AMERICAN EAGLE LIFECARE CORPORATION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- AMERICAN EAGLE LIFECARE CORPORATION (EIN 01-0706736)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201633209349316598
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T18:01:17-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 West Wacker Drive | AddressLine1Txt |
| Address Line2 | Suite 2600 | AddressLine2Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606061224 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010706736 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | American Eagle LifeCare Corporation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AMER | BusinessNameControlTxt |
| Phone | 6152522305 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3819 Hawk Crest Road | AddressLine1Txt |
| City | Ann Arbor | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48103 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | F Scott Kellman | PersonNm |
| Person Title | President & CEO | PersonTitleTxt |
| Signature | 2016-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NICOLE BENCIK | PreparerPersonNm |
| PTIN | P00756195 | PTIN |
| Phone | 3128997000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | F Scott Kellman | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3819 Hawk Crest Road | AddressLine1Txt |
| City | Ann Arbor | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $55,490,873 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | The organization owns and operates nursing homes, senior living facilities, assisted living facilities and related facilities, and provides healthcare and other services to the elderly and infirm. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 913 | TotalEmployeeCnt |
| Total Volunteers | 225 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $559 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $56,029,319 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $55,285,730 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$321,606 | PYInvestmentIncomeAmt |
| CY Investment Income | $181,551 | CYInvestmentIncomeAmt |
| PY Other Revenue | $388,631 | PYOtherRevenueAmt |
| CY Other Revenue | $23,592 | CYOtherRevenueAmt |
| PY Total Revenue | $56,096,903 | PYTotalRevenueAmt |
| CY Total Revenue | $55,490,873 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $884 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $34,902 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $28,549,392 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $27,453,860 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $27,092,611 | PYOtherExpensesAmt |
| CY Other Expenses | $30,105,382 | CYOtherExpensesAmt |
| PY Total Expenses | $55,642,887 | PYTotalExpensesAmt |
| CY Total Expenses | $57,594,144 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $454,016 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,103,271 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $94,892,288 | TotalAssetsBOYAmt |
| Total Assets EOY | $92,849,620 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $80,000,784 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $80,572,389 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,891,504 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,277,231 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The organization acquires, owns, maintains and operates nursing homes, senior living facilities and/or assisted living facilities and related facilities providing health care or other services to the elderly and infirm or disabled and/or disadvantaged persons throughout the United States. The organization also develops and deploys educational programs and supporting research in the area of learning science and innovative educational programs and tools in a variety of media for training and educational purposes. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $16,822,692 | ExpenseAmt |
| Grant | $11,652 | GrantAmt |
| Revenue | $18,259,400 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES A VARIETY OF LONG-TERM NURSING SERVICES AT THREE LOCATIONS IN WISCONSIN. SERVICES INCLUDE COMPREHENSIVE NURSING CARE, THERAPIES, DIETARY SERVICES, SOCIAL SERVICES, AND RESIDENT ACTIVITIES. ALL OF THE FACILITIES ARE CERTIFIED FOR MEDICARE AND MEDICAID. COLONIAL CENTER IS A 95 BED NURSING FACILITY LOCATED IN COLBY, WISCONSIN. KARMENTA CENTER IS A 103 BED NURSING FACILITY IN MADISON, WISCONSIN. BETHEL CENTER IS A 111 BED NURSING FACILITY LOCATED IN ARPIN, WISCONSIN. THESE FACILITIES PROVIDE SERVICES WITHOUT CHARGE, OR AT AMOUNTS LESS THAN ESTABLISHED RATES, TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE OR UNINSURED POLICIES. THE CRITERIA FOR CHARITY CARE TAKES INTO CONSIDERATION HEALTH & HUMAN SERVICES FEDERAL POVERTY GUIDELINES, FAMILY ASSETS, FAMILY SIZE, EMPLOYMENT STATUS, ORDINARY FAMILY EXPENSES, AND OTHER RELATED INFORMATION. THE COST OF CHARITY CARE, BASED UPON THE FACILITIES' COST-TO-CHARGE RATIO, PROVIDED BY THESE FACILITIES WAS APPROXIMATELY $25,690 IN 2015. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,845,685 | ExpenseAmt |
| Grant | $10,253 | GrantAmt |
| Revenue | $10,788,604 | RevenueAmt |
