SHEBOYGAN SENIOR COMMUNITY INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
SHEBOYGAN SENIOR COMMUNITY INC (EIN 39-6069188)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-11-07
IRS object ID
201423119349301407
Schema version
2013v3.0
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)
Return2014-11-07T11:29:30-06:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391173131PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SCHENCK SCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1712 RIVERFRONT DRIVE STE 301AddressLine1
CitySHEBOYGANCity
StateWIState
ZIP Code53081ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN396069188EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHEBOYGAN SENIOR COMMUNITY INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSHEBBusinessNameControlTxt
Phone9204582137PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1930 N 6TH STREETAddressLine1
CitySHEBOYGANCity
StateWIState
ZIP Code53081ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTARA HOLZEMPersonNm
Person TitleOFFICERPersonTