CEDAR LAKE VILLAGE INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
CEDAR LAKE VILLAGE INC (EIN 48-1209650)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-10-28
IRS object ID
202523019349301637
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-10-28T13:56:24-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1155 N WACKER DRIVEAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN481209650EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CEDAR LAKE VILLAGE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCEDABusinessNameControlTxt
Phone6053331000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5039 RTE 5218AddressLine1Txt
CitySIOUX FALLSCityNm
State AbbreviationSDStateAbbreviationCd
ZIP571175039ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOEL FLUITPersonNm
Person TitleCFOPersonTitleTxt
Phone6053331000PhoneNum
Signature2025-10-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJESS WAGENERPreparerPersonNm
PTINP01622613PTIN
Phone3128792000PhoneNum
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerNATHAN SCHEMAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14800 W 57TH STREETAddressLine1Txt
CitySIOUX FALLSCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57117ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,945,142GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SANFORDHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionHOUSING, PROGRAMS AND SERVICES FOR ELDERLY PERSONS AND OTHER IN NEEDActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers277TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$31,286PYContributionsGrantsAmt
CY Contributions Grants$90,735CYContributionsGrantsAmt
PY Program Service Revenue$14,429,592PYProgramServiceRevenueAmt
CY Program Service Revenue$15,658,871CYProgramServiceRevenueAmt
PY Investment Income$239,411PYInvestmentIncomeAmt
CY Investment Income$171,905CYInvestmentIncomeAmt
PY Other Revenue$2,779PYOtherRevenueAmt
CY Other Revenue$4,349CYOtherRevenueAmt
PY Total Revenue$14,703,068PYTotalRevenueAmt
CY Total Revenue$15,925,860CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,253,012PYOtherExpensesAmt
CY Other Expenses$15,039,394CYOtherExpensesAmt
PY Total Expenses$14,253,012PYTotalExpensesAmt
CY Total Expenses$15,039,394CYTotalExpensesAmt
PY Revenues Less Expenses$450,056PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$886,466CYRevenuesLessExpensesAmt
Total Assets BOY$33,372,588TotalAssetsBOYAmt
Total Assets EOY$32,318,004TotalAssetsEOYAmt
Total Liabilities BOY$23,887,015TotalLiabilitiesBOYAmt
Total Liabilities EOY$21,863,962TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,485,573NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,454,042NetAssetsOrFundBalancesEOYAmt
MissionIMPROVING THE WELL-BEING AND QUALITY OF LIFE FOR OLDER PERSONS AND OTHERS IN NEED THROUGH THE PROVISION OF HOUSING, PROGRAMS, AND SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$13,229,546ExpenseAmt
Grant$0GrantAmt
Revenue$15,658,871RevenueAmt
DescPROVIDING HOUSING, PROGRAMS, AND SERVICES IN AN EFFORT TO IMPROVE THE QUALITY OF LIFE FOR OLDER PERSONS AND OTHERS IN NEED. 19,604 ASSISTED LIVING RESIDENT DAYS, 40,288 SENIOR HOUSING RESIDENT DAYS AND 10,014 SKILLED NURSING RESIDENT DAYS IN 2024.Desc
Total Program Service Expenses$13,229,546TotalProgramServiceExpensesAmt
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 Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 Required0ScheduleJRequiredInd
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 With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
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
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
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 PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldKSStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOEL FLUITBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6053623100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14800 W 57TH STREETAddressLine1Txt
CitySIOUX FALLSCityNm
State AbbreviationSDStateAbbreviationCd
ZIP571175038ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
NATHAN SCHEMA
TRUSTEE, CHAIR, PRESIDENT1.00Yes (X)Yes (X)$0$0$0
JACK BEAL
TRUSTEE, VICE PRESIDENT - END 07/241.00Yes (X)Yes (X)$0$0$0
JOEL FLUIT
TRUSTEE, TREASURER1.00Yes (X)Yes (X)$0$0$0
AIMEE MIDDLETON
TRUSTEE, SECRETARY1.00Yes (X)Yes (X)$0$0$0
BRENDA DYKSTRA
TRUSTEE1.00Yes (X)$0$0$0
MIKE JENSEN
TRUSTEE1.00Yes (X)$0$0$0
MONICA LUBECK
TRUSTEE - START 08/241.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THE EVANGELICAL LUTHERAN GOOD SAMARITAN
4800 W 57TH STREETSIOUX FALLSSD57108MNGMT FEES & SHARED EMPLOYEES$8,156,276
SELECT REHABILITATION INC
2600 COMPASS ROADGLENVIEWIL60026CONTRACT THERAPY SERVICES$630,748
DISTINCTIVE OUTDOORS
4787 SUNSET BLVDLEXINGTONSC29072GROUNDS MAINTENANCE$114,731
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$90,735AllOtherContributionsAmt
Total Contributions$90,735TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ROOM REV, ANCILL SVCS623000$15,626,579$15,626,579
MEALS, GUEST RM, OTHER623000$32,292$32,292
FieldValueIRS element (for citing)
Total Program Service Revenue$15,658,871TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$173,829TotalRevenueColumnAmt
Exclusion$173,829ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$17,358SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$19,282SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,924SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,924TotalRevenueColumnAmt
Exclusion-$1,924ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescEMPLOYEE MEALSDesc
Business722514BusinessCd
Total Revenue Column$4,349TotalRevenueColumnAmt
Exclusion$4,349ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,349OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,925,860TotalRevenueColumnAmt
Related Or Exempt Func Income$15,658,871RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$176,254ExclusionAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$842,057TotalAmt
Management And General$842,057ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$32,000TotalAmt
Management And General$32,000ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$11,088TotalAmt
Management And General$11,088ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$793,763TotalAmt
Program Services$779,897ProgramServicesAmt
Management And General$13,866ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$102,866TotalAmt
Program Services$82,659ProgramServicesAmt
Management And General$20,207ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$136,032TotalAmt
Program Services$40,975ProgramServicesAmt
Management And General$95,057ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,396,561TotalAmt
Program Services$1,395,847ProgramServicesAmt
Management And General$714ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,039TotalAmt
Program Services$4,978ProgramServicesAmt
Management And General$7,061ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$37,678TotalAmt
Program Services$37,678ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$633,047TotalAmt
Program Services$633,047ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,452,898TotalAmt
Program Services$1,452,898ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$295,190TotalAmt
Program Services$295,190ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACT SERVICES$7,314,239$6,812,715$501,524
MEDICAL SUPPLIES$1,316,426$1,295,604$20,822
PURCHASED SERVICES - SH$360,090$360,090$0
UNCOLLECTIBLE EXPENSE$206,818$0$206,818

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$96,602TotalAmt
Program Services$37,968ProgramServicesAmt
Management And General$58,634ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,039,394TotalAmt
Program Services$13,229,546ProgramServicesAmt
Management And General$1,809,848ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$523,196BOYAmt
EOY$439,480EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$631,587BOYAmt
EOY$696,676EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,300BOYAmt
EOY$37,569EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,436BOYAmt
EOY$5,502EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$49,747,040LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$25,243,746LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$25,815,601BOYAmt
EOY$24,503,294EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$5,627,818BOYAmt
EOY$5,677,959EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$764,650BOYAmt
EOY$957,524EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$33,372,588BOYAmt
EOY$32,318,004EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$508,355BOYAmt
EOY$415,751EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$73,440BOYAmt
EOY$209,032EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,891,845BOYAmt
EOY$12,049,614EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,413,375BOYAmt
EOY$9,189,565EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,887,015BOYAmt
EOY$21,863,962EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,228,747BOYAmt
EOY$10,147,011EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$256,826BOYAmt
EOY$307,031EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,485,573BOYAmt
EOY$10,454,042EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,372,588BOYAmt
EOY$32,318,004EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$886,466ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$110,676NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$192,679OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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$584,497CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$191,518CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$153,693CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$31,286CurrentTaxYearMinus1YearAmt
Current Tax Year$90,735CurrentTaxYearAmt
Total$1,051,729TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,684,248CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,492,489CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,575,564CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,429,592CurrentTaxYearMinus1YearAmt
Current Tax Year$15,658,871CurrentTaxYearAmt
Total$67,840,764TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,268,745CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,684,007CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,729,257CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,460,878CurrentTaxYearMinus1YearAmt
Current Tax Year$15,749,606CurrentTaxYearAmt
Total$68,892,493TotalAmt

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$68,892,493PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$238,709CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$253,076CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$222,249CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$252,246CurrentTaxYearMinus1YearAmt
Current Tax Year$173,829CurrentTaxYearAmt
Total$1,140,109TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$238,709CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$253,076CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$222,249CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$252,246CurrentTaxYearMinus1YearAmt
Current Tax Year$173,829CurrentTaxYearAmt
Total$1,140,109TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$2,779CurrentTaxYearMinus1YearAmt
Current Tax Year$4,349CurrentTaxYearAmt
Total$7,128TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,507,454CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,937,083CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,951,506CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,715,903CurrentTaxYearMinus1YearAmt
Current Tax Year$15,927,784CurrentTaxYearAmt
Total$70,039,730TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98360PublicSupportCY509Pct
Public Support PY5090.98430PublicSupportPY509Pct
Investment Income CY0.01630InvestmentIncomeCYPct
Investment Income PY0.01570InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, SECTION B, LINE 12, EXPLANATION FOR OTHER INCOME:FormAndLineReferenceDesc
ExplanationEMPLOYEE MEALSExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$111,641BeginningYearBalanceAmt
Investment Earnings Or Losses-$195InvestmentEarningsOrLossesAmt
End Year Balance$111,446EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$111,834BeginningYearBalanceAmt
Investment Earnings Or Losses-$193InvestmentEarningsOrLossesAmt
End Year Balance$111,641EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$112,123BeginningYearBalanceAmt
Investment Earnings Or Losses-$289InvestmentEarningsOrLossesAmt
End Year Balance$111,834EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$177,093BeginningYearBalanceAmt
Investment Earnings Or Losses-$64,970InvestmentEarningsOrLossesAmt
End Year Balance$112,123EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$170,538BeginningYearBalanceAmt
Investment Earnings Or Losses$6,555InvestmentEarningsOrLossesAmt
End Year Balance$177,093EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,957,128OtherCostOrOtherBasisAmt
Book Value$1,957,128BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$41,062,532OtherCostOrOtherBasisAmt
Depreciation$20,554,904DepreciationAmt
Book Value$20,507,628BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,653,085OtherCostOrOtherBasisAmt
Depreciation$2,698,003DepreciationAmt
Book Value$955,082BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,074,295OtherCostOrOtherBasisAmt
Depreciation$1,990,839DepreciationAmt
Book Value$1,083,456BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$24,503,294TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescHOUSING ENTRY FEESDesc
Book Value$5,677,959BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$5,677,959TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
SPECIAL ASSESSMENTS PAYABLE$21,558
SEC MORT & NOTE PAY TO MEMB$3,882,013
SECURITY DEPOSITS$391,370
HOUSING ENTRY FEES AND OTHER$4,894,624
FieldValueIRS element (for citing)
Total Liability$9,189,565TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,666,071TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$110,676NetUnrealizedGainsInvstAmt
Other Revenue-$93,978OtherRevenueAmt
Revenue Not Reported-$204,654RevenueNotReportedAmt
Revenue Subtotal$15,870,725RevenueSubtotalAmt
Investment Expenses Not Incld$14,576InvestmentExpensesNotIncldAmt
Other Revenues Not Included$40,559OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$55,135RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,925,860TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,818,000TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$14,818,000ExpensesSubtotalAmt
Investment Expenses Not Incld2$14,576InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$206,818OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$221,394ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$15,039,394TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:EARNINGS ON THE CEDAR LAKE VILLAGE ENDOWMENT FUNDS WILL BE USED AS DIRECTED BY DONOR RESTRICTIONS OR THE BOARD'S DESIGNATION, ABSENT DONOR RESTRICTIONS.
PART X, LINE 2:THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES WERE INCURRED. THE ORGANIZATION IS SUBJECT TO FEDERAL AND STATE TAX EXAMINATIONS BY TAX AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT EXPENSE -206,818. CHANGE IN VALUE OF INTEREST SWAP 112,840.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTION WITH DONOR RESTRICTIONS 90,735. NET ASSET RELEASED FROM RESTRICTIONS -50,176.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 206,818.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF OLATHE KANSASBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN486034756BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2015-05-15BondIssuedDt
Issue Price$19,200,000IssuePriceAmt
PurposeSEE PART VPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$7,137,000RetiredAmt
Total Proceeds$19,200,000TotalProceedsAmt
Issuance Costs From Proceeds$270,367IssuanceCostsFromProceedsAmt
Capital Expenditures$7,509,781CapitalExpendituresAmt
Other Spent Proceeds$11,419,852OtherSpentProceedsAmt
Substantial Completion2015SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And RecYes (1)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1CENTER STATE BANKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of Hedge20.600000000000TermOfHedgePct
Superintegrated Hedge0SuperintegratedHedgeInd
Hedge Terminated0HedgeTerminatedInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART I, COLUMN (F) DESCRIPTION OF PURPOSE:FormAndLineReferenceDesc
Explanation2015: CONSTRUCT ADDITIONAL FACILITIES, PAY COSTS RELATED TO BOND ISSUANCE, REFUND OF CITY OF OLATHE, KS BOND ISSUE DATED 12/16/04, CUSIP 679390FB5, AND REFUND OF BANK OF AMERICA LINE OF CREDIT.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINES 1A AND 2AFORM 1099 AND W-2 PROCESSING IS COMPLETED BY THE MANAGEMENT COMPANY, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, A MEMBER OF THE ORGANIZATION. AS SUCH, PART V LINES 1A AND 2A REPORT NO 1099'S OR W-2'S FOR THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION HAS DELEGATED MANAGEMENT DUTIES TO THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, A MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6THE MEMBERS ARE OLATHE MEDICAL CENTER, INC. AND THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.
FORM 990, PART VI, SECTION A, LINE 7ATHE TRUSTEES ARE APPOINTED BY THE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BTHE DECISIONS OF THE GOVERNING BODY THAT ARE SUBJECT TO APPROVAL INCLUDE: ELECTION OF TRUSTEES AND OFFICERS; APPROVE ARTICLE AND BYLAW CHANGES; APPROVE OR REJECT NON-BUDGETED ACQUISITIONS, EXPENDITURES, OR DISPOSALS OF A VALUE IN EXCESS OF $100,000; DISTRIBUTIONS TO MEMBERS; APPROVE INCURRENCE OF DEBT BY CEDAR LAKE VILLAGE, INC ("CLV") IN EXCESS OF $100,000; AND APPROVE LIENS OF ANY CLV PROPERTY HAVING A VALUE IN EXCESS OF $100,000.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION DOES NOT HAVE ANY COMMITTEES.
FORM 990, PART VI, SECTION B, LINE 11BAN ELECTRONIC COPY OF FORM 990 IS SENT TO EACH MEMBER OF THE BOARD PRIOR TO ITS FILING. THE ORGANIZATION'S OFFICERS AND MANAGEMENT ARE AN INTEGRAL PART OF THE PREPARATION OF THE FORM 990 AND HAVE AN ON-GOING REVIEW OF THE FORM 990 AS IT IS PREPARED.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION ASKS THAT ALL OFFICERS AND DIRECTORS COMPLY WITH THE IRS CONFLICT OF INTEREST AND DISCLOSURE CERTIFICATION. THE ORGANIZATION REQUIRES ALL OFFICERS AND DIRECTORS TO PROVIDE A SIGNED COPY TO THE CORPORATION'S MAIN OFFICE ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:SWAP VALUATION CHANGE 112,840. AMORTIZATION OF DE-RECOGNITION OF INTEREST RATE SWAP 60,871. CHANGE IN BENEFICIAL INTEREST 19,163. CHANGE IN ENDOWMENT FUNDS -195.

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