CEDAR CREST INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- CEDAR CREST INC (EIN 39-1025444)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-13
- IRS object ID
- 202241339349306254
- Schema version
- 2020v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-13T13:08:05-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5946 | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 537050946 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391025444 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CEDAR CREST INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CEDA | BusinessNameControlTxt |
| Phone | 6087560344 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1702 SOUTH RIVER ROAD | AddressLine1Txt |
| City | JANESVILLE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53546 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID TANCK | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 6087560344 | PhoneNum |
| Signature | 2022-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAVID | PersonFirstNm |
| Person Last | TANCK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES G GRAHAM | PreparerPersonNm |
| PTIN | P00006111 | PTIN |
| Phone | 6086332612 | PhoneNum |
| Preparation | 2022-05-12 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID TANCK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1702 SOUTH RIVER ROAD | AddressLine1Txt |
| City | JANESVILLE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53546 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,719,717 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | CEDARCRESTLIFE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | CEDAR CREST IS A CONTINUING CARE RETIREMENT COMMUNITY SERVING ADULTS 55 YEARS OF AGE OR OLDER. ITS MISSION IS TO ENRICH THE QUALITY OF LIFE FOR SENIOR ADULTS AT ALL LEVELS OF INDEPENDENCE, GUIDED BY A SPIRITUALLY BASED, NOT-FOR-PROFIT CULTURE THAT FOSTERS COMPASSION AND CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 360 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,851,433 | PYContributionsGrantsAmt |
| CY Contributions Grants | $715,442 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,975,169 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,614,814 | CYProgramServiceRevenueAmt |
| PY Investment Income | $104,408 | PYInvestmentIncomeAmt |
| CY Investment Income | $38,861 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$3,659 | PYOtherRevenueAmt |
| CY Other Revenue | $350,600 | CYOtherRevenueAmt |
| PY Total Revenue | $17,927,351 | PYTotalRevenueAmt |
| CY Total Revenue | $15,719,717 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,621,916 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,702,136 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,309,464 | PYOtherExpensesAmt |
| CY Other Expenses | $6,278,856 | CYOtherExpensesAmt |
| PY Total Expenses | $15,931,380 | PYTotalExpensesAmt |
| CY Total Expenses | $15,980,992 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,995,971 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$261,275 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $45,805,616 | TotalAssetsBOYAmt |
| Total Assets EOY | $47,272,483 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $30,444,225 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $31,830,346 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,361,391 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,442,137 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $8,438,630 | ExpenseAmt |
| Revenue | $6,873,980 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,571,151 | ExpenseAmt |
| Revenue | $2,962,400 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,037,760 | ExpenseAmt |
| Revenue | $2,638,638 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,134,872 | ExpenseAmt |
| Revenue | $2,139,796 | RevenueAmt |
