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FAIRBURY ASSISTED LIVING FACILITY: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
FAIRBURY ASSISTED LIVING FACILITY (EIN 47-0841274)
Tax period
2023-10-01 to 2024-09-30
Filed
2025-08-14
IRS object ID
202512269349301236
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-08-14T12:31:48-05:00ReturnTs
Tax Period End2024-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118081 BURT ST STE 200AddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP680224722ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN470841274EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FAIRBURY ASSISTED LIVING FACILITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFAIRBusinessNameControlTxt
Phone4027296100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1828 22ND STREETAddressLine1Txt
CityFAIRBURYCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68352ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHANCE KLASEKPersonNm
Person TitleSECRETARYPersonTitleTxt
Phone4027293351PhoneNum
Signature2025-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMEGAN L KOZIOL CPAPreparerPersonNm
PTINP01544037PTIN
Phone4023302660PhoneNum
Preparation2025-08-14PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CEDARWOODBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerCHANCE KLASEKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 H STREET PO BOX 277AddressLine1Txt
CityFAIRBURYCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68352ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,739,144GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WWW.CEDARWOODAL.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionTO PROVIDE THE HIGHEST QUALITY OF CARE AND HOSPITALITY TO TENANTS IN JEFFERSON COUNTY.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee40TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$458,634PYContributionsGrantsAmt
CY Contributions Grants$64,511CYContributionsGrantsAmt
PY Program Service Revenue$2,272,485PYProgramServiceRevenueAmt
CY Program Service Revenue$2,467,478CYProgramServiceRevenueAmt
PY Investment Income-$56,104PYInvestmentIncomeAmt
CY Investment Income$45,785CYInvestmentIncomeAmt
PY Other Revenue$25,885PYOtherRevenueAmt
CY Other Revenue$161,370CYOtherRevenueAmt
PY Total Revenue$2,700,900PYTotalRevenueAmt
CY Total Revenue$2,739,144CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,077,737PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,086,927CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,298,468PYOtherExpensesAmt
CY Other Expenses$1,388,772CYOtherExpensesAmt
PY Total Expenses$2,376,205PYTotalExpensesAmt
CY Total Expenses$2,475,699CYTotalExpensesAmt
PY Revenues Less Expenses$324,695PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$263,445CYRevenuesLessExpensesAmt
Total Assets BOY$3,007,640TotalAssetsBOYAmt
Total Assets EOY$3,432,369TotalAssetsEOYAmt
Total Liabilities BOY$311,615TotalLiabilitiesBOYAmt
Total Liabilities EOY$368,304TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,696,025NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,064,065NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE THE HIGHEST QUALITY OF HOSPITALITY, SERVICES, ACTIVITIES, SECURITY, COMPANIONSHIP AND FREEDOM TO TENANTS IN A CARING AND LOVING ENVIRONMENT THEY ARE PROUD TO CALL HOME.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,109,925ExpenseAmt
Revenue$2,467,478RevenueAmt
DescCEDARWOOD ASSISTED LIVING FACILITY WAS CONSTRUCTED ADJACENT TO JEFFERSON COMMUNITY HEALTH CENTER, INC. (JCHC), A NEBRASKA NON-PROFIT HOSPITAL EXEMPT FROM INCOME TAXES UNDER I.R.C. 501(C)(3). THE PURPOSE OF THE 50-UNIT FACILITY IS TO MEET AN IDENTIFIABLE COMMUNITY NEED IN THE FAIRBURY AREA, AND TO DEVELOP A MORE COMPREHENSIVE CONTINUUM OF HEALTH CARE THAT COMPLEMENTS THE HEALTH CARE SERVICES ALREADY AVAILABLE ON THE CAMPUS OF JCHC. SIXTY-FIVE RESIDENTS WERE SERVED FROM OCTOBER 2023 THROUGH SEPTEMBER 2024. TEN OF THESE RESIDENTS QUALIFIED UNDER THE MEDICAID WAIVER PROGRAM. TOTAL DAYS OF CARE PROVIDED WERE 18,835.Desc
Total Program Service Expenses$2,109,925TotalProgramServiceExpensesAmt
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 Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee40EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
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 Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
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 PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHANCE KLASEKPersonNm
Phone4027296856PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 H STREET PO BOX 277AddressLine1Txt
CityFAIRBURYCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68352ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
RICK STANTON
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
STEPHANIE BOLDT
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
CHANCE KLASEK
SECRETARY1.00Yes (X)Yes (X)$0$0$0
JON PEPPMULLER
TREASURER1.00Yes (X)Yes (X)$0$0$0
DAVID REESE
VICE PRESIDENT (THRU 08/24)1.00Yes (X)Yes (X)$0$0$0
REGINA BERGH
TREASURER (THRU 08/24)1.00Yes (X)Yes (X)$0$0$0
MIKE GASTON
MEMBER1.00Yes (X)$0$0$0
PAT GANYO
MEMBER1.00Yes (X)$0$0$0
DICK HOPPE
MEMBER (THRU 08/24)1.00Yes (X)$0$0$0
WILLIAM WELCH
INTERIM CEO1.00Yes (X)$0$0$0
BURKE KLINE
CEO (THRU 08/24)1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
