KING-BRUWAERT HOUSE: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
KING-BRUWAERT HOUSE (EIN 36-2167769)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-06-12
IRS object ID
202301639349300525
Schema version
2021v4.2
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)
Return2023-06-12T09:19:34-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

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 Begin2021-07-01TaxPeriodBeginDt

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
Signature2023-06-09SignatureDt
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

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J PETERSON CPAPreparerPersonNm
PTINP01833529PTIN
Phone2187224705PhoneNum
Preparation2023-05-26PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTERRI BOWENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16101 SOUTH COUNTY LINE ROADAddressLine1Txt
CityBURR RIDGECityNm
State AbbreviationILStateAbbreviationCd
ZIP60527ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$16,517,736GrossReceiptsAmt
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 Employee184TotalEmployeeCnt
Total Volunteers35TotalVolunteersCnt
Total Gross UBI$19,148TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$509NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$870,398PYContributionsGrantsAmt
CY Contributions Grants$859,315CYContributionsGrantsAmt
PY Program Service Revenue$8,025,268PYProgramServiceRevenueAmt
CY Program Service Revenue$8,337,475CYProgramServiceRevenueAmt
PY Investment Income$4,105,858PYInvestmentIncomeAmt
CY Investment Income$2,691,102CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$121,555CYOtherRevenueAmt
PY Total Revenue$13,001,524PYTotalRevenueAmt
CY Total Revenue$12,009,447CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$26,123CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,123,744PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,609,518CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$120,011CYTotalFundraisingExpenseAmt
PY Other Expenses$5,261,924PYOtherExpensesAmt
CY Other Expenses$5,209,188CYOtherExpensesAmt
PY Total Expenses$13,385,668PYTotalExpensesAmt
CY Total Expenses$13,844,829CYTotalExpensesAmt
PY Revenues Less Expenses-$384,144PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,835,382CYRevenuesLessExpensesAmt
Total Assets BOY$65,270,377TotalAssetsBOYAmt
Total Assets EOY$61,171,811TotalAssetsEOYAmt
Total Liabilities BOY$46,356,858TotalLiabilitiesBOYAmt
Total Liabilities EOY$49,469,158TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$18,913,519NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,702,653NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSINCE 1933, KING-BRUWAERT HOUSE HAS PROVIDED A GRACIOUS, CARING, AND UNIQUELY SPECIAL COMMUNITY FOR SENIOR MEN AND WOMEN. WE RESPECT AND BUILD ON THIS TRADITION OF ENHANCING INDIVIDUAL DIGNITY, INDEPENDENCE, AND SELF-ESTEEM.OUR MISSION IS TO PROVIDE UNSURPASSED LEVELS OF SERVICE THAT CATER TO ASSISTED LIVING, MEMORY CARE, SKILLED NURSING, AND INDEPENDENT LIVING. WE WILL MAKE EVERY EFFORT TO MEET THE PHYSICAL, SOCIAL, AND EMOTIONAL NEEDS OF OUR RESIDENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,682,862ExpenseAmt
Grant$26,123GrantAmt
Revenue$8,291,116RevenueAmt
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 1,921 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 GIVE 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 PLANS FOR AND BEGUN CONSTRUCTION OF A NEW 28-BED SKILLED AND MEMORY CARE WING WHICH WILL BE COMPLETED IN 2023. THIS NEW BUILDING AND SURROUNDING OUTDOOR GARDENS WILL ENHANCE OUR RESIDENTS' LIVES.Desc
Total Program Service Expenses$10,682,862TotalProgramServiceExpensesAmt
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 BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document48IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee184EmployeeCnt
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 (22 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
MARY-BETH DESMOND
DIRECTOR (THROUGH 9/21)0.50Yes (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)$270,451$0$20,579
ADRIAN GOETZ
CFO40.00Yes (X)$196,015$0$37,650
JEREMY LEONE
CONTROLLER40.00$139,821$0$24,728Yes (X)
KAREN MILLER
SR DIR OF RESIDENT SERVICES40.00$118,444$0$15,091Yes (X)
NICOLE SLIGHTOM
SR DIR OF HOSP, WELLNESS, RISK MGMT40.00$143,834$0$5,555Yes (X)
PAUL STECH
SR DIR OF BUILDINGS AND GROUNDS40.00$135,809$0$25,053Yes (X)
ANDREW BELTZ
SR DIR OF MARKETING & EXTERNAL RELATIONS40.00$122,301$0$24,062Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,126,675TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$152,718TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
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$2,614,551
SEQUOIA GEN CONTRACTING CORP
1585 BEVERLY COURT UNIT 109AURORAIL60502CONSTRUCTION SERVICES$1,867,028
CEW CONSTRUCTION LLC
260 SAINT ANDREWS DRIVEBOLINGBROOKIL60440CONSTRUCTION SERVICES$752,454
SAS ARCHITECTS & PLANNERS
630 DUNDEE ROAD NO 110NORTHBROOKIL60062ARCHITECTURE SERVICES$387,203
MARIANI LANDSCAPING
300 ROCKLAND ROADLAKE BLUFFIL60044LANDSCAPING SERVICES$294,038
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Government Grants$456,277GovernmentGrantsAmt
All Other Contributions$403,038AllOtherContributionsAmt
Total Contributions$859,315TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$8,189,498TotalRevenueColumnAmt
Related Or Exempt Func Income$8,189,498RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$147,977TotalRevenueColumnAmt
Related Or Exempt Func Income$101,618RelatedOrExemptFuncIncomeAmt
Exclusion$46,359ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$8,337,475TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$607,204TotalRevenueColumnAmt
Exclusion$607,204ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,585,937SecuritiesAmt
Other$6,250OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,508,289SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,077,648SecuritiesAmt
Other$6,250OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,083,898TotalRevenueColumnAmt
Exclusion$2,083,898ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescPARTNERSHIP INTEREST INCOMEDesc
Business523000BusinessCd
Total Revenue Column$19,148TotalRevenueColumnAmt
Unrelated Business Revenue$19,148UnrelatedBusinessRevenueAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$102,407TotalRevenueColumnAmt
Exclusion$102,407ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$121,555OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,009,447TotalRevenueColumnAmt
Related Or Exempt Func Income$8,291,116RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$19,148UnrelatedBusinessRevenueAmt
Exclusion$2,839,868ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$26,123TotalAmt
Program Services$26,123ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$537,852TotalAmt
Management And General$537,852ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,421,045TotalAmt
Program Services$5,345,473ProgramServicesAmt
Management And General$988,482ManagementAndGeneralAmt
Fundraising$87,090FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$244,107TotalAmt
Program Services$202,660ProgramServicesAmt
Management And General$38,145ManagementAndGeneralAmt
Fundraising$3,302FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$918,963TotalAmt
Program Services$748,474ProgramServicesAmt
Management And General$158,294ManagementAndGeneralAmt
Fundraising$12,195FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$487,551TotalAmt
Program Services$377,977ProgramServicesAmt
Management And General$103,416ManagementAndGeneralAmt
Fundraising$6,158FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$80,153TotalAmt
Management And General$80,153ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$34,900TotalAmt
Management And General$34,900ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$124,994TotalAmt
Management And General$124,994ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$25,825TotalAmt
Management And General$25,825ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$446,007TotalAmt
Management And General$446,007ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$107,151TotalAmt
Management And General$107,151ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$164,359TotalAmt
Management And General$164,359ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$404,213TotalAmt
Program Services$376,003ProgramServicesAmt
Management And General$28,210ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$23,147TotalAmt
Program Services$23,147ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$58,784TotalAmt
Program Services$58,784ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,573,341TotalAmt
Program Services$1,436,460ProgramServicesAmt
Management And General$136,881ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$389,478TotalAmt
Program Services$389,478ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MAINTENANCE$469,532$469,532
WOODS RESIDENT EXPENSE$377,691$377,691
DIETARY$321,813$321,813
HEALTHCARE$229,979$229,979

