ELMWOOD NURSING HOME INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- ELMWOOD NURSING HOME INC (EIN 39-1190907)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2015-12-14
- IRS object ID
- 201533489349300848
- Schema version
- 2014v5.0
- 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 | 2015-12-14T13:37:59-06:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 391277627 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAUMAN ASSOCIATES LTD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1225 | AddressLine1Txt |
| City | EAU CLAIRE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 547021225 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391190907 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELMWOOD NURSING HOME INC | BusinessNameLine1Txt |
| Business Name Line2 | HERITAGE OF ELMWOOD NURSING HOME | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ELMW | BusinessNameControlTxt |
| Phone | 7156392911 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 232 E SPRINGER AVE | AddressLine1Txt |
| City | ELMWOOD | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54740 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RODNEY GILLES | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 7156392911 | PhoneNum |
| Signature | 2015-12-03 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL R MAI CPA | PreparerPersonNm |
| PTIN | P00004966 | PTIN |
| Phone | 7158342001 | PhoneNum |
| Preparation | 2015-12-03 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RODNEY GILLES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 176 | AddressLine1Txt |
| City | ELMWOOD | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54740 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,903,562 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Other Organization Dsc | WISCONSIN NO | OtherOrganizationDsc |
| Formation | 1972 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | PROVIDING NURSING HOME CARE TO THE PEOPLE IN THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 98 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $5,051 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,641 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,721,794 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,848,438 | CYProgramServiceRevenueAmt |
| PY Investment Income | $18,659 | PYInvestmentIncomeAmt |
| CY Investment Income | $15,980 | CYInvestmentIncomeAmt |
| PY Other Revenue | $33,521 | PYOtherRevenueAmt |
| CY Other Revenue | $33,503 | CYOtherRevenueAmt |
| PY Total Revenue | $2,779,025 | PYTotalRevenueAmt |
| CY Total Revenue | $2,903,562 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,872,470 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,912,740 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $837,760 | PYOtherExpensesAmt |
| CY Other Expenses | $814,911 | CYOtherExpensesAmt |
| PY Total Expenses | $2,710,230 | PYTotalExpensesAmt |
| CY Total Expenses | $2,727,651 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $68,795 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $175,911 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,682,810 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,842,053 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $462,350 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $445,682 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,220,460 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,396,371 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDING NURSING HOME CARE TO THE PEOPLE IN THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,416,664 | ExpenseAmt |
| Revenue | $2,848,438 | RevenueAmt |
| Desc | NURSING HOME CARE - PROVIDES NURSING HOME CARE TO ITS RESIDENTS. | Desc |
| Total Program Service Expenses | $2,416,664 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 98 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| 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 | ADMINISTRATOR - NURSING HOME | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7156392911 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 232 E SPRINGER AVE | AddressLine1Txt |
| City | ELMWOOD | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54740 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| DEB FEILER | ||||||
| PRESIDENT | 0.50 | Yes (X) | $0 | $0 | $0 | |
| DELORES RADTKE | ||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |
| DAN SCHULER | ||||||
| SEC - TREAS. | 0.50 | Yes (X) | $0 | $0 | $0 | |
| PHIL DZUBAY | ||||||
| VICE PRESIDE | 0.50 | Yes (X) | $0 | $0 | $0 | |
| NEIL BOLTIK | ||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |
| TOM WEBER | ||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |
| DONNA LIEN | ||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |
| RODNEY J GILLES | ||||||
| ADMINISTRATO | 40.00 | $74,350 | $0 | $2,231 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $74,350 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $2,231 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $5,641 | AllOtherContributionsAmt |
| Total Contributions | $5,641 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NURSING CARE AND HOUSING | 623000 | $2,687,816 | $2,687,816 |
| OTHER INCOME | 623000 | $160,622 | $160,622 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,848,438 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,980 | TotalRevenueColumnAmt |
| Exclusion | $15,980 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $33,503 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $33,503 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,503 | TotalRevenueColumnAmt |
| Exclusion | $33,503 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,903,562 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,848,438 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $49,483 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,350 | TotalAmt |
| Management And General | $74,350 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,573,934 | TotalAmt |
| Program Services | $1,541,344 | ProgramServicesAmt |
| Management And General | $32,590 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,879 | TotalAmt |
| Program Services | $139,648 | ProgramServicesAmt |
| Management And General | $2,231 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,577 | TotalAmt |
| Program Services | $122,577 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,979 | TotalAmt |
| Program Services | $6,979 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,599 | TotalAmt |
| Program Services | $72,599 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,566 | TotalAmt |
| Management And General | $94,566 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DIETARY | $148,831 | $148,831 | |
| PLANT OPERATIONS | $119,490 | $119,490 | |
| ADMINISTRATIVE | $113,927 | $6,677 | $107,250 |
| PROVIDER ASSESSMENT | $93,840 | $93,840 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,679 | TotalAmt |
| Program Services | $164,679 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,727,651 | TotalAmt |
| Program Services | $2,416,664 | ProgramServicesAmt |
| Management And General | $310,987 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,004 | BOYAmt |
| EOY | $6,090 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,794,554 | BOYAmt |
| EOY | $2,029,987 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,019 | BOYAmt |
| EOY | $211,727 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,917 | BOYAmt |
| EOY | $7,917 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,291 | BOYAmt |
| EOY | $46,489 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,611,454 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,110,611 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $545,025 | BOYAmt |
| EOY | $500,843 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,000 | BOYAmt |
| EOY | $39,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,682,810 | BOYAmt |
| EOY | $2,842,053 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $278,474 | BOYAmt |
| EOY | $287,967 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,876 | BOYAmt |
| EOY | $157,715 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $462,350 | BOYAmt |
| EOY | $445,682 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,220,460 | BOYAmt |
| EOY | $2,396,371 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,220,460 | BOYAmt |
| EOY | $2,396,371 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,682,810 | BOYAmt |
| EOY | $2,842,053 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $175,911 | ReconcilationRevenueExpnssAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | false | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,714 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,016 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,573 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,051 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,641 | CurrentTaxYearAmt |
| Total | $26,995 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,601,824 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,834,850 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,811,004 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,721,794 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,848,438 | CurrentTaxYearAmt |
| Total | $13,817,910 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,608,538 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,840,866 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,814,577 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,726,845 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,854,079 | CurrentTaxYearAmt |
| Total | $13,844,905 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $13,844,905 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $52,292 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $54,297 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $49,729 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $52,180 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $49,483 | CurrentTaxYearAmt |
| Total | $257,981 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $52,292 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $54,297 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $49,729 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $52,180 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $49,483 | CurrentTaxYearAmt |
| Total | $257,981 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,660,830 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,895,163 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,864,306 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,779,025 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,903,562 | CurrentTaxYearAmt |
| Total | $14,102,886 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98170 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98350 | PublicSupportPY509Pct |
| Investment Income CY | 0.02000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,000 | OtherCostOrOtherBasisAmt |
| Book Value | $7,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,768,894 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,384,275 | DepreciationAmt |
| Book Value | $384,619 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $835,560 | OtherCostOrOtherBasisAmt |
| Depreciation | $726,336 | DepreciationAmt |
| Book Value | $109,224 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $500,843 | TotalBookValueLandBuildingsAmt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAN SCHULER | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | CURRENT OFFICER | RelationshipDescriptionTxt |
| Transaction | $92,362 | TransactionAmt |
| Transaction | PURCHASED PROPERTY | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | (A) NAME OF PERSON: DAN SCHULER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: CURRENT OFFICER SECRETARY - TREASURER (C) AMOUNT OF TRANSACTION 92,362 (D) DESCRIPTION OF TRANSACTION: PURCAHSED PROPERTY, LIABILITY, WORKERS COMPENSATION INSURANCE, AND DIRECTORS AND OFFICERS INSURANCE FROM UNITED HEARTLAND THROUGH INSURANCE AGENT DAN SCHULER. (E) SHARING OF ORGANIZATION REVENUES? = NO | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 6 | EXPLANATION: THE VILLAGE OF ELMWOOD IS THE ONLY MEMBER OF THE ORGANIZATION. THE VILLAGE APPOINTS 7 BOARD MEMBERS FOR THE ELMWOOD NURSING HOME, INC. |
| FORM 990, PAGE 6, PART VI, LINE 7A | EXPLANATION; THE ORGANIZATION'S MEMBERS ELECT THE GOVERNING BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 8B | THE ORGANIZATION DOES NOT APPOINT ANY COMMITTEES TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PAGE 6, PART VI, LINE 11B | EXPLANATION: THE BOARD OF DIRECTORS AND RODNEY GILLES WILL REVIEW THE 990 PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE BOARD OF DIRECTORS REVIEWS THE POLICY ANNUALLY AND THEY DISCLOSE ANY CONFLICTS AT THAT TIME. |
| FORM 990, PAGE 6, PART VI, LINE 15A | EXPLANATION: THE BOARD OF DIRECTORS ANNUALLY REVIEWS COMPENSATION AMOUNTS FOR THE EMPLOYEES OF THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE 15A ABOVE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | ELMWOOD NURSING HOME, INC. MAKES ITS 990 AVAILABLE UPON REQUEST. |
| FORM 990, PAGE 12, PART XII, LINE 1 | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. NO CHANGES HAVE BEEN MADE SINCE PRIOR YEAR. |