INDIANA SENIOR HOUSING HEALTH CARE PROPERTIES INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
INDIANA SENIOR HOUSING HEALTH CARE PROPERTIES INC (EIN 46-3385153)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-05-29
IRS object ID
202021509349300927
Schema version
2019v5.1
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)
Return2020-05-29T12:26:31-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 N MERIDIAN ST SUITE 200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN463385153EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INDIANA SENIOR HOUSING HEALTHBusinessNameLine1Txt
Business Name Line2CARE PROPERTIES INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlINDIBusinessNameControlTxt
Phone8123329295PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1226 S COLLEGE SQAddressLine1Txt
CityBLOOMINGTONCityNm
State AbbreviationINStateAbbreviationCd
ZIP47404ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATHY ETTENSOHNPersonNm
Person TitleTREASURERPersonTitleTxt
Phone8123329295PhoneNum
Signature2020-05-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANGELA N CRAWFORD CPAPreparerPersonNm
PTINP00573197PTIN
Phone3176334705PhoneNum
Preparation2020-05-27PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address47.227.233.166IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-29IPDt
IP Tm12:22:59IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdCF253C16AA79457DBB141110F0942FA5491417DBAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CEDAR VILLAGE SENIOR LIVINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKATHY ETTENSOHNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1226 S COLLEGE SQAddressLine1Txt
CityBLOOMINGTONCityNm
State AbbreviationINStateAbbreviationCd
ZIP47404ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$20,912,570GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionISH STRIVES TO PROMOTE, PROVIDE, AND SUPPORT RESIDENTIAL, CUSTODIAL, NURSING, MEDICAL, AND HOSPITAL CARE FOR THE ELDERLY BY OPERATING AND MAINTAIN FACILITIES FOR THE CARE OF THE AGED AND ELDERLY.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee403TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$193,441PYContributionsGrantsAmt
CY Contributions Grants$110,017CYContributionsGrantsAmt
PY Program Service Revenue$11,305,234PYProgramServiceRevenueAmt
CY Program Service Revenue$20,762,260CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$256CYInvestmentIncomeAmt
PY Other Revenue$331,315PYOtherRevenueAmt
CY Other Revenue$34,498CYOtherRevenueAmt
PY Total Revenue$11,829,990PYTotalRevenueAmt
CY Total Revenue$20,907,031CYTotalRevenueAmt
PY Grants And Similar Paid$102,981PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,149,467PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,060,476CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,396,619PYOtherExpensesAmt
CY Other Expenses$13,129,975CYOtherExpensesAmt
PY Total Expenses$12,649,067PYTotalExpensesAmt
CY Total Expenses$23,190,451CYTotalExpensesAmt
PY Revenues Less Expenses-$819,077PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,283,420CYRevenuesLessExpensesAmt
Total Assets BOY$40,158,148TotalAssetsBOYAmt
Total Assets EOY$38,827,391TotalAssetsEOYAmt
Total Liabilities BOY$30,152,638TotalLiabilitiesBOYAmt
Total Liabilities EOY$31,566,778TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,005,510NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,260,613NetAssetsOrFundBalancesEOYAmt
MissionISH STRIVES TO PROMOTE, PROVIDE, AND SUPPORT RESIDENTIAL, CUSTODIAL, NURSING, MEDICAL, AND HOSPITAL CARE FOR THE ELDERLY BY OPERATING AND MAINTAIN FACILITIES FOR THE CARE OF THE AGED AND ELDERLY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$17,908,647ExpenseAmt
Grant$0GrantAmt
Revenue$20,772,730RevenueAmt
DescISH STRIVES TO PROMOTE, PROVIDE, AND SUPPORT RESIDENTIAL, CUSTODIAL, NURSING, MEDICAL, AND HOSPITAL CARE FOR THE ELDERLY BY OPERATING AND MAINTAIN FACILITIES FOR THE CARE OF THE AGED AND ELDERLY.Desc
Total Program Service Expenses$17,908,647TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document81IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee403EmployeeCnt
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 Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
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 Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
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)
Phone8123329295PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1226 S COLLEGE SQAddressLine1Txt
CityBLOOMINGTONCityNm
State AbbreviationINStateAbbreviationCd
ZIP47404ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JAMES LOWELL WHITLACH
PRESIDENT2.00Yes (X)Yes (X)$8,000$0$0
KATHY ETTENSOHN
TREASURER2.00Yes (X)Yes (X)$8,000$0$0
DENNIS MCGUIRE
SECRETARY2.00Yes (X)Yes (X)$8,000$0$0
HIRSCH WISE
BOARD MEMBER2.00Yes (X)$8,000$0$0
MICHAEL MOBLEY
ADMINISTRATOR40.00$256,425$0$0Yes (X)
MELISSA HINES
DIRECTOR OF NURSING40.00$115,792$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$404,217TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UNIDINE CORPORATION
1000 WASHINGTON ST STE 510BOSTONMA02118FOOD SERVICES$2,405,353
LIFESPAN THERAPY
118 MEDICAL DRIVECARMELIN46032THERAPY$2,069,397
SKILLED CARE PHARM OF OHIO
6175 HI-TECK COURTMASONOH28201PHARMACY$686,298
HKC ROOFING & SHEET METAL
6161 WIEHE ROADCINCINATTIOH45237CONSTRUCTION$295,948
CARDON INFORMATION SERVICES
2749 EAST COVENANTER DRIVEBLOOMINGTONIN47401COMPUTER SERVICE$164,028
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
All Other Contributions$110,017AllOtherContributionsAmt
Total Contributions$110,017TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT & RESIDENT SERVICE REVENUDesc
Business900099BusinessCd
Total Revenue Column$20,762,260TotalRevenueColumnAmt
Related Or Exempt Func Income$20,762,260RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$20,762,260TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$114TotalRevenueColumnAmt
Exclusion$114ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$10,470RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$10,470RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,470TotalRevenueColumnAmt
Related Or Exempt Func Income$10,470RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$5,681OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$5,539OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$142OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$142TotalRevenueColumnAmt
Exclusion$142ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,028TotalRevenueColumnAmt
Exclusion$24,028ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$24,028OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,907,031TotalRevenueColumnAmt
Related Or Exempt Func Income$20,772,730RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$24,284ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$32,000TotalAmt
Management And General$32,000ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,699,731TotalAmt
Program Services$7,319,419ProgramServicesAmt
Management And General$1,380,312ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$15,487TotalAmt
Program Services$13,030ProgramServicesAmt
Management And General$2,457ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$582,776TotalAmt
Program Services$490,312ProgramServicesAmt
Management And General$92,464ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$730,482TotalAmt
Program Services$614,582ProgramServicesAmt
Management And General$115,900ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,272,935TotalAmt
Program Services$983,014ProgramServicesAmt
Management And General$289,921ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$31,567TotalAmt
Management And General$31,567ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$23,672TotalAmt
Management And General$23,672ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,970,798TotalAmt
Program Services$4,189,246ProgramServicesAmt
Management And General$781,552ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$91,343TotalAmt
Management And General$91,343ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$405,889TotalAmt
Program Services$149,758ProgramServicesAmt
Management And General$256,131ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$207,015TotalAmt
Management And General$207,015ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$819,643TotalAmt
Program Services$23,338ProgramServicesAmt
Management And General$796,305ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$25,879TotalAmt
Management And General$25,879ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$512TotalAmt
Management And General$512ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,393,469TotalAmt
Program Services$1,076,096ProgramServicesAmt
Management And General$317,373ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$964,114TotalAmt
Program Services$744,529ProgramServicesAmt
Management And General$219,585ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$93,852TotalAmt
Management And General$93,852ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,713,233$1,713,233
QUALITY ASSESSMENT FEE$766,715$592,090$174,625
DUES & SUB.$122,499$122,499

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$226,840TotalAmt
Management And General$226,840ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$23,190,451TotalAmt
Program Services$17,908,647ProgramServicesAmt
Management And General$5,281,804ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$547,199BOYAmt
EOY$456,844EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,633,787BOYAmt
EOY$1,793,269EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$125,942BOYAmt
EOY$95,976EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$37,771,524LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,383,532LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$36,620,521BOYAmt
EOY$36,387,992EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$230,699BOYAmt
EOY$93,310EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$40,158,148BOYAmt
EOY$38,827,391EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$560,229BOYAmt
EOY$1,060,816EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$26,793,849BOYAmt
EOY$26,964,255EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,798,560BOYAmt
EOY$3,541,707EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,152,638BOYAmt
EOY$31,566,778EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,005,510BOYAmt
EOY$7,260,613EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,005,510BOYAmt
EOY$7,260,613EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$40,158,148BOYAmt
EOY$38,827,391EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,283,420ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$461,477OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit Committee0AuditCommitteeInd
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 Minus1 Year$193,441CurrentTaxYearMinus1YearAmt
Current Tax Year$110,017CurrentTaxYearAmt
Total$303,458TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$11,305,234CurrentTaxYearMinus1YearAmt
Current Tax Year$20,762,260CurrentTaxYearAmt
Total$32,067,494TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$11,498,675CurrentTaxYearMinus1YearAmt
Current Tax Year$20,872,277CurrentTaxYearAmt
Total$32,370,952TotalAmt

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$32,370,952PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$327,249CurrentTaxYearMinus1YearAmt
Current Tax Year$10,584CurrentTaxYearAmt
Total$337,833TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$327,249CurrentTaxYearMinus1YearAmt
Current Tax Year$10,584CurrentTaxYearAmt
Total$337,833TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$4,066CurrentTaxYearMinus1YearAmt
Current Tax Year$24,028CurrentTaxYearAmt
Total$28,094TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$11,829,990CurrentTaxYearMinus1YearAmt
Current Tax Year$20,906,889CurrentTaxYearAmt
Total$32,736,879TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98880PublicSupportCY509Pct
Public Support PY5090.97200PublicSupportPY509Pct
Investment Income CY0.01030InvestmentIncomeCYPct
Investment Income PY0.02770InvestmentIncomePYPct
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 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME - 2018 AMOUNT: $ 4,066. 2019 AMOUNT: $ 24,028.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)
Other Cost Or Other Basis$5,045,400OtherCostOrOtherBasisAmt
Book Value$5,045,400BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,204,748OtherCostOrOtherBasisAmt
Depreciation$1,130,740DepreciationAmt
Book Value$29,074,008BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$391,869OtherCostOrOtherBasisAmt
Depreciation$14,306DepreciationAmt
Book Value$377,563BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,129,507OtherCostOrOtherBasisAmt
Depreciation$238,486DepreciationAmt
Book Value$1,891,021BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$36,387,992TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLES$2,562,815
OTHER LIABILITIES$978,892
FieldValueIRS element (for citing)
Total Liability$3,541,707TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationCEDAR VILLAGE IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION UNDER SECTION 501 OF THE UNITED STATES INTERNAL REVENUE CODE. AS SUCH, CEDAR VILLAGE IS GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, CEDAR VILLAGE IS REQUIRED TO FILE FEDERAL FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, WHICH IS AN INFORMATIONAL RETURN ONLY. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY ISH AND RECOGNIZE A TAX LIABILITY IF CEDAR VILLAGE HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY CEDAR VILLAGE, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. CEDAR VILLAGE IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonMICHAEL MOBLEYPersonNm
TitleADMINISTRATORTitleTxt
Base Compensation Filing Org$165,770BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$90,655BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$256,425TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3CEDAR VILLAGE HAS A MANAGEMENT AGREEMENT WITH A THIRD PARTY, CARDON MANAGEMENT COMPANY LLC (MANAGER), AN EXPERIENCED MULTI-FACILITY LONG-TERM CARE MANAGER, TO MANAGE THE FACILITY ON BEHALF OF CEDAR VILLAGE FOR AN INITIAL TERM THAT EXPIRES ON MAY 31, 2025. THE AGREEMENT STATES THE GOVERNING BOARD OF CEDAR VILLAGE WILL RETAIN ULTIMATE AUTHORITY AND LEGAL RESPONSIBILITY FOR THE OPERATION AND CONTROL OF THE FACILITY.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 IS REVIEWED AND SIGNED BY THE TREASURER. THE SECRETARY ALSO RECEIVES A COPY OF FORM 990 TO RETAIN IN THE ORGANIZATION'S RECORDS AND IS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETCJAMES LOWELL WHITLACH - 226 S COLLEGE SQ, BLOOMINGTON, IN 47404. KATHY ETTENSOHN - 21 SE THIRD STREET STE 500, EVANSVILLE, IN 47708. DENNIS MCGUIRE - 3690 STERLING AVE, BLOOMINGTON, IN 47401. HIRSCH WISE - 8150 CORP PARK DR STE 160, CINCINNATI, OH 45242. MICHAEL MOBLEY - 226 S COLLEGE SQ, BLOOMINGTON, IN 47404.
FORM 990, PART IX, LINE 11GCONTRACT SERVICES: PROGRAM SERVICE EXPENSES 2,259,760. MANAGEMENT AND GENERAL EXPENSES 421,584. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,681,344. DIETARY SERVICES: PROGRAM SERVICE EXPENSES 1,929,486. MANAGEMENT AND GENERAL EXPENSES 359,968. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,289,454.
FORM 990, PART XI, LINE 9:UNREALIZED LOSS ON DERIVATIVE -461,477.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SOLARBRON POINTE INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11501 MCDOWELL ROADAddressLine1Txt
CityEVANSVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP47712ZIPCd
FieldValueIRS element (for citing)
EIN351544098EIN
Primary ActivitiesPROVIDES HOUSING FOR THE ELDERLYPrimaryActivitiesTxt
Legal Domicile StateINLegalDomicileStateCd
Exempt Code Section501C3ExemptCodeSectionTxt
Public Charity StatusPFPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
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 Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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