FURP.ORG / PUBLIC DATA EXPLORER

GLENHAVEN INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
GLENHAVEN INC (EIN 39-0968652)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-09-02
IRS object ID
202502459349300720
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-09-02T13:04:44-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11502 LONDON ROAD SUITE 200AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55812ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390968652EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GLENHAVEN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGLENBusinessNameControlTxt
Phone7152654555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1612 E OAK STAddressLine1Txt
CityGLENWOOD CITYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54013ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN LARSONPersonNm
Person TitleADMINISTRATORPersonTitleTxt
Phone7152654555PhoneNum
Signature2025-08-22SignatureDt
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 PersonMICHAEL J PETERSON CPAPreparerPersonNm
PTINP01833529PTIN
Phone2187224705PhoneNum
Preparation2025-08-22PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN LARSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1612 E OAK STAddressLine1Txt
CityGLENWOOD CITYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54013ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,071,080GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GLENHAVENINC.COM/INDEX.HTMLWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1960FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO PROVIDE THERAPEUTIC, PREVENTATIVE, AND RESTORATIVE CARE TO OUR RESIDENTS THAT WILL ASSIST THEM TO OBTAIN AND MAINTAIN AN OPTIMUM LEVEL OF HEALTH AND WELL-BEING.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee94TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$38,613PYContributionsGrantsAmt
CY Contributions Grants$19,528CYContributionsGrantsAmt
PY Program Service Revenue$3,541,852PYProgramServiceRevenueAmt
CY Program Service Revenue$3,991,329CYProgramServiceRevenueAmt
PY Investment Income$107,490PYInvestmentIncomeAmt
CY Investment Income$27,911CYInvestmentIncomeAmt
PY Other Revenue$37,832PYOtherRevenueAmt
CY Other Revenue$32,312CYOtherRevenueAmt
PY Total Revenue$3,725,787PYTotalRevenueAmt
CY Total Revenue$4,071,080CYTotalRevenueAmt
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$1,832,695PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,723,413CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,465,320PYOtherExpensesAmt
CY Other Expenses$2,641,564CYOtherExpensesAmt
PY Total Expenses$4,298,015PYTotalExpensesAmt
CY Total Expenses$4,364,977CYTotalExpensesAmt
PY Revenues Less Expenses-$572,228PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$293,897CYRevenuesLessExpensesAmt
Total Assets BOY$9,159,728TotalAssetsBOYAmt
Total Assets EOY$8,656,917TotalAssetsEOYAmt
Total Liabilities BOY$8,143,052TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,934,138TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,016,676NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$722,779NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE THERAPEUTIC, PREVENTATIVE, AND RESTORATIVE CARE TO OUR RESIDENTS THAT WILL ASSIST THEM TO OBTAIN AND MAINTAIN AN OPTIMUM LEVEL OF HEALTH AND WELL-BEING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$3,939,736ExpenseAmt
Grant$0GrantAmt
Revenue$3,991,329RevenueAmt
DescSKILLED NURSING HOME, 44 BED FACILITY, 16 UNIT COMMUNITY BASED RESIDENTIAL FACILITY, AND 16-UNIT RESIDENTIAL CARE APARTMENT COMPLEX.Desc
Total Program Service Expenses$3,939,736TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
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 Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee94EmployeeCnt
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 Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7152654555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1612 E OAK STAddressLine1Txt
CityGLENWOOD CITYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54013ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN MCCUTCHIN
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
ROBIN DARWIN
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
CYNTHIA TUTTLE
TREASURER1.00Yes (X)Yes (X)$0$0$0
LESLEY NELSON
SECRETARY1.00Yes (X)Yes (X)$0$0$0
DAVID BARTZ
DIRECTOR1.00Yes (X)$0$0$0
MELISSA LARSON
DIRECTOR1.00Yes (X)$0$0$0
PAUL RAMEY
DIRECTOR1.00Yes (X)$0$0$0
EVELYN WYLIE
DIRECTOR1.00Yes (X)$0$0$0
KEVIN LARSON
ADMINSTRATOR40.00Yes (X)$57,833$0$2,298
SHERRY GOODMAN
ADMINISTRATOR (THRU 06/24)40.00Yes (X)$79,396$0$8,090
SAMANTHA MOE
DIRECTOR OF FINANCE40.00Yes (X)$54,910$0$13,459
ROBIN MERTEN
DIRECTOR OF NURSING40.00$114,968$0$3,449Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$307,107TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$27,296TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RTG MEDICAL
4611 EAST 22ND STREETFREMONTNE68025STAFFING AGENCY$519,243
NORTHERN STAFFING LLC
273 110TH STREETAMERYWI54013STAFFING AGENCY$446,811
SELECT REHABILITATION
PO BOX 71985CHICAGOIL60694THERAPY SERVICES$197,040
MARTIN BROTHERS
PO BOX 69CEDAR FALLSIA50613FOOD SERVICES$166,225
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$8,823GovernmentGrantsAmt
All Other Contributions$10,705AllOtherContributionsAmt
Total Contributions$19,528TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SKILLED NURSING FACILI623000$3,290,706$3,290,706
COMMUNITY BASED RESIDE623000$499,832$499,832
ASSISTED LIVING REVENU623000$178,821$178,821
DAY CARE REVENUE624410$21,970$21,970
FieldValueIRS element (for citing)
Total Program Service Revenue$3,991,329TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,911TotalRevenueColumnAmt
Exclusion$27,911ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,312TotalRevenueColumnAmt
Exclusion$32,312ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$32,312OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,071,080TotalRevenueColumnAmt
Related Or Exempt Func Income$3,991,329RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$60,223ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$215,986TotalAmt
Management And General$215,986ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,285,249TotalAmt
Program Services$1,184,037ProgramServicesAmt
Management And General$101,212ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,940TotalAmt
Program Services$14,940ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$96,867TotalAmt
Program Services$92,322ProgramServicesAmt
Management And General$4,545ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$110,371TotalAmt
Program Services$88,455ProgramServicesAmt
Management And General$21,916ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$38,865TotalAmt
Management And General$38,865ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$30TotalAmt
Management And General$30ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$20,858TotalAmt
Program Services$20,858ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,153TotalAmt
Program Services$11,153ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$93,707TotalAmt
Program Services$88,047ProgramServicesAmt
Management And General$5,660ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$777TotalAmt
Program Services$777ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,342TotalAmt
Program Services$2,342ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$253,923TotalAmt
Program Services$238,586ProgramServicesAmt
Management And General$15,337ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$359,103TotalAmt
Program Services$337,413ProgramServicesAmt
Management And General$21,690ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$80,137TotalAmt
Program Services$80,137ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
NURSING EXPENSES$1,320,067$1,320,067
FOOD & DIETARY SUPPLIES$150,019$150,019
REPAIRS AND MAINTENANCE$117,322$117,322
PROVIDER BED TAX ASSESS$89,760$89,760

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$103,501TotalAmt
Program Services$103,501ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,364,977TotalAmt
Program Services$3,939,736ProgramServicesAmt
Management And General$425,241ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$288BOYAmt
EOY$142EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,131,437BOYAmt
EOY$882,905EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$40,027BOYAmt
EOY$6,618EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$326,278BOYAmt
EOY$429,898EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,246BOYAmt
EOY$10,334EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,329,649LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,321,542LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,324,210BOYAmt
EOY$7,008,107EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$327,242BOYAmt
EOY$318,913EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,159,728BOYAmt
EOY$8,656,917EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$260,409BOYAmt
EOY$292,122EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$3,338BOYAmt
EOY$3,868EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$7,879,305BOYAmt
EOY$7,638,148EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,143,052BOYAmt
EOY$7,934,138EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,016,676BOYAmt
EOY$722,779EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,016,676BOYAmt
EOY$722,779EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,159,728BOYAmt
EOY$8,656,917EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$293,897ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

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$551,390CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$725,666CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$782,102CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$38,613CurrentTaxYearMinus1YearAmt
Current Tax Year$19,528CurrentTaxYearAmt
Total$2,117,299TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,724,225CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,593,309CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,148,622CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,541,852CurrentTaxYearMinus1YearAmt
Current Tax Year$3,991,329CurrentTaxYearAmt
Total$18,999,337TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,275,615CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,318,975CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,930,724CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,580,465CurrentTaxYearMinus1YearAmt
Current Tax Year$4,010,857CurrentTaxYearAmt
Total$21,116,636TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$21,116,636PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,507CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,873CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,870CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,634CurrentTaxYearMinus1YearAmt
Current Tax Year$27,911CurrentTaxYearAmt
Total$88,795TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,507CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,873CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,870CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,634CurrentTaxYearMinus1YearAmt
Current Tax Year$27,911CurrentTaxYearAmt
Total$88,795TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$51,055CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$65,924CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$37,832CurrentTaxYearMinus1YearAmt
Current Tax Year$32,312CurrentTaxYearAmt
Total$187,623TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,291,622CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,377,903CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,005,518CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,646,931CurrentTaxYearMinus1YearAmt
Current Tax Year$4,071,080CurrentTaxYearAmt
Total$21,393,054TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98710PublicSupportCY509Pct
Public Support PY5090.99690PublicSupportPY509Pct
Investment Income CY0.00420InvestmentIncomeCYPct
Investment Income PY0.00310InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$188,315OtherCostOrOtherBasisAmt
Book Value$188,315BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,593,258OtherCostOrOtherBasisAmt
Depreciation$3,070,196DepreciationAmt
Book Value$6,523,062BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,474,333OtherCostOrOtherBasisAmt
Depreciation$1,177,603DepreciationAmt
Book Value$296,730BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$73,743OtherCostOrOtherBasisAmt
Depreciation$73,743DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,008,107TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE ORGANIZATION REQUIRES SECURITY DEPOSITS FROM TENANTS OF ITS APARTMENTS. WITHDRAWALS ARE MADE TO REFUND TENANT DEPOSITS OR TO PAY THE COSTS OF REPAIRING VACANT UNITS. THE ORGANIZATION ALSO HOLDS FUNDS ON BEHALF OF RESIDENTS. THE ORGANIZATION HAS A RESPONSIBILITY FOR BOTH THE ADMINISTRATION AND DISTRIBUTION OF THE FUNDS TO THE RESIDENTS.
PART X, LINE 2:THE ORGANIZATION IS REQUIRED TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION ON THE TECHNICAL MERITS OF THE POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION HAS DETERMINED THERE ARE NO AMOUNTS TO RECORD AS ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3GLENHAVEN NO LONGER HAS THEIR OWN DAYCARE. THE GLENWOOD CITY SCHOOL RENTS THE SPACE FOR THEIR CHILD CARE FOR $2000.00 PER MONTH
FORM 990, PART VI, SECTION B, LINE 11BA DRAFT OF FORM 990 IS REVIEWED BY THE ADMINISTRATOR AND BOARD OF DIRECTORS BEFORE IT IS SIGNED AND FILED.
FORM 990, PART VI, SECTION B, LINE 12CEACH DIRECTOR, OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY AND UNDERSTANDS THE CORPORATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER THE TRANSACTION OR ARRANGEMENT.
FORM 990, PART VI, SECTION B, LINE 15AIN MANY YEARS, LEADING AGE WISCONSIN DATA IS USED TO DETERMINE THE COMPENSATION OF THE ADMINISTRATOR. ANNUALLY A PERFORMANCE REVIEW IS CONDUCTED, AND YEAR OF EXPERIENCE IS CONSIDERED IN DETERMINING AND APPROVING ADMINISTRATOR COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTATION IS AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HAVENWOOD MANAGER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1612 E OAK STREETAddressLine1Txt
CityGLENWOOD CITYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54013ZIPCd
FieldValueIRS element (for citing)
EIN390968652EIN
Primary ActivitiesLOW-INCOME RESIDENTIAL CARE APARTMENT COMPLEXPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GLENHAVEN INCBusinessNameLine1Txt

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HAVENWOOD LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1612 E OAK STREETAddressLine1Txt
CityGLENWOOD CITYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54013ZIPCd
FieldValueIRS element (for citing)
EIN260440303EIN
Primary ActivitiesLOW-INCOME RESIDENTIAL CARE APARTMENT COMPLEXPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GLENHAVEN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeEXCLUDEDPredominantIncomeTypeTxt
Share Of Total Income-$9ShareOfTotalIncomeAmt
Share Of EOY Assets$720,825ShareOfEOYAssetsAmt
Disproportionate AllocationsYes (1)DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.00010OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd