KING-BRUWAERT HOUSE: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
KING-BRUWAERT HOUSE (EIN 36-2167769)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-03-18
IRS object ID
202430789349300623
Schema version
2022v5.0
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

FieldValueIRS element (for citing)
Return2024-03-18T10:58:34-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11502 LONDON ROAD SUITE 200AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55812ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362167769EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KING-BRUWAERT HOUSEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKINGBusinessNameControlTxt
Phone6303232250PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16101 SOUTH COUNTY LINE ROADAddressLine1Txt
CityBURR RIDGECityNm
State AbbreviationILStateAbbreviationCd
ZIP60527ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonADRIAN GOETZPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone6303232250PhoneNum
Signature2024-02-26SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstADRIANPersonFirstNm
Person LastGOETZPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J PETERSON CPAPreparerPersonNm
PTINP01833529PTIN
Phone2187224705PhoneNum
Preparation2024-02-26PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSHEVAWN O'CONNORPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16101 SOUTH COUNTY LINE ROADAddressLine1Txt
CityBURR RIDGECityNm
State AbbreviationILStateAbbreviationCd
ZIP60527ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,391,036GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WWW.KINGBRUWAERT.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1929FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionA FULL RANGE LIFE PLAN COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee166TotalEmployeeCnt
Total Volunteers35TotalVolunteersCnt
Total Gross UBI$3,465TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$3,022NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$859,315PYContributionsGrantsAmt
CY Contributions Grants$1,918,753CYContributionsGrantsAmt
PY Program Service Revenue$8,337,475PYProgramServiceRevenueAmt
CY Program Service Revenue$8,407,935CYProgramServiceRevenueAmt
PY Investment Income$2,691,102PYInvestmentIncomeAmt
CY Investment Income$1,025,989CYInvestmentIncomeAmt
PY Other Revenue$121,555PYOtherRevenueAmt
CY Other Revenue$144,173CYOtherRevenueAmt
PY Total Revenue$12,009,447PYTotalRevenueAmt
CY Total Revenue$11,496,850CYTotalRevenueAmt
PY Grants And Similar Paid$26,123PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$20,938CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,609,518PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,858,238CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$124,194CYTotalFundraisingExpenseAmt
PY Other Expenses$5,209,188PYOtherExpensesAmt
CY Other Expenses$4,925,960CYOtherExpensesAmt
PY Total Expenses$13,844,829PYTotalExpensesAmt
CY Total Expenses$13,805,136CYTotalExpensesAmt
PY Revenues Less Expenses-$1,835,382PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,308,286CYRevenuesLessExpensesAmt
Total Assets BOY$61,171,811TotalAssetsBOYAmt
Total Assets EOY$79,047,220TotalAssetsEOYAmt
Total Liabilities BOY$49,469,158TotalLiabilitiesBOYAmt
Total Liabilities EOY$69,200,360TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$11,702,653NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,846,860NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSINCE 1933 KING-BRUWAERT HOUSE HAS PROVIDED A GRACIOUS, CARING AND UNIQUELY SPECIAL HOME FOR SENIOR MEN AND WOMEN. WE VERY MUCH RESPECT AND DESIRE TO BUILD ON THIS TRADITION OF ENHANCING INDIVIDUAL DIGNITY, INDEPENDENCE AND SELF-ESTEEM.OUR ONGOING MISSION IS TO PROVIDE UNSURPASSED LEVELS OF SERVICES REQUIRED IN INDEPENDENT LIVING, ASSISTED LIVING, MEMORY LOSS CARE AND SKILLED CARE. WE WILL CONTINUE TO MEET THE PHYSICAL, SOCIAL AND EMOTIONAL NEEDS OF OUR RESIDENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,694,049ExpenseAmt
Grant$20,938GrantAmt
Revenue$8,355,413RevenueAmt
