EVANGELICAL RETIREMENT HOMES INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
EVANGELICAL RETIREMENT HOMES INC (EIN 42-0868449)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-10-27
IRS object ID
202003019349301745
Schema version
2019v5.0
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)
Return2020-10-27T11:22:56-07:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN420868449EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EVANGELICAL RETIREMENT HOMES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlEVANBusinessNameControlTxt
Phone9528555000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17171 Ohms LaneAddressLine1Txt
CityEdinaCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55439ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKathy YoungquistPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Phone9528555000PhoneNum
Signature2020-10-27SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.209.15.97IPv4AddressTxt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Valley View VillageBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerRobert DahlPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17171 Ohms LaneAddressLine1Txt
CityEdinaCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55439ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,909,864GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.cassialife.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1962FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionTo provide nursing home care and senior housing for the elderly. This includes programs and services specifically designed to meet residents' primary needs for housing, healthcare, nourishment and financial security.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee227TotalEmployeeCnt
Total Volunteers61TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$48,332PYContributionsGrantsAmt
CY Contributions Grants$255,000CYContributionsGrantsAmt
PY Program Service Revenue$8,344,827PYProgramServiceRevenueAmt
CY Program Service Revenue$8,623,112CYProgramServiceRevenueAmt
PY Investment Income$4PYInvestmentIncomeAmt
CY Investment Income$33CYInvestmentIncomeAmt
PY Other Revenue$30,946PYOtherRevenueAmt
CY Other Revenue$31,719CYOtherRevenueAmt
PY Total Revenue$8,424,109PYTotalRevenueAmt
CY Total Revenue$8,909,864CYTotalRevenueAmt
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$4,714,102PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,153,153CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$68,121CYTotalFundraisingExpenseAmt
PY Other Expenses$4,320,704PYOtherExpensesAmt
CY Other Expenses$3,845,892CYOtherExpensesAmt
PY Total Expenses$9,034,806PYTotalExpensesAmt
CY Total Expenses$8,999,045CYTotalExpensesAmt
PY Revenues Less Expenses-$610,697PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$89,181CYRevenuesLessExpensesAmt
Total Assets BOY$17,798,168TotalAssetsBOYAmt
Total Assets EOY$17,712,122TotalAssetsEOYAmt
Total Liabilities BOY$18,488,600TotalLiabilitiesBOYAmt
Total Liabilities EOY$18,384,274TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$690,432NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$672,152NetAssetsOrFundBalancesEOYAmt
MissionSee Part I, Line 1MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,288,423ExpenseAmt
Grant$0GrantAmt
Revenue$7,467,929RevenueAmt
DescEvangelical Retirement Homes, Inc. was organized for the purpose of providing nursing home care for the elderly. The nursing home has 79 beds and is located in Des Moines, Iowa. During 2019 total resident days were 26,841 (93.1% occupancy). Utilization by payor source was as follows: 39.5% Medicaid, 6.4% Medicare, 52.5% Private Pay and 1.6% HMO.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$746,701ExpenseAmt
Grant$0GrantAmt
Revenue$1,155,183RevenueAmt
DescEvangelical Retirement Homes, Inc. operates two types of independent living facilities for the elderly. The Manor Apartments is a detached independent living building with 30 units. Occupancy during 2019 was 93.1%. There are also 57 Cottages for independent living residents. Occupancy for the Cottages during 2019 was 94.5%.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$8,035,124TotalProgramServiceExpensesAmt
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 Footnote0IncludeFIN48FootnoteInd
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 RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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 EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee227EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
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 Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
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 OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKathy L YoungquistPersonNm
Phone9528555000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17171 Ohms LaneAddressLine1Txt
CityEdinaCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55439ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Robert Dahl
President/CEO1.2318.77Yes (X)$0$739,877$127,818
Kathy Youngquist
Chief Financial Officer1.2318.77Yes (X)$0$374,518$106,354
Ronald Sanford
Chief Operating Officer (Jan-Mar)2.4637.54Yes (X)$0$319,965$36,713
Angela Brown
Chief Human Resource Officer1.2318.77Yes (X)$0$224,420$72,587
Paul Mungai
Certified Nursing Assistant90.890$124,516$0$6,197Yes (X)
Stephanie Proper
Administrator40.770$100,628$0$19,643Yes (X)
Enome Massango
L.P.N.64.190$114,593$0$0Yes (X)
Kevin Bergman
Director (Jan-Apr)00.12$0$0$0Yes (X)
Stann Leff
Director and Vice Chairperson0.150.16Yes (X)$0$0$0Yes (X)
Pat Nuss
Director (Jan-Apr) and Secretary/Treasurer (Jan-Apr)00.18Yes (X)$0$0$0Yes (X)
Jerry Nye
Director (June-Dec)0.150$0$0$0Yes (X)
Roland Peterson
Director and Chairperson0.150.08Yes (X)$0$0$0Yes (X)
Dr Guy Tangedahl
Director and Secretary/Treasurer (June-Dec)0.150.27Yes (X)$0$0$0Yes (X)
Matthew Kern
Chief Operating Officer (Apr - Dec)0.9214.08Yes (X)$0$0$0
Sharon Wilson
Chief Clinical and Compliance Officer1.2318.77Yes (X)$0$0$0
Kathy Kopp
Chief Strategic Officer1.2318.77Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$339,737TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,658,780TotReportableCompRltdOrgAmt
Total Other Compensation$369,312TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Pro Rehab
7171 Ohms LaneEdinaMN55439Therapy Services$607,516
A&E Care Services
7171 Ohms LaneEdinaMN55439Home Office Services$205,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$255,000RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$255,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Nursing Home Revenue623000$7,467,929$7,467,929$0$0
Senior Housing Revenue623000$1,155,183$1,155,183$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$8,623,112TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$33TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$33ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Beauty Shop Revenue812900$25,225$0$0$25,225
Guest Room Rental Revenue900002$5,900$0$0$5,900
Miscellaneous Income900099$594$0$0$594

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$31,719OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,909,864TotalRevenueColumnAmt
Related Or Exempt Func Income$8,623,112RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$31,752ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,364,627TotalAmt
Program Services$4,232,746ProgramServicesAmt
Management And General$131,881ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$11,799TotalAmt
Program Services$11,442ProgramServicesAmt
Management And General$357ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$428,979TotalAmt
Program Services$416,017ProgramServicesAmt
Management And General$12,962ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$347,748TotalAmt
Program Services$337,240ProgramServicesAmt
Management And General$10,508ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$345,168TotalAmt
Program Services$0ProgramServicesAmt
Management And General$345,168ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,648TotalAmt
Program Services$0ProgramServicesAmt
Management And General$6,648ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,357TotalAmt
Program Services$0ProgramServicesAmt
Management And General$8,357ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$760,607TotalAmt
Program Services$754,510ProgramServicesAmt
Management And General$6,097ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$65,796TotalAmt
Program Services$0ProgramServicesAmt
Management And General$65,796ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$31,033TotalAmt
Program Services$0ProgramServicesAmt
Management And General$31,033ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$29,899TotalAmt
Program Services$0ProgramServicesAmt
Management And General$29,899ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$383,288TotalAmt
Program Services$368,328ProgramServicesAmt
Management And General$14,960ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,449TotalAmt
Program Services$0ProgramServicesAmt
Management And General$7,449ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$23,604TotalAmt
Program Services$0ProgramServicesAmt
Management And General$23,604ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$485,211TotalAmt
Program Services$466,274ProgramServicesAmt
Management And General$18,937ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$795,900TotalAmt
Program Services$764,837ProgramServicesAmt
Management And General$31,063ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$55,224TotalAmt
Program Services$24,254ProgramServicesAmt
Management And General$30,970ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Supplies and Ancillary Expenses$507,191$418,378$20,692$68,121
Maintenance Contracts/Purchased Services$154,793$148,752$6,041$0
Building and Equipment Repairs$114,781$110,301$4,480$0
Bad Debts$73,336$0$73,336$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$2,393TotalAmt
Program Services-$17,955ProgramServicesAmt
Management And General$15,562ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,999,045TotalAmt
Program Services$8,035,124ProgramServicesAmt
Management And General$895,800ManagementAndGeneralAmt
Fundraising$68,121FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$146,813BOYAmt
EOY$476,690EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$33,340BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$544,632BOYAmt
EOY$696,843EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt
EOY$45,300EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$25,237,675LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,931,814LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$16,845,125BOYAmt
EOY$16,305,861EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$178,258BOYAmt
EOY$187,428EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,798,168BOYAmt
EOY$17,712,122EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$486,942BOYAmt
EOY$484,551EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$212,734BOYAmt
EOY$174,835EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$15,924,148BOYAmt
EOY$15,375,019EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,864,776BOYAmt
EOY$2,349,869EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,488,600BOYAmt
EOY$18,384,274EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$801,422BOYAmt
EOY-$737,349EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$110,990BOYAmt
EOY$65,197EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$690,432BOYAmt
EOY-$672,152EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,798,168BOYAmt
EOY$17,712,122EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$89,181ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments-$431PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$107,892OtherChangesInNetAssetsAmt
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 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$42,534CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$48,801CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,592CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$48,332CurrentTaxYearMinus1YearAmt
Current Tax Year$255,000CurrentTaxYearAmt
Total$443,259TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,621,976CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,688,803CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,931,192CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,344,827CurrentTaxYearMinus1YearAmt
Current Tax Year$8,623,112CurrentTaxYearAmt
Total$36,209,910TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,664,510CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,737,604CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,979,784CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,393,159CurrentTaxYearMinus1YearAmt
Current Tax Year$8,878,112CurrentTaxYearAmt
Total$36,653,169TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$36,653,169PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$85CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$133CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4CurrentTaxYearMinus1YearAmt
Current Tax Year$33CurrentTaxYearAmt
Total$268TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$85CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$133CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4CurrentTaxYearMinus1YearAmt
Current Tax Year$33CurrentTaxYearAmt
Total$268TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,399CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,740CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,648CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,946CurrentTaxYearMinus1YearAmt
Current Tax Year$35,719CurrentTaxYearAmt
Total$128,452TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,682,922CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,754,429CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,006,565CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,424,109CurrentTaxYearMinus1YearAmt
Current Tax Year$8,913,864CurrentTaxYearAmt
Total$36,781,889TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99650PublicSupportCY509Pct
Public Support PY5090.99654PublicSupportPY509Pct
Investment Income CY0.00001InvestmentIncomeCYPct
Investment Income PY0.00001InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12FormAndLineReferenceDesc
ExplanationBeauty Shop Income (2015-$18,399 2016-$16,740 2017-$23,298 2018-$26,446 2019-$25,225), Guest Room Revenue (2017-$3,350 2018-$4,500 2019-$5,900) and Miscellaneous Revenue (2019-$594)ExplanationTxt

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)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$137,454OtherCostOrOtherBasisAmt
Book Value$137,454BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$20,913,676OtherCostOrOtherBasisAmt
Depreciation$6,447,397DepreciationAmt
Book Value$14,466,279BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$3,644,779OtherCostOrOtherBasisAmt
Depreciation$2,162,644DepreciationAmt
Book Value$1,482,135BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$541,766OtherCostOrOtherBasisAmt
Depreciation$321,773DepreciationAmt
Book Value$219,993BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,305,861TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Accrued Interest Payable$31,300
Resident Trust Payable$2,864
Deposits Payable$106,753
Asset Retirement Obligation$211,930
Due to Affiliates$1,997,022
FieldValueIRS element (for citing)
Total Liability$2,349,869TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Robert Dahl
President/CEO$0$437,567$0$287,186$0$15,124$0$111,553$0$16,265$0$867,695$0$235,726
Ronald Sanford
Chief Operating Officer (Jan-Mar)$0$230,739$0$86,966$0$2,260$0$31,909$0$4,804$0$356,678$0$57,023
Kathy Youngquist
Chief Financial Officer$0$302,671$0$61,757$0$10,090$0$84,392$0$21,962$0$480,872$0$59,933
Angela Brown
Chief Human Resource Officer$0$183,057$0$33,333$0$8,030$0$52,759$0$19,828$0$297,007$0$33,333

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1aA set percentage is paid to help cover the taxes on personal auto usage. This amount is treated as a taxable benefit.
Schedule J, Part I, Line 4Certain Officers of the organization participate in a 457(f) Deferred Compensation Plan. For 2019 the amount of deferred compensation was as follows: Robert Dahl-$54,463 Kathy Youngquist-$52,086 Angela Brown-$30,867
Schedule J, Part I, Line 6Certain Officers of the organization accrued incentive bonuses at 12/31/19 that were contingent on performance and financial goals of the organization and all related organizations.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
City of Pleasant Hill Iowa
A4260357892014-12-10$1,580,000Refinance Old Debt & Construction of Nursing Home00Yes (1)
City of Bondurant Iowa
B4260042872014-12-10$2,800,000Construction of Nursing Home000
City of Carlisle Iowa
C4260043182014-12-10$9,000,000Construction of Nursing Home000
City of Bondurant Iowa
D4260042872014-11-18$4,400,000Demolish Old and Construct New Nursing Home000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$1,015,703$0$1,580,000$0$2,720$0$125,904$0$0$435,673$0$02016Yes (1)0Yes (1)Yes (1)
B$0$0$2,800,000$0$5,018$0$56,000$0$0$2,738,982$0$0201600Yes (1)Yes (1)
C$0$0$9,000,000$0$152,705$0$180,000$0$0$8,667,295$0$0201600Yes (1)Yes (1)
D$0$0$4,400,000$0$213,311$0$88,000$0$0$4,098,689$0$0201600Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000000Yes (1)
B000000000Yes (1)
C000000000Yes (1)
D000000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)0Yes (1)Yes (1)000Yes (1)
B0Yes (1)0Yes (1)Yes (1)000Yes (1)
C0Yes (1)0Yes (1)Yes (1)000Yes (1)
D0Yes (1)0Yes (1)Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part II, Line 3-12/10/2014 1,580,000 City of Pleasant Hill IowaLoan proceeds are split between Evangelical Retirement Homes, Inc. and Village Assisted Living, Inc. (a related organization). The breakdown is as follows: Evangelical Retirement Homes, Inc.-$1,580,000 and Village Assisted Living, Inc.-$5,100,000. The total combined proceeds are $6,680,000.
Schedule K, Part IV, Line 2c-12/10/2014 1,580,000 City of Pleasant Hill IowaThere were no investment earnings on any bond proceeds.
Schedule K, Part IV, Line 2c-12/10/2014 2,800,000 City of Bondurant IowaThere were no investment earnings on any bond proceeds.
Schedule K, Part IV, Line 2c-12/10/2014 9,000,000 City of Carlisle IowaThere were no investment earnings on any bond proceeds.
Schedule K, Part IV, Line 2c-11/18/2014 4,400,000 City of Bondurant IowaThere were no investment earnings on any bond proceeds.

Schedule K IRS990ScheduleK

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 3The purpose of A&E Care Services is to manage Elim Care, Inc. and its related organizations and Augustana Care and its related organizations. Services provided include financial accounting, operational oversight, human resources, information technology, clinical nursing consultation, corporate compliance, coordinated advertising and marketing, philanthropy and new business development. The following individuals were compensated in 2019 by A&E Care Services for providing management services to Elim Care, Inc. an its related organizations: Matthew Kern-$0, Sharon Wilson-$120,252 and Kathy Kopp-$0.
Form 990, Part VI, Section A, Line 6Elim Care, Inc. is the sole member of Evangelical Retirement Homes, Inc.
Form 990, Part VI, Section A, Line 7aBoard Members of Evangelical Retirement Homes, Inc. are approved by the Elim Care, Inc. board (parent company).
Form 990, Part VI, Section A, Line 7bDecisions of the Evangelical Retirement Homes, Inc. board are subject to approval by the Elim Care, Inc. board (parent company).
Form 990, Part VI, Section B, Line 11bThe Form 990 Tax Return and all related schedules were prepared by the Director of Accounting. The Chief Financial Officer reviewed prior to signing. The return is placed on a portal for Board Members to review prior to filing.
Form 990, Part VI, Section B, Line 12cThe organization annually requests a conflict of interest disclosure from each Board Member and Officer. Also, questionnaires are sent out to get updates on new situations that may have arisen during the year.
Form 990, Part VI, Section B, Line 15The Board of Directors routinely retains the services of a compensation consultant to review the current wage and benefit levels of similar positions in similar organizations. The compensation committee uses this information to make a recommendation to the Board of Directors.
Form 990, Part VI, Section C, Line 19Governing documents, conflict of interest policy and financial statements are generally not made available to the public.
Form 990, Part VIII, Line 1fDonations are recorded as revenue on Elim Care, Inc. (a related organization).
Form 990, Part XI, Line 9Other Changes in Net Assets were as follows: $82,293 Net Contributions transferred from Elim Care, Inc. (a related organization), ($19,500) Net Assets Released from Restriction, $45,100 Change in Accounting Principal and ($1) rounding.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
Elim Care Inc
7171 Ohms LaneEdinaMN55439411694818Parent Company/Fund RaisingMN501(c)(3)7N/A0
Elim Homes Inc
7171 Ohms LaneEdinaMN55439411539761Nursing Home/Senior Housing/TherapyMN501(c)(3)10N/A0
Pioneer House Assisted Living Inc
7171 Ohms LaneEdinaMN55439411927112Senior HousingMN501(c)(3)10N/A0
Park View Care Center Inc
7171 Ohms LaneEdinaMN55439410855707Nursing HomeMN501(c)(3)10N/A0
The Park Lane Apartments Inc
7171 Ohms LaneEdinaMN55439410972384Low Income HousingMN501(c)(3)9N/A0
Elim Children's Center Inc
7171 Ohms LaneEdinaMN55439411974507Child DaycareMN501(c)(3)10N/A0
New Harmony Care Center Inc
7171 Ohms LaneEdinaMN55439411821882Nursing HomeMN501(c)(3)10N/A0
Country Meadows of Milaca Inc
7171 Ohms LaneEdinaMN55439201723948Senior HousingMN501(c)(3)10N/A0
Lake Ridge Care Center of Buffalo Inc
7171 Ohms LaneEdinaMN55439200507069Nursing Home/Senior HousingMN501(c)(3)10N/A0
Park Terrace Assisted Living Inc
7171 Ohms LaneEdinaMN55439204063752Senior HousingMN501(c)(3)10N/A0
Redeemer Residence Inc
7171 Ohms LaneEdinaMN55439410711597Nursing HomeMN501(c)(3)10N/A0
Village Assisted Living Inc
7171 Ohms LaneEdinaMN55439262086933Senior HousingMN501(c)(3)10N/A0
Community Health Foundation of Wright County
7171 Ohms LaneEdinaMN55439363546789Fund RaisingMN501(c)(3)PFN/A0
Baptist Home Inc
7171 Ohms LaneEdinaMN55439450232943Nursing HomeND501(c)(3)10N/A0
The Baptist Apartments Inc
7171 Ohms LaneEdinaMN55439450359794Senior HousingND501(c)(3)PFN/A0
Elim Care Foundation
7171 Ohms LaneEdinaMN55439411694817Long Term InvestingMN501(c)(3)12N/A0
Elim Shores Inc
7171 Ohms LaneEdinaMN55439411625095Senior HousingMN501(c)(3)10N/A0
Cornerstone Assisted Living of Plymouth Inc
7171 Ohms LaneEdinaMN55439412013927Senior HousingMN501(c)(3)10N/A0
Newton Village Inc
7171 Ohms LaneEdinaMN55439200044030Nursing Home/Senior HousingMN501(c)(3)10N/A0
Haven Homes Inc
7171 Ohms LaneEdinaMN55439416045816Nursing Home/Senior HousingMN501(c)(3)10N/A0
Elim Senior Housing Inc
7171 Ohms LaneEdinaMN55439810754064Senior HousingFL501(c)(3)10N/A0
A&E Care Services Inc
7171 Ohms LaneEdinaMN55439411806946Management ServicesMN501(c)(3)12N/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
Elim Preferred Services Inc
3500 Holly Lane Suite 30PlymouthMN55447411681856Medical SalesMNN/AC00
Preferred Senior Services Inc
7485 Office Ridge CircleEden PrairieMN55344411942480Management ServicesMNN/AC00
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 Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part V, Line 2FormAndLineReferenceDesc
ExplanationAll related tax-exempt organizations are described in Section 501(c)(3).ExplanationTxt

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