FURP.ORG / PUBLIC DATA EXPLORER

HENRY & JANE VONDERLIETH LIVING CENTER INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
HENRY & JANE VONDERLIETH LIVING CENTER INC (EIN 37-0967671)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-08-31
IRS object ID
201812439349301151
Schema version
2017v2.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-08-31T12:06:38-07:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

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
Signature2018-08-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonClayton GeorgeCPAPreparerPersonNm
PTINP00052565PTIN
Phone2177351576PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$6,215,638GrossReceiptsAmt
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 Employee178TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI-$30,392TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$30,392NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,202PYContributionsGrantsAmt
CY Contributions Grants$3,316CYContributionsGrantsAmt
PY Program Service Revenue$4,540,770PYProgramServiceRevenueAmt
CY Program Service Revenue$4,550,668CYProgramServiceRevenueAmt
PY Investment Income$296,415PYInvestmentIncomeAmt
CY Investment Income$528,822CYInvestmentIncomeAmt
PY Other Revenue-$22,817PYOtherRevenueAmt
CY Other Revenue-$30,392CYOtherRevenueAmt
PY Total Revenue$4,816,570PYTotalRevenueAmt
CY Total Revenue$5,052,414CYTotalRevenueAmt
CY Grants And Similar Paid$1,930CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,981,386PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,854,288CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,304CYTotalFundraisingExpenseAmt
PY Other Expenses$2,208,893PYOtherExpensesAmt
CY Other Expenses$2,848,408CYOtherExpensesAmt
PY Total Expenses$5,190,279PYTotalExpensesAmt
CY Total Expenses$5,704,626CYTotalExpensesAmt
PY Revenues Less Expenses-$373,709PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$652,212CYRevenuesLessExpensesAmt
Total Assets BOY$11,734,210TotalAssetsBOYAmt
Total Assets EOY$12,216,891TotalAssetsEOYAmt
Total Liabilities BOY$2,622,826TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,234,481TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,111,384NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,982,410NetAssetsOrFundBalancesEOYAmt
MissionNURSING HOME AND APARTMENTS FOR THE ELDERLY IN THE MT PULASKI AREA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,778,418ExpenseAmt
Revenue$4,550,667RevenueAmt
DescRENTED 24 APARTMENTS TO ELDERLY RESIDENTS OF THE AREAOPERATES NURSING HOME - DURING 2017, PROVIDED 24,106 PATIENT DAYS OF SERVICE.Desc
Total Program Service Expenses$4,778,418TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
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 StmtYes (true)ConsolidatedAuditFinclStmtInd
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 EntYes (true)BusinessRlnWithOfficerEntInd
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 Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee178EmployeeCnt
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
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
Director4.000.00Yes (X)$2,400$0$0
THOMAS JEFFREY MARTIN
Treasurer5.000.00Yes (X)$0$0$0Yes (X)
THOMAS CROSS
President5.000.00Yes (X)$0$0$0Yes (X)
MICHAEL MASKE
Director4.000.00Yes (X)$0$0$0
RICHARD EDWARDS
Director4.000.00Yes (X)$0$0$0
LYNN FREER
Director4.000.00Yes (X)$2,400$0$0
JULIAN WUBBEN
Secretary4.000.00Yes (X)$0$0$0Yes (X)
JAMES HILD
Director4.000.00Yes (X)$2,400$0$0
RICK VOLLE
Director4.000.00Yes (X)$2,400$0$0
RICK AYLESWORTH
Trustee4.000.00Yes (X)$2,400$0$0
MAXINE DOWNING
SPOUSE OF FORMER TRUSTEE0.000.00$46,675$0$0Yes (X)
DAN VOLLE
FORMER TRUSTEE0.000.00$46,675$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$105,350TotalReportableCompFromOrgAmt
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$394,672
SELECT REHABILITATION INC
PO BOX 809056CHICAGOIL606809056THERAPY SERVICES$324,554
MEDICAL STAFFING NETWORK
1057 W MAIN STDECATURIL62522NURSING STAFF$689,758
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$3,316AllOtherContributionsAmt
Total Contributions$3,316TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Fees & Contracts Gov Agencies623000$2,197,022$2,197,022
OPERATION OF NURSING HOME623000$2,353,646$2,353,646
FieldValueIRS element (for citing)
Total Program Service Revenue$4,550,668TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$225,008TotalRevenueColumnAmt
Exclusion$225,008ExclusionAmt

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$63,992RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$30,392RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$30,392TotalRevenueColumnAmt
Unrelated Business Revenue-$30,392UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,403,046SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,099,232SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$303,814SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$303,814TotalRevenueColumnAmt
Exclusion$303,814ExclusionAmt

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$5,052,414TotalRevenueColumnAmt
Related Or Exempt Func Income$4,550,668RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$30,392UnrelatedBusinessRevenueAmt
Exclusion$528,822ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,930TotalAmt
Program Services$1,930ProgramServicesAmt

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$105,349TotalAmt
Management And General$105,349ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,327,278TotalAmt
Program Services$2,054,030ProgramServicesAmt
Management And General$270,382ManagementAndGeneralAmt
Fundraising$2,866FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,550TotalAmt
Program Services$12,910ProgramServicesAmt
Management And General$1,622ManagementAndGeneralAmt
Fundraising$18FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$214,968TotalAmt
Program Services$193,546ProgramServicesAmt
Management And General$21,188ManagementAndGeneralAmt
Fundraising$234FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$192,143TotalAmt
Program Services$166,617ProgramServicesAmt
Management And General$25,220ManagementAndGeneralAmt
Fundraising$306FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$221,372TotalAmt
Management And General$221,372ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,823TotalAmt
Management And General$2,823ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,443TotalAmt
Management And General$12,443ManagementAndGeneralAmt

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$40,194TotalAmt
Management And General$40,194ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,178,682TotalAmt
Program Services$1,131,771ProgramServicesAmt
Management And General$46,146ManagementAndGeneralAmt
Fundraising$765FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$35,714TotalAmt
Management And General$35,714ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,369TotalAmt
Management And General$10,369ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$57,172TotalAmt
Program Services$1,143ProgramServicesAmt
Management And General$56,029ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$108,282TotalAmt
Program Services$106,252ProgramServicesAmt
Management And General$2,030ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,682TotalAmt
Program Services$1,682ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,930TotalAmt
Program Services$8,930ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$211,304TotalAmt
Program Services$208,197ProgramServicesAmt
Management And General$3,107ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$254,123TotalAmt
Program Services$240,655ProgramServicesAmt
Management And General$13,353ManagementAndGeneralAmt
Fundraising$115FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$243,463$243,463
REPAIRS & MAINT$126,163$124,210$1,953
FOOD$117,123$117,123
BAD DEBT$70,000$70,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$148,569TotalAmt
Program Services$95,959ProgramServicesAmt
Management And General$52,610ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,704,626TotalAmt
Program Services$4,778,418ProgramServicesAmt
Management And General$921,904ManagementAndGeneralAmt
Fundraising$4,304FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,102BOYAmt
EOY$5,614EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$187,032BOYAmt
EOY$188,799EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$520,850BOYAmt
EOY$553,457EOYAmt

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$13,434BOYAmt
EOY$15,021EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$83,143BOYAmt
EOY$77,051EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,484,895LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,879,151LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,799,214BOYAmt
EOY$2,605,744EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,769,654BOYAmt
EOY$4,080,684EOYAmt

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$4,354,781BOYAmt
EOY$4,690,521EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,734,210BOYAmt
EOY$12,216,891EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$535,036BOYAmt
EOY$659,454EOYAmt

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$997,102BOYAmt
EOY$1,350,703EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,089,088BOYAmt
EOY$1,222,724EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,622,826BOYAmt
EOY$3,234,481EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,059,789BOYAmt
EOY$4,607,304EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,051,595BOYAmt
EOY$4,375,106EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,111,384BOYAmt
EOY$8,982,410EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,734,210BOYAmt
EOY$12,216,891EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$652,212ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$523,238NetUnrlzdGainsLossesInvstAmt
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$5,907CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,740CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,394CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,202CurrentTaxYearMinus1YearAmt
Current Tax Year$3,316CurrentTaxYearAmt
Total$36,559TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,173,396CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,290,514CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,552,952CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,540,770CurrentTaxYearMinus1YearAmt
Current Tax Year$4,550,668CurrentTaxYearAmt
Total$22,108,300TotalAmt

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$4,179,303CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,308,254CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,560,346CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,542,972CurrentTaxYearMinus1YearAmt
Current Tax Year$4,553,984CurrentTaxYearAmt
Total$22,144,859TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$77,730CurrentTaxYearMinus4YearsAmt
Total$77,730TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$77,730CurrentTaxYearMinus4YearsAmt
Total$77,730TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$22,067,129PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$440,919CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$479,802CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$151,316CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$296,415CurrentTaxYearMinus1YearAmt
Current Tax Year$528,822CurrentTaxYearAmt
Total$1,897,274TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year-$22,817CurrentTaxYearMinus1YearAmt
Current Tax Year-$30,392CurrentTaxYearAmt
Total-$53,209TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$440,919CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$479,802CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$151,316CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$273,598CurrentTaxYearMinus1YearAmt
Current Tax Year$498,430CurrentTaxYearAmt
Total$1,844,065TotalAmt

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$4,620,222CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,788,056CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,711,662CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,816,570CurrentTaxYearMinus1YearAmt
Current Tax Year$5,052,414CurrentTaxYearAmt
Total$23,988,924TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.91990PublicSupportCY509Pct
Public Support PY5090.92850PublicSupportPY509Pct
Investment Income CY0.07690InvestmentIncomeCYPct
Investment Income PY0.06320InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,394,770BeginningYearBalanceAmt
Contributions$6,094ContributionsAmt
Investment Earnings Or Losses$685,170InvestmentEarningsOrLossesAmt
Other Expenditures$142,354OtherExpendituresAmt
Administrative Expenses$41,094AdministrativeExpensesAmt
End Year Balance$4,902,586EndYearBalanceAmt
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$6,827,571OtherCostOrOtherBasisAmt
Depreciation$4,596,254DepreciationAmt
Book Value$2,231,317BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,345,132OtherCostOrOtherBasisAmt
Depreciation$1,151,241DepreciationAmt
Book Value$193,891BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$256,268OtherCostOrOtherBasisAmt
Depreciation$131,656DepreciationAmt
Book Value$124,612BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,605,744TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
BENEFICIAL INTEREST IN TRUSTS$4,375,106
CASH VALUE OF LIFE INSURANCE$315,415
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,690,521TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescAPARTMENT DEPOSITS HELDDesc
Amt$1,222,724Amt
FieldValueIRS element (for citing)
Total Liability$1,222,724TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$5,576,807TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$523,238NetUnrealizedGainsInvstAmt
Other Revenue$1,155OtherRevenueAmt
Revenue Not Reported$524,393RevenueNotReportedAmt
Revenue Subtotal$5,052,414RevenueSubtotalAmt
Total Revenue Per Form990$5,052,414TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,703,421TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$1,205OtherExpensesIncludedAmt
Expenses Not Reported-$1,205ExpensesNotReportedAmt
Expenses Subtotal$5,704,626ExpensesSubtotalAmt
Total Expenses Per Form990$5,704,626TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 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 2013 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 $17 GIFT FROM FOUNDATION $-492 GIFT TO FOUNDATION $1630

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$46,675$46,675
MAXINE DOWNING
SPOUSE OF FORMER TRUSTEE$46,675$46,675

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$157,738TransactionAmt
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 V ACTIVITY PRIOR TO 2013 FOR ENDOWMENT FUNDS IS NOT AVAILABLE AS IT WAS NOT TRACKED BY THE PRIOR ACCOUNTANT.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 OrgYes (true)GiftGrntOrCapContriToOthOrgInd
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 (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
THE HENRY AND JANE VONDERLIETH FOUNDATIO
b$1,630COST
THE HENRY AND JANE VONDERLIETH FOUNDATIO
c$492COST
THE HENRY L VONDERLIETH TRUST
c$100,000AMT RECEIVED
THE JANE L VONDERLIETH TRUST
c$45,000AMT RECEIVED