FURP.ORG / PUBLIC DATA EXPLORER

HENRY & JANE VONDERLIETH LIVING CENTER INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
HENRY & JANE VONDERLIETH LIVING CENTER INC (EIN 37-0967671)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-09-03
IRS object ID
201912469349300486
Schema version
2018v3.1
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)
Return2019-09-03T11:24:53-07:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN371188139PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JM Abbott & Associates LtdBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1207 S McLean StAddressLine1Txt
CityLincolnCityNm
State AbbreviationILStateAbbreviationCd
ZIP62656ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN370967671EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE VONDERLIETH LIVING CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVONDBusinessNameControlTxt
Phone2177923218PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11120 N TOPPER DRAddressLine1Txt
CityMT PULASKICityNm
State AbbreviationILStateAbbreviationCd
ZIP62548ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS JEFFREY MARTINPersonNm
Person TitleTreasurerPersonTitleTxt
Signature2019-08-28SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonClayton GeorgeCPAPreparerPersonNm
PTINP00052565PTIN
Phone2177351576PhoneNum
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line11120 N TOPPER DRAddressLine1Txt
CityMT PULASKICityNm
State AbbreviationILStateAbbreviationCd
ZIP62548ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,141,077GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HERITAGEOFCARE.COM/MTPULASKI.HTMLWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionNURSING HOME AND APARTMENTS FOR THE ELDERLY IN THE MT PULASKI AREA.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee165TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI-$47,412TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$47,412NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,316PYContributionsGrantsAmt
CY Contributions Grants$24,066CYContributionsGrantsAmt
PY Program Service Revenue$4,550,668PYProgramServiceRevenueAmt
CY Program Service Revenue$4,747,137CYProgramServiceRevenueAmt
PY Investment Income$528,822PYInvestmentIncomeAmt
CY Investment Income$562,022CYInvestmentIncomeAmt
PY Other Revenue-$30,392PYOtherRevenueAmt
CY Other Revenue-$47,412CYOtherRevenueAmt
PY Total Revenue$5,052,414PYTotalRevenueAmt
CY Total Revenue$5,285,813CYTotalRevenueAmt
PY Grants And Similar Paid$1,930PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,854,288PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,122,242CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$5,363CYTotalFundraisingExpenseAmt
PY Other Expenses$2,848,408PYOtherExpensesAmt
CY Other Expenses$2,312,976CYOtherExpensesAmt
PY Total Expenses$5,704,626PYTotalExpensesAmt
CY Total Expenses$5,435,218CYTotalExpensesAmt
PY Revenues Less Expenses-$652,212PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$149,405CYRevenuesLessExpensesAmt
Total Assets BOY$12,216,891TotalAssetsBOYAmt
Total Assets EOY$10,327,332TotalAssetsEOYAmt
Total Liabilities BOY$3,234,481TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,464,125TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,982,410NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,863,207NetAssetsOrFundBalancesEOYAmt
MissionNURSING HOME AND APARTMENTS FOR THE ELDERLY IN THE MT PULASKI AREA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,551,556ExpenseAmt
Revenue$4,747,137RevenueAmt
DescRENTED 24 APARTMENTS TO ELDERLY RESIDENTS OF THE AREAOPERATES NURSING HOME - DURING 2018, PROVIDED 23,467 PATIENT DAYS OF SERVICE.Desc
Total Program Service Expenses$4,551,556TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document24IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee165EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJEFF MARTINPersonNm
Phone2177923218PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1486 1600TH AVEAddressLine1Txt
CityMT PULASKICityNm
State AbbreviationILStateAbbreviationCd
ZIP62548ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PATRICK PRZYKOPANSKI
Director2.000.00Yes (X)$2,400$0$0
THOMAS JEFFREY MARTIN
Treasurer2.000.00Yes (X)$0$0$0Yes (X)
THOMAS CROSS
President2.000.00Yes (X)$0$0$0Yes (X)
MICHAEL MASKE
Director2.000.00Yes (X)$0$0$0
RICHARD EDWARDS
Director2.000.00Yes (X)$0$0$0
LYNN FREER
Director2.000.00Yes (X)$2,400$0$0
JULIAN WUBBEN
Secretary2.000.00Yes (X)$0$0$0Yes (X)
JAMES HILD
Director2.000.00Yes (X)$2,400$0$0
RICK VOLLE
Director2.000.00Yes (X)$2,400$0$0
RICK AYLESWORTH
Trustee2.000.00Yes (X)$2,400$0$0
MAXINE DOWNING
SPOUSE OF FORMER TRUSTEE0.000.00$48,927$0$0Yes (X)
DAN VOLLE
FORMER TRUSTEE0.000.00$48,927$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$109,854TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HERITAGE OPERATIONS GROUP LLC
115 W JEFFERSON SUITE 401BLOOMINGTONIL61702MANAGEMENT$312,486
SELECT REHABILITATION INC
PO BOX 71985CHICAGOIL606941985THERAPY SERVICES$335,882
MEDICAL STAFFING NETWORK
PO BOX 840292DALLASTX752840292LEASED NURSES$155,071
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$24,066AllOtherContributionsAmt
Total Contributions$24,066TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Fees & Contracts Gov Agencies623000$2,617,360$2,617,360
OPERATION OF NURSING HOME623000$2,129,777$2,129,777
FieldValueIRS element (for citing)
Total Program Service Revenue$4,747,137TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$232,136TotalRevenueColumnAmt
Exclusion$232,136ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$33,600RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$81,012RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$47,412RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$47,412TotalRevenueColumnAmt
Unrelated Business Revenue-$47,412UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,104,138SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,774,252SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$329,886SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$329,886TotalRevenueColumnAmt
Exclusion$329,886ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,285,813TotalRevenueColumnAmt
Related Or Exempt Func Income$4,747,137RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$47,412UnrelatedBusinessRevenueAmt
Exclusion$562,022ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$109,854TotalAmt
Management And General$109,854ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,607,604TotalAmt
Program Services$2,407,516ProgramServicesAmt
Management And General$200,088ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$15,082TotalAmt
Program Services$14,424ProgramServicesAmt
Management And General$658ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$186,796TotalAmt
Program Services$178,084ProgramServicesAmt
Management And General$8,712ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$202,906TotalAmt
Program Services$190,896ProgramServicesAmt
Management And General$12,010ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$232,012TotalAmt
Management And General$232,012ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$15,659TotalAmt
Management And General$15,659ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,421TotalAmt
Management And General$14,421ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$37,184TotalAmt
Management And General$37,184ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$608,925TotalAmt
Program Services$557,707ProgramServicesAmt
Management And General$51,218ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$19,514TotalAmt
Management And General$19,514ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,538TotalAmt
Program Services$5,014ProgramServicesAmt
Management And General$1,161ManagementAndGeneralAmt
Fundraising$5,363FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$65,776TotalAmt
Program Services$30,305ProgramServicesAmt
Management And General$35,471ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$119,756TotalAmt
Program Services$114,072ProgramServicesAmt
Management And General$5,684ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,912TotalAmt
Program Services$1,912ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,992TotalAmt
Program Services$3,108ProgramServicesAmt
Management And General$1,884ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,310TotalAmt
Management And General$8,310ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$221,525TotalAmt
Program Services$213,080ProgramServicesAmt
Management And General$8,445ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$226,756TotalAmt
Program Services$215,673ProgramServicesAmt
Management And General$11,083ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$294,724$294,724
FOOD$151,503$151,503
REPAIRS & MAINT$97,586$93,611$3,975
LICENSES & FEES$51,912$51,912

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$128,971TotalAmt
Program Services$79,927ProgramServicesAmt
Management And General$49,044ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,435,218TotalAmt
Program Services$4,551,556ProgramServicesAmt
Management And General$878,299ManagementAndGeneralAmt
Fundraising$5,363FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,614BOYAmt
EOY$6,955EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$188,799BOYAmt
EOY$474,253EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$553,457BOYAmt
EOY$611,014EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$15,021BOYAmt
EOY$13,563EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$77,051BOYAmt
EOY$46,468EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,664,923LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,119,234LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,605,744BOYAmt
EOY$2,545,689EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,080,684BOYAmt
EOY$2,479,207EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,690,521BOYAmt
EOY$4,150,183EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,216,891BOYAmt
EOY$10,327,332EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$659,454BOYAmt
EOY$694,276EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,600BOYAmt
EOY$1,600EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,350,703BOYAmt
EOY$554,293EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,222,724BOYAmt
EOY$1,213,956EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,234,481BOYAmt
EOY$2,464,125EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,607,304BOYAmt
EOY$4,039,568EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,375,106BOYAmt
EOY$3,823,639EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,982,410BOYAmt
EOY$7,863,207EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,216,891BOYAmt
EOY$10,327,332EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$149,405ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$969,798NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$17,740CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,394CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,202CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,316CurrentTaxYearMinus1YearAmt
Current Tax Year$24,066CurrentTaxYearAmt
Total$54,718TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,290,514CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,552,952CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,540,770CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,550,668CurrentTaxYearMinus1YearAmt
Current Tax Year$4,747,137CurrentTaxYearAmt
Total$22,682,041TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,308,254CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,560,346CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,542,972CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,553,984CurrentTaxYearMinus1YearAmt
Current Tax Year$4,771,203CurrentTaxYearAmt
Total$22,736,759TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$22,736,759PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$479,802CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$151,316CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$296,415CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$528,822CurrentTaxYearMinus1YearAmt
Current Tax Year$562,022CurrentTaxYearAmt
Total$2,018,377TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years-$22,817CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$30,392CurrentTaxYearMinus1YearAmt
Current Tax Year-$47,412CurrentTaxYearAmt
Total-$100,621TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$479,802CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$151,316CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$273,598CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$498,430CurrentTaxYearMinus1YearAmt
Current Tax Year$514,610CurrentTaxYearAmt
Total$1,917,756TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,788,056CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,711,662CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,816,570CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,052,414CurrentTaxYearMinus1YearAmt
Current Tax Year$5,285,813CurrentTaxYearAmt
Total$24,654,515TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.92220PublicSupportCY509Pct
Public Support PY5090.91990PublicSupportPY509Pct
Investment Income CY0.07780InvestmentIncomeCYPct
Investment Income PY0.07690InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,075,306BeginningYearBalanceAmt
Contributions$109,228ContributionsAmt
Investment Earnings Or Losses-$2,292InvestmentEarningsOrLossesAmt
Other Expenditures$260,843OtherExpendituresAmt
Administrative Expenses$26,663AdministrativeExpensesAmt
End Year Balance$4,894,736EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,550,147BeginningYearBalanceAmt
Contributions$2,824ContributionsAmt
Investment Earnings Or Losses$686,742InvestmentEarningsOrLossesAmt
Other Expenditures$141,820OtherExpendituresAmt
Administrative Expenses$22,587AdministrativeExpensesAmt
End Year Balance$5,075,306EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,916,410BeginningYearBalanceAmt
Contributions$2,004ContributionsAmt
Investment Earnings Or Losses$732,746InvestmentEarningsOrLossesAmt
Other Expenditures$1,031,348OtherExpendituresAmt
Administrative Expenses$69,665AdministrativeExpensesAmt
End Year Balance$4,550,147EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,041,144BeginningYearBalanceAmt
Contributions$3,094ContributionsAmt
Investment Earnings Or Losses-$6,963InvestmentEarningsOrLossesAmt
Grants Or Scholarships$4,584GrantsOrScholarshipsAmt
Other Expenditures$85,742OtherExpendituresAmt
Administrative Expenses$30,539AdministrativeExpensesAmt
End Year Balance$4,916,410EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,902,586BeginningYearBalanceAmt
Contributions$12,775ContributionsAmt
Investment Earnings Or Losses$294,437InvestmentEarningsOrLossesAmt
Grants Or Scholarships$35,776GrantsOrScholarshipsAmt
Other Expenditures$109,245OtherExpendituresAmt
Administrative Expenses$23,633AdministrativeExpensesAmt
End Year Balance$5,041,144EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,924OtherCostOrOtherBasisAmt
Book Value$55,924BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,947,634OtherCostOrOtherBasisAmt
Depreciation$4,776,629DepreciationAmt
Book Value$2,171,005BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,405,097OtherCostOrOtherBasisAmt
Depreciation$1,200,193DepreciationAmt
Book Value$204,904BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$256,268OtherCostOrOtherBasisAmt
Depreciation$142,412DepreciationAmt
Book Value$113,856BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,545,689TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
BENEFICIAL INTEREST IN TRUSTS$3,823,639
CASH VALUE OF LIFE INSURANCE$326,544
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,150,183TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescAPARTMENT DEPOSITS HELDDesc
Amt$1,213,956Amt
FieldValueIRS element (for citing)
Total Liability$1,213,956TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,255,849TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$969,798NetUnrealizedGainsInvstAmt
Other Revenue$72OtherRevenueAmt
Revenue Not Reported-$969,726RevenueNotReportedAmt
Revenue Subtotal$5,225,575RevenueSubtotalAmt
Other Revenues Not Included$60,238OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$60,238RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$5,285,813TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,390,075TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$351OtherExpensesIncludedAmt
Expenses Not Reported$351ExpensesNotReportedAmt
Expenses Subtotal$5,389,724ExpensesSubtotalAmt
Other Expenses Not Included$45,494OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$45,494ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,435,218TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.THE ENDOWMENT FUNDS ARE FOR THE SUPPORT OF THE ORGANIZATION AS NEEDED, AND TO PROVIDE DISCOUNTED SERVICES TO LONG-TERM RESIDENTS OF MT. PULASKI.
Part X : FIN48 FootnoteNOTE P TO THE AUDITED FINANCIAL STATEMENTS READS AS FOLLOWS: THE ORGANIZATION IS CHARTERED AS AN ILLINOIS NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS REQUIRED TO FILE FEDERAL AND STATE INFORMATIONAL RETURNS. WITH LIMITED EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION FOR ANY YEARS EARLIER THAN 2014 FOR FEDERAL AND STATE PURPOSES. MANAGEMENT HAS PERFORMED ITS EVALUATION OF ALL OTHER INCOME TAX POSITIONS TAKEN ON ALL OPEN INFORMATIONAL RETURNS AND HAS DETERMINED THAT THERE WERE NO POSITIONS TAKEN THAT DO NOT MEET THE "MORE LIKELY THAN NOT" STANDARD. ACCORDINGLY, THERE ARE NO PROVISIONS FOR INCOME TAXES, PENALTIES OR INTEREST RECEIVABLE OR PAYABLE RELATING TO UNCERTAIN INCOME TAX PROVISIONS IN THE ACCOMPANYING FINANCIAL STATEMENTS.
Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990FOUNDATION REV REPORTED ON SEP RETURN $72
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SGIFT FROM FOUNDATION $14744 INT SHOWN AS RENTAL IN AUDIT $8310 INV EXP NETTED AGAINST REV IN AUDIT $37184
Part XII, Line 2d: Other expenses and losses per audited F/SFOUNDATION EXPENSES $351
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/SINT SHOWN AS RENTAL IN AUDIT $8310 INV EXP NETTED AGAINST REV IN AUDIT $37184

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtOther Compensation Filing OrgOtherCompensationFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
DAN VOLLE
FORMER TRUSTEE$48,927$48,927
MAXINE DOWNING
SPOUSE OF FORMER TRUSTEE$48,927$48,927

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart III, Additional InformationFormAndLineReferenceDesc
ExplanationTRUSTEES WHO SERVE TEN YEARS OR MORE, AND THEIR SPOUSES, RECEIVE NURSING HOME CARE IN LIEU OF COMPENSATION FOR PRIOR YEAR SERVICES.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonPAT PRZYKOPANSKIPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionBOARD MEMBERRelationshipDescriptionTxt
Transaction$127,084TransactionAmt
TransactionINSURANCE AGENTTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part V Supplemental InformationFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PURCHASES LIABILITY AND WORKERS' COMPENSATION INSURANCE THROUGH AN INSURANCE AGENCY THAT IS PARTIALLY OWNED BY A BOARD MEMBER OF THE ORGANIZATION. THE INSURANCE AGENCY RECEIVES A COMMISSION FROM THE SALE OF THE INSURANCE, BUT THE INSURANCE AGENCY HELPS THE ORGANIZATION FIND THE BEST INSURANCE TO PURCHASE. MOST OF THE AMOUNTS PAID TO THE INSURANCE AGENCY ARE FORWARDED TO SPECIFIC INSURANCE COMPANIES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Client Note 1Client Note 1 - SCHEDULE D, PART XI AND XII THE FOUNDATION IS COMBINED WITH THE LIVING CENTER FOR THE AUDITED FINANCIAL STATEMENTS, BUT IS A SEPARATE ENTITY FOR TAX PURPOSES.
Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyHERITAGE ENTERPRISES INDEPENDENTLY MANAGES VONDERLIETH LIVING CENTER FOR A MANAGEMENT FEE.
Form 990, Part VI, Line 11b: Form 990 Review ProcessTHE BOARD REVIEWS THE 990 AND APPROVES AT THEIR BOARD MEETING.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsOFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST ANNUALLY. KEY EMPLOYEES SIGNED AN ACKNOWLEDGEMENT STATEMENT UPON HIRE THAT THEY WOULD FOLLOW THE ORGANIZATION'S CODE OF ETHICS WHICH INCLUDES DISCLOSING CONFLICTS OF INTEREST.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementBOARD REVIEWS OTHER AREA NURSING HOMES AND INDUSTRY STANDARDS FOR COMPUTING COMPENSATION.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesBOARD REVIEWS OTHER AREA NURSING HOMES AND INDUSTRY STANDARDS FOR COMPUTING COMPENSATION.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHE DOCUMENTS ARE HELD IN THE NURSING HOME BUSINESS OFFICE, WHICH IS OPEN DURING NORMAL BUSINESS HOURS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
THE HENRY AND JANE VONDERLIETH FOUNDATIO
1120 N TOPPER DRMT PULASKIIL62548263688399SUPPORTING ORGANIZATIONIL501(C)(3)TYPE ITHE VONDERLIETH LIVING CENTERYes (true)
THE HENRY L VONDERLIETH TRUST
WELLS FARGO 1 W 4TH ST 2ND FLWINSTONSALEMNC27101SUPPORTING FOUNDATIONNC501(C)(3)PRIVATE FOUNDATIONfalseN/A
THE JANE L VONDERLIETH TRUST
WELLS FARGO 1 W 4TH ST 2ND FLWINSTONSALEMNC27101SUPPORTING ORGANIZATIONNC501(C)(3)PRIVATE FOUNDATIONfalseN/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1THE HENRY AND JANE VONDERLIETH FOUNDATIOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypecTransactionTypeTxt
Involved$14,744InvolvedAmt
Method Of Amount DeterminationCOST OF DON.MethodOfAmountDeterminationTxt