| Desc | THE CEDAR CREST MEMORY CARE UNIT IS A 24 BED LICENSED CBRF PROVIDING SERVICES TO THOSE INDIVIDUALS WHO HAVE BEEN DIAGNOSED WITH ALZHEIMER OR OTHER DEMENTIA RELATED DISEASES. THE PROGRAM PROVIDES SERVICES TO RESIDENTS WHO REQUIRE LIMITED NURSING CARE BUT NEED ASSISTANCE WITH DAILY LIVING ACTIVITIES. THE PROGRAM IS STAFFED 24 HOURS PER DAY, SEVEN DAYS A WEEK WITH PERSONAL CARE WORKERS AND CERTIFIED NURSING ASSISTANTS. IT IS ALSO STAFFED WITH AN RN MEMORY CARE MANAGER. UP TO 3 HOURS OF NURSING CARE PER WEEK IS PROVIDED (DIRECTLY BY AN RN) AND UNLIMITED NUMBER OF HOURS OF CARE WITH DAILY LIVING ACTIVITIES. THIS CARE INCLUDES BATHING AND DRESSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, ACTIVITIES MEETING THE NEEDS OF EACH RESIDENT, FEEDING, THREE MEALS PER DAY AND OTHER NUTRITIONAL NEEDS BASED ON THE INDIVIDUAL RESIDENT, LAUNDRY, HOUSEKEEPING, TOILETING, DRESSING CHANGES, MEDICATION ADMINISTRATION AND MANAGEMENT, SCHEDULING OF MEDICAL APPOINTMENTS, TRANSPORTATION TO MEDICAL APPOINTMENTS, COORDINATING CARE UNDER THE DIRECTION OF THE RESIDENT'S DOCTOR AS WELL AS OTHER UNIQUE NEEDS OF EACH INDIVIDUAL RESIDENT. A TOTAL OF 8,442 RESIDENT CARE DAYS WERE PROVIDED. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,134,872 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $2,139,796 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $14,182,413 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 54 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 360 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID TANCK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6087560344 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1702 SOUTH RIVER ROAD | AddressLine1Txt |
| City | JANESVILLE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53546 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| DAVID TANCK | ||||||||
| PRESIDENT/CEO | 39.00 | 1.00 | Yes (X) | $197,561 | $0 | $33,477 | ||
| MEREDITH AARUD | ||||||||
| VICE PRESIDENT | 39.00 | 1.00 | Yes (X) | $118,180 | $0 | $23,725 | ||
| RENEE ROSENCRANS | ||||||||
| REGISTERED NURSE | 53.00 | $128,117 | $0 | $0 | Yes (X) | |||
| DIANE SCHEWE | ||||||||
| REGISTERED NURSE | 42.00 | $103,681 | $0 | $13,447 | Yes (X) | |||
| CHRISTOPHER MULAE | ||||||||
| CONTROLLER | 39.00 | 1.00 | Yes (X) | $99,501 | $0 | $11,211 | ||
| REV FORREST WELLS | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| BARBARA KELLEY | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| DIANE PILLARD | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| MARK LORENZ | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| REV STEVE SCOTT | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| THOMAS LASSE | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| CAROL HATCH | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JEN DEGARMO | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| SARAH SWANTEK | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| SEAN KNOTT | ||||||||
| DIRECTOR UNTIL 6/30/2021 | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| GERALD KELM | ||||||||
| DIRECTOR/CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| TARI MILLER | ||||||||
| DIRECTOR/TREASURER/SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $647,040 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $81,860 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NAATZ CONSTRUCTION | |||||
| 130 FOOTVILLE HANOVER ROAD | JANESVILLE | WI | 53548 | CONSTRUCTION SERVICES | $1,519,815 |
| REHAB CARE GROUP | |||||
| PO BOX 503534 | ST LOUIS | MO | 63150 | THERAPY SERVICES | $957,656 |
| RT FOX CONTRACTORS | |||||
| PO BOX 331 | EDGERTON | WI | 53534 | CONSTRUCTION SERVICES | $475,089 |
| ZONES | |||||
| 1102 15TH ST SW SUITE 102 | AUBURN | WA | 98001 | TECHNOLOGY SERVICES | $186,646 |
| HEALTHCARE SERVICES GROUP | |||||
| PO BOX 829677 | PHILADELPHIA | PA | 19182 | HOUSEKEEPING MANAGEMENT SERVICES | $164,077 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $668,903 | GovernmentGrantsAmt |
| All Other Contributions | $46,539 | AllOtherContributionsAmt |
| Total Contributions | $715,442 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HEALTH CENTER | 623990 | $6,873,980 | $6,873,980 |
| RETIREMENT APARTMENTS | 623990 | $2,962,400 | $2,962,400 |
| ASSISTED LIVING | 623990 | $2,638,638 | $2,638,638 |
| MEMORY CARE | 623990 | $1,699,007 | $1,699,007 |
| WATERFORD GROVE | 623990 | $369,834 | $369,834 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $70,955 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $70,955 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,614,814 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,861 | TotalRevenueColumnAmt |
| Exclusion | $38,861 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | EMPLOYEE RETENTION CREDIT | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $350,600 | TotalRevenueColumnAmt |
