FURP.ORG / PUBLIC DATA EXPLORER

EVERGREEN RETIREMENT COMMUNITY INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
EVERGREEN RETIREMENT COMMUNITY INC (EIN 39-1081800)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-12
IRS object ID
201813169349302591
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-12T11:21:56-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18215 GREENWAY BOULEVARD SUITE 600AddressLine1Txt
CityMIDDLETONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53562ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391081800EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EVERGREEN RETIREMENT COMMUNITY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlEVERBusinessNameControlTxt
Phone9202332340PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11130 NORTH WESTFIELD STREETAddressLine1Txt
CityOSHKOSHCityNm
State AbbreviationWIStateAbbreviationCd
ZIP549023217ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN M KRUEGERPersonNm
Person TitleCPAPersonTitleTxt
Phone9202332340PhoneNum
Signature2018-09-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKIMBERLY ANDERSON CPAPreparerPersonNm
PTINP00188889PTIN
Phone6086628600PhoneNum
Preparation2018-09-24PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-09-24IPDt
IP Tm10:03:36IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id9ACEB88934FFCCBD98C12E2F38B246F9B43CAC86AtSubmissionCreationDeviceId
At Submission Filing Device Id64AF3659F43F5CC98B56C00B2A895DE9C1B7BC1EAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKENNETH A ARNESONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11130 NORTH WESTFIELD STREETAddressLine1Txt
CityOSHKOSHCityNm
State AbbreviationWIStateAbbreviationCd
ZIP549023217ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$19,185,694GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.EVERGREENOSHKOSH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1965FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionGUIDED BY CHRISTIAN VALUES, WE ARE AN INDUSTRY LEADER IN PROVIDING A CONTINUUM OF POSSIBILITIES FOR INDIVIDUALS 55 YEARS AND OLDER.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee439TotalEmployeeCnt
Total Volunteers118TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$499,592PYContributionsGrantsAmt
CY Contributions Grants$2,058,362CYContributionsGrantsAmt
PY Program Service Revenue$15,728,646PYProgramServiceRevenueAmt
CY Program Service Revenue$16,633,243CYProgramServiceRevenueAmt
PY Investment Income-$205,970PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$484,101PYOtherRevenueAmt
CY Other Revenue$494,089CYOtherRevenueAmt
PY Total Revenue$16,506,369PYTotalRevenueAmt
CY Total Revenue$19,185,694CYTotalRevenueAmt
PY Grants And Similar Paid$10PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,399CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,098,999PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,350,678CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,482,953PYOtherExpensesAmt
CY Other Expenses$8,100,063CYOtherExpensesAmt
PY Total Expenses$16,581,962PYTotalExpensesAmt
CY Total Expenses$17,452,140CYTotalExpensesAmt
PY Revenues Less Expenses-$75,593PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,733,554CYRevenuesLessExpensesAmt
Total Assets BOY$26,186,926TotalAssetsBOYAmt
Total Assets EOY$38,015,327TotalAssetsEOYAmt
Total Liabilities BOY$15,481,434TotalLiabilitiesBOYAmt
Total Liabilities EOY$25,491,490TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,705,492NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,523,837NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionGUIDED BY CHRISTIAN VALUES, WE ARE AN INDUSTRY LEADER IN PROVIDING A CONTINUUM OF POSSIBILITIES FOR INDIVIDUALS 55 YEARS AND OLDER.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$15,510,810ExpenseAmt
Grant$1,399GrantAmt
Revenue$17,127,332RevenueAmt
DescEVERGREEN IS A NONPROFIT CONTINUING CARE RETIREMENT COMMUNITY (CCRC) SERVING OLDER ADULTS, AGES 55 AND OLDER. IDEAL FOR THOSE LOOKING FOR A LIFESTYLE OF CHOICE, FREEDOM, SAFETY, COMMUNITY AND VALUE, EVERGREEN IS MORE THAN JUST A SENIOR LIVING COMMUNITY.EVERGREEN'S 35-ACRE CAMPUS IS NOT ONLY HOME TO ALMOST 300 RESIDENTS, BUT IT IS ALSO A DESTINATION FOR FAMILIES, COMMUNITY MEMBERS, VOLUNTEERS, NONPROFIT GROUPS AND OTHER VISITORS.LOCATED IN A PLEASANT RESIDENTIAL NEIGHBORHOOD IN OSHKOSH, WISCONSIN AMONG BEAUTIFUL, NATURAL SURROUNDINGS AND BORDERED BY OUR OWN OAK SAVANNA WOODLANDS, EVERGREEN PROVIDES LIVELY OPPORTUNITIES FOR YOU AND YOUR FRIENDS TO LIVE AS YOU CHOOSE. CHOOSE FROM THREE STYLES OF INDEPENDENT LIVING ACCOMMODATIONS, FOUR LEVELS OF ASSISTED LIVING, SHORT-TERM REHAB AND POST SURGICAL CARE, LONG-TERM SKILLED NURSING, OR EVERGREEN AT HOME SERVICES TO MEET YOUR UNIQUE NEEDS.LIFE ENRICHMENT ABOUNDS AT EVERGREEN. THERAPEUTIC SWIMMING POOLS, AN AEROBIC STUDIO, LAPIDARY SHOP, AND SUPPERS WITH THE CHEF ARE JUST A FEW OF THE MANY OPPORTUNITIES THAT ENCOURAGE ACTIVE LIFESTYLES. PARTNERSHIPS WITH THE UNIVERSITY OF WISCONSIN OSHKOSH, LEARNING IN RETIREMENT AND THE OSHKOSH GALLERY WALK ALSO PROVIDE ENTERTAINING AND FULFILLING EXPERIENCES AND ENSURE THAT NO TWO DAYS ARE THE SAME. AT EVERGREEN, POSSIBILITIES AWAIT.Desc
Total Program Service Expenses$15,510,810TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document78IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee439EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN M KRUEGERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9202372110PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11130 NORTH WESTFIELD STREETAddressLine1Txt
CityOSHKOSHCityNm
State AbbreviationWIStateAbbreviationCd
ZIP549023217ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
DEDE DEWITT
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
VERNICE HAASE
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
GINI DAVIS
DIRECTOR1.00Yes (X)$0$0$0
ELIZABETH HARTMAN
DIRECTOR1.00Yes (X)$0$0$0
FRED LILLY
DIRECTOR1.00Yes (X)$0$0$0
SANDY MUINDE
DIRECTOR1.00Yes (X)$0$0$0
DR JOHN NEWMAN
DIRECTOR1.00Yes (X)$0$0$0
STEVE DUNN
DIRECTOR1.00Yes (X)$0$0$0
SUE KREIBICH
DIRECTOR1.00Yes (X)$0$0$0
MARCIA LARSON
DIRECTOR1.00Yes (X)$0$0$0
ROY NEY
DIRECTOR1.00Yes (X)$0$0$0
BARBARA RAU
DIRECTOR1.00Yes (X)$0$0$0
CHRIS VANSTRATEN
DIRECTOR1.00Yes (X)$0$0$0
TOM RAMSEY
DIRECTOR1.00Yes (X)$0$0$0
JOHN HINTZE
DIRECTOR1.00Yes (X)$0$0$0
RICK PICARD
DIRECTOR1.00Yes (X)$0$0$0
LUELLA REMMEL
DIRECTOR1.00Yes (X)$0$0$0
CATHY WEIGAND
DIRECTOR1.00Yes (X)$0$0$0
KENNETH A ARNESON
PRESIDENT/CEO40.00Yes (X)$249,026$0$15,1051.00
JOHN M KRUEGER
VP OF FINANCE/IS & TREASUR40.00Yes (X)$114,246$0$23,9401.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$363,272TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$39,045TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NORTHCENTRAL CONSTRUCTION CORP
631 S HICKORY STREETFOND DU LACWI54935CONSTRUCTION SERVICES$10,758,331
REHABCARE GROUP EAST INC
680 SOUTH FOURTH STREETLOUISVILLEKY40202THERAPY SERVICES$1,039,919
HEALTHCARE SERVICES GROUP
PO BOX 829677PHILADELPHIAPA191829677HOUSEKEEPING SERVICES$492,683
IRGENS
648 N PLANKINTON AVENUE SUITE 200MILWAUKEEWI53203CONSTRUCTION MANAGEMENT SERVICES$378,208
A G ARCHITECTURE
1414 UNDERWOOD AVENUEWAUWATOSAWI53213ARCHITECTURAL SERVICES$303,534
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Related Organizations$2,058,362RelatedOrganizationsAmt
Total Contributions$2,058,362TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT SERVICE FEES623000$15,950,971$15,950,971
MANAGEMENT FEE INCOME900099$682,272$682,272
FieldValueIRS element (for citing)
Total Program Service Revenue$16,633,243TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER SERVICE REVENUEDesc
Business900099BusinessCd
Total Revenue Column$494,089TotalRevenueColumnAmt
Related Or Exempt Func Income$494,089RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$494,089OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,185,694TotalRevenueColumnAmt
Related Or Exempt Func Income$17,127,332RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,399TotalAmt
Program Services$1,399ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$476,260TotalAmt
Program Services$419,109ProgramServicesAmt
Management And General$57,151ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,061,932TotalAmt
Program Services$6,214,500ProgramServicesAmt
Management And General$847,432ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$296,424TotalAmt
Program Services$260,853ProgramServicesAmt
Management And General$35,571ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$972,229TotalAmt
Program Services$855,562ProgramServicesAmt
Management And General$116,667ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$543,833TotalAmt
Program Services$478,573ProgramServicesAmt
Management And General$65,260ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$19,213TotalAmt
Program Services$16,907ProgramServicesAmt