DescAT KING-BRUWAERT HOUSE, WE OPERATE AND MAINTAIN A LIFE PLAN COMMUNITY LIVING ARRANGEMENT FOR THE LONG-TERM CARE, COMFORT AND MAINTENANCE OF ELDERLY MEN AND WOMEN AT ALL LEVELS OF ABILITY (I.E., INDEPENDENT LIVING, ASSISTED LIVING, MEMORY CARE AND SKILLED CARE). OVER 200 SENIORS CALL KING-BRUWAERT HOUSE HOME. AS PART OF ITS MISSION, KING-BRUWAERT HOUSE PROVIDES CHARITY CARE. OVER THE PAST YEAR WE HAVE PROVIDED OVER 1,375 DAYS OF CHARITY CARE IN ITS ASSISTED LIVING, MEMORY CARE AND SKILLED NURSING UNITS. WE PROVIDE HOUSING, FOOD, NURSING AND MEDICAL CARE, ASSISTANCE WITH ACTIVITIES OF DAILY LIVING AND HAIRCUTS TO OUR CHARITY RESIDENTS; WE ALSO PAY THEIR MEDICAL INSURANCE PREMIUMS AND OFFER EACH OF THEM A MONTHLY CASH STIPEND TO USE AS THEY WISH. ALL KING-BRUWAERT HOUSE RESIDENTS ARE PART OF A VIBRANT COMMUNITY. WE PROVIDE A WIDE RANGE OF CREATIVE PROGRAMMING (SPEAKER SERIES ON A VARIETY OF TOPICS, SOCIAL GATHERINGS, MUSICAL ENTERTAINMENT, ART AND WELLNESS CLASSES, BOOK GROUPS AND RELIGIOUS SERVICES, TO NAME A FEW). WE ALSO PROVIDE TRANSPORTATION (TO MEDICAL APPOINTMENTS, SHOPPING, PERSONAL VISITS, AND CHURCHES), HOUSEKEEPING, LANDSCAPING, AND MAINTENANCE SERVICES. OUR PROGRAMS SUPPORT WELLNESS AND FITNESS, ARTS AND CULTURE, LIFELONG LEARNING, AND INDIVIDUAL AND GROUP ENGAGEMENT. ALL RESIDENTS ENJOY SEVERAL DINING OPTIONS (RESTAURANT-STYLE DINING IN OUR MAIN DINING ROOM, A CAFE OPTION AT OUR BISTRO, AND HOME DELIVERY OF MEALS TO OUR INDEPENDENT RESIDENTS AND OTHERS WHO NEED IT). WE PROVIDE 24-HOUR NURSING AND PERSONAL CARE AT ALL LEVELS ALONG THE CONTINUUM TO RESIDENTS IN OUR ASSISTED LIVING, MEMORY CARE AND SKILLED NURSING UNITS AND IN-HOME NURSING SERVICE TO OUR INDEPENDENT RESIDENTS UPON REQUEST.OVER THE PAST YEAR, KING-BRUWAERT HOUSE HAS COMPLETED CONSTRUCTION OF A NEW 28-BED SKILLED CARE WING THAT ENHANCES THE LIVES OF OUR RESIDENTS. IN ADDITION, KING-BRUWAERT HOUSE IS CONSTRUCTING A 43-UNIT INDEPENDENT SENIOR LIVING BUILDING. THE ENHANCED AMENITIES INCLUDE OUTDOOR GARDENS, A NEW DINING OPTION, STATE-OF-THE-ART FITNESS FACILITY AND EXPANDED ACTIVITY SPACE FOR OUR RESIDENTS.Desc
Total Program Service Expenses$10,694,049TotalProgramServiceExpensesAmt
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 StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
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 ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document42IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee166EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADRIAN GOETZBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6302309556PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16101 SOUTH COUNTY LINE ROADAddressLine1Txt
CityBURR RIDGECityNm
State AbbreviationILStateAbbreviationCd
ZIP60527ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN GRUBE
CHAIRMAN5.00Yes (X)Yes (X)$0$0$0
CATHY KEATING
VICE CHAIRMAN3.00Yes (X)Yes (X)$0$0$0
KATHARINE SYLVESTER
SECRETARY3.00Yes (X)Yes (X)$0$0$0
DEAN BARRETT
DIRECTOR0.50Yes (X)$0$0$0
KATHERINE BIRCK
DIRECTOR0.50Yes (X)$0$0$0
RICHARD BULGER
DIRECTOR0.50Yes (X)$0$0$0
RICHARD BURRIDGE
DIRECTOR1.00Yes (X)$0$0$0
J DOUGLAS CLEVELAND
DIRECTOR0.50Yes (X)$0$0$0
CHARLES B LEWIS
DIRECTOR0.50Yes (X)$0$0$0
JAMES MCCARTHY
DIRECTOR0.50Yes (X)$0$0$0
SHAWN O'CONNOR
DIRECTOR0.50Yes (X)$0$0$0
SUZANNE PETREE
DIRECTOR0.50Yes (X)$0$0$0
EILEEN L SACHANDA
DIRECTOR0.50Yes (X)$0$0$0
JENNIFER TEMPLETON
DIRECTOR0.50Yes (X)$0$0$0
TERRI BOWEN
CEO40.00Yes (X)$276,142$0$20,013
ADRIAN GOETZ
CFO40.00Yes (X)$211,361$0$42,026
JEREMY LEONE
CONTROLLER40.00$131,467$0$37,290Yes (X)
KAREN MILLER
SR DIR OF RESIDENT SERVICES40.00$120,828$0$16,589Yes (X)
PAUL STECH
SR DIR OF BUILDINGS AND GROUNDS40.00$139,813$0$28,832Yes (X)
ANDREW BELTZ
SR DIR OF MARKETING & EXTERNAL RELATIONS40.00$134,806$0$35,882Yes (X)
VIVIAN SALVADOR
REGISTERED NURSE40.00$116,024$0$34,370Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,130,441TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$215,002TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
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
PEPPER CONSTRUCTION
643 NORTH ORLEANS STREETCHICAGOIL60654CONSTRUCTION SERVICES$10,695,220
SEQUOIA GEN CONTRACTING CORP
1585 BEVERLY COURT UNIT 109AURORAIL60502CONSTRUCTION SERVICES$2,082,578
CEW CONSTRUCTION LLC
260 SAINT ANDREWS DRIVEBOLINGBROOKIL60440CONSTRUCTION SERVICES$677,858
TANDEM
1552-A UNION ROADGASTONIANC28054MARKETING SERVICES$290,113
SAS ARCHITECTS & PLANNERS
630 DUNDEE ROAD NO 110NORTHBROOKIL60062ARCHITECTURE SERVICES$277,985
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,918,753AllOtherContributionsAmt
Noncash Contributions$157,145NoncashContributionsAmt
