STRATEGY STUDIO / PUBLIC DATA EXPLORER

MASON CITY AREA NURSING HOME ASSOCIATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MASON CITY AREA NURSING HOME ASSOCIATION INC (EIN 37-1168043)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-07-05
IRS object ID
201101869349300535
Schema version
2010v3.2
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)
Timestamp2011-07-05T11:14:32-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JM Abbott & Associates LtdBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1207 S McLean StAddressLine1
CityLincolnCity
StateILState
ZIP Code62656ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN371168043EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MASON CITY AREA NURSING HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMASONameControl
Phone2174825022Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1520 NORTH PRICE AVENUEAddressLine1
CityMASON CITYCity
StateILState
ZIP Code62664ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKRAIG KRAUSEName
TitlePRESIDENTTitle
Date Signed2011-07-01DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameClayton GeorgeCPAName
Phone2177351576Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts3728385GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionNURSING HOME OPERATIONSActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees125TotalNbrEmployees
Total Nbr Volunteers45TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year14839ContributionsGrantsPriorYear
Contributions Grants Current Year15851ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3693282ProgramServiceRevenuePriorYear
Program Service Revenue CY3702282ProgramServiceRevenueCY
Investment Income Prior Year11301InvestmentIncomePriorYear
Investment Income Current Year-35710InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year3719422TotalRevenuePriorYear
Total Revenue Current Year3682423TotalRevenueCurrentYear
Grants And Similar Amnts CY1000GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2454153SalariesEtcPriorYear
Salaries Etc Current Year2522791SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year4352TotalFundrsngExpCurrentYear
Other Expense Prior Year1346869OtherExpensePriorYear
Other Expenses Current Year1365282OtherExpensesCurrentYear
Total Expenses Prior Year3801022TotalExpensesPriorYear
Total Expenses Current Year3889073TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-81600RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-206650RevenuesLessExpensesCY
Total Assets BOY2714684TotalAssetsBOY
Total Assets EOY2508586TotalAssetsEOY
Total Liabilities BOY315891TotalLiabilitiesBOY
Total Liabilities EOY316443TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2398793NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2192143NetAssetsOrFundBalancesEOY
Mission DescriptionNURSING HOME OPERATIONSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3377382Expense
Grants1000Grants
Revenue3702281Revenue
DescriptionNURSING HOME - SKILLED AND INTERMEDIATE HEALTHCAREDescription
Total Program Service Expense3377382TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees125NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonHERITAGE ENTERPRISES INCNamePerson
Telephone Number3098284361TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1115 W JEFFERSONAddressLine1
CityBLOOMINGTONCity
StateILState
ZIP Code61701ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
SUZANNE LOWERS
Director1.00X000
REV JIM SPRINKEL
Director1.00X000
KRAIG KRAUSE
PRESIDENT1.00X000X
JOAN HARRIS
Treasurer1.00X000X
DON SWAAR
Director1.00X000
DAN SHEPHERD
Director1.00X000
BONNIE DUNKER
Director1.00X000
FieldValueIRS element (for citing)
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PROFESSIONAL THERAPY SERVICES INC
2810 FRANK SCOTT PARKWAY WESTBELLVILLEIL62223THERAPY226807
HERITAGE ENTERPRISES INC
115 W JEFFERSON STE 401BLOOMINGTONIL617023188MANAGEMENT199069
HEALTHCARE SERVICE CORPORATION
PO BOX 1186CHICAGOIL606901186HEALTHCARE295202
GORDON FOOD SERVICE
DEPT CH 10490PALATINEIL600550490FOOD & SUPPLIES161982
ENLOE DRUGS INC
PO BOX 715268COLUMBUSOH432715268PHARMACEUTICALS100177
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions15851AllOtherContributions
Total Contributions15851TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING HOME OPERATIONS62300012426401242640
Fees & Contracts Gov Agencies62300024596422459642
FieldValueIRS element (for citing)
Total Program Service Revenue3702282TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10252TotalRevenueColumn
Exclusion$10,252ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other45962Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-45962Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-45962TotalRevenueColumn
Related Or Exempt Function Income-45962RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3682423TotalRevenueColumn
Related Or Exempt Function Income3656320RelatedOrExemptFunctionIncome
Exclusion$10,252ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1000Total
Program Services1000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2084231Total
Program Services1881259ProgramServices
Management And General200899ManagementAndGeneral
Fundraising2073Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total22593Total
Program Services20399ProgramServices
Management And General2172ManagementAndGeneral
Fundraising22Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total247158Total
Program Services224099ProgramServices
Management And General22823ManagementAndGeneral
Fundraising236Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total168809Total
Program Services149224ProgramServices
Management And General19255ManagementAndGeneral
Fundraising330Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total108000Total
Management And General108000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7569Total
Management And General7569ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total346428Total
Program Services307651ProgramServices
Management And General37127ManagementAndGeneral
Fundraising1650Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total11681Total
Management And General11681ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total19866Total
Program Services8251ProgramServices
Management And General11615ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total25456Total
Management And General25456ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total104984Total
Program Services98025ProgramServices
Management And General6959ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4377Total
Program Services4377ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6156Total
Program Services6156ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total118222Total
Program Services112311ProgramServices
Management And General5911ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total106024Total
Program Services98798ProgramServices
Management And General7185ManagementAndGeneral
Fundraising41Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES196752196752
REPAIRS AND MAINTENANCE80408769193489
NURSING-OTHER2530725307
LICENSES AND FEES3719837198
FOOD EXPENSE144837144837

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total22017Total
Program Services22017ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3889073Total
Program Services3377382ProgramServices
Management And General507339ManagementAndGeneral
Fundraising4352Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1003BOY
EOY1000EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY535727BOY
EOY701121EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY366234BOY
EOY165058EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY43505BOY
EOY41831EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY39705BOY
EOY14304EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3868312LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2283040LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1728510BOY
EOY1585272EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2714684BOY
EOY2508586EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY315891BOY
EOY316443EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY315891BOY
EOY316443EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2398793BOY
EOY2192143EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2398793BOY
EOY2192143EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2714684BOY
EOY2508586EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-206650ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10207CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7911CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8055CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14839CurrentTaxYearMinus1Year
Current Tax Year15851CurrentTaxYear
Total56863Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3151287CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3632445CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3516812CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3703322CurrentTaxYearMinus1Year
Current Tax Year3724824CurrentTaxYear
Total17728690Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3161494CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3640356CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3524867CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3718161CurrentTaxYearMinus1Year
Current Tax Year3740675CurrentTaxYear
Total17785553Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50917785553PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6733CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12326CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14631CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11301CurrentTaxYearMinus1Year
Current Tax Year10252CurrentTaxYear
Total55243Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6733CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12326CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14631CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11301CurrentTaxYearMinus1Year
Current Tax Year10252CurrentTaxYear
Total55243Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3168227CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3652682CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3539498CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3729462CurrentTaxYearMinus1Year
Current Tax Year3750927CurrentTaxYear
Total17840796Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99690PublicSupportPercentage509
Prior Year Support Percentage0.99720PriorYearSupportPercentage
Investment Income Percentage0.00310InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00280PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis71000OtherCostOrOtherBasis
Book Value71000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3160760OtherCostOrOtherBasis
Depreciation1715838Depreciation
Book Value1444922BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis636552OtherCostOrOtherBasis
Depreciation567202Depreciation
Book Value69350BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1585272TotalOfBookValueLandBuildings
Total Revenue3682423TotalRevenue
Total Expenses3889073TotalExpenses
Excess Or Deficit For Year-206650ExcessOrDeficitForYear
Excess Or Deficit Per FS-206650ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3728385TotRevenueEtcAuditedFinclStmt
Revenue Subtotal3728385RevenueSubtotal
Other Revenues Not Included-45962OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-45962RevenueNotRptdOnFinStmt
Total Revenue Per Form9903682423TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3935035TotExpensesEtcAuditedFinclStmt
Other Expenses Included45962OtherExpensesIncluded
Expenses Not Rptd F99045962ExpensesNotRptdF990
Expenses Subtotal3889073ExpensesSubtotal
Total Expenses Per Form9903889073TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XIII, Line 2dIdentifier
Return ReferencePart XIII, Line 2d: Other expenses and losses per audited F/SReturnReference
ExplanationLOSS ON ASSETS ABANDONED $45962Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonGENE CONRADYNamePerson
FieldValueIRS element (for citing)
RelationshipSPOUSE OF ADMINISTRelationship
Amount Of Transaction14375AmountOfTransaction
Description Of TransactionMOWING THE PROPERTYDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNo documents available to the public.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsOFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST ANNUALLY. KEY EMPLOYEES SIGNED AN ACKNOWLEDGEMENT STATEMENT UPON HIRE THAT THEY WOULD FOLLOW THE ORGANIZATION'S CODE OF ETHICS WHICH INCLUDES DISCLOSING CONFLICTS OF INTEREST.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessTHE MANAGEMENT COMPANY REVIEWS THE 990 BEFORE IT IS FILED. THE BOARD REVIEWS THE AUDIT THAT WAS USED TO PREPARE THE 990.
Form 990, Part VI, Line 3Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyHERITAGE ENTERPRISES INDEPENDENTLY MANAGES MASON CITY AREA NURSING HOME FOR A MANAGEMENT FEE.