| Exclusion | $350,600 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $350,600 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,719,717 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,614,814 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $389,461 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $343,537 | TotalAmt |
| Program Services | $133,684 | ProgramServicesAmt |
| Management And General | $209,853 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,284,439 | TotalAmt |
| Program Services | $6,833,733 | ProgramServicesAmt |
| Management And General | $450,706 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,136 | TotalAmt |
| Program Services | $148,096 | ProgramServicesAmt |
| Management And General | $14,040 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,363,685 | TotalAmt |
| Program Services | $1,245,594 | ProgramServicesAmt |
| Management And General | $118,091 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $548,339 | TotalAmt |
| Program Services | $500,855 | ProgramServicesAmt |
| Management And General | $47,484 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,728 | TotalAmt |
| Program Services | $165,728 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,189 | TotalAmt |
| Management And General | $6,189 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,824 | TotalAmt |
| Management And General | $77,824 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $522,239 | TotalAmt |
| Program Services | $310,062 | ProgramServicesAmt |
| Management And General | $212,177 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,047 | TotalAmt |
| Management And General | $22,047 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,855 | TotalAmt |
| Management And General | $61,855 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,255 | TotalAmt |
| Management And General | $81,255 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,183,052 | TotalAmt |
| Program Services | $1,121,536 | ProgramServicesAmt |
| Management And General | $61,516 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136 | TotalAmt |
| Management And General | $136 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,886 | TotalAmt |
| Program Services | $233,886 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,781,356 | TotalAmt |
| Program Services | $1,773,836 | ProgramServicesAmt |
| Management And General | $7,520 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,675 | TotalAmt |
| Management And General | $130,675 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| THERAPY | $973,545 | $973,545 | |
| SUPPLIES | $391,101 | $347,664 | $43,437 |
| FOOD | $370,173 | $370,173 | |
| REPAIRS | $217,286 | $18,790 | $198,496 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,509 | TotalAmt |
| Program Services | $5,231 | ProgramServicesAmt |
| Management And General | $55,278 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,980,992 | TotalAmt |
| Program Services | $14,182,413 | ProgramServicesAmt |
| Management And General | $1,798,579 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,785,372 | BOYAmt |
| EOY | $2,721,207 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,974,030 | BOYAmt |
| EOY | $5,506,507 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $716,779 | BOYAmt |
| EOY | $692,955 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,831 | BOYAmt |
| EOY | $284,964 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $64,609,581 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $28,462,971 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,957,524 | BOYAmt |
| EOY | $36,146,610 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,315,808 | BOYAmt |
| EOY | $964,665 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $758,272 | BOYAmt |
| EOY | $955,575 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,805,616 | BOYAmt |
| EOY | $47,272,483 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,980,614 | BOYAmt |
| EOY | $2,269,606 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,368,434 | BOYAmt |
| EOY | $15,082,477 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,095,177 | BOYAmt |
| EOY | $14,478,263 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,444,225 | BOYAmt |
| EOY | $31,830,346 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,596,785 | BOYAmt |
| EOY | $14,499,952 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $764,606 | BOYAmt |
| EOY | $942,185 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,361,391 | BOYAmt |
| EOY | $15,442,137 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,805,616 | BOYAmt |
| EOY | $47,272,483 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$261,275 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $144,718 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $197,303 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $49,485 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $54,354 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $54,769 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,851,433 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $715,442 | CurrentTaxYearAmt |
| Total | $2,725,483 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,784,617 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,751,665 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,591,795 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,975,169 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,614,814 | CurrentTaxYearAmt |
| Total | $74,718,060 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,834,102 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,806,019 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,646,564 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,826,602 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,330,256 | CurrentTaxYearAmt |
| Total | $77,443,543 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $77,443,543 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $50,893 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $76,963 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $106,902 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $104,408 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,861 | CurrentTaxYearAmt |
| Total | $378,027 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $50,893 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $76,963 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $106,902 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $104,408 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,861 | CurrentTaxYearAmt |
| Total | $378,027 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $350,600 | CurrentTaxYearAmt |
| Total | $350,600 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,884,995 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,882,982 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,753,466 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,931,010 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,719,717 | CurrentTaxYearAmt |
| Total | $78,172,170 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99070 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99490 | PublicSupportPY509Pct |
| Investment Income CY | 0.00480 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00510 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | EMPLOYEE RETENTION CREDIT - 2020 AMOUNT: $ 350,600. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $815,808 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $154,457 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,600 | OtherExpendituresAmt |
| End Year Balance | $964,665 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $766,807 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $54,601 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,600 | OtherExpendituresAmt |
| End Year Balance | $815,808 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $716,538 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $55,869 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,600 | OtherExpendituresAmt |
| End Year Balance | $766,807 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $691,659 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $30,479 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,600 | OtherExpendituresAmt |
| End Year Balance | $716,538 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $640,487 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $56,772 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,600 | OtherExpendituresAmt |
| End Year Balance | $691,659 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $977,257 | OtherCostOrOtherBasisAmt |
| Book Value | $977,257 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,700,151 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,678,363 | DepreciationAmt |
| Book Value | $28,021,788 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,104,987 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,178,086 | DepreciationAmt |
| Book Value | $3,926,901 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,827,186 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,606,522 | DepreciationAmt |
| Book Value | $3,220,664 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $36,146,610 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ENDOWMENT FUNDS ARE USED TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO INTENDED SERVICES AND PROGRAMS |
| PART X, LINE 2: | THE CORPORATION IS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). ACCORDINGLY, THERE IS NO PROVISION FOR FEDERAL OR STATE INCOME TAXES. THE CORPORATION FILES FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THIS RETURN IS FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH CARE ORGANIZATIONS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX-EXEMPT STATUS OF EACH ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS ISSUED AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). UBIT IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. FORM 990 FILED BY THE CORPORATION IS SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF THE RETURN. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID TANCK | PersonNm |
| Title | PRESIDENT/CEO | TitleTxt |
| Base Compensation Filing Org | $197,561 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $6,084 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $27,393 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $231,038 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHEFA ADJUSTABLE RATE REFUNDING REVENUE BONDS SERIES 2013 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 391337855 | BondIssuerEIN |
| Bond Issued | 2013-12-30 | BondIssuedDt |
| Issue Price | $18,005,000 | IssuePriceAmt |
| Purpose | PROVIDE FUNDS TO REFUND A PRIOR ISSUE | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $3,450,000 | RetiredAmt |
| Total Proceeds | $18,005,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $63,740 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $17,941,260 | OtherSpentProceedsAmt |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (1) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | Yes (1) | Form8038TFiledInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | Yes (1) | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BMO HARRIS BANK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 6.830000000000 | TermOfHedgePct |
| Superintegrated Hedge | 0 | SuperintegratedHedgeInd |
| Hedge Terminated | 0 | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: | CEDAR CREST'S MISSION IS TO "ENRICH THE QUALITY OF LIFE FOR SENIOR ADULTS AT ALL LEVELS OF INDEPENDENCE, GUIDED BY A SPIRITUALLY BASED, NOT-FOR-PROFIT CULTURE THAT FOSTERS COMPASSION AND CARE." AS A SPIRTUALLY BASED ORGANIZATION, WE BELIEVE EACH PERSON WHETHER RESIDENT, STAFF, VOLUNTEER, OR NEIGHBOR IS A PRECIOUS GIFT TO BE TREATED WITH RESPECT IN BODY, MIND, AND SPIRIT. WE BELIEVE SENIOR ADULTS DESERVE TO LIVE THEIR FULL LIFE WITH DIGNITY. THEREFORE, WE ARE DEDICATED TO TREATING EACH PERSON WHO LIVES AT CEDAR CREST AS AN IMPORTANT AND UNIQUE INDIVIDUAL AND TO PROVIDE THE SUPPORT NEEDED TO ENHANCE THE LIVES OF OUR RESIDENTS. THROUGH INTEGRITY AND PROFESSIONALISM, CLEAR AND INCLUSIVE COMMUNICATION, A DIVERSE AND DYNAMIC ARRAY OF LIVING AND SERVICE OPTIONS, A RESPECT FOR INDIVIDUAL EXPERIENCES AND CHOICES, AND A CORPORATE CULTURE OF EXCELLENT CUSTOMER SERVICE, WE STRIVE TO HELP EACH RESIDENT ACHIEVE THE HIGHEST QUALITY OF LIFE POSSIBLE. |
| FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: | CEDAR VIEW IS A SKILLED NURSING FACILITY PROVIDING 24 HOUR COMPLETE CARE OF EACH RESIDENT INCLUDING BUT NOT LIMITED TO: FEEDING, THREE MEALS PER DAY PLUS SNACKS BASED ON INDIVIDUAL DIET NEEDS, NUTRITION MANAGEMENT, BATHING AND DRESSING, LAUNDRY, HOUSEKEEPING, TOILETING, MEDICATIONS ADMINISTRATION AND MANAGEMENT, DRESSING CHANGES, RESTORATIVE PROGRAM BASED ON THE INDIVIDUAL RESIDENT'S NEEDS, REHABILITATION SERVICES INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, ACTIVITIES MEETING THE INDIVIDUAL NEEDS OF EACH RESIDENT, TUBE FEEDING, DEVELOPMENT OF AND IMPLEMENTING FOR EACH RESIDENT A COMPLETE INDIVIDUAL CARE PLAN, SCHEDULING OF MEDICAL APPOINTMENTS, TRANSPORTATION TO MEDICAL APPOINTMENTS, COORDINATING CARE UNDER THE DIRECTION OF THE RESIDENT'S DOCTOR. THE PROGRAM IS LICENSED AS A 71 BED SKILLED NURSING FACILITY. THE PROGRAM IS MEDICARE AND MEDICAID CERTIFIED AND PROVIDES SERVICES TO RESIDENTS WHO PAY PRIVATELY AS WELL AS THOSE RESIDENTS WHO ARE ENTITLED TO MEDICARE AND MEDICAID BENEFITS. A TOTAL OF 18,638 RESIDENT CARE DAYS WERE PROVIDED. |