Total Contributions$1,918,753TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$8,262,552TotalRevenueColumnAmt
Related Or Exempt Func Income$8,262,552RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$145,383TotalRevenueColumnAmt
Related Or Exempt Func Income$92,861RelatedOrExemptFuncIncomeAmt
Exclusion$52,522ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$8,407,935TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$799,889TotalRevenueColumnAmt
Exclusion$799,889ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,088,201SecuritiesAmt
Other$32,085OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,846,146SecuritiesAmt
Other$48,040OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$242,055SecuritiesAmt
Other-$15,955OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$226,100TotalRevenueColumnAmt
Exclusion$226,100ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescPARTNERSHIP INTEREST INCOMEDesc
Business523000BusinessCd
Total Revenue Column$3,465TotalRevenueColumnAmt
Unrelated Business Revenue$3,465UnrelatedBusinessRevenueAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$140,708TotalRevenueColumnAmt
Exclusion$140,708ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$144,173OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,496,850TotalRevenueColumnAmt
Related Or Exempt Func Income$8,355,413RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,465UnrelatedBusinessRevenueAmt
Exclusion$1,219,219ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$20,938TotalAmt
Program Services$20,938ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$554,872TotalAmt
Management And General$554,872ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,612,768TotalAmt
Program Services$5,556,148ProgramServicesAmt
Management And General$965,659ManagementAndGeneralAmt
Fundraising$90,961FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$247,601TotalAmt
Program Services$202,715ProgramServicesAmt
Management And General$41,572ManagementAndGeneralAmt
Fundraising$3,314FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$938,285TotalAmt
Program Services$770,633ProgramServicesAmt
Management And General$155,053ManagementAndGeneralAmt
Fundraising$12,599FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$504,712TotalAmt
Program Services$394,608ProgramServicesAmt
Management And General$103,653ManagementAndGeneralAmt
Fundraising$6,451FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$72,080TotalAmt
Management And General$72,080ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$57,173TotalAmt
Program Services$20,938ProgramServicesAmt
Management And General$36,235ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$85,781TotalAmt
Management And General$85,781ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$23,968TotalAmt
Management And General$23,968ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$404,709TotalAmt
Management And General$404,709ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$105,965TotalAmt
Management And General$105,965ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$173,261TotalAmt
Management And General$173,261ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$371,412TotalAmt
Program Services$339,715ProgramServicesAmt
Management And General$31,697ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$22,220TotalAmt
Program Services$22,220ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$115,519TotalAmt
Program Services$115,519ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,661,044TotalAmt
Program Services$1,475,907ProgramServicesAmt
Management And General$185,137ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$327,092TotalAmt
Program Services$327,092ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MAINTENANCE$342,602$342,602
WOODS RESIDENT EXPENSE$329,617$329,617
DIETARY$320,615$320,615
HEALTHCARE$197,859$197,859

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$315,043TotalAmt
Program Services$256,923ProgramServicesAmt
Management And General$47,251ManagementAndGeneralAmt
Fundraising$10,869FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,805,136TotalAmt
Program Services$10,694,049ProgramServicesAmt
Management And General$2,986,893ManagementAndGeneralAmt
Fundraising$124,194FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$546,373BOYAmt
EOY$428,270EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$500,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$850,963BOYAmt
EOY$793,326EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$141,767BOYAmt
EOY$145,281EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$88,271,178LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$40,639,103LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$27,801,798BOYAmt
EOY$47,632,075EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$31,752,015BOYAmt
EOY$29,379,683EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$78,895BOYAmt
EOY$168,585EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$61,171,811BOYAmt
EOY$79,047,220EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,686,591BOYAmt
EOY$2,084,603EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,096,383BOYAmt
EOY$1,142,387EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$565,077BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$215,171BOYAmt
EOY$210,526EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,241,835BOYAmt
EOY$21,754,663EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$43,664,101BOYAmt
EOY$44,008,181EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$49,469,158BOYAmt
EOY$69,200,360EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,114,778BOYAmt
EOY$9,360,061EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$587,875BOYAmt
EOY$486,799EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,702,653BOYAmt
EOY$9,846,860EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,171,811BOYAmt
EOY$79,047,220EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,308,286ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$473,814NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$21,321OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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$253,328CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,634,199CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$870,398CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$859,315CurrentTaxYearMinus1YearAmt
Current Tax Year$1,918,753CurrentTaxYearAmt
Total$5,535,993TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,329,564CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,382,064CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,025,268CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,275,929CurrentTaxYearMinus1YearAmt
Current Tax Year$8,355,413CurrentTaxYearAmt
Total$45,368,238TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$144,805CurrentTaxYearMinus1YearAmt
Current Tax Year$193,230CurrentTaxYearAmt
Total$338,035TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,582,892CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,016,263CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,895,666CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,280,049CurrentTaxYearMinus1YearAmt
Current Tax Year$10,467,396CurrentTaxYearAmt
Total$51,242,266TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,499CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,200CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,826CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$37,955CurrentTaxYearMinus1YearAmt
Current Tax Year$187,383CurrentTaxYearAmt
Total$309,863TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,499CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,200CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,826CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$37,955CurrentTaxYearMinus1YearAmt
Current Tax Year$187,383CurrentTaxYearAmt
Total$309,863TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$50,932,403PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$790,887CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$786,442CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$561,542CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$626,352CurrentTaxYearMinus1YearAmt
Current Tax Year$799,889CurrentTaxYearAmt
Total$3,565,112TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,670CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,238CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,766CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,373CurrentTaxYearMinus1YearAmt
Current Tax Year$3,465CurrentTaxYearAmt
Total$35,512TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$803,557CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$794,680CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$564,308CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$634,725CurrentTaxYearMinus1YearAmt
Current Tax Year$803,354CurrentTaxYearAmt
Total$3,600,624TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,386,449CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,810,943CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,459,974CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,914,774CurrentTaxYearMinus1YearAmt
Current Tax Year$11,270,750CurrentTaxYearAmt
Total$54,842,890TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.92870PublicSupportCY509Pct
Public Support PY5090.93570PublicSupportPY509Pct
Investment Income CY0.06570InvestmentIncomeCYPct
Investment Income PY0.06160InvestmentIncomePYPct
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$416,265BeginningYearBalanceAmt
Contributions$1,013ContributionsAmt
Investment Earnings Or Losses$20,935InvestmentEarningsOrLossesAmt
Grants Or Scholarships$18,438GrantsOrScholarshipsAmt
End Year Balance$419,775EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$480,302BeginningYearBalanceAmt
Contributions$1,000ContributionsAmt
Investment Earnings Or Losses-$38,914InvestmentEarningsOrLossesAmt
Grants Or Scholarships$26,123GrantsOrScholarshipsAmt
End Year Balance$416,265EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$419,430BeginningYearBalanceAmt
Investment Earnings Or Losses$71,303InvestmentEarningsOrLossesAmt
Grants Or Scholarships$10,430GrantsOrScholarshipsAmt
End Year Balance$480,303EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$384,958BeginningYearBalanceAmt
Contributions$7,086ContributionsAmt
Investment Earnings Or Losses$27,386InvestmentEarningsOrLossesAmt
End Year Balance$419,430EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$302,813BeginningYearBalanceAmt
Contributions$62,281ContributionsAmt
Investment Earnings Or Losses$23,290InvestmentEarningsOrLossesAmt
Grants Or Scholarships$3,425GrantsOrScholarshipsAmt
End Year Balance$384,959EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.84290PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.15710TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$91,467OtherCostOrOtherBasisAmt
Book Value$91,467BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$57,501,923OtherCostOrOtherBasisAmt
Depreciation$37,620,921DepreciationAmt
Book Value$19,881,002BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,634,516OtherCostOrOtherBasisAmt
Depreciation$3,018,182DepreciationAmt
Book Value$616,334BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,043,272OtherCostOrOtherBasisAmt
Book Value$27,043,272BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$47,632,075TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
OBLIGATION ON UNCONSOLIDATED AFFILIATES$91,095
REFUNDABLE DEPOSITS$3,392,650
REFUNDABLE ENTRANCE FEES$40,248,339
OBLIGATION TO PROVIDE FUTURE SERVICES$276,097
FieldValueIRS element (for citing)
Total Liability$44,008,181TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$11,748,162TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$473,814NetUnrealizedGainsInvstAmt
Other Revenue-$136,721OtherRevenueAmt
Revenue Not Reported$337,093RevenueNotReportedAmt
Revenue Subtotal$11,411,069RevenueSubtotalAmt
Investment Expenses Not Incld$85,781InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$85,781RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,496,850TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,603,955TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$13,603,955ExpensesSubtotalAmt
Investment Expenses Not Incld2$85,781InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$115,400OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$201,181ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,805,136TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE ORGANIZATION HOLDS REFUNDABLE SECURITY DEPOSITS FOR RESIDENTS.
PART V, LINE 4:THE ENDOWMENT'S PURPOSE IS TO HOLD DONATED FUNDS IN PERPETUITY, UTILIZING THE EARNED INCOME TO PROVIDE SCHOLARSHIPS FOR EMPLOYEES AND THEIR DEPENDENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:NET ASSETS RELEASED FROM RESTRICTIONS -136,721.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN ESTIMATE OBLIGATION TO PROVIDE FUTURE SERVICES 115,400.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient10RecipientCnt
Cash Grant$20,938CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationSCHOLARSHIPS ARE SELECTED BY THE SCHOLARSHIP COMMITTEE BASED ON MERIT FROM THE POOL OF SCHOLARSHIP APPLICATIONS RECEIVED. AFTER THE SCHOLARSHIPS ARE SELECTED, THE PROCESS CONTINUES BY ENSURING PROPER DOCUMENTATION IS RECEIVED AND FUNDS ARE DISBURSED APPROPRIATELY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
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 Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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
TERRI BOWEN
CEO$219,382$0$56,760$0$0$0$6,201$0$13,812$0$296,155$0$0$0
ADRIAN GOETZ
CFO$166,661$0$44,700$0$0$0$5,128$0$36,898$0$253,387$0$0$0
ANDREW BELTZ
SR DIR OF MARKETING & EXTERNAL RELAT$114,856$0$19,950$0$0$0$4,814$0$31,068$0$170,688$0$0$0
JEREMY LEONE
CONTROLLER$123,767$0$7,700$0$0$0$4,880$0$32,410$0$168,757$0$0$0
PAUL STECH
SR DIR OF BUILDINGS AND GROUNDS$125,413$0$14,400$0$0$0$5,084$0$23,748$0$168,645$0$0$0
VIVIAN SALVADOR
REGISTERED NURSE$114,994$0$1,030$0$0$0$4,331$0$30,039$0$150,394$0$0$0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$157,145NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationNUMBER OF CONTRIBUTORSExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE CFO AND CONTROLLER PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST ON THE PART OF ANY MEMBER OF THE BOARD (DIRECTOR) SHALL BE DISCLOSED TO THE BOARD AND MADE A MATTER OF RECORD. EACH OFFICER, MEMBER OF THE BOARD, AND KEY EMPLOYEE SHALL COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT, WHICH SHALL BE RETAINED IN THE BOOKS AND RECORDS OF THE CORPORATION. WHEN ANY SUCH INTEREST BECOMES RELEVANT TO ANY MATTER REQUIRING BOARD OR COMMITTEE ACTION, THE DIRECTOR SHALL ADVISE THE BOARD OR COMMITTEE OF THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST. THE CEO DETERMINES IF A CONFLICT EXISTS AND REVIEWS ALL ACTUAL CONFLICTS. A DIRECTOR SHALL REFRAIN FROM PARTICIPATION IN DISCUSSION OR VOTE ON ANY MATTER IN WHICH THE DIRECTOR OR MEMBER OF THE DIRECTOR'S IMMEDIATE FAMILY HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, SHALL NOT USE PERSONAL INFLUENCE IN CONNECTION THEREWITH, AND SHALL NOT BE COUNTED IN DETERMINING THE VOTE ON THAT PARTICULAR ISSUE. ANY DIRECTOR WHO IS EXCLUDED FROM VOTING BECAUSE OF SUCH ACTUAL OR POTENTIAL CONFLICT OF INTEREST MAY BRIEFLY ANSWER PERTINENT QUESTIONS FROM OTHER DIRECTORS OR COMMITTEE MEMBERS WHEN THE DIRECTOR'S KNOWLEDGE OF THE MATTER WILL ASSIST THE BOARD OR COMMITTEE. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, AND THAT THE INTERESTED DIRECTOR ABSTAINED FROM DISCUSSION AND VOTING ON THAT PARTICULAR ISSUE. THE VOTE IN THIS INSTANCE SHALL BE A MAJORITY OF DISINTERESTED DIRECTORS. THE PROVISIONS OF THIS SECTION SHALL ALSO APPLY TO ANY PERSON, OTHER THAN A DIRECTOR, WHO IS AT ANY TIME SERVING AS A MEMBER OF ANY COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS FOR DETERMINING COMPENSATION INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF DELIBERATION AND DECISION. A SALARY SURVEY IS COMPLETED BY AN OUTSIDE CONSULTANT WITH RESULTS PROVIDED TO THE COMPENSATION COMMITTEE. A REVIEW OF THE CEO IS DONE BY THE BOARD AND ADMINISTERED BY THE CHAIRMAN OF THE BOARD. BASED ON THE REVIEW AND SALARY SURVEY, A COMPENSATION PACKAGE IS ADJUSTED. THE CHAIRMAN OF THE BOARD PROVIDES AN E-MAIL WITH THE DETERMINED COMPENSATION, WHICH IS PRINTED AND STORED IN THE HUMAN RESOURCES FILE. OTHER OFFICERS AND KEY EMPLOYEES ARE ALSO INCLUDED IN THE SALARY SURVEY. THEY ARE REVIEWED BY THEIR MANAGERS WITH FINAL COMPENSATION BEING DETERMINED BY THE CEO WITHIN THE CONFINES OF THE BOARD APPROVED BUDGET. THE DETERMINED COMPENSATION IS DOCUMENTED IN THE HUMAN RESOURCES FILES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:NET ASSETS RELEASED FROM RESTRICTIONS -136,721. CHANGE IN ESTIMATE OBLIGATION TO PROVIDE FUTURE SERVICES 115,400.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1KB NURSING AT HOME LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16101 SOUTH COUNTY LINE ROADAddressLine1Txt
CityBURR RIDGECityNm
State AbbreviationILStateAbbreviationCd
ZIP60527ZIPCd
FieldValueIRS element (for citing)
EIN812781395EIN
Primary ActivitiesNURSING CAREPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Total Income-$1,714TotalIncomeAmt
End Of Year Assets$9,860EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1KING-BRUWAERT HOUSEBusinessNameLine1Txt

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