HEARTWOOD HEIGHTS CO OSCEOLA COMMUNITY: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- HEARTWOOD HEIGHTS CO OSCEOLA COMMUNITY (EIN 42-1495686)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-02-25
- IRS object ID
- 201920569349100202
- Schema version
- 2017v2.3
- 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
- Form 990-PF
- Accounting Fees Schedule
- Investments Other Schedule2
- Land Etc Schedule2
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Other Liabilities Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-02-25T09:13:45-06:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 EAST 10TH ST PO BOX 5125 | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 571175125 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421495686 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEARTWOOD HEIGHTS | BusinessNameLine1Txt |
| Business Name Line2 | C/O OSCEOLA COMMUNITY HOSPITAL | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAR | BusinessNameControlTxt |
| Phone | 7127542574 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 9TH AVENUE NORTH | AddressLine1Txt |
| City | SIBLEY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51249 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BEN DAVIS | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7127542574 | PhoneNum |
| Signature | 2019-02-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAURIE HANSON | PreparerPersonNm |
| PTIN | P00851848 | PTIN |
| Phone | 6053391999 | PhoneNum |
| Preparation | 2019-02-19 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 199.247.45.107 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-02-19 | IPDt |
| IP Tm | 15:18:20 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | C731675471854354C30436A0D22093FDF18D7AD8 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 63CC26E97BB1FED79B38F32C11916C42E1B9DC98 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $2,335,277 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $5,755 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $3,293 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $3,293 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $3,293 | InterestOnSavingsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $9,393 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $9,393 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $9,393 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Other Income Rev And Expnss | $471,289 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $0 | OtherIncomeNetInvstIncmAmt |
| Other Income Adj Net Incm | $471,289 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $489,730 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $12,686 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $474,582 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $0 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $33,389 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $33,389 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $0 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $6,995 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $6,995 | AccountingFeesChrtblPrpsAmt |
| Interest Rev And Expnss | $22,742 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $0 | InterestNetInvstIncmAmt |
| Interest Adj Net Incm | $22,742 | InterestAdjNetIncmAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $57,119 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $57,119 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $104,852 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Deprec And Dpltn Adj Net Incm | $104,852 | DeprecAndDpltnAdjNetIncmAmt |
| Occupancy Rev And Expnss | $39,817 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $0 | OccupancyNetInvstIncmAmt |
| Occupancy Adj Net Incm | $39,817 | OccupancyAdjNetIncmAmt |
| Occupancy Dsbrs Chrtbl | $0 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $481 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $0 | TravConfMeetingAdjNetIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $481 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $199,068 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $31,569 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $164,841 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $464,463 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $289,488 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $172,317 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $0 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $0 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $464,463 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $289,488 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $172,317 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $25,267 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $12,686 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $185,094 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $184,888 | CashBOYAmt |
| Cash EOY | $217,660 | CashEOYAmt |
| Cash EOYFMV | $217,660 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $309,943 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $246,326 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $246,326 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl | $500 | AcctRcvblAmt |
| Acct Rcvbl BOY | -$1 | AcctRcvblBOYAmt |
| Acct Rcvbl EOY | $500 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $500 | AcctRcvblEOYFMVAmt |
| Prepaid Expenses BOY | $3,808 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $1,499 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $1,499 | PrepaidExpensesEOYFMVAmt |
| Other Investments BOY | $202,117 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $214,519 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $214,519 | OtherInvestmentsEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $2,912,839 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,276,461 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $1,740,269 | LandBOYAmt |
| Land EOY | $1,636,378 | LandEOYAmt |
| Land EOYFMV | $1,636,378 | LandEOYFMVAmt |
| Other Assets BOY | $18,374 | OtherAssetsBOYAmt |
| Other Assets EOY | $18,395 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $18,395 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $2,459,398 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,335,277 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,335,277 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $70,334 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $71,428 | AccountsPayableEOYAmt |
| Mortgages And Notes Payable BOY | $847,950 | MortgagesAndNotesPayableBOYAmt |
| Mortgages And Notes Payable EOY | $695,454 | MortgagesAndNotesPayableEOYAmt |
| Other Liabilities BOY | $15,206 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $13,603 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $933,490 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $780,485 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $1,525,908 | UnrestrictedBOYAmt |
| Unrestricted EOY | $1,554,792 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,525,908 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,554,792 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,459,398 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $2,335,277 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,525,908 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $25,267 | ExcessRevenueOverExpensesAmt |
| Other Increases | $3,617 | OtherIncreasesAmt |
| Subtotal | $1,554,792 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,554,792 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | REALIZED GAIN | PropertyDesc |
| How Acquired | P | HowAcquiredCd |
| Gross Sales Price | $9,393 | GrossSalesPriceAmt |
| Depreciation | $0 | DepreciationAmt |
| Gain Or Loss | $9,393 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $9,393 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $9,393 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $0 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $235,918 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $661,118 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.356847 | DistributionYr1Rt |
| Total Distribution | 0.356847 | TotalDistributionRt |
| Average Distribution | 0.356847 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $756,553 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $269,974 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $127 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $270,101 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $172,317 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $254 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $254 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $254 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $0 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $0 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $254 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | Yes (1) | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | CRAIG CARSTENS | IndividualWithBooksNm |
| Phone | 7127542574 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 9TH AVENUE NORTH | AddressLine1Txt |
| City | SIBLEY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51249 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| STANLEY JOHNSON | ||||||||
| 600 9TH AVENUE NORTH | SIBLEY | IA | 51249 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| BRUCE OSTERMAN | ||||||||
| 600 9TH AVENUE NORTH | SIBLEY | IA | 51249 | VICE PRESIDENT | 1.00 | $0 | $0 | $0 |
| SHIRLEY CHRISTIANS | ||||||||
| 600 9TH AVENUE NORTH | SIBLEY | IA | 51249 | RECORDING SECRETARY (THROUGH DEC 2017) | 1.00 | $0 | $0 | $0 |
| MARY WAGENAAR | ||||||||
| 600 9TH AVENUE NORTH | SIBLEY | IA | 51249 | RECORDING SECRETARY | 1.00 | $0 | $0 | $0 |
| TERRY MOSWER | ||||||||
| 600 9TH AVENUE NORTH | SIBLEY | IA | 51249 | BOARD MEMBER (THROUGH DEC 2017) | 1.00 | $0 | $0 | $0 |
| SUELLEN SCHUTTE | ||||||||
| 600 9TH AVENUE NORTH | SIBLEY | IA | 51249 | BOARD MEMBER | 1.00 | $0 | $0 | $0 |
| ROSALIE ARENDS | ||||||||
| 600 9TH AVENUE NORTH | SIBLEY | IA | 51249 | BOARD MEMBER | 1.00 | $0 | $0 | $0 |
| BEN DAVIS | ||||||||
| 600 9TH AVENUE NORTH | SIBLEY | IA | 51249 | CEO | 0.50 | $0 | $0 | $0 |
| CRAIG CARSTENS | ||||||||
| 600 9TH AVENUE NORTH | SIBLEY | IA | 51249 | CFO | 0.50 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSCEOLA COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 9TH AVENUE S | AddressLine1Txt |
| City | SIBLEY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51249 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Service Type | MANAGERIAL, HOUSEKEEPING, DIETARY | ServiceTypeTxt |
| Compensation | $155,600 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | OPERATION OF A 22-UNIT SENIOR HOUSING PROJECT FOR THE ELDERLY OF SIBLEY, IOWA AND SURROUNDING COMMUNITITES. | Description1Txt |
| Expenses1 | $289,488 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $518,984 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $230,195 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $18,895 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $768,074 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $768,074 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $11,521 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $756,553 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $37,828 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sect4942j3j5 Fndtn And Frgn Org | Yes (X) | Sect4942j3j5FndtnAndFrgnOrgInd |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $172,317 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $172,317 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $172,317 | AdjustedQualifyingDistriAmt |
Private Operating Foundations PrivateOperatingFoundationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Fndtn Ruling | 2006-02-24 | PrivateOperatingFndtnRulingDt |
| Section4942j3 | Yes (X) | Section4942j3Ind |
Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $37,828 | CurrentYearAmt |
| Year1 | $33,056 | Year1Amt |
| Year2 | $30,633 | Year2Amt |
| Year3 | $29,007 | Year3Amt |
| Total | $130,524 | TotalAmt |
Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $32,154 | CurrentYearAmt |
| Year1 | $28,098 | Year1Amt |
| Year2 | $26,038 | Year2Amt |
| Year3 | $24,656 | Year3Amt |
| Total | $110,945 | TotalAmt |
Qualifying Distributions QualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $172,317 | CurrentYearAmt |
| Year1 | $235,918 | Year1Amt |
| Year2 | $176,735 | Year2Amt |
| Year3 | $185,462 | Year3Amt |
| Total | $770,432 | TotalAmt |
Qualifying Distri Not Used Drt QualifyingDistriNotUsedDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $0 | CurrentYearAmt |
| Year1 | $0 | Year1Amt |
| Year2 | $0 | Year2Amt |
| Year3 | $0 | Year3Amt |
| Total | $0 | TotalAmt |
Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $172,317 | CurrentYearAmt |
| Year1 | $235,918 | Year1Amt |
| Year2 | $176,735 | Year2Amt |
| Year3 | $185,462 | Year3Amt |
| Total | $770,432 | TotalAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $25,219 | CurrentYearAmt |
| Year1 | $22,037 | Year1Amt |
| Year2 | $20,422 | Year2Amt |
| Year3 | $19,338 | Year3Amt |
| Total | $87,016 | TotalAmt |
Total Support TotalSupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Public Support Type PublicSupportType
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Largest Support From EO LargestSupportFromEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Gross Investment Income GrossInvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
| Total Grant Or Contri Pd Dur Yr | $0 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Program Service Rev Part VII ProgramServiceRevPartVIIGrp (2 entries)
| DescDesc | Related Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt |
|---|---|
| ASSISTED LIVING RENTAL | $437,822 |
| ANCILLARY INCOME | $33,467 |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $3,293 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $9,393 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $12,686 | ExclusionAmt |
| Related Or Exempt Function Incm | $471,289 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $483,975 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (2 entries)
| Line NumberLineNumberTxt | Relationship StatementRelationshipStatementTxt |
|---|---|
| 1A | HEARTLAND HEIGHTS PROVIDES ASSISTED LIVING FACILITIES TO THE SENIOR CITIZENS OF OSCEOLA COUNTY, IOWA. |
| 1B | ANCILLARY INCOME IS GENERATED FROM SERVICES THAT ARE PROVIDED FOR THE CONVIENENCE OF OUR RESIDENTS AND THEIR GUESTS. |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | CategoryTxt |
| Amt | $6,995 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $6,995 | DisbursementsCharitablePrpsAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | AVERA HEALTH FOUNDATION | CategoryOrItemTxt |
| Listed At Cost Or FMV | FMV | ListedAtCostOrFMVCd |
| Book Value | $214,519 | BookValueAmt |
| EOYFMV | $214,519 | EOYFMVAmt |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp (3 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Accumulated DepreciationAccumulatedDepreciationAmt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|---|
| LAND INPROVEMENTS | $26,988 | $21,983 | $5,005 | $5,005 |
| BUILDINGS | $2,761,629 | $1,169,286 | $1,592,343 | $1,592,343 |
| EQUIPMENT | $124,222 | $85,192 | $39,030 | $39,030 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SECURITY DEPOSITS | Desc |
| BOY Book Value | $18,374 | BOYBookValueAmt |
| EOY Book Value | $18,395 | EOYBookValueAmt |
| EOYFMV | $18,395 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (9 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| SUPPLIES | $5,889 | $0 | $5,889 | $0 |
| PURCHASED SERVICES | $156,023 | $0 | $0 | $156,023 |
| BUILDING REPAIR AND MAINTENANCE | $22,623 | $0 | $22,623 | $0 |
| LICENSE AND PERMIT | $1,840 | $0 | $0 | $1,840 |
| TELEPHONE | $3,375 | $0 | $0 | $3,536 |
| INSURANCE | $4,008 | $0 | $0 | $1,201 |
| ADVERTISING | $3,057 | $0 | $3,057 | $0 |
| SUBSCRIPTIONS | $1,773 | $0 | $0 | $2,211 |
| SMALL EQUIPMENT | $480 | $0 | $0 | $30 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|
| ASSISTED LIVING RENTAL | $437,822 | $437,822 |
| ANCILLARY INCOME | $33,467 | $33,467 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UNREALIZED LOSS ON OTHER THAN TRADING SECURITIES | Desc |
| Amt | $3,617 | Amt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUES TO OSCEOLA HOPSPITAL | Desc |
| BOY Book Value | $15,206 | BOYBookValueAmt |
| EOY Book Value | $13,603 | EOYBookValueAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | REAL ESTATE TAX | CategoryTxt |
| Amt | $57,119 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $57,119 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
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