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$377,821TotalAmt
Program Services$299,268ProgramServicesAmt
Management And General$67,287ManagementAndGeneralAmt
Fundraising$11,266FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,844,829TotalAmt
Program Services$10,682,862ProgramServicesAmt
Management And General$3,041,956ManagementAndGeneralAmt
Fundraising$120,011FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$67,628BOYAmt
EOY$546,373EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$811,149BOYAmt
EOY$850,963EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$104,801BOYAmt
EOY$141,767EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$71,519,410LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$43,717,612LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$22,321,438BOYAmt
EOY$27,801,798EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$41,886,466BOYAmt
EOY$31,752,015EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$65,270,377BOYAmt
EOY$61,171,811EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,236,876BOYAmt
EOY$1,686,591EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$918,027BOYAmt
EOY$1,096,383EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,725,233BOYAmt
EOY$565,077EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$88,691BOYAmt
EOY$215,171EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,241,835EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$42,388,031BOYAmt
EOY$43,664,101EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$46,356,858BOYAmt
EOY$49,469,158EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,289,563BOYAmt
EOY$11,114,778EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$623,956BOYAmt
EOY$587,875EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,913,519BOYAmt
EOY$11,702,653EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$65,270,377BOYAmt
EOY$61,171,811EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,835,382ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$5,666,631NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$291,147OtherChangesInNetAssetsAmt
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$217,657CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$253,328CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,634,199CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$870,398CurrentTaxYearMinus1YearAmt
Current Tax Year$859,315CurrentTaxYearAmt
Total$3,834,897TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,536,978CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,329,564CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,382,064CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,025,268CurrentTaxYearMinus1YearAmt
Current Tax Year$8,275,929CurrentTaxYearAmt
Total$47,549,803TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year$144,805CurrentTaxYearAmt
Total$144,805TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,754,635CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,582,892CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,016,263CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,895,666CurrentTaxYearMinus1YearAmt
Current Tax Year$9,280,049CurrentTaxYearAmt
Total$51,529,505TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,200CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,499CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,200CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,826CurrentTaxYearMinus1YearAmt
Current Tax Year$37,955CurrentTaxYearAmt
Total$145,680TotalAmt

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$23,200CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,499CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,200CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,826CurrentTaxYearMinus1YearAmt
Current Tax Year$37,955CurrentTaxYearAmt
Total$145,680TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$51,383,825PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$585,876CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$790,887CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$786,442CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$561,542CurrentTaxYearMinus1YearAmt
Current Tax Year$626,352CurrentTaxYearAmt
Total$3,351,099TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,670CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,238CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,766CurrentTaxYearMinus1YearAmt
Current Tax Year$8,373CurrentTaxYearAmt
Total$32,047TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$585,876CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$803,557CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$794,680CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$564,308CurrentTaxYearMinus1YearAmt
Current Tax Year$634,725CurrentTaxYearAmt
Total$3,383,146TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,340,511CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,386,449CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,810,943CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,459,974CurrentTaxYearMinus1YearAmt
Current Tax Year$9,914,774CurrentTaxYearAmt
Total$54,912,651TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.93570PublicSupportCY509Pct
Investment Income CY0.06160InvestmentIncomeCYPct
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$480,302BeginningYearBalanceAmt
Contributions$1,000ContributionsAmt
Investment Earnings Or Losses-$38,914InvestmentEarningsOrLossesAmt
Grants Or Scholarships$26,123GrantsOrScholarshipsAmt
End Year Balance$416,265EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$419,430BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$71,303InvestmentEarningsOrLossesAmt
Grants Or Scholarships$10,430GrantsOrScholarshipsAmt
End Year Balance$480,303EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$384,958BeginningYearBalanceAmt
Contributions$7,086ContributionsAmt
Investment Earnings Or Losses$27,386InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
End Year Balance$419,430EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$198,167BeginningYearBalanceAmt
Contributions$85,889ContributionsAmt
Investment Earnings Or Losses$18,757InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
End Year Balance$302,813EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.85000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.15000TermEndowmentBalanceEOYPct
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$60,978,013OtherCostOrOtherBasisAmt
Depreciation$40,785,715DepreciationAmt
Book Value$20,192,298BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,661,789OtherCostOrOtherBasisAmt
Depreciation$2,931,897DepreciationAmt
Book Value$729,892BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,788,141OtherCostOrOtherBasisAmt
Book Value$6,788,141BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$27,801,798TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
KB NURSING AT HOME, LLC OBLIGATION$89,381
REFUNDABLE DEPOSITS$2,728,860
REFUNDABLE ENTRANCE FEES$40,454,363
OBLIGATION TO PROVIDE FUTURE SERVICES$391,497
FieldValueIRS element (for citing)
Total Liability$43,664,101TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$6,198,741TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$5,666,631NetUnrealizedGainsInvstAmt
Other Revenue-$19,081OtherRevenueAmt
Revenue Not Reported-$5,685,712RevenueNotReportedAmt
Revenue Subtotal$11,884,453RevenueSubtotalAmt
Investment Expenses Not Incld$124,994InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$124,994RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$12,009,447TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,409,607TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$13,409,607ExpensesSubtotalAmt
Investment Expenses Not Incld2$124,994InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$310,228OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$435,222ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,844,829TotalExpensesPerForm990Amt

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 -35,302. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 16,221.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN ESTIMATE OBLIGATION TO PROVIDE FUTURE SERVICES 310,228.

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$26,123CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationA. SCHOLARSHIPS 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 (4 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$210,377$0$55,790$0$4,284$0$9,659$0$10,920$0$291,030$0$0$0
ADRIAN GOETZ
CFO$159,707$0$36,308$0$0$0$7,418$0$30,232$0$233,665$0$0$0
JEREMY LEONE
CONTROLLER$122,275$0$15,050$0$2,496$0$5,090$0$19,638$0$164,549$0$0$0
PAUL STECH
SR DIR OF BUILDINGS AND GROUNDS$119,233$0$14,209$0$2,367$0$4,953$0$20,100$0$160,862$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1VILLAGE OF BURR RIDGEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN362517422BondIssuerEIN
Bond Issued2018-12-21BondIssuedDt
Issue Price$3,500,000IssuePriceAmt
PurposeCARRINGTON HALL PROJECTPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,166,667RetiredAmt
Total Proceeds$3,500,000TotalProceedsAmt
Issuance Costs From Proceeds$49,534IssuanceCostsFromProceedsAmt
Capital Expenditures$3,450,466CapitalExpendituresAmt
Substantial Completion2020SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

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 CEO, 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 DIRECTOR SHALL BE DISCLOSED TO THE BOARD AND MADE A MATTER OF RECORD. EACH DIRECTOR, SENIOR MANAGEMENT OFFICIAL AND DEPARTMENT HEAD 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:CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 16,221. NET ASSETS RELEASED FROM RESTRICTIONS -35,302. CHANGE IN ESTIMATE OBLIGATION TO PROVIDE FUTURE SERVICES 310,228.

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-$857TotalIncomeAmt
End Of Year Assets$26,267EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationTHE ORGANIZATION IS TECHNICALLY FILING THEIR RETURN LATE. HOWEVER, THIS IS ULTIMATELY THE CAUSE OF THE IRS DATABASE HAVING A DELAY IN UPDATING TO THE ORGANIZATION'S PROPER STATUS. IN AUGUST OF 2022, THE ORGANIZATION SUBMITTED THE FORM 8940 TO FINALIZE THE TERMINATION OF PRIVATE FOUNDATION STATUS UNDER SECTION 507(B)(1)(B) 60-MONTH PERIOD. AT THE TIME, THE FORM 8940 WAS STILL REQUIRED TO BE PAPER FILED WITH THE IRS AND REQUIRES SEVERAL MONTHS TO BE PROCESSED. THE ORGANIZATION WAS APPROVED FOR PUBLIC CHARITY STATUS PER LETTER CONFIRMATION ON 02/13/2023 TO BE A PUBLIC CHARITY UNDER 509(A)(2) (LETTER#4422; CATALOG NUMBER 5225E). PER THE LETTER THIS STATUS WAS RETROACTIVE TO JULY 1, 2017. IN ANTICIPATION OF THIS ACCEPTANCE, THE ORGANIZATION FILED THE FORM 8868 (EXTENSION) AS A PUBLIC CHARITY ON OCTOBER 23, 2022 (NOT AS A PRIVATE FOUNDATION) AHEAD OF THE NOVEMBER 15, 2022 INITIAL DEADLINE. THE EXTENSION WAS RETURNED ON JANUARY 30, 2023 WITH AN NOTICE INDICATING THAT THE FORM 8868 HAD BEEN SWITCHED BACK TO PRIVATE FOUNDATION STATUS. AS INDICATED IN THE PREVIOUS PARAGRAPH, A SEPARATE LETTER CONFIRMED THE CHANGE IN STATUS LESS THAN TWO WEEKS AFTER THAT. THE ORGANIZATION DOES RELY UPON A PAID PREPARER TO RELEASE VIA E-FILE THE EXTENSIONS AND FINAL RETURNS. ON FEBRUARY 17, 2023 THE PAID PREPARER ATTEMPTED THE FIRST RELEASE OF THE FORM 990 FOR THE YEAR ENDED 06/30/2022 (WITH AN EXTENDED DUE DATE OF MAY 15TH). AFTER A FAILED ATTEMPT, A DELAY TO SEE IF THE DATA BASE WOULD BE REFLECTED TO THE PUBLIC CHARITY STATUS PER THAT LETTER WAS ATTEMPTED. THE NEXT RELEASE WAS ON 03/23/2023 WITH ANOTHER REJECTION. AT THAT TIME THE PAID PREPARER MADE MULTIPLE PHONE CALLS TO THE E-FILE SYSTEM AND IRS TEG PHONE NUMBER AND WAS ABLE TO CONFIRM THAT THE DATABASE DID REQUIRE AN UPDATE. AT THAT TIME, THE SERVICE INFORMED THE PAID PREPARER THAT THE DATABASE SHOULD BE UPDATED WITHIN 6 WEEKS TO REFLECT THE CORRECT INFORMATION. SIX WEEKS FROM 03/23/2023 IS MAY 4, 2023. SEVERAL MORE ATTEMPTS WERE MADE ON MAY 05, 12, AND 15TH TO FILE ON TIME. ATTEMPTS TO CALL THE IRS WERE UNSUCCESSFUL DUE TO CALL VOLUME AND A FOLLOW UP CALL WITH THE E-FILE SERVICE LINE CONFIRMED IT WAS A DATABASE ISSUE AND WAS UNABLE TO HELP. THE ORGANIZATION AND PREPARER HAVE DONE ALL POSSIBLE STEPS TO FILE THE RETURN TIMELY AS SHOWN ABOVE AND ASK THAT ALL FEES, INTEREST AND PENALTIES BE WAIVED, AND THE RETURN BE SHOWN TO BE TIMELY FILED PER THE SERVICE.ExplanationTxt

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