JEFFERSON COMMUNITY HEALTH & LIFE
2200 H STREETFAIRBURYNE68352CONTRACT SERVICES$895,409
CHAPPEL ROOFING
302 E STFAIRBURYNE68352ROOFING SERVICES$160,510
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$63,731GovernmentGrantsAmt
All Other Contributions$780AllOtherContributionsAmt
Total Contributions$64,511TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT REVENUEDesc
Business623000BusinessCd
Total Revenue Column$2,467,478TotalRevenueColumnAmt
Related Or Exempt Func Income$2,467,478RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,467,478TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,785TotalRevenueColumnAmt
Exclusion$45,785ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescINSURANCE PROCEEDSDesc
Business524298BusinessCd
Total Revenue Column$161,370TotalRevenueColumnAmt
Exclusion$161,370ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$161,370OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,739,144TotalRevenueColumnAmt
Related Or Exempt Func Income$2,467,478RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$207,155ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$951,228TotalAmt
Program Services$806,862ProgramServicesAmt
Management And General$144,366ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$62,835TotalAmt
Program Services$53,299ProgramServicesAmt
Management And General$9,536ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$72,864TotalAmt
Program Services$61,806ProgramServicesAmt
Management And General$11,058ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$123,252TotalAmt
Management And General$123,252ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,519TotalAmt
Management And General$19,519ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$63,348TotalAmt
Program Services$30,712ProgramServicesAmt
Management And General$32,636ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$11,635TotalAmt
Program Services$11,507ProgramServicesAmt
Management And General$128ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$120,056TotalAmt
Program Services$98,138ProgramServicesAmt
Management And General$21,918ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$72,201TotalAmt
Program Services$71,404ProgramServicesAmt
Management And General$797ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,542TotalAmt
Program Services$2,515ProgramServicesAmt
Management And General$27ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$13,892TotalAmt
Program Services$13,739ProgramServicesAmt
Management And General$153ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$158,263TotalAmt
Program Services$156,517ProgramServicesAmt
Management And General$1,746ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$41,646TotalAmt
Program Services$41,186ProgramServicesAmt
Management And General$460ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RESIDENT MEALS$746,264$746,264
DUES & SUBSCRIPTIONS$16,154$15,976$178

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,475,699TotalAmt
Program Services$2,109,925ProgramServicesAmt
Management And General$365,774ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$286,149BOYAmt
EOY$392,243EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$786,834BOYAmt
EOY$248,645EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$458,463BOYAmt
EOY$520,900EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$23,232BOYAmt
EOY$8,873EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,098,757LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,521,679LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,452,962BOYAmt
EOY$1,577,078EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$684,630EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,007,640BOYAmt
EOY$3,432,369EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$112,080BOYAmt
EOY$134,535EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$199,535BOYAmt
EOY$233,769EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$311,615BOYAmt
EOY$368,304EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,696,025BOYAmt
EOY$3,064,065EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,696,025BOYAmt
EOY$3,064,065EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,007,640BOYAmt
EOY$3,432,369EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$263,445ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$104,595NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
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$52,296CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$254,486CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,430CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$458,634CurrentTaxYearMinus1YearAmt
Current Tax Year$64,511CurrentTaxYearAmt
Total$842,357TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,002,218CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,862,862CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,942,841CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,272,485CurrentTaxYearMinus1YearAmt
Current Tax Year$2,467,478CurrentTaxYearAmt
Total$10,547,884TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,054,514CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,117,348CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,955,271CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,731,119CurrentTaxYearMinus1YearAmt
Current Tax Year$2,531,989CurrentTaxYearAmt
Total$11,390,241TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year$997,361CurrentTaxYearAmt
Total$997,361TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year$997,361CurrentTaxYearAmt
Total$997,361TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$10,392,880PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,992CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,233CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$44,641CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,902CurrentTaxYearMinus1YearAmt
Current Tax Year$45,785CurrentTaxYearAmt
Total$149,553TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,992CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,233CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$44,641CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,902CurrentTaxYearMinus1YearAmt
Current Tax Year$45,785CurrentTaxYearAmt
Total$149,553TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$3,646CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,885CurrentTaxYearMinus1YearAmt
Current Tax Year$161,370CurrentTaxYearAmt
Total$190,901TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,062,506CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,141,581CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,003,558CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,783,906CurrentTaxYearMinus1YearAmt
Current Tax Year$2,739,144CurrentTaxYearAmt
Total$11,730,695TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.88600PublicSupportCY509Pct
Public Support PY5090.98700PublicSupportPY509Pct
Investment Income CY0.01270InvestmentIncomeCYPct
Investment Income PY0.01030InvestmentIncomePYPct
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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$60,427OtherCostOrOtherBasisAmt
Book Value$60,427BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,582,960OtherCostOrOtherBasisAmt
Depreciation$4,184,942DepreciationAmt
Book Value$1,398,018BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$337,492OtherCostOrOtherBasisAmt
Depreciation$246,556DepreciationAmt
Book Value$90,936BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$117,878OtherCostOrOtherBasisAmt
Depreciation$90,181DepreciationAmt
Book Value$27,697BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,577,078TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
RESIDENT SECURITY DEPOSITS$119,587
DUE TO JEFFERSON COMMUNITY HEALTH CENTER$114,182
FieldValueIRS element (for citing)
Total Liability$233,769TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationCEDARWOOD ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. CEDARWOOD RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT SEPTEMBER 30, 2024 AND 2023, CEDARWOOD HAD NO UNCERTAIN TAX POSITIONS ACCRUED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE MEMBERS OF THE CORPORATION ARE BRYAN HEALTH AND JEFFERSON COMMUNITY HEALTH CENTER, INC., BOTH NEBRASKA NON-PROFIT CORPORTIONS.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS OF THE CORPORATION, BRYAN HEALTH, A NEBRASKA NON-PROFIT CORPORATION, AND JEFFERSON COMMUNITY HEALTH CENTER, INC., A NEBRASKA NON-PROFIT CORPORATION, HAVE THE POWER TO APPOINT 3 TRUSTEES EACH, BOTH PERIODICALLY AND AS VACANCIES ARISE.
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD WILL REVIEW THE FORM 990 AT A REGULARLY SCHEDULED BOARD MEETING, WHICH DOES NOT NECESSARILY OCCUR PRIOR TO THE FILING OF FORM 990. FORM 990 IS REVIEWED BY MR. CHANCE KLASEK, BOARD SECRETARY, PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CON AN ANNUAL BASIS, OFFICERS AND TRUSTEES ARE REQUIRED TO SIGN THE "CONFLICT OF INTEREST STATEMENT." BY SIGNING THIS STATEMENT, THE OFFICERS AND TRUSTEES AGREE NOT TO USE HIS OR HER POSITION FOR PERSONAL PROFIT OR TO GAIN PERSONAL ADVANTAGE. THE OFFICERS AND TRUSTEES ARE REQUIRED TO DISCLOSE IN WRITING TO THE BOARD OF TRUSTEES ANY PERSON TO WHOM HE OR SHE IS CLOSELY RELATED OR ORGANIZATION WITH WHICH HE OR SHE IS AFFILIATED, WHO OR WHICH PRESENTLY TRANSACTS BUSINESS WITH THE CORPORATION OR MIGHT REASONABLY BE EXPECTED TO DO SO IN THE FUTURE. THE OFFICERS AND TRUSTEES ARE REQUIRED TO SUBMIT SUCH DISCLOSURE ON A CASE-BY-CASE BASIS. IT IS UNDERSTOOD THAT AFFILIATION WITH AN ORGANIZATION IS CONSIDERED TO EXIST WHEN AN OFFICER, TRUSTEE OR A MEMBER OF HIS OR HER IMMEDIATE FAMILY OR CLOSE RELATIVE IS AN OFFICER, DIRECTOR, PARTNER, EMPLOYEE OR AGENT OF THE ORGANIZATIONS OR OWNS 5% OF THE VOTING STOCK OR CONTROLLING INTEREST IN THE ORGANIZATION. THE OFFICERS AND TRUSTEES MUST ABSTAIN FROM VOTING ON ANY MOTION REGARDING THE DISCLOSED CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION C, LINE 19CEDARWOOD'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS SELECTS THE INDEPENDENT ACCOUNTANT AND HAS THE RESPONSIBILITY FOR OVERSIGHT OF THE REVIEW. UPON CONCLUSION OF THE REVIEW, THE ACCOUNTING FIRM PRESENTS THE RESULTS AND FINDINGS TO THE FINANCE COMMITTEE. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PART VI, SECTION B, LINE 14:THE ORGANIZATION DOES NOT HAVE A WRITTEN POLICY, BUT IT DOES MAINTAIN DOCUMENTS IN ACCORDANCE WITH FEDERAL AND STATE LAWS.
FORM 990, PART VI, SECTION B, LINE 15:AS NO OFFICER IS PAID BY THIS ORGANIZATION, NO INDEPENDENT REVIEW OR APPROVAL PROCESS IS CONDUCTED BY THIS ORGANIZATION.

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