Management And General$2,306ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,865TotalAmt
Program Services$24,521ProgramServicesAmt
Management And General$3,344ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,618,738TotalAmt
Program Services$2,304,490ProgramServicesAmt
Management And General$314,248ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$375,046TotalAmt
Program Services$330,040ProgramServicesAmt
Management And General$45,006ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$146,029TotalAmt
Program Services$128,506ProgramServicesAmt
Management And General$17,523ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$24,476TotalAmt
Program Services$21,539ProgramServicesAmt
Management And General$2,937ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$713,241TotalAmt
Program Services$627,652ProgramServicesAmt
Management And General$85,589ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,205TotalAmt
Program Services$8,980ProgramServicesAmt
Management And General$1,225ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$51,221TotalAmt
Program Services$45,074ProgramServicesAmt
Management And General$6,147ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$386,530TotalAmt
Program Services$340,146ProgramServicesAmt
Management And General$46,384ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,711,187TotalAmt
Program Services$1,505,845ProgramServicesAmt
Management And General$205,342ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$125,957TotalAmt
Program Services$110,842ProgramServicesAmt
Management And General$15,115ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD SUPPLIES$1,023,008$1,023,008
GENERAL SUPPLIES$255,321$224,682$30,639
RESIDENT SUPPLIES$249,984$249,984
BAD DEBTS$100,000$88,000$12,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$262,042TotalAmt
Program Services$230,598ProgramServicesAmt
Management And General$31,444ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,452,140TotalAmt
Program Services$15,510,810ProgramServicesAmt
Management And General$1,941,330ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,314,744BOYAmt
EOY$2,934,147EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$192,961BOYAmt
EOY$208,159EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,654,624BOYAmt
EOY$2,049,197EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$671,852BOYAmt
EOY$420,872EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$105,830BOYAmt
EOY$106,783EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$251,297BOYAmt
EOY$201,554EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$57,639,646LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$26,436,431LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$20,313,876BOYAmt
EOY$31,203,215EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$74,998BOYAmt
EOY$74,998EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$606,744BOYAmt
EOY$816,402EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$26,186,926BOYAmt
EOY$38,015,327EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,070,359BOYAmt
EOY$3,522,671EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,860,845BOYAmt
EOY$3,908,888EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,352,735BOYAmt
EOY$17,947,074EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$6,250BOYAmt
EOY$6,403EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$191,245BOYAmt
EOY$106,454EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,481,434BOYAmt
EOY$25,491,490EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,705,492BOYAmt
EOY$12,523,837EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,705,492BOYAmt
EOY$12,523,837EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,186,926BOYAmt
EOY$38,015,327EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,733,554ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$84,791NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$590,240CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$520,351CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$561,007CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$499,592CurrentTaxYearMinus1YearAmt
Current Tax Year$2,058,362CurrentTaxYearAmt
Total$4,229,552TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,992,354CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,781,236CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,145,788CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,728,646CurrentTaxYearMinus1YearAmt
Current Tax Year$16,633,243CurrentTaxYearAmt
Total$76,281,267TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,582,594CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,301,587CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,706,795CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,228,238CurrentTaxYearMinus1YearAmt
Current Tax Year$18,691,605CurrentTaxYearAmt
Total$80,510,819TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$80,510,819PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$83,777CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$73,749CurrentTaxYearMinus3YearsAmt
Total$157,526TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$83,777CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$73,749CurrentTaxYearMinus3YearsAmt
Total$157,526TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$767,701CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$446,429CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$582,579CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$484,101CurrentTaxYearMinus1YearAmt
Current Tax Year$494,089CurrentTaxYearAmt
Total$2,774,899TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,434,072CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,821,765CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,289,374CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,712,339CurrentTaxYearMinus1YearAmt
Current Tax Year$19,185,694CurrentTaxYearAmt
Total$83,443,244TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96490PublicSupportCY509Pct
Public Support PY5090.94830PublicSupportPY509Pct
Investment Income CY0.00190InvestmentIncomeCYPct
Investment Income PY0.00330InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,375,906BeginningYearBalanceAmt
Contributions$677,925ContributionsAmt
Investment Earnings Or Losses$898,650InvestmentEarningsOrLossesAmt
Other Expenditures$48,964OtherExpendituresAmt
Administrative Expenses$34,398AdministrativeExpensesAmt
End Year Balance$7,869,119EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,079,792BeginningYearBalanceAmt
Contributions$7,810ContributionsAmt
Investment Earnings Or Losses$363,749InvestmentEarningsOrLossesAmt
Other Expenditures$49,744OtherExpendituresAmt
Administrative Expenses$25,701AdministrativeExpensesAmt
End Year Balance$6,375,906EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,358,425BeginningYearBalanceAmt
Contributions-$6,352ContributionsAmt
Investment Earnings Or Losses-$186,639InvestmentEarningsOrLossesAmt
Other Expenditures$60,173OtherExpendituresAmt
Administrative Expenses$25,570AdministrativeExpensesAmt
End Year Balance$6,079,792EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,209,001BeginningYearBalanceAmt
Contributions$61,620ContributionsAmt
Investment Earnings Or Losses$169,491InvestmentEarningsOrLossesAmt
Other Expenditures$57,134OtherExpendituresAmt
Administrative Expenses$24,553AdministrativeExpensesAmt
End Year Balance$6,358,425EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,589,110BeginningYearBalanceAmt
Contributions$154,659ContributionsAmt
Investment Earnings Or Losses$544,488InvestmentEarningsOrLossesAmt
Other Expenditures$55,706OtherExpendituresAmt
Administrative Expenses$23,550AdministrativeExpensesAmt
End Year Balance$6,209,001EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.37900BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.60230PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.01870TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$414,939OtherCostOrOtherBasisAmt
Book Value$414,939BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,860,478OtherCostOrOtherBasisAmt
Depreciation$14,465,601DepreciationAmt
Book Value$22,394,877BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,098,946OtherCostOrOtherBasisAmt
Depreciation$1,119,313DepreciationAmt
Book Value$979,633BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,776,280OtherCostOrOtherBasisAmt
Depreciation$10,851,517DepreciationAmt
Book Value$2,924,763BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,489,003OtherCostOrOtherBasisAmt
Book Value$4,489,003BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$31,203,215TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLIABILITY ON INTEREST SWAP AGREEMENTDesc
Amt$106,454Amt
FieldValueIRS element (for citing)
Total Liability$106,454TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:FOR 2017, THERE WAS A RESIDENT FUNDS SAVINGS ACCOUNT IN THE AMOUNT OF $4,811 AND A RESIDENT CHECKING FUND WITH A BALANCE OF $1,692.
PART V, LINE 4:THE ENDOWMENT FUNDS ARE HELD BY THE RELATED FOUNDATION FOR THE BENEVOLENT NEEDS FOR RESIDENTS OF EVERGREEN RETIREMENT COMMUNITY WHO HAVE EXHAUSTED THEIR PERSONAL RESOURCES, WOODLANDS PRESERVATION, LIFECARE LEARNING, PASTORAL CARE, CREATIVE ARTS, AND GROUNDS BEAUTIFICATION.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonKENNETH A ARNESONPersonNm
TitlePRESIDENT/CEOTitleTxt
Base Compensation Filing Org$239,998BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$8,931BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$97OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$15,105NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$264,131TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE ORGANIZATIONAL PERFORMANCE COMMITTEE (OPC) OF THE BOARD IS RESPONSIBLE FOR CONDUCTING THE PERFORMANCE REVIEW OF THE CEO AND MAKING A WAGE RECOMMENDATION TO THE FULL BOARD OF DIRECTORS. THE OPC IS PROVIDED COMPARATIVE WAGE DATA ANNUALLY BY THE VICE PRESIDENT OF HUMAN RESOURCES. THE REVIEW PROCESS IS DOCUMENTED IN EXECUTIVE SESSION MINUTES.
PART I, LINE 6PRESIDENT/CEO (KEN ARNESON), VP OF FINANCE/IS & TREASURER (JOHN KRUEGER), AND EXECUTIVE ASSISTANT/SECRETARY (BROOKE KNOLL) OF EVERGREEN RETIREMENT COMMUNITY, AS MEMBERS OF THE MANAGEMENT TEAM, RECEIVE AN ANNUAL BONUS, PART OF WHICH RELATES TO THE NET INCOME OF THE ORGANIZATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ELDERLY HOUSING AUTHORITY OF THE CITY OF OSHKOSH
A3912517772003-11-25$6,600,000CONSTRUCTION OF SKILLED NURSING FACILITY AND FITNESS & AQUATIC CENTER000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
B3913378552016-12-01$14,150,000CONSTRUCTION OF 62 APARTMENTS AND A WORSHIP AND PERFORMING ARTS CENTER000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
C3913378552013-12-20$7,000,000CAMPUS REMODEL (REPOSITIONING)000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndUnspentUnspentAmt
A$3,720,000$6,600,000$6,600,0002004Yes (1)0Yes (1)Yes (1)
B$14,150,000$8,067,073000Yes (1)$6,082,927
C$7,000,000$7,000,0002014000Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000
C000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
ASSOCIATED BANK NA
A00Yes (1)0Yes (1)Yes (1)9.58333330000000000
(no name)
B000Yes (1)Yes (1)000Yes (1)
(no name)
C000Yes (1)Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR AND VICE CHAIR OF THE BOARD AND THE CHAIRS OF THE THREE OTHER STANDING BOARD COMMITTEES. THE CHAIR SHALL SERVE AS THE CHAIR OF THE EXECUTIVE COMMITTEE. A QUORUM SHALL CONSIST OF THREE MEMBERS. THE COMMITTEE SHALL MEET AT THE CALL OF THE CHAIR OR ANY TWO EXECUTIVE COMMITTEE MEMBERS. THE COMMITTEE SHALL HAVE FULL AUTHORITY TO ACT ON BEHALF OF THE BOARD BETWEEN MEETINGS OF THE BOARD, EXCEPT THE ELECTION OF OFFICERS OR THE AUTHORITY TO DECLARE OR FILL ANY VACANCY ON THE BOARD. ALL ACTIONS OF THE COMMITTEE SHALL BE REPORTED AT THE NEXT REGULARLY SCHEDULED MEETING OF THE BOARD. THE COMMITTEE SHALL PERFORM SUCH OTHER FUNCTIONS AS MAY BE DELEGATED TO IT BY THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S TREASURER WILL REVIEW THE 990 IN DETAIL. AN ELECTRONIC VERSION OF THE FORM 990 WILL BE POSTED ON THE BOARD WEB PAGE WITH MEMBERS GIVEN THE OPPORTUNITY TO REVIEW IT PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO ALL EMPLOYEES AND IT HAS A CODE OF CONDUCT POLICY THAT APPLIES TO ALL BOARD MEMBERS. BOARD MEMBERS ARE REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST AND TO CONDUCT BUSINESS WITH EVERGREEN IN A MANNER THAT SUPPORTS THE INTERESTS OF EVERGREEN AND AVOIDS UNFAIR PERSONAL ADVANTAGE. NON-COMPLIANCE WITH THE CODE OF CONDUCT MAY RESULT IN REMOVAL FROM THE BOARD FOLLOWING AN OPPORTUNITY FOR EXPLANATION TO THE FULL BOARD.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATIONAL PERFORMANCE COMMITTEE (OPC) OF THE BOARD IS RESPONSIBLE FOR CONDUCTING THE PERFORMANCE REVIEW OF THE CEO AND MAKING A WAGE RECOMMENDATION TO THE FULL BOARD OF DIRECTORS. THE OPC IS PROVIDED COMPARATIVE WAGE DATA ANNUALLY BY THE VICE PRESIDENT OF HUMAN RESOURCES. THE REVIEW PROCESS IS DOCUMENTED IN EXECUTIVE SESSION MINUTES. VICE PRESIDENTS ARE REVIEWED BY THE PRESIDENT/CEO. THE SECRETARY OF THE BOARD IS THE EXECUTIVE ASSISTANT TO THE PRESIDENT/CEO AND IS REVIEWED BY THE PRESIDENT/CEO. PERIODIC WAGE & SALARY SURVEYS ARE CONDUCTED TO ASSURE COMPENSATION IS COMPARABLE TO INDUSTRY/AREA MARKET. FORMS ARE USED TO DOCUMENT ACCOMPLISHMENTS.
FORM 990, PART VI, SECTION C, LINE 19EVERGREEN RETIREMENT COMMUNITY, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. REQUESTED DOCUMENTS ARE PROVIDED WITHIN A REASONABLE TIME FRAME.
FORM 990, PART IX, LINE 11GCONTRACTS AND OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,284,782. MANAGEMENT AND GENERAL EXPENSES 311,561. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,596,343. CONSULTING FEES: PROGRAM SERVICE EXPENSES 19,708. MANAGEMENT AND GENERAL EXPENSES 2,687. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,395.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1EVERGREEN FOUNDATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11130 NORTH WESTFIELD STREETAddressLine1Txt
CityOSHKOSHCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54902ZIPCd
FieldValueIRS element (for citing)
EIN391388991EIN
Primary ActivitiesFUNDRAISINGPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1EVERGREEN VILLAGE INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11130 NORTH WESTFIELD STREETAddressLine1Txt
CityOSHKOSHCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54901ZIPCd
FieldValueIRS element (for citing)
EIN391505337EIN
Primary ActivitiesCO-OPERATIVEPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
EVERGREEN FOUNDATION INC
C$2,058,362BOOK
EVERGREEN FOUNDATION INC
L$156,693BOOK
EVERGREEN FOUNDATION INC
D$246,923BOOK