| FORM 990, PART III, LINE 4B, PROGRAM SERVICE ACCOMPLISHMENTS: | WATERFORD PLACE APARTMENTS ARE REGISTERED WITH THE STATE OF WISCONSIN AS A RESIDENTIAL CARE APARTMENT COMPLEX (RCAC). THIS LICENSURE ALLOWS RESIDENTS WHO HAVE CHOSEN AN INDEPENDENT LIVING SETTING WITHIN THE CEDAR CREST COMMUNITY TO "AGE IN PLACE" THROUGH THE PROVISION OF SERVICES IN THEIR APARTMENT. THE SERVICES PROVIDE FOR UP TO 28 HOURS OF NURSING AND PERSONAL CARE SERVICES AND ARE SCHEDULED BASED ON NURSING ASSESSMENT AND RISK AGREEMENT BETWEEN THE RESIDENT AND CEDAR CREST. THERE ARE 103 APARTMENTS UNDER THE RCAC REGISTRATION WITH APPROXIMATELY 33,137 DAYS OF SERVICE BEING PROVIDED TO THE RESIDENTS. |
| FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS: | TERRACE RIDGE ASSISTED LIVING IS A 44 BED COMMUNITY BASED ON RESIDENTIAL FACILITY (CBRF) WHICH IS LICENSED BY THE STATE OF WISCONSIN. THE PROGRAM PROVIDES SERVICES TO RESIDENTS WHO REQUIRE LIMITED NURSING CARE BUT NEED VARYING LEVELS OF ASSISTANCE WITH DAILY LIVING ACTIVITIES. THE PROGRAM IS STAFFED 24 HOURS PER DAY, SEVEN DAYS A WEEK WITH PERSONAL CARE WORKERS AND CERTIFIED NURSING ASSISTANTS. IT IS ALSO STAFFED WITH A FULL TIME RN ASSISTED LIVING MANAGER. UP TO 3 HOURS OF NURSING CARE PER WEEK IS PROVIDED (DIRECTLY BY AN RN) AND UNLIMITED NUMBER OF HOURS OF CARE WITH DAILY LIVING ACTIVITIES. THIS CARE INCLUDES BATHING AND DRESSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, ACTIVITIES MEETING THE NEEDS OF EACH RESIDENT, FEEDING, THREE MEALS PER DAY AND OTHER NUTRITIONAL NEEDS BASED ON THE INDIVIDUAL RESIDENT, LAUNDRY, HOUSEKEEPING, TOILETING, DRESSING CHANGES, MEDICATION ADMINISTRATION AND MANAGEMENT, SCHEDULING OF MEDICAL APPOINTMENTS, TRANSPORTATION TO MEDICAL APPOINTMENTS, COORDINATING CARE UNDER THE DIRECTION OF THE RESIDENT'S DOCTOR AS WELL AS OTHER UNIQUE NEEDS OF EACH INDIVIDUAL RESIDENT. A TOTAL OF 15,059 RESIDENT CARE DAYS WERE PROVIDED. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS MADE AVAILABLE TO THE BOARD PRIOR TO FILING, AND REVIEWED IN DETAIL WITH THE AUDIT COMMITTEE AND BOARD SUBSEQUENT TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS REVIEWED WITH EACH NEW BOARD MEMBER AND THE NEW BOARD MEMBER SIGNS A CONFLICT OF INTEREST STATEMENT BEFORE ATTENDING THE FIRST BOARD MEETING. ANNUALLY THE CONFLICT OF INTEREST POLICY IS REVIEWED WITH ALL BOARD MEMBERS AND MANAGERS AND AN UPDATED CONFLICT OF INTEREST STATEMENT IS REQUIRED TO BE COMPLETED BY ALL BOARD MEMBERS AND MANAGERS. THE CONFLICT OF INTEREST STATEMENTS ARE SUMMARIZED AND REVIEWED BY THE GOVERNANCE COMMITTEE AND ANY CONFLICTS ARE REPORTED TO THE BOARD OF DIRECTORS BY THE GOVERNANCE COMMITTEE. IF A CONFLICT OF INTEREST IS DISCOVERED THAT WAS NOT DISCLOSED ON THE CONFLICT OF INTEREST STATEMENT, THE ISSUE IS DIRECTED TO THE GOVERNANCE COMMITTEE FOR RESOLUTION. |
| FORM 990, PART VI, SECTION B, LINE 15A | EACH YEAR THE EXECUTIVE COMMITTEE GATHERS MARKET DATA FOR DETERMINING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. THIS INCLUDES, BUT IS NOT LIMITED TO, BENCHMARKS OF COMPENSATION FOR SIMILAR ORGANIZATIONS, PROVIDED FROM INDEPENDENT SOURCES. BASED ON THIS INFORMATION AND THE RESULTS OF THE PERFORMANCE EVALUATION, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS SETS AND APPROVES THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER FOR THE YEAR AND DOCUMENTS THEIR APPROVAL IN WRITING. THIS PROCESS APPLIES ONLY TO THE CHIEF EXECUTIVE OFFICER. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO IRC SECTION 6104. THESE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC ON RECEIPT OF A WRITTEN REQUEST. |
| FORM 990, PART XI, LINE 9: | FMV CHANGE IN INTEREST SWAP 28,595. FMV CHANGE IN PERPETUAL TRUST 168,708. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CEDAR CREST FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1702 SOUTH RIVER ROAD | AddressLine1Txt |
| City | JANESVILLE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53546 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200703369 | EIN |
| Primary Activities | ORGANIZATION SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CEDAR CREST INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |