HOLY SPIRIT RETIREMENT HOME INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- HOLY SPIRIT RETIREMENT HOME INC (EIN 42-6102778)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-05-24
- IRS object ID
- 202131449349300773
- Schema version
- 2020v4.0
- 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 | 2021-05-24T11:32:44-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 421029744 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TDT CPAS AND ADVISORS PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1245 JORDAN CREEK PKWY SUITE 100 | AddressLine1Txt |
| City | WEST DES MOINES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 502662300 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 426102778 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLY SPIRIT RETIREMENT HOME INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOLY | BusinessNameControlTxt |
| Phone | 7122522726 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 W 25TH ST | AddressLine1Txt |
| City | SIOUX CITY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51103 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KYLA SPRAKEL JOINED 112020 | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 7122522726 | PhoneNum |
| Signature | 2021-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KYLA | PersonFirstNm |
| Person Last | SPRAKEL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAN MONTGOMERY CPA | PreparerPersonNm |
| PTIN | P02183410 | PTIN |
| Phone | 5156575800 | PhoneNum |
| Preparation | 2021-05-24 | PreparationDt |
| 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 | KYLA SPRAKEL JOINED 112020 | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 W 25TH STREET | AddressLine1Txt |
| City | SIOUX CITY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,305,565 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HOLYSPIRITRETIREMENTHOME.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Activity Or Mission | SUPPORT THE BELIEFS AND GOALS OF THE ROMAN CATHOLIC DIOCESE OF SIOUX CITY TO REACH OUT IN ASSISTANCE TO THE ELDERLY, THE POOR, AND THE DISADVANTAGED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 250 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $102,863 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,824,485 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,429,582 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,479,195 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,188 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,885 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $9,533,633 | PYTotalRevenueAmt |
| CY Total Revenue | $11,305,565 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,527,597 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,510,633 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,952,157 | PYOtherExpensesAmt |
| CY Other Expenses | $3,834,500 | CYOtherExpensesAmt |
| PY Total Expenses | $10,479,754 | PYTotalExpensesAmt |
| CY Total Expenses | $9,345,133 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$946,121 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,960,432 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,898,421 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,783,063 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,485,394 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,409,604 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,413,027 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,373,459 | NetAssetsOrFundBalancesEOYAmt |
| Mission | SUPPORT THE BELIEFS AND GOALS OF THE ROMAN CATHOLIC DIOCESE OF SIOUX CITY TO REACH OUT IN ASSISTANCE TO THE ELDERLY, THE POOR, AND THE DISADVANTAGED. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $8,362,564 | ExpenseAmt |
| Revenue | $9,479,195 | RevenueAmt |
| Desc | OPERATED A 94 BED INTERMEDIATE & SKILLED CARE NURSING HOME, 24 UNIT ELDERLY APARTMENT COMPLEX, AND AN ASSISTED LIVING COMPLEX. PROVIDED SERVICES AT AFFORDABLE RATES AND PROVIDED REGULAR RELIGIOUS SERVICES FOR ALL RESIDENTS. | Desc |
| Total Program Service Expenses | $8,362,564 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | 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 | false | 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 | Yes (true) | 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 | 48 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 250 | 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 |
| 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JESSICA HUGHES | PersonNm |
| Phone | 7122522726 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 W 25TH ST | AddressLine1Txt |
| City | SIOUX CITY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51103 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| KYLA SPRAKEL JOINED 112020 | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $16,993 | $0 | $2,349 | |
| TRACY LARSON JOINED 0320 | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| PAT BERGER | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| AMY BLOCH | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| KRAGE FESTE | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| LARRY HARRINGTON | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| DR MICHAEL JUNG | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| BISHOP R WALKER NICKLESS | ||||||
| PRESIDENT | 1.00 | $0 | $0 | $0 | Yes (X) | |
| ROYCE RANNIGER | ||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | |
| AMY SLEVIN | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| VERY REV BRADLEY PELZEL VG | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| KAREN WALDSCHMITT | ||||||
| CHAIRSPERSON | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $16,993 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $2,349 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| SELECT REHABILITATION LLC | ||||||
| 1409 W MAIN ST | LAKE CITY | IA | 51449 | STAFFING | $187,283 | |
| REDLERS LONG TERM CARE | ||||||
| 317 DAKOTA DUNES BLVD | NORTH SIOUX CITY | SD | 57049 | PHARMACY | $170,342 | STE A |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $62,199 | RelatedOrganizationsAmt |
| Government Grants | $1,762,286 | GovernmentGrantsAmt |
| Total Contributions | $1,824,485 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT CARE | 623000 | $9,423,719 | $9,423,719 |
| OTHER REVENUE | 623000 | $55,476 | $55,476 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,479,195 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,885 | TotalRevenueColumnAmt |
| Exclusion | $1,885 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,305,565 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,479,195 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,885 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,573 | TotalAmt |
| Program Services | $16,050 | ProgramServicesAmt |
| Management And General | $1,523 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,401,188 | TotalAmt |
| Program Services | $4,013,013 | ProgramServicesAmt |
| Management And General | $388,175 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,606 | TotalAmt |
| Program Services | $58,606 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $734,907 | TotalAmt |
| Program Services | $673,166 | ProgramServicesAmt |
| Management And General | $61,741 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,359 | TotalAmt |
| Program Services | $269,931 | ProgramServicesAmt |
| Management And General | $28,428 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,851 | TotalAmt |
| Management And General | $246,851 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,101 | TotalAmt |
| Program Services | $25,838 | ProgramServicesAmt |
| Management And General | $3,263 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,749 | TotalAmt |
| Program Services | $16,647 | ProgramServicesAmt |
| Management And General | $2,102 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,753 | TotalAmt |
| Program Services | $5,108 | ProgramServicesAmt |
| Management And General | $645 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $564,827 | TotalAmt |
| Program Services | $503,675 | ProgramServicesAmt |
| Management And General | $61,152 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,939 | TotalAmt |
| Program Services | $14,152 | ProgramServicesAmt |
| Management And General | $1,787 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,719 | TotalAmt |
| Program Services | $3,328 | ProgramServicesAmt |
| Management And General | $391 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,766 | TotalAmt |
| Program Services | $71,766 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $425,017 | TotalAmt |
| Program Services | $425,017 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,992 | TotalAmt |
| Management And General | $65,992 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| THERAPY SERVICE | $716,509 | $716,509 | |
| FOOD - RETIREMENT HOME | $389,449 | $345,780 | $43,669 |
| SUPPLIES | $374,079 | $348,253 | $25,826 |
| SUPPLIES - PATIENT CARE | $322,131 | $322,131 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $584,618 | TotalAmt |
| Program Services | $533,594 | ProgramServicesAmt |
| Management And General | $51,024 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,345,133 | TotalAmt |
| Program Services | $8,362,564 | ProgramServicesAmt |
| Management And General | $982,569 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $315,963 | BOYAmt |
| EOY | $1,255,622 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $843,842 | BOYAmt |
| EOY | $1,136,401 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,511 | BOYAmt |
| EOY | $8,585 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,992,676 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,610,221 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,734,105 | BOYAmt |
| EOY | $6,382,455 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,898,421 | BOYAmt |
| EOY | $8,783,063 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,432,442 | BOYAmt |
| EOY | $1,040,208 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,181 | BOYAmt |
| EOY | $120,217 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,425,598 | BOYAmt |
| EOY | $2,609,006 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $580,173 | BOYAmt |
| EOY | $640,173 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,485,394 | BOYAmt |
| EOY | $4,409,604 | 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 | $2,413,027 | BOYAmt |
| EOY | $4,373,459 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,413,027 | BOYAmt |
| EOY | $4,373,459 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,898,421 | BOYAmt |
| EOY | $8,783,063 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,960,432 | 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 |
| Federal Grant Audit Required | false | 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 | $38,409 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $51,098 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $84,010 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $102,863 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,824,485 | CurrentTaxYearAmt |
| Total | $2,100,865 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,419,468 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,534,333 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,793,482 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,429,582 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,479,195 | CurrentTaxYearAmt |
| Total | $47,656,060 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,457,877 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,585,431 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,877,492 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,532,445 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,303,680 | CurrentTaxYearAmt |
| Total | $49,756,925 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $49,756,925 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $663 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $455 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,440 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,188 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,885 | CurrentTaxYearAmt |
| Total | $7,631 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $663 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $455 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,440 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,188 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,885 | CurrentTaxYearAmt |
| Total | $7,631 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,458,540 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,585,886 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,880,932 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,533,633 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,305,565 | CurrentTaxYearAmt |
| Total | $49,764,556 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99980 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,437 | OtherCostOrOtherBasisAmt |
| Book Value | $36,437 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,892,513 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,845,279 | DepreciationAmt |
| Book Value | $6,047,234 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,063,726 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,764,942 | DepreciationAmt |
| Book Value | $298,784 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,382,455 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | REFUNDABLE RESIDENCY FEES | Desc |
| Amt | $640,173 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $640,173 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $11,305,565 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $11,305,565 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $11,305,565 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,345,133 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $9,345,133 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $9,345,133 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION OPERATES EXEMPT FROM FEDERAL INCOME TAX ON REVENUES RELATED TO ITS EXEMPT PURPOSE AS AN ORGANIZATION DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE RETURN WAS PROVIDED TO MANAGEMENT AND TO THE BOARD OF DIRECTORS VIA EMAIL PRIOR TO FILING FOR THEIR REVIEW AND FOR THE SUBSEQUENT APPROVAL AT THE NEXT SCHEDULED QUARTERLY BOARD MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | HOLY SPIRT RETIREMENT HOME MONITORS COMPLIANCE WITH THIS POLICY THROUGH ANNUAL REVIEW AND ANY INVESTIGATION OF ANY ALLEGATIONS OF POTENTIAL CONFLICTS OF INTEREST. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE MANAGEMENT COMPANY REVIEWS THE SALARIES OF KEY EMPLOYEES THROUGH MARKET SURVEYS OF OTHER NURSING HOMES IN THE AREA. THEY COMPARE SALARIES, BENEFITS AND EXPERIENCE OF OTHER KEY EMPLOYEES AND FROM THIS PROCESS THE RECOMMEND SALARIES FOR THOSE KEY EMPLOYEES AT HOLY SPIRIT RETIREMENT HOME. COMPENSATION INCREASES ARE REVIEWED AS PART OF THE ANNUAL BUDGET REVIEW AND APPROVAL PROCESS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | HOLY SPIRIT RETIREMENT HOME MAKES ALL OF THEIR GOVERNING DOCUMENTS, POLICIES, FINANCIAL STATEMENTS AND FORM 990 TAX RETURN AVAILABLE AT ANY TIME TO THE PUBLIC IN THE ADMINSTRATIVE OFFICE LOCATED AT 1701 W 25TH STREET, SIOUX CITY, IA 51103. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HOLY SPIRIT RETIREMENT HOME FOUNDAT | ||||||||||
| 1701 W 25TH STREET | SIOUX CITY | IA | 51103 | 421377177 | SUPPORT | IA | 501C3 | 12B | NA | false |
| DIOCESE OF SIOUX CITY | ||||||||||
| 1821 JACKSON ST | SIOUX CITY | IA | 51102 | 420680296 | CHURCH | IA | 501C3 | 1 | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLY SPIRIT RETIREMENT FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $62,199 | InvolvedAmt |
| Method Of Amount Determination | AUDIT PERFORMED | MethodOfAmountDeterminationTxt |