| Desc | THE ORGANIZATION OPERATES A LICENSED NURSING HOME IN EAU CLAIRE, WISCONSIN. THE FACILITY PROVIDES CARE TO ELDERLY RESIDENTS, INCLUDING NURSING CARE, ANCILLARY SERVICES, SOCIAL SERVICES, AND OTHER SERVICES AS REQUIRED. THE FACILITY IS CERTIFIED FOR MEDICARE AND MEDICAID AND OPERATES WITH 161 BEDS. THIS FACILITY PROVIDES SERVICES WITHOUT CHARGE, OR AT AMOUNTS LESS THAN ESTABLISHED RATES, TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE OR UNINSURED POLICIES. THE CRITERIA FOR CHARITY CARE TAKES INTO CONSIDERATION HEALTH & HUMAN SERVICES FEDERAL POVERTY GUIDELINES, FAMILY ASSETS, FAMILY SIZE, EMPLOYMENT STATUS, ORDINARY FAMILY EXPENSES, AND OTHER RELATED INFORMATION. THE COST OF CHARITY CARE, BASED UPON THE FACILITY'S COST-TO-CHARGE RATIO, PROVIDED BY THIS FACILITY WAS APPROXIMATELY $41,945 IN 2015. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,048,964 | ExpenseAmt |
| Grant | $8,695 | GrantAmt |
| Revenue | $9,929,373 | RevenueAmt |
| Desc | THE ORGANIZATION ALSO OPERATES A LICENSED NURSING HOME IN WEST ALLIS, WISCONSIN. THE ALLIS CARE CENTER PROVIDES CARE TO ELDERLY RESIDENTS, INCLUDING NURSING CARE, ANCILLARY SERVICES, SOCIAL SERVICES, AND OTHER SERVICES AS REQUIRED. THE FACILITY IS CERTIFIED FOR MEDICARE AND MEDICAID AND OPERATES WITH 152 BEDS. THIS FACILITY PROVIDES SERVICES WITHOUT CHARGE, OR AT AMOUNTS LESS THAN ESTABLISHED RATES, TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE OR UNINSURED POLICIES. THE CRITERIA FOR CHARITY CARE TAKES INTO CONSIDERATION HEALTH & HUMAN SERVICES FEDERAL POVERTY GUIDELINES, FAMILY ASSETS, FAMILY SIZE, EMPLOYMENT STATUS, ORDINARY FAMILY EXPENSES, AND OTHER RELATED INFORMATION. THE COST OF CHARITY CARE, BASED UPON THE FACILITY'S COST-TO-CHARGE RATIO, PROVIDED BY THIS FACILITY WAS APPROXIMATELY $0 IN 2015. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $7,648,842 | $2,150 | $9,851,054 | THE ORGANIZATION PROVIDES A VARIETY OF SERVICES TO THE ELDERLY AT THREE LOCATIONS IN INDIANA. THE HOME PLACE OWNS AND OPERATES AN APARTMENT COMPLEX FOR THE ELDERLY AND IS LOCATED IN THE GREATER INDIANAPOLIS, INDIANA AREA. THE HOME PLACE CONTAINS 60 INDEPENDENT LIVING UNITS. SANDERS GLEN OPERATES AN ASSISTED LIVING FACILITY FOR THE ELDERLY AND IS LOCATED IN WESTFIELD, INDIANA. SANDERS GLEN CONTAINS 143 LICENSED ASSISTED LIVING BEDS CONTAINED IN 111 UNITS. MORNING BREEZE OPERATES A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) IN GREENSBURG, INDIANA. MORNING BREEZE CONTAINS 18 INDEPENDENT LIVING VILLA HOMES, 30 LICENSED ASSISTED LIVING BEDS CONTAINED IN 25 UNITS, AND A 48 BED HEALTHCARE CENTER. THESE FACILITIES PROVIDE SERVICES WITHOUT CHARGE, OR AT AMOUNTS LESS THAN ESTABLISHED RATES, TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE OR UNINSURED POLICIES. THE CRITERIA FOR CHARITY CARE TAKES INTO CONSIDERATION HEALTH & HUMAN SERVICES FEDERAL POVERTY GUIDELINES, FAMILY ASSETS, FAMILY SIZE, EMPLOYMENT STATUS, ORDINARY FAMILY EXPENSES, AND OTHER RELATED INFORMATION. THE COST OF CHARITY CARE, BASED UPON THE FACILITIES' COST-TO-CHARGE RATIO, PROVIDED BY THESE FACILITIES WAS APPROXIMATELY $20,950 IN 2015. |
| $6,122,523 | $2,152 | $6,457,299 | THE ORGANIZATION OPERATES A LICENSED NURSING HOME IN WHITEHOUSE, TEXAS. THE OAKBROOK NURSING FACILITY (OAKBROOK) PROVIDES CARE TO ELDERLY RESIDENTS, INCLUDING NURSING CARE, ANCILLARY SERVICES, SOCIAL SERVICES, AND OTHER SERVICES AS REQUIRED. OAKBROOK OPERATES A 120 BED NURSING HOME. |
| THE AMERICAN EAGLE PARENT COMPANY OWNS AND PROVIDES THIRD PARTY MANAGEMENT AND ADMINISTRATIVE SERVICES TO ITS FACILITY COMPANIES, WHICH ARE DISREGARDED ENTITIES OF THE PARENT COMPANY. | |||
| THE ORGANIZATION PROVIDES A VARIETY OF SERVICES TO THE ELDERLY AT THREE LOCATIONS IN CHAGRIN FALLS, OHIO: THE ATRIUM AT HAMLET VILLAGE ASSISTED LIVING FACILITY, HAMLET MANOR SKILLED NURSING FACILITY, AND HAMLET VILLAGE - HILLSIDE INDEPENDENT LIVING SENIOR APARTMENTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $13,771,365 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $4,302 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $16,308,353 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $49,488,706 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 1256 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 913 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | F Scott Kellman | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7342225264 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3819 Hawk Crest Road | AddressLine1Txt |
| City | Ann Arbor | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48103 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| F Scott Kellman | |||||||
| President & CEO | 40.0 | Yes (X) | Yes (X) | $1,005,196 | $0 | $17,163 | |
| Benjamin Kellman | |||||||
| Vice President | 2.0 | Yes (X) | Yes (X) | $32,500 | $0 | $0 | |
| Randy Rutta | |||||||
| Board member | 2.0 | Yes (X) | $32,500 | $0 | $0 | ||
| Mark Miller | |||||||
| Board member | 3.0 | Yes (X) | $32,500 | $0 | $0 | ||
| Daniel Kellman | |||||||
| Board Member | 2.0 | Yes (X) | $32,500 | $0 | $0 | ||
| ELAN RUGGILL | |||||||
| Senior Vice President | 40.0 | Yes (X) | $189,500 | $0 | $0 | ||
| RAYMOND FRESON | |||||||
| EXECUTIVE DIRECTOR, MADISON (KARMENTA) | 40.0 | $112,891 | $0 | $7,476 | Yes (X) | ||
| JENNY LINQUIST | |||||||
| RN UNIT MANAGER - EAU CLAIRE | 40.0 | $103,608 | $0 | $14,503 | Yes (X) | ||
| DANA WHEELER | |||||||
| RN - EAU CLAIRE | 40.0 | $110,065 | $0 | $0 | Yes (X) | ||
| CATHY WENZEL | |||||||
| DIRECTOR OF NURSING - BETHEL CENTER | 40.0 | $104,910 | $0 | $7,050 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,756,170 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $46,192 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GENESIS REHABILITION SERVICES | |||||
| PO BOX 7247-6524 | PHILADELPHIA | PA | 17170 | THERAPY SERVICES | $3,299,063 |
| MEDICAL REHABILITATION CENTERS LLC | |||||
| 1050 CHINOE RD SUITE 350 | LEXINGTON | KY | 40502 | MANAGEMENT SERVICES | $3,197,046 |
| QUALITY CARE STAFFING SOLUTIONS | |||||
| 895 23 7/8 | CHETEK | WI | 54728 | AGENCY LABOR | $328,181 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Service Revenues | Desc |
| Total Revenue Column | $55,285,730 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $55,285,730 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $55,285,730 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $181,551 | TotalRevenueColumnAmt |
| Exclusion | $181,551 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,343 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,343 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,343 | TotalRevenueColumnAmt |
| Exclusion | $7,343 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|
| Fees & Other Revenue | $12,001 | $12,001 |
| Meals/Vending | $4,248 | $4,248 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $16,249 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $55,490,873 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $55,285,730 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $205,143 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,902 | TotalAmt |
| Program Services | $34,902 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,437,587 | TotalAmt |
| Management And General | $1,437,587 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,577,837 | TotalAmt |
| Program Services | $20,679,196 | ProgramServicesAmt |
| Management And General | $1,898,641 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,509 | TotalAmt |
| Program Services | $27,509 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,569,943 | TotalAmt |
| Program Services | $1,531,920 | ProgramServicesAmt |
| Management And General | $38,023 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,840,984 | TotalAmt |
| Program Services | $1,754,512 | ProgramServicesAmt |
| Management And General | $86,472 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,050,503 | TotalAmt |
| Program Services | $604,380 | ProgramServicesAmt |
| Management And General | $2,446,123 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,792 | TotalAmt |
| Program Services | $7,938 | ProgramServicesAmt |
| Management And General | $64,854 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,212 | TotalAmt |
| Program Services | $190,512 | ProgramServicesAmt |
| Management And General | $27,700 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,164,886 | TotalAmt |
| Program Services | $5,694,442 | ProgramServicesAmt |
| Management And General | $470,444 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,085 | TotalAmt |
| Program Services | $44,942 | ProgramServicesAmt |
| Management And General | $143,143 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,391,598 | TotalAmt |
| Program Services | $1,436,599 | ProgramServicesAmt |
| Management And General | $954,999 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $328 | TotalAmt |
| Management And General | $328 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,152,772 | TotalAmt |
| Program Services | $5,810,377 | ProgramServicesAmt |
| Management And General | $342,395 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,656 | TotalAmt |
| Program Services | $123,713 | ProgramServicesAmt |
| Management And General | $51,943 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,041 | TotalAmt |
| Program Services | $51,636 | ProgramServicesAmt |
| Management And General | $12,405 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,551,762 | TotalAmt |
| Program Services | $4,551,762 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,572,242 | TotalAmt |
| Program Services | $2,470,352 | ProgramServicesAmt |
| Management And General | $101,890 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $479,382 | TotalAmt |
| Program Services | $450,891 | ProgramServicesAmt |
| Management And General | $28,491 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL/DIRECT PATIENT CARE SUPPLIES | $1,953,381 | $1,953,381 |
| REVENUE ASSESSMENT FEES | $1,017,784 | $1,017,784 |
| PROVISION FOR DOUBTFUL ACCOUNTS | $515,958 | $515,958 |
| INDIGENT CARE | $536,000 | $536,000 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,594,144 | TotalAmt |
| Program Services | $49,488,706 | ProgramServicesAmt |
| Management And General | $8,105,438 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,794,145 | BOYAmt |
| EOY | $8,330,736 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,280,855 | BOYAmt |
| EOY | $4,220,831 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $660,762 | BOYAmt |
| EOY | $398,139 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $72,849,180 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $16,325,942 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,483,702 | BOYAmt |
| EOY | $56,523,238 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,085,233 | BOYAmt |
| EOY | $18,085,233 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,587,591 | BOYAmt |
| EOY | $5,291,443 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,892,288 | BOYAmt |
| EOY | $92,849,620 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,345,277 | BOYAmt |
| EOY | $5,685,517 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,945,000 | BOYAmt |
| EOY | $10,745,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,864,905 | BOYAmt |
| EOY | $55,744,984 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,845,602 | BOYAmt |
| EOY | $7,845,602 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $551,286 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,000,784 | BOYAmt |
| EOY | $80,572,389 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,891,504 | BOYAmt |
| EOY | $12,277,231 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,891,504 | BOYAmt |
| EOY | $12,277,231 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,892,288 | BOYAmt |
| EOY | $92,849,620 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,103,271 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$511,002 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | false | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,124 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,035 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,752 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $559 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $15,470 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $56,585,641 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $56,758,029 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $55,826,944 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $56,029,319 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $55,297,321 | CurrentTaxYearAmt |
| Total | $280,497,254 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $181,374 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $222,001 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $66,950 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $126,278 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,001 | CurrentTaxYearAmt |
| Total | $608,604 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $56,773,139 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $56,987,065 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $55,895,646 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $56,156,156 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $55,309,322 | CurrentTaxYearAmt |
| Total | $281,121,328 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $281,121,328 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60,184 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $60,363 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $61,543 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,259 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $181,551 | CurrentTaxYearAmt |
| Total | $375,900 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60,184 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $60,363 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $61,543 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,259 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $181,551 | CurrentTaxYearAmt |
| Total | $375,900 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,944 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,133 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,932 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $888 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,249 | CurrentTaxYearAmt |
| Total | $32,146 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $56,842,267 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $57,050,561 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $55,960,121 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $56,169,303 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $55,507,122 | CurrentTaxYearAmt |
| Total | $281,529,374 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.9986 | PublicSupportCY509Pct |
| Public Support PY509 | 0.9989 | PublicSupportPY509Pct |
| Investment Income CY | 0.0013 | InvestmentIncomeCYPct |
| Investment Income PY | 0.0010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - OTHER INCOME, COLUMN A - 8944.0, COLUMN B - 3133.0, COLUMN C - 2932.0, COLUMN D - 888.0, COLUMN E - 16249.0, COLUMN F - 32146.0; | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,522,026 | OtherCostOrOtherBasisAmt |
| Book Value | $6,522,026 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $57,754,533 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,302,087 | DepreciationAmt |
| Book Value | $47,452,446 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,523,359 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,023,855 | DepreciationAmt |
| Book Value | $2,499,504 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,262 | OtherCostOrOtherBasisAmt |
| Book Value | $49,262 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $56,523,238 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| LIMITED USE ASSETS | $2,958,068 |
| OTHER ASSETS | $2,333,375 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,291,443 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| INTEREST RATE SWAP OBLIGATION | $511,002 |
| CAPITAL LEASES PAYABLE | $40,284 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $551,286 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part IV, Line 1b Agent, trustee, custodian, or other intermediary arrangement | See narrative for Schedule D, Part IV, Line 2b. |
| Schedule D, Part IV, Line 2b Explanation of escrow agreement | For personal protection, it is requested that money not be left in the residents' rooms. The facility may not require residents to deposit their personal funds with the facility; however, if the resident wishes, and upon written authorization of a resident, the facility will withhold, safeguard, manage, and account for the personal funds of the resident deposited with the facility. Any resident's personal funds in excess of $50 are deposited in an interest-bearing account that is separate from facility funds. The facility credits all interest earned on the resident's funds to his or her account. A resident's personal funds that do not exceed $50 are maintained in a non-interest-bearing account or petty cash fund. The facility maintains a system that assures a complete and separate accounting of each resident's personal funds entrusted to the facility. The facility deposits the personal needs allowance retained by any resident whose care is paid for under the Medicaid Program into the resident's account. The facility furnishes the resident with a written receipt for any personal funds or personal property received by the facility. Residents may access their account during normal business hours; if residents need access to their money after hours or during the weekend, the Business Office Manager or Administrator is contacted and arranges for the residents to receive their funds. The individual financial record is available quarterly on request by the resident or his or her legal representative. At least every three months, the facility furnishes the resident or the resident's representative with a complete statement of all funds and other property held by the facility, detailing the amounts and items received, together with their sources, disposition, and the date of each transaction. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Payments For Use Of Residence | Yes (X) | PaymentsForUseOfResidenceInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| F Scott Kellman | ||||||||||||||
| President & CEO | $1,005,196 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $17,163 | $0 | $1,022,359 | $0 | $0 | $0 |
| ELAN RUGGILL | ||||||||||||||
| Senior Vice President | $188,520 | $0 | $0 | $0 | $980 | $0 | $0 | $0 | $0 | $0 | $189,500 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 1a Payments for business use of personal residence | FormAndLineReferenceDesc |
| Explanation | American Eagle Lifecare Corporation leases space from its CEO, Scott Kellman. Mr. Kellman reported this as ordinary income on his personal tax return for 2015. The fair market value of the rental was established after consultation with local real estate professionals. Factors evaluated in deriving the current rent included, but were not limited to, quality of space, dedicated and common space utilized by the company, access of the employees to kitchen and parking facilities, as well as consideration of per square foot rents for comparable space in the market. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wisconsin Health & Educational Facilities Authority | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 391337855 | BondIssuerEIN |
| CUSIP | 97710BBY7 | CUSIPNum |
| Bond Issued | 2008-06-11 | BondIssuedDt |
| Issue Price | $12,000,000 | IssuePriceAmt |
| Purpose | refinance 11/01/2003 Wisconsin bonds for facility acquisition, additions, and improvements | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,055,000 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $12,000,000 | TotalProceedsAmt |
| In Reserve Fund | $993,275 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $0 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $2,383,148 | CapitalExpendituresAmt |
| Other Spent Proceeds | $8,623,577 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2008 | SubstantialCompletionYr |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | Yes (true) | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (true) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.0 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.0 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.0 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | Yes (true) | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | Yes (true) | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PackerKiss Securities | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of GIC | 7.0 | TermOfGICPct |
| Regulatory Safe Harbor Stsfd | Yes (true) | RegulatorySafeHarborStsfdInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part III, Line 9 Written procedures to ensure all nonqualified bonds are remediated | THE ORGANIZATION IS IN THE PROCESS OF ADOPTING WRITTEN PROCEDURES TO ENSURE ALL NONQUALIFIED BONDS (IF ANY) OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE ASSOCIATED REGULATIONS. THE ORGANIZATION STRIVES TO STAY ABREAST OF FEDERAL REGULATIONS AND CONSIDERS THE REPERCUSSIONS OF ALL SIGNIFICANT ACTIVITIES WHICH COULD FORESEEABLY HAVE AN IMPACT ON THE ORGANIZATION'S TAX EXEMPT BONDS AND THE ASSOCIATED FEDERAL TAX REGULATIONS. |
| Schedule K, Part IV, Line 7 Written procedures to monitor requirements of Section 148 | THE ORGANIZATION IS IN THE PROCESS OF ADOPTING WRITTEN PROCEDURES TO MONITOR THE ORGANIZATION'S ABILITY TO REMAIN IN COMPLIANCE WITH THE ARBITRAGE REQUIREMENTS UNDER SECTION 148 OF THE INTERNAL REVENUE CODE. THE ORGANIZATION STRIVES TO STAY ABREAST OF FEDERAL REGULATIONS AND CONSIDERS THE REPERCUSSIONS OF ALL SIGNIFICANT ACTIVITIES WHICH COULD FORESEEABLY HAVE AN IMPACT ON THE ORGANIZATION'S TAX EXEMPT BONDS AND THE ASSOCIATED FEDERAL TAX REGULATIONS. |
| Schedule K, Part V Written procedures to ensure violations are identified & corrected | THE ORGANIZATION IS IN THE PROCESS OF ADOPTING WRITTEN PROCEDURES WHICH DICTATE HOW MANAGEMENT TIMELY IDENTIFIES AND CORRECTS VIOLATIONS OF FEDERAL TAX REQUIREMENTS USING THE VOLUNTARY CLOSING AGREEMENT PROGRAM (VCAP) PROVIDED BY THE IRS WHEN SELF-REMEDIATION IS NOT AVAILABLE TO THE ORGANIZATION. THE ORGANIZATION STRIVES TO STAY ABREAST OF FEDERAL REGULATIONS AND CONSIDERS THE REPERCUSSIONS OF ALL SIGNIFICANT ACTIVITIES WHICH COULD FORESEEABLY HAVE AN IMPACT ON THE ORGANIZATION'S TAX EXEMPT BONDS AND THE ASSOCIATED FEDERAL TAX REGULATIONS. IN THE EVENT A VIOLATION IS IDENTIFIED THE ORGANIZATION'S POLICY IS TO CORRECT THE VIOLATION AS SOON AS POSSIBLE, WHILE WORKING WITH THE FEDERAL AUTHORITIES AS NECESSARY TO ENSURE THAT SUFFICIENT CONTROLS ARE PRESENT WHICH WILL GUARD AGAINST FUTURE VIOLATIONS. |
| Schedule K, Part IV, Line 2c COLUMN A | Issuer name: Wisconsin Health & Educational Facilities Authority The calculation for computing no rebate due was performed on 10/15/2013 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ 7,648,842 including grants of $ 2,150)(Revenue $ 9,851,054) THE ORGANIZATION PROVIDES A VARIETY OF SERVICES TO THE ELDERLY AT THREE LOCATIONS IN INDIANA. THE HOME PLACE OWNS AND OPERATES AN APARTMENT COMPLEX FOR THE ELDERLY AND IS LOCATED IN THE GREATER INDIANAPOLIS, INDIANA AREA. THE HOME PLACE CONTAINS 60 INDEPENDENT LIVING UNITS. SANDERS GLEN OPERATES AN ASSISTED LIVING FACILITY FOR THE ELDERLY AND IS LOCATED IN WESTFIELD, INDIANA. SANDERS GLEN CONTAINS 143 LICENSED ASSISTED LIVING BEDS CONTAINED IN 111 UNITS. MORNING BREEZE OPERATES A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) IN GREENSBURG, INDIANA. MORNING BREEZE CONTAINS 18 INDEPENDENT LIVING VILLA HOMES, 30 LICENSED ASSISTED LIVING BEDS CONTAINED IN 25 UNITS, AND A 48 BED HEALTHCARE CENTER. THESE FACILITIES PROVIDE SERVICES WITHOUT CHARGE, OR AT AMOUNTS LESS THAN ESTABLISHED RATES, TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE OR UNINSURED POLICIES. THE CRITERIA FOR CHARITY CARE TAKES INTO CONSIDERATION HEALTH & HUMAN SERVICES FEDERAL POVERTY GUIDELINES, FAMILY ASSETS, FAMILY SIZE, EMPLOYMENT STATUS, ORDINARY FAMILY EXPENSES, AND OTHER RELATED INFORMATION. THE COST OF CHARITY CARE, BASED UPON THE FACILITIES' COST-TO-CHARGE RATIO, PROVIDED BY THESE FACILITIES WAS APPROXIMATELY $20,950 IN 2015. |
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ 6,122,523 including grants of $ 2,152)(Revenue $ 6,457,299) THE ORGANIZATION OPERATES A LICENSED NURSING HOME IN WHITEHOUSE, TEXAS. THE OAKBROOK NURSING FACILITY (OAKBROOK) PROVIDES CARE TO ELDERLY RESIDENTS, INCLUDING NURSING CARE, ANCILLARY SERVICES, SOCIAL SERVICES, AND OTHER SERVICES AS REQUIRED. OAKBROOK OPERATES A 120 BED NURSING HOME. |
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ including grants of $) THE AMERICAN EAGLE PARENT COMPANY OWNS AND PROVIDES THIRD PARTY MANAGEMENT AND ADMINISTRATIVE SERVICES TO ITS FACILITY COMPANIES, WHICH ARE DISREGARDED ENTITIES OF THE PARENT COMPANY. |
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ including grants of $) THE ORGANIZATION PROVIDES A VARIETY OF SERVICES TO THE ELDERLY AT THREE LOCATIONS IN CHAGRIN FALLS, OHIO: THE ATRIUM AT HAMLET VILLAGE ASSISTED LIVING FACILITY, HAMLET MANOR SKILLED NURSING FACILITY, AND HAMLET VILLAGE - HILLSIDE INDEPENDENT LIVING SENIOR APARTMENTS. |
| Form 990, Part V, Line 1a ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS | EACH OF THE DISREGARDED ENTITIES LISTED IN SCHEDULE R, PART I FILES A SEPARATE FORM 1096. THIS REPRESENTS THE TOTAL FOR ALL DISREGARDED ENTITIES. |
| Form 990, Part V, Line 2a TRANSMITTAL OF WAGE AND TAX STATEMENTS | EACH OF THE DISREGARDED ENTITIES LISTED IN SCHEDULE R, PART I FILES A SEPARATE FORM W-3. THIS REPRESENTS THE TOTAL FOR ALL DISREGARDED ENTITIES. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | BY RESOLUTIONS ADOPTED BY A MAJORITY OF THE DIRECTORS IN OFFICE, THE BOARD OF DIRECTORS MAY DESIGNATE FROM AMONG ITS MEMBERS ONE OR MORE EXECUTIVE COMMITTEES, EACH OF WHICH SHALL CONSIST OF TWO OR MORE DIRECTORS, WHICH EXECUTIVE COMMITTEE, TO THE EXTENT PROVIDED IN SUCH RESOLUTION, SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE AFFAIRS OF THE CORPORATION; BUT THE DESIGNATION OF ANY SUCH EXECUTIVE COMMITTEES AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF DIRECTORS, OR ANY INDIVIDUAL DIRECTOR, OF ANY RESPONSIBILITY IMPOSED UPON IT OF HIM BY LAW. |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | F. SCOTT KELLMAN & BENJAMIN KELLMAN & DANIEL KELLMAN - Family relationship |
| Form 990, Part VI, Line 3 Delegation of management duties | The following organizations entered into management agreements with Medical Rehabilitation Centers, LLC D/B/A EXCEPTIONAL LIVING CENTERS, a Kentucky Corporation to provide substantially all management services for each facility. Managmeent fees include monthly fees plus payroll costs of employees or consultants of the facility who are employees of the manager. -Lexington Healthcare, LLC -American Eagle Nursing Home Company of Eau Claire, LLC -American Eagle Home Place, LLC -American Eagle Sanders Glen, LLC -American Eagle Morning Breeze, LLC -American Eagle Nursing Home Company of Arpin, LLC -American Eagle Nursing Home Company of Colby, LLC -American Eagle Nursing Home Company of Madison, LLC The Oakbrook Health Care Facility entered into a management agreement with Atrium Living Centers of Texas, Inc. Under the agreement, Atrium is to exclusively supervise, direct, and control the management and operation of the facility for a monthly fee. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | A final draft of the Form 990, including all applicable schedules, is provided to each member of the governing body before the return is filed with the IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | Annual certifications are received from all officers and directors to determine whether any potential conflicts of interest exist. The board of directors discuss the annual certifications at the board meetings to determine whether an actual conflict of interest exists. If a conflict is determined to exist, that person would be recused from taking part in any decisions concerning the conflicting issue. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | The organization's board of directors reviews and approves the compensation for the organization's President and CEO, F. Scott Kellman, on an annual basis. The board uses current market data for comparability and documents their deliberation and decision in the board meeting minutes; this process was last undertaken during the fourth quarter 2015. In addition, the board of directors obtained compensation studies performed by the Reznick Group, L.C. in July 2008, and Crowe Horwath LLP in September 2010 and in 2013 to use in determining the amount of compensation for 2008 through 2015. This information was documented in the board meeting minutes in 2008, 2010 and 2013 when the compensation studies were reviewed. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | American Eagle Lifecare's Home office has one key employee other than its CEO. This employee, Elan Ruggill serves as a Senior Vice-President. In this capacity he analyses financial statements, supervises American Eagle's managers, and analyses and processes new investments. He is also responsible for our web sites and overseeing the capital repairs at our facilities. Mr. Ruggill's compensation was established after consideration of several factors including the following. *Compensation provided to employees with comparable levels of responsibility at enterprises similar in size and mission to American Eagle as reported in GuideStar Compensation studies and reports. *Discussions with executives from for profit entities in the senior living sector who employ individuals with similar skills and responsibilities to Mr. Ruggill. *Discussions with Mr. Ruggill regarding employment offers he had with other companies. *Consideration by the CEO of appropriate compensation for individuals at Mr. Ruggill's level derived from the CEO's experience as the COO, Chief investment officer, and CEO of public companies involved in the senior housing space. Discussions by the Board's Compensation Committee occurred regarding the above factors and Mr. Ruggill's ultimate compensation, though the Compensation Committee clearly delegated the ultimate decision regarding Mr. Ruggill's compensation to the CEO. |
| Form 990, Part VI, Line 19 Required documents available to the public | The organization's governing documents, conflict of interest policy, and financial statements are made available to the public upon request. |
| Form 990, Part VII, Section A Part VII, Section A | F. Scott Kellman, President & CEO, and Elan Ruggill, Senior Vice President, are paid by American Eagle LifeCare Corporation (EIN 01-0706736). Jordan Bruce, Executive Director, is paid by American Eagle Nursing Home Company of Eau Claire, LLC (EIN 26-3709759). Clare King, RN, is paid by Lexington Healthcare, LLC (EIN 20-1684547). The following board members and officers are paid by American Eagle LifeCare Corporation (EIN 01-0706736): BENJAMIN KELLMAN, VICE PRESIDENT RANDY RUTTA, BOARD MEMBER MARK MILLER, BOARD MEMBER DANIEL KELLMAN, BOARD MEMBER |
| Form 990, Part IX, Line 11g Other Fees | CONTRACTED STAFF (NURSING, PHARMACIST, PSYCHOLOGIST, MEDICAL DIRECTOR - Total Expense: 6164886, Program Service Expense: 5694442, Management and General Expenses: 470444, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | CHANGE IN VALUE OF INTEREST RATE SWAP - -511002; |
| Form 990, Part XII, Line 2b AUDITED/COMPILED FINANCIAL STATEMENTS | THE ORGANIZATION RECEIVES FIVE SEPARATE SETS OF AUDITED FINANCIAL STATEMENTS, EACH OF WHICH IS PREPARED IN ACCORDANCE WITH GAAP. THE FINANCIAL INFORMATION IS THEN COMBINED FOR PURPOSES OF THE FORM 990. ONE SET OF AUDITED FINANCIAL STATEMENTS, WHICH IS PREPARED ON A CONSOLIDATED BASIS, CONSISTS OF THE FOLLOWING WISCONSIN ENTITIES ("OBLIGATED GROUP"): AE ARPIN FACILITY COMPANY, LLC (EIN 81-0621902) AMERICAN EAGLE NURSING HOME COMPANY OF ARPIN, LLC (EIN 47-0924079) AE COLBY FACILITY COMPANY, LLC (EIN 81-0622276) AMERICAN EAGLE NURSING HOME COMPANY OF COLBY, LLC (EIN 68-0558136) AE MADISON FACILITY COMPANY , LLC (EIN 26-0070115) AMERICAN EAGLE NURSING HOME COMPANY OF MADISON, LLC (EIN 81-0621853) EACH OF THE FOLLOWING ENTITIES RECEIVES A SEPARATE SET OF AUDITED FINANCIAL STATEMENTS: AMERICAN EAGLE HOME PLACE, LLC (EIN 20-3295047) AE EAU CLAIRE FACILITY COMPANY, LLC (EIN 26-3709653) AE WESTFIELD FACILITY COMPANY, LLC (EIN 27-2784041) AE GREENSBURG FACILITY COMPANY, LLC (EIN 27-2784104) THE FINANCIAL INFORMATION FOR EACH OF THE ABOVE ENTITIES, AS WELL AS THE ENTITIES LISTED BELOW THAT DO NOT RECEIVE AUDITED FINANCIAL STATEMENTS, IS ALSO INCLUDED IN A SINGLE FINANCIAL STATEMENT COMPILATION PREPARED BY THE ORGANIZATION'S INDEPENDENT AUDITORS. AMERICAN EAGLE LIFECARE CORPORATION (EIN 01-0706736) AMERICAN EAGLE NURSING HOME COMPANY OF WHITEHOUSE, LLC (EIN 20-2818234) AMERICAN EAGLE NURSING HOME COMPANY OF EAU CLAIRE, LLC (EIN 26-3709759) LEXINGTON HEALTHCARE, LLC (EIN 20-1684547) AMERICAN EAGLE MORNING BREEZE, LLC (EIN 20-3294992) AMERICAN EAGLE SANDERS GLEN, LLC (EIN 20-3294905) AMERICAN EAGLE HAMLET HOLDING, LLC (EIN 46-3702281) HAMLET HEALTH CARE, LLC (EIN 37-1741674) HAMLET ASSISTED LIVING, LLC (EIN 61-1722029) HAMLET OPERATOR HOLDING, LLC (EIN 61-1740797) HAMLET HEALTH CARE OPERATOR, LLC (EIN 30-0799535) HAMLET ASSISTED LIVING, LLC (EIN 37-1742958) HAMLET HILLS, LLC (EIN 38-3915895) |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| AE ARPIN FACILITY COMPANY LLC | |||||||||
| 8014 BETHEL ROAD | ARPIN | WI | 54410 | 810621902 | FACILITY COMPANY | WI | $377,919 | $2,908,689 | AMERICAN EAGLE LIFECARE CORPORATION |
| AMERICAN EAGLE NURSING HOME COMPANY OF ARPIN LLC | |||||||||
| 8014 BETHEL ROAD | ARPIN | WI | 54410 | 470924079 | NURSING HOME | WI | $5,038,941 | $475,418 | AMERICAN EAGLE LIFECARE CORPORATION |
| AE COLBY FACILITY COMPANY LLC | |||||||||
| 702 WEST DOLF STREET | COLBY | WI | 54421 | 810622276 | FACILITY COMPANY | WI | $338,815 | $2,672,098 | AMERICAN EAGLE LIFECARE CORPORATION |
| AMERICAN EAGLE NURSING HOME COMPANY OF COLBY LLC | |||||||||
| 702 WEST DOLF STREET | COLBY | WI | 54421 | 680558136 | NURSING HOME | WI | $4,817,521 | $466,669 | AMERICAN EAGLE LIFECARE CORPORATION |
| AE MADISON FACILITY COMPANY LLC | |||||||||
| 4502 MILWAUKEE STREET | MADISON | WI | 53714 | 260070115 | FACILITY COMPANY | WI | $589,607 | $5,120,936 | AMERICAN EAGLE LIFECARE CORPORATION |
| AMERICAN EAGLE NURSING HOME COMPANY OF MADISON LLC | |||||||||
| 4502 MILWAUKEE STREET | MADISON | WI | 53714 | 810621853 | NURSING HOME | WI | $7,813,559 | $4,495,298 | AMERICAN EAGLE LIFECARE CORPORATION |
| AE WHITEHOUSE FACILITY COMPANY LLC | |||||||||
| 107 STACEY DRIVE | WHITEHOUSE | TX | 75791 | 202818309 | FACILITY COMPANY | TX | $0 | $0 | AMERICAN EAGLE LIFECARE CORPORATION |
| AMERICAN EAGLE NURSING HOME COMPANY OF WHITEHOUSE LLC | |||||||||
| 107 STACEY DRIVE | WHITEHOUSE | TX | 75791 | 202818234 | NURSING HOME | TX | $7,335,240 | $2,005,801 | AMERICAN EAGLE LIFECARE CORPORATION |
| AMERICAN EAGLE HOME PLACE LLC | |||||||||
| 6734 MILLSIDE DRIVE | INDIANAPOLIS | IN | 46221 | 203295047 | INDEPENDENT LIVING FACILITY | IN | $596,459 | $2,204,864 | AMERICAN EAGLE LIFECARE CORPORATION |
| AMERICAN EAGLE SANDERS GLEN LLC | |||||||||
| 320 NORTH MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 203294905 | INDEPENDENT LIVING FACILITY | IN | $3,257,933 | $289,486 | AMERICAN EAGLE LIFECARE CORPORATION |
| AMERICAN EAGLE MORNING BREEZE LLC | |||||||||
| 320 NORTH MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 203294992 | CONTINUING CARE RETIREMENT COMMUNITY | IN | $4,388,870 | $522,925 | AMERICAN EAGLE LIFECARE CORPORATION |
| AE EAU CLAIRE FACILITY COMPANY LLC | |||||||||
| 3819 HAWK CREST | ANN ARBOR | MI | 48103 | 263709653 | FACILITY COMPANY | MI | $697,632 | $7,060,707 | AMERICAN EAGLE LIFECARE CORPORATION |
| AMERICAN EAGLE NURSING HOME COMPANY OF EAU CLAIRE LLC | |||||||||
| 2120 HEIGHTS DRIVE | EAU CLAIRE | WI | 54701 | 263709759 | NURSING HOME | WI | $9,046,186 | $1,258,917 | AMERICAN EAGLE LIFECARE CORPORATION |
| AE WESTFIELD FACILITY COMPANY LLC | |||||||||
| 320 NORTH MERIDIAN STREET | IINDIANAPOLIS | IN | 46204 | 272784041 | FACILITY COMPANY | IN | $485,902 | $5,329,803 | AMERICAN EAGLE LIFECARE CORPORATION |
| AE GREENSBURG FACILITY COMPANY LLC | |||||||||
| 320 NORTH MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 272784104 | FACILITY COMPANY | IN | $582,405 | $6,169,683 | AMERICAN EAGLE LIFECARE CORPORATION |
| AMERICAN EAGLE HAMLET HOLDING LLC | |||||||||
| 1300 E 9TH STREET | CLEVELAND | OH | 44114 | 463702281 | HOLDING COMPANY | OH | $11,099,308 | $348,031 | AMERICAN EAGLE LIFECARE CORPORATION |
| HAMLET HEALTH CARE LLC | |||||||||
| 150 CLEVELAND STREET | CHAGRIN FALLS | OH | 44022 | 371741674 | FACILITY COMPANY | OH | $5,229,409 | $703,442 | AMERICAN EAGLE HAMLET HOLDING LLC |
| HAMLET ASSISTED LIVING LLC | |||||||||
| 200 HAMLET HILLS DRIVE | CHAGRIN FALLS | OH | 44022 | 611722029 | FACILITY COMPANY | OH | $17,158,504 | $965,739 | AMERICAN EAGLE HAMLET HOLDING LLC |
| HAMLET OPERATOR HOLDING LLC | |||||||||
| 1300 E 9TH AVENUE | CLEVELAND | OH | 44114 | 611740797 | FACILITY COMPANY | OH | $25,818,265 | $13,002,609 | AMERICAN EAGLE HAMLET HOLDING LLC |
| HAMLET HEALTH CARE OPERATOR LLC | |||||||||
| 150 CLEVELAND STREET | CHAGRIN FALLS | OH | 44022 | 300799535 | SKILLED NURSING FACILITY | OH | HAMLET OPERATOR HOLDING LLC | ||
| HAMLET ASSISTED LIVING LLC | |||||||||
| 200 HAMLET HILLS DRIVE | CHAGRIN FALLS | OH | 44022 | 371742958 | ASSISTED LIVING FACILITY | OH | $965,920 | $17,158,504 | HAMLET OPERATOR HOLDING LLC |
| HAMLET HILLS LLC | |||||||||
| 200 HAMLET HILLS DRIVE | CHAGRIN FALLS | OH | 44022 | 383915895 | INDEPENDENT LIVING FACILITY | OH | $5,229,409 | $703,600 | HAMLET OPERATOR HOLDING LLC |
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