CHAIRMAN (FROM MAY 2024)1.001.00Yes (X)Yes (X)$0$0$0
JAVAD AHMAD
DIRECTOR (THRU FEB 2024)1.001.00Yes (X)$0$0$0
SEON YOON CHUNG
DIRECTOR1.001.00Yes (X)$0$0$0
JIM CHITWOOD
DIRECTOR1.001.00Yes (X)$0$0$0
DAWN DAVIS
DIRECTOR1.001.00Yes (X)$0$0$0
SARAH DEARMOND
DIRECTOR1.001.00Yes (X)$0$0$0
DEDE DEWITT
DIRECTOR1.001.00Yes (X)$0$0$0
VERNA FUNCKE
DIRECTOR1.001.00Yes (X)$0$0$0
MIKE GREY
DIRECTOR1.001.00Yes (X)$0$0$0
DAVID KRUCK
DIRECTOR1.001.00Yes (X)$0$0$0
SHERRY LYNCH
DIRECTOR1.001.00Yes (X)$0$0$0
ANDREW MATHES
DIRECTOR1.001.00Yes (X)$0$0$0
CHAD MILLER
DIRECTOR1.001.00Yes (X)$0$0$0
TONY RENNING
DIRECTOR (THRU NOV 2024)1.001.00Yes (X)$0$0$0
EMILY RICHESON
DIRECTOR1.001.00Yes (X)$0$0$0
ALAN ROMMELFANGER
DIRECTOR1.001.00Yes (X)$0$0$0
JOHN STUBBS
DIRECTOR1.001.00Yes (X)$0$0$0
GAIL SULLIVAN
DIRECTOR1.001.00Yes (X)$0$0$0
ANN WILKES
DIRECTOR1.001.00Yes (X)$0$0$0
KEN ARNESON
PRESIDENT /CEO40.002.00Yes (X)$308,204$0$23,622
BILLIE JO HIGGINS
CFO/TREASURER40.002.00Yes (X)$171,259$0$11,168
LISA RUIZ
EXECUTIVE ASSISTANT/SECRETARY40.001.00Yes (X)$57,153$0$19,343
ERIN SANDERS
VP HUMAN RESOURCES40.00$126,348$0$20,078Yes (X)
PEGGY BELLIN
VP HEALTH & SUPPORT SERVICES40.00$123,500$0$25,995Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$786,464TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$100,206TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NEW HORIZON FOODS
2670 106TH STREETURBANDALEIA50322DINING SERVICES$980,162
HEALTHCARE SERVICES GROUP
PO BOX 829677PHILADELPHIAPA19182HOUSEKEEPING SERVICES$636,723
PRIME TIME HEALTHCARE LLC
PO BOX 3544OMAHANE68103AGENCY STAFF$312,251
PARASOL ALLIANCE LLC
557 FORREST VIEW ROADLINDENHURSTIL60046IT SERVICES$245,045
UNITED METHODIST HOMES & SERVICES
1415 W FORESTER AVECHICAGOIL60640AGENCY STAFF$217,943
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Related Organizations$864,769RelatedOrganizationsAmt
Total Contributions$864,769TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HEALTH CENTER REVENUE623000$8,743,089$8,743,089
INDEPENDENT LIVING REVENUE623000$5,743,794$5,743,794
CBRF REVENUE623000$5,674,646$5,674,646
ANCILLARY SERVICE REVENUE623000$2,839,238$2,839,238
RCAC REVENUE623000$1,161,207$1,161,207

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,442,028TotalRevenueColumnAmt
Related Or Exempt Func Income$1,442,028RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$25,604,002TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$431,127TotalRevenueColumnAmt
Exclusion$431,127ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$18,900RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$18,900RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,900TotalRevenueColumnAmt
Exclusion$18,900ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,474TotalRevenueColumnAmt
Related Or Exempt Func Income$27,474RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$27,474OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,946,272TotalRevenueColumnAmt
Related Or Exempt Func Income$25,631,476RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$450,027ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$590,747TotalAmt
Program Services$498,977ProgramServicesAmt
Management And General$91,770ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,657,480TotalAmt
Program Services$8,122,069ProgramServicesAmt
Management And General$1,535,411ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$358,266TotalAmt
Program Services$302,611ProgramServicesAmt
Management And General$55,655ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,575,401TotalAmt
Program Services$1,330,669ProgramServicesAmt
Management And General$244,732ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$728,666TotalAmt
Program Services$615,471ProgramServicesAmt
Management And General$113,195ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$75,230TotalAmt
Program Services$2,500ProgramServicesAmt
Management And General$72,730ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$38,982TotalAmt
Management And General$38,982ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,015,278TotalAmt
Program Services$2,474,611ProgramServicesAmt
Management And General$540,667ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$50,048TotalAmt
Program Services$43,226ProgramServicesAmt
Management And General$6,822ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$302,723TotalAmt
Program Services$261,458ProgramServicesAmt
Management And General$41,265ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,420,988TotalAmt
Program Services$1,227,290ProgramServicesAmt
Management And General$193,698ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$20,821TotalAmt
Program Services$17,983ProgramServicesAmt
Management And General$2,838ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$910,906TotalAmt
Program Services$910,906ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,337,366TotalAmt
Program Services$2,150,142ProgramServicesAmt
Management And General$187,224ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$261,601TotalAmt
Program Services$225,942ProgramServicesAmt
Management And General$35,659ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$2,135,519$2,135,519
FOOD & DIETARY SUPPLIES$1,332,255$1,019,922$312,333
RESIDENT SUPPLIES$251,853$217,522$34,331
PHARMACEUTICALS$141,545$122,251$19,294

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$271,090TotalAmt
Program Services$255,011ProgramServicesAmt
Management And General$16,079ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$25,476,765TotalAmt
Program Services$21,934,080ProgramServicesAmt
Management And General$3,542,685ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,541,731BOYAmt
EOY$2,517,620EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,495,979BOYAmt
EOY$7,938,413EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,479,850BOYAmt
EOY$1,375,337EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$43,113BOYAmt
EOY$23,113EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$48,805BOYAmt
EOY$42,486EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$222,414BOYAmt
EOY$238,076EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$73,487,408LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$38,675,812LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$36,052,895BOYAmt
EOY$34,811,596EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$524,998BOYAmt
EOY$524,998EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$757,213BOYAmt
EOY$463,021EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$48,166,998BOYAmt
EOY$47,934,660EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,869,308BOYAmt
EOY$2,245,610EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$308,823BOYAmt
EOY$397,778EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,839,688BOYAmt
EOY$22,473,054EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$4,517BOYAmt
EOY$2,448EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,212,528BOYAmt
EOY$3,414,129EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,234,864BOYAmt
EOY$28,533,019EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,932,134BOYAmt
EOY$19,401,641EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,932,134BOYAmt
EOY$19,401,641EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$48,166,998BOYAmt
EOY$47,934,660EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,469,507ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,882,268CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$949,183CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$742,255CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,184,170CurrentTaxYearMinus1YearAmt
Current Tax Year$864,769CurrentTaxYearAmt
Total$7,622,645TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,131,543CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,806,436CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,181,372CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,494,234CurrentTaxYearMinus1YearAmt
Current Tax Year$23,698,358CurrentTaxYearAmt
Total$100,311,943TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,013,811CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,755,619CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,923,627CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,678,404CurrentTaxYearMinus1YearAmt
Current Tax Year$24,563,127CurrentTaxYearAmt
Total$107,934,588TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$107,934,588PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$450,027CurrentTaxYearAmt
Total$450,027TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year$450,027CurrentTaxYearAmt
Total$450,027TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$497,148CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$669,218CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$637,489CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$337,068CurrentTaxYearMinus1YearAmt
Current Tax Year$27,475CurrentTaxYearAmt
Total$2,168,398TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,510,959CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,424,837CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,561,116CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,015,472CurrentTaxYearMinus1YearAmt
Current Tax Year$25,040,629CurrentTaxYearAmt
Total$110,553,013TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97630PublicSupportCY509Pct
Public Support PY5090.97440PublicSupportPY509Pct
Investment Income CY0.00410InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,972,644BeginningYearBalanceAmt
Investment Earnings Or Losses$962,387InvestmentEarningsOrLossesAmt
Other Expenditures$138,820OtherExpendituresAmt
End Year Balance$9,796,211EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,123,849BeginningYearBalanceAmt
Contributions$5,105ContributionsAmt
Investment Earnings Or Losses$952,998InvestmentEarningsOrLossesAmt
Other Expenditures$109,308OtherExpendituresAmt
End Year Balance$8,972,644EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,359,493BeginningYearBalanceAmt
Contributions$1,285ContributionsAmt
Investment Earnings Or Losses-$1,175,308InvestmentEarningsOrLossesAmt
Other Expenditures$61,621OtherExpendituresAmt
End Year Balance$8,123,849EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,606,849BeginningYearBalanceAmt
Contributions$636,799ContributionsAmt
Investment Earnings Or Losses$1,267,606InvestmentEarningsOrLossesAmt
Other Expenditures$2,104,418OtherExpendituresAmt
Administrative Expenses$47,343AdministrativeExpensesAmt
End Year Balance$9,359,493EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,677,264BeginningYearBalanceAmt
Contributions$22,450ContributionsAmt
Investment Earnings Or Losses$1,006,818InvestmentEarningsOrLossesAmt
Other Expenditures$59,932OtherExpendituresAmt
Administrative Expenses$39,751AdministrativeExpensesAmt
End Year Balance$9,606,849EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.42470BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.57530TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$994,628OtherCostOrOtherBasisAmt
Book Value$994,628BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,671,626OtherCostOrOtherBasisAmt
Depreciation$23,870,423DepreciationAmt
Book Value$28,801,203BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,671,098OtherCostOrOtherBasisAmt
Depreciation$1,836,401DepreciationAmt
Book Value$1,834,697BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,980,640OtherCostOrOtherBasisAmt
Depreciation$12,968,988DepreciationAmt
Book Value$3,011,652BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$169,416OtherCostOrOtherBasisAmt
Book Value$169,416BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$34,811,596TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCONTRACT LIABILITY - ACCOMMODATION FEESDesc
Amt$3,414,129Amt
FieldValueIRS element (for citing)
Total Liability$3,414,129TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$25,040,629TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$1,905,643OtherRevenueAmt
Revenue Not Reported-$1,905,643RevenueNotReportedAmt
Revenue Subtotal$26,946,272RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$26,946,272TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$23,571,122TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$23,571,122ExpensesSubtotalAmt
Other Expenses Not Included$1,905,643OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,905,643ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$25,476,765TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:RESIDENT FUNDS ACCOUNT
PART V, LINE 4:THE FOUNDATION'S ENDOWMENT FUNDS BENEVOLENT NEEDS ARE FOR RESIDENTS OF EVERGREEN RETIREMENT COMMUNITY WHO HAVE EXHAUSTED THEIR PERSONAL RESOURCES, WOODLANDS PRESERVATION, LIFECARE LEARNING, PASTORAL CARE, CREATIVE ARTS, GROUNDS BEAUTIFICATION AND UNRESTRICTED USES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:BAD DEBTS & ALLOWANCES -1,905,643.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBTS & ALLOWANCES 1,905,643.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEN ARNESON
PRESIDENT /CEO$295,704$0$12,500$0$0$0$18,476$0$5,146$0$331,826$0$0$0
BILLIE JO HIGGINS
CFO/TREASURER$163,421$0$7,838$0$0$0$10,270$0$898$0$182,427$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE ORGANIZATIONAL PERFORMANCE COMMITTEE (OPC) OF THE BOARD IS RESPONSIBLE FOR CONDUCTING THE PERFORMANCE REVIEW OF THE CEO AND MAKING A WAGE RECOMMENDATION TO THE FULL BOARD OF DIRECTORS. THE OPC IS PROVIDED COMPARATIVE WAGE DATA ANNUALLY BY THE VICE PRESIDENT OF HUMAN RESOURCES. THE REVIEW PROCESS IS DOCUMENTED IN EXECUTIVE SESSION MINUTES.
PART I, LINE 6PRESIDENT/CEO (KEN ARNESON), CFO/TREASURER (BILLIE JO HIGGINS), VP HEALTH & SUPPORT SERVICES (PEGGY BELLIN), VP HUMAN RESOURCES (ERIN SANDERS), AND EXECUTIVE ASSISTANT/SECRETARY (LISA RUIZ) OF EVERGREEN RETIREMENT COMMUNITY, AS MEMBERS OF THE MANAGEMENT TEAM, RECEIVE AN ANNUAL BONUS, PART OF WHICH RELATES TO THE NET INCOME OF THE ORGANIZATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ELDERLY HOUSING AUTHORITY OF THE CITY OF OSHKOSH
A3912517772003-11-25$6,600,000CONSTRUCTION OF SKILLED NURSING FACILITY AND FITNESS & AQUATIC CENTER000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
B3913378552016-12-23$14,150,000CONSTRUCTION OF 62 APARTMENTS AND A WORSHIP AND PERFORMING ARTS CENTER000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
C3913378552013-12-20$7,000,000CAMPUS REMODEL (REPOSITIONING)000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
D3913378552021-07-01$8,300,000CONSTRUCTION OF 40 RANCH-STYLE HOMES000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmt
A$6,600,000$6,600,000$6,600,0002004Yes (1)0Yes (1)Yes (1)
B$3,625,787$12,149,557201700Yes (1)Yes (1)$97,440$12,149,557$2,000,443
C$802,850$7,000,000201400Yes (1)Yes (1)$138,167$6,861,833
D$313,355$8,300,000202100Yes (1)Yes (1)$50,000$8,300,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000
C0000000
D000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)Yes (1)000Yes (1)
B000Yes (1)0000Yes (1)
C000Yes (1)0000Yes (1)
D000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0
D0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: ELDERLY HOUSING AUTHORITY OF THE CITY OF OSHKOSH DATE THE REBATE COMPUTATION WAS PERFORMED: 11/25/2023 ISSUER NAME: WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2021 ISSUER NAME: WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2023
SCHEDULE K, PART II, LINE 3, COLUMN B:THE BOND ISSUE PRICE APPROVED FOR THIS PROJECT WAS APPROVED FOR $14,150,000, BUT ONLY $12,149,557 WAS TAKEN OUT BY THE ORGANIZATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S TREASURER WILL REVIEW THE FORM 990 IN DETAIL. AN ELECTRONIC VERSION OF THE FORM 990 WILL BE POSTED ON THE BOARD WEB PAGE WITH MEMBERS GIVEN THE OPPORTUNITY TO REVIEW IT PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO ALL EMPLOYEES AND IT HAS A CODE OF CONDUCT POLICY THAT APPLIES TO ALL BOARD MEMBERS. BOARD MEMBERS ARE REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST AND TO CONDUCT BUSINESS WITH EVERGREEN IN A MANNER THAT SUPPORTS THE INTERESTS OF EVERGREEN AND AVOIDS UNFAIR PERSONAL ADVANTAGE. NONCOMPLIANCE WITH THE CODE OF CONDUCT MAY RESULT IN REMOVAL FROM THE BOARD FOLLOWING AN OPPORTUNITY FOR EXPLANATION TO THE FULL BOARD.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATIONAL PERFORMANCE COMMITTEE (OPC) OF THE BOARD IS RESPONSIBLE FOR CONDUCTING THE PERFORMANCE REVIEW OF THE CEO AND MAKING A WAGE RECOMMENDATION TO THE FULL BOARD OF DIRECTORS. THE OPC IS PROVIDED COMPARATIVE WAGE DATA ANNUALLY BY THE VICE PRESIDENT OF HUMAN RESOURCES. THE REVIEW PROCESS IS DOCUMENTED IN EXECUTIVE SESSION MINUTES. VICE PRESIDENTS ARE REVIEWED BY THE PRESIDENT/CEO. THE SECRETARY OF THE BOARD IS THE EXECUTIVE ASSISTANT TO THE PRESIDENT/CEO AND IS REVIEWED BY THE PRESIDENT/CEO. PERIODIC WAGE & SALARY SURVEYS ARE CONDUCTED TO ASSURE COMPENSATION IS COMPARABLE TO INDUSTRY/AREA MARKET. FORMS ARE USED TO DOCUMENT ACCOMPLISHMENTS.
FORM 990, PART VI, SECTION C, LINE 19EVERGREEN RETIREMENT COMMUNITY, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. REQUESTED DOCUMENTS ARE PROVIDED WITHIN A REASONABLE TIME FRAME.
FORM 990, PART IX, LINE 11GCONTRACT AND OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,283,451. MANAGEMENT AND GENERAL EXPENSES 498,398. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,781,849. CONSULTING FEES: PROGRAM SERVICE EXPENSES 19,241. MANAGEMENT AND GENERAL EXPENSES 4,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,441. MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 9,850. MANAGEMENT AND GENERAL EXPENSES 2,150. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,000. PURCHASED ANCILLARY SERVICES: PROGRAM SERVICE EXPENSES 59,057. MANAGEMENT AND GENERAL EXPENSES 12,890. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71,947. MANAGEMENT SERVICES/FEES: PROGRAM SERVICE EXPENSES 103,012. MANAGEMENT AND GENERAL EXPENSES 23,029. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 126,041.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ERC VENTURES LLC
1130 N WESTFIELD STOSHKOSHWI54902811662625SENIOR LIVINGWI$0$0EVERGREEN RETIREMENT COMMUNITY
LINDEN OAKS LLC
1130 N WESTFIELD STOSHKOSHWI54902871008466SENIOR LIVINGWI$0$0EVERGREEN RETIREMENT COMMUNITY

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
EVERGREEN FOUNDATION INC
1130 NORTH WESTFIELD STREETOSHKOSHWI54902391388991FUNDRAISINGWI501(C)(3)LINE 70
EVERGREEN COMMUNITIES INC
1130 NORTH WESTFIELD STREETOSHKOSHWI54902874810560SENIOR LIVINGWI501(C)(3)LINE 12C, III-FI0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1EVERGREEN VILLAGE INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11130 NORTH WESTFIELD STREETAddressLine1Txt
CityOSHKOSHCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54902ZIPCd
FieldValueIRS element (for citing)
EIN391505337EIN
Primary ActivitiesCO-OPERATIVEPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd