2025-10-24T12:21:57-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 10401 W INNOVATION DR STE 300 WAUWATOSA WI 53226 990 2024-01-01 421412375 COTTAGE GROVE PLACE COTT 3193632420 2115 FIRST AVENUE SE CEDAR RAPIDS IA 52402 JENNIFER SNOOK EXECUTIVE DIRECTOR 3193632420 2025-10-19 1 1 KRISTEN DONLEVY P01670215 4144761880 2025-10-19 2024 2025-03-06 01:10:19Z JENNIFER SNOOK 2115 FIRST AVENUE SE CEDAR RAPIDS IA 52402 19103201 0 X WWW.COTTAGEGROVEPLACE.COM X 1992 IA TO PROVIDE HOUSING, HEALTH CARE & RELATED SERVICES THROUGH OPERATIONS OF A CCRC RETIREMENT FACILITY 11 11 324 11 0 0 1948428 117245 16879053 18940611 48809 41333 4130 193 18880420 19099382 0 0 0 0 8197538 9144550 0 0 0 10765805 11504291 18963343 20648841 -82923 -1549459 56635333 54665689 61071485 60624875 -4436152 -5959186 TO PROVIDE HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF A RETIREMENT FACILITY. 0 0 17201086 0 18940611 THE RETIREMENT FACILITY CONTAINS 182 INDEPENDENT LIVING UNITS, 41 ASSISTED LIVING UNITS, 18 ASSISTED LIVING MEMORY CARE UNITS, 51 NURSING CARE BEDS AND 12 SPECIAL CARE UNITS FOR ITS RESIDENTS. ABOUT 70% OF THESE UNITS WERE OCCUPIED AT YEAR END. 17201086 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 47 0 1 324 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X GREG OLBEKSON 3192975754 2115 1ST AVE SE CEDAR RAPIDS IA 52402 TAD COOPER CHAIRMAN 5.00 0.00 X X 0 0 0 RICHARD LANDIS SECRETARY 1.00 1.00 X X 0 0 0 PHIL LENZEN TRUSTEE 1.00 0.00 X 0 0 0 TORY MEIBERG TRUSTEE 1.00 0.00 X 0 0 0 LELAND SMITHSON TRUSTEE 1.00 0.00 X 0 0 0 ED SHERMAN TRUSTEE 1.00 0.00 X 0 0 0 JANA NASSIF TRUSTEE 1.00 1.00 X 0 0 0 MIKE HATTERY TRUSTEE 3.00 0.00 X 0 0 0 WILLIAM MCCARTAN TRUSTEE 3.00 0.00 X 0 0 0 CLINT LANDIS TRUSTEE 3.00 1.00 X 0 0 0 CRAIG DAVIS TRUSTEE 1.00 0.00 X 0 0 0 DAVID SNYDER EXECUTIVE DIRECTOR 55.00 1.00 X 166687 0 31991 GREG OLBEKSON FINANCE DIRECTOR 48.00 1.00 X 88631 0 9306 255318 0 41297 1 0 1 0 LCS HOLDING COMPANY LLC 400 LOCUST ST STE 820 DES MOINES IA 50309 MANAGEMENT SERVICES 222912 MOOSE MECHANICAL LLC 2125 WILSON AVE SW CEDAR RAPIDS IA 52404 HVAC SERVICES 150462 CLIPBOARD HEALTH PO BOX 103125 PASADENA CA 911893125 CONTRACT LABOR 115210 3 117245 117245 RESIDENT SERVICES 623000 16773285 16773285 ENTRANCE FEES & AMORTIZATION 623000 2140041 2140041 DEPOSIT INCOME 623000 27273 27273 OTHER SERVICES 623000 12 12 18940611 45152 45152 3819 -3819 -3819 -3819 MISCELLANEOUS INCOME 900099 193 193 193 19099382 18940611 0 41526 296615 64360 232255 7447952 6932996 514956 55776 51596 4180 750034 725354 24680 594173 541294 52879 968721 968721 30291 30291 40360 40360 558635 453748 104887 304105 303927 178 277444 189483 87961 270318 270318 1411652 851081 560571 48188 27712 20476 1911448 1854105 57343 2377249 2305932 71317 310678 310678 FOOD 990166 990166 MEDICAL EXPENSE 858009 858009 DEPARTMENT SUPPLIES 415904 415904 REPAIRS & MAINTENANCE 381537 368632 12905 349586 266787 82799 20648841 17201086 3447755 0 750 685 223448 174412 2384598 2682406 48076 45004 230836 211691 80668523 31742384 50830964 48926139 2916661 2625352 56635333 54665689 1613640 1880899 12933692 13181008 36218350 35088599 111418 114590 1941824 2446611 8252561 7913168 61071485 60624875 X -4436152 -5959186 -4436152 -5959186 56635333 54665689 X -1549459 26425 X 0 1 X 1 0 X 1814133 223618 1255452 1948428 117245 5358876 14293109 13301590 15411197 16879053 18940611 78825560 16107242 13525208 16666649 18827481 19057856 84184436 0 0 0 84184436 968 299 1538 61091 45152 109048 968 299 1538 61091 45152 109048 36615 6913 4130 193 47851 16144825 13525507 16675100 18892702 19103201 84341335 0.99810 0.99840 0.00130 0.00100 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2020 AMOUNT: $ 36,615. 2022 AMOUNT: $ 6,913. 2023 AMOUNT: $ 4,130. 2024 AMOUNT: $ 193. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 111418 50942 47770 114590 1 X 4601428 4601428 63470576 23614369 39856207 6874029 3903256 2970773 4980755 3761296 1219459 741735 463463 278272 48926139 REFUNDABLE ENTRANCE FEES 7913168 7913168 PART IV, LINE 2B: THE ORGANIZATION IS THE TRUSTEE OF VARIOUS RESIDENT AND SECURITY DEPOSITS AND HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR THE RESIDENTS. X X 0 0 0 0 0 0 0 0 0 DAVID SNYDER EXECUTIVE DIRECTOR 144065 0 21559 0 1063 0 7063 0 24928 0 198678 0 0 0 A IOWA FINANCE AUTHORITY 521699886 2012-08-24 19300000 BOND REFINANCING; CAPITAL PROJECT 0 0 0 B IOWA FINANCE AUTHORITY 521699886 2017-08-15 25880000 CAPITAL PROJECT 0 0 0 A 7065869 19300000 361822 500000 18438178 2014 1 1 1 1 B 2839531 25880000 1918 50001 1746203 24083796 2019 1 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 NA 0 0 0 0 1 B 0 0 0 1 0 0 NA 0 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF TRUSTEES, BY RESOLUTION ADOPTED BY THE MAJORITY OF TRUSTEES IN OFFICE, MAY DESIGNATE ONE OR MORE COMMITTEES, EACH OF WHICH WILL CONSIST OF TWO OR MORE TRUSTEES, WHICH COMMITTEES, TO THE EXTENT PROVIDED IN SUCH RESOLUTION, SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD OF TRUSTEES IN THE MANAGEMENT OF THE CORPORATION, BUT THE DESIGNATION OF SUCH COMMITTEES AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF TRUSTEES, OR ANY INDIVIDUAL TRUSTEES OF ANY RESPONSIBILITY IMPOSED ON IT OR HIM BY LAW. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES FOR THE ORGANIZATION ARE HANDLED BY THE MANAGEMENT COMPANY - LIFE CARE SERVICES LLC. THE INDIVIDUAL THAT WAS COMPENSATED BY THE MANAGEMENT COMPANY IS DAVID SNYDER ($166,687). FORM 990, PART VI, SECTION A, LINE 3 LIFE CARE SERVICES HANDLES THE OVERALL MANAGEMENT OF DAY TO DAY OPERATIONS. LIFE CARE SERVICES IS AN UNRELATED THIRD PARTY ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE FORM 990 IS SENT TO THE BOARD FINANCE COMMITTEE FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS ONGOING TRAINING AND REINFORCEMENT TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED AND APPROVED ANNUALLY BY MANAGEMENT COMPANY LIFECARE SERVICES AND THE COTTAGE GROVE PLACE BOARD OF TRUSTEES USING REPORTS BY STATE AND REGION. LIFECARE SERVICES PROVIDES SALARY RANGES FOR DEPARTMENT HEADS USING THE SAME CRITERIA MATRICES. THE BOARD OF TRUSTEES APPROVES EXECUTIVE DIRECTORS AND DEPARTMENT HEADS' SALARIES DURING THE ANNUAL BUDGET APPROVAL, MOST RECENTLY IN 2024, AS DOCUMENTED IN BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF LIFE INSURANCE 26,425. COTTAGE GROVE PLACE FOUNDATION 2115 FIRST AVENUE SE CEDAR RAPIDS IA 52402 391895425 TO SUPPORT AND PROVIDE FUNDS TO COTTAGE GROVE PLACE IA 501(C)(3) LINE 12A, I COTTAGE GROVE PLACE 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0