TIESZEN MEMORIAL HOME INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- TIESZEN MEMORIAL HOME INC (EIN 46-0213759)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-08-05
- IRS object ID
- 202512179349301301
- Schema version
- 2024v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-08-05T10:38:05-04:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 460393458 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WOHLENBERG RITZMAN & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1018 | AddressLine1Txt |
| City | YANKTON | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57078 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460213759 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TIESZEN MEMORIAL HOME | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TIES | BusinessNameControlTxt |
| Phone | 6056483611 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 312 EAST STATE ST | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57043 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURA M WILSON | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 6056483611 | PhoneNum |
| Signature | 2025-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KATHLEEN DOYLE | PreparerPersonNm |
| PTIN | P01322431 | PTIN |
| Phone | 6056654401 | PhoneNum |
| Preparation | 2025-07-29 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LAURA M WILSON | PrincipalOfficerNm |
| Gross Receipts | $7,185,074 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TIESZENHOME.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Legal Domicile State | SD | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE THE HIGHEST QUALITY OF CARE AND QUALITY OF LIFE FOR THE LONG AND SHORT TERM CARE RESIDENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 166 | TotalEmployeeCnt |
| Total Volunteers | 46 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,409,799 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,046,304 | CYProgramServiceRevenueAmt |
| PY Investment Income | $130,457 | PYInvestmentIncomeAmt |
| CY Investment Income | $138,770 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,488,589 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $8,028,845 | PYTotalRevenueAmt |
| CY Total Revenue | $7,185,074 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,671,040 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,889,804 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,397,725 | PYOtherExpensesAmt |
| CY Other Expenses | $2,655,213 | CYOtherExpensesAmt |
| PY Total Expenses | $6,068,765 | PYTotalExpensesAmt |
| CY Total Expenses | $6,545,017 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,960,080 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $640,057 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,810,515 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,389,243 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $944,602 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $883,273 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,865,913 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,505,970 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE THE HIGHEST QUALITY OF CARE AND QUALITY OF LIFE FOR THE LONG AND SHORT TERM CARE RESIDENTS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,981,930 | ExpenseAmt |
| Revenue | $7,046,304 | RevenueAmt |
| Desc | TIESZEN MEMORIAL HOME IS COMPRISED OF A 64-BED SKILLED NURSING HOME, A 16-BED ASSISTED LIVING FACILITY, A 4 UNIT APARTMENT COMPLEX, A 12 UNIT AND TWO 6 UNIT APARTMENT COMPLEXES IN MARION, SD. THE HOME PROVIDES LONG TERM NURSING HOME CARE. | Desc |
| Total Program Service Expenses | $5,981,930 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 166 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURA WILSON | PersonNm |
| Phone | 6056483611 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | BOX 209 | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57043 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| LAURA M WILSON | |||||||
| ADMINISTRATO | 45.00 | Yes (X) | $155,362 | $0 | $20,290 | ||
| CAROLINE ANDERSEN | |||||||
| DIRECTOR OF | 40.00 | $139,270 | $0 | $22,124 | Yes (X) | ||
| ERIN PULSE | |||||||
| CHARGE NURSE | 36.00 | $100,349 | $0 | $13,540 | Yes (X) | ||
| PAUL JOHNSON | |||||||
| VICE PRESIDE | 1.00 | Yes (X) | $715 | $0 | $0 | Yes (X) | |
| RICHARD LUKE | |||||||
| SEC/TREASURE | 1.00 | Yes (X) | $715 | $0 | $0 | Yes (X) | |
| RAVILA BERENS | |||||||
| PRESIDENT | 1.00 | Yes (X) | $650 | $0 | $0 | Yes (X) | |
| JAMES A JONES | |||||||
| MEMBER | 1.00 | $650 | $0 | $0 | Yes (X) | ||
| ERIC TIESZEN | |||||||
| MEMBER | 1.00 | $520 | $0 | $0 | Yes (X) | ||
| DEANNA GALL | |||||||
| MEMBER | 1.00 | $455 | $0 | $0 | Yes (X) | ||
| LAWRENCE ARBEITER | |||||||
| MEMBER | $65 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $398,751 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $55,954 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JENSEN CONSTRUCTION SERVICES | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 773 | AddressLine1Txt |
| City | PARKER | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57053 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | CONSTRUCTION | ServicesDesc |
| Compensation | $249,490 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| RESIDENT SERVICE REVENUES | 623000 | $6,650,983 | $6,650,983 |
| OTHER OPERATING REVENUE | 623000 | $395,321 | $395,321 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,046,304 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $138,770 | TotalRevenueColumnAmt |
| Exclusion | $138,770 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,185,074 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,046,304 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $138,770 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,422 | TotalAmt |
| Management And General | $179,422 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,017,881 | TotalAmt |
| Program Services | $2,936,422 | ProgramServicesAmt |
| Management And General | $81,459 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,056 | TotalAmt |
| Program Services | $62,044 | ProgramServicesAmt |
| Management And General | $3,012 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $395,552 | TotalAmt |
| Program Services | $368,767 | ProgramServicesAmt |
| Management And General | $26,785 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,893 | TotalAmt |
| Program Services | $213,986 | ProgramServicesAmt |
| Management And General | $17,907 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,767 | TotalAmt |
| Program Services | $16,767 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $510 | TotalAmt |
| Program Services | $510 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,977 | TotalAmt |
| Management And General | $17,977 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $752,432 | TotalAmt |
| Program Services | $730,377 | ProgramServicesAmt |
| Management And General | $22,055 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,690 | TotalAmt |
| Program Services | $18,690 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,985 | TotalAmt |
| Management And General | $40,985 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,698 | TotalAmt |
| Program Services | $64,698 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,295,690 | TotalAmt |
| Program Services | $1,132,686 | ProgramServicesAmt |
| Management And General | $163,004 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,481 | TotalAmt |
| Management And General | $10,481 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,425 | TotalAmt |
| Program Services | $9,425 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $412,530 | TotalAmt |
| Program Services | $412,530 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| BAD DEBT | $14,000 | $14,000 |
| COVID 19 EXPENSE | $1,028 | $1,028 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,545,017 | TotalAmt |
| Program Services | $5,981,930 | ProgramServicesAmt |
| Management And General | $563,087 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,242,461 | BOYAmt |
| EOY | $4,159,433 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $401,964 | BOYAmt |
| EOY | $500,422 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,660 | BOYAmt |
| EOY | $109,289 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,531,568 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,311,133 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,653,636 | BOYAmt |
| EOY | $3,220,435 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $400,794 | BOYAmt |
| EOY | $399,664 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,810,515 | BOYAmt |
| EOY | $8,389,243 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,596 | BOYAmt |
| EOY | $248,672 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,882 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $617,278 | BOYAmt |
| EOY | $603,910 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,846 | BOYAmt |
| EOY | $30,691 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $944,602 | BOYAmt |
| EOY | $883,273 | 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 | $6,684,192 | BOYAmt |
| EOY | $7,330,502 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,721 | BOYAmt |
| EOY | $175,468 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,865,913 | BOYAmt |
| EOY | $7,505,970 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,810,515 | BOYAmt |
| EOY | $8,389,243 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $640,057 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
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 | $467,173 | CurrentTaxYearMinus4YearsAmt |
| Total | $467,173 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,342,528 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,739,996 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,074,973 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,901,335 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,046,304 | CurrentTaxYearAmt |
| Total | $32,105,136 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,809,701 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,739,996 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,074,973 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,901,335 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,046,304 | CurrentTaxYearAmt |
| Total | $32,572,309 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $32,572,309 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,774 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,731 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,342 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $127,510 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $138,770 | CurrentTaxYearAmt |
| Total | $301,127 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,774 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,731 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,342 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $127,510 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $138,770 | CurrentTaxYearAmt |
| Total | $301,127 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,823,475 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,748,727 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,087,315 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,028,845 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,185,074 | CurrentTaxYearAmt |
| Total | $32,873,436 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99080 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99420 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $388,088 | OtherCostOrOtherBasisAmt |
| Book Value | $388,088 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,143,668 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,840,655 | DepreciationAmt |
| Book Value | $2,303,013 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,764,331 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,291,650 | DepreciationAmt |
| Book Value | $472,681 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $235,481 | OtherCostOrOtherBasisAmt |
| Depreciation | $178,828 | DepreciationAmt |
| Book Value | $56,653 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,220,435 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SECURITY DEPOSITS | Desc |
| Amt | $30,691 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $30,691 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $7,185,074 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $7,185,074 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $7,185,074 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,545,017 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $6,545,017 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $6,545,017 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE HOME IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. DONATIONS TO THE HOME ARE DEDUCTIBLE FOR INCOME TAX PURPOSES. THE HOME BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| LAURA M WILSON | ||||
| ADMINISTRATOR | $155,362 | $8,028 | $12,262 | $175,652 |
| CAROLINE ANDERSEN | ||||
| DIRECTOR OF NURSING | $139,270 | $7,097 | $15,027 | $161,394 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, PART I, LINE 6 | ASSIST WITH ACTIVITIES DRIVERS FOR MEALS ON WHEELS VISIT RESIDENTS PROVIDE REFRESHMENTS |
| FORM 990, PAGE 6, PART VI, LINE 11B | REVIEWED BY CEO AND THE ADMINISTRATOR AND THE BOARD BEFORE FILING |
| FORM 990, PAGE 6, PART VI, LINE 12C | ANNUAL REVIEW BY BOARD |
| FORM 990, PAGE 6, PART VI, LINE 15A | CEO PREPARES AN ANNUAL BUDGET FOR THE OPERATION OF THE FACILITY FOR APPROVAL BY THE BOARD OF DIRECTORS |
| FORM 990, PAGE 6, PART VI, LINE 15B | CEO PREPARES AN ANNUAL BUDGET FOR THE OPERATION OF THE FACILITY FOR APPROVAL BY THE BOARD OF DIRECTORS |
| FORM 990, PAGE 6, PART VI, LINE 18 | GUIDESTAR.COM |
| FORM 990, PAGE 6, PART VI, LINE 19 | ON REQUEST |
| FORM 990, PART IX, LINE 11G | CONSULTANTS-DIETARY 14,048 0 0 CONSULTANTS-NURSING 647,540 0 0 MEDICARE BILLER 0 22,055 0 TEMPORARY STAFF 54,097 0 0 ACTIVITY SUPERVISION 14,692 0 0 TOTAL 730,377 22,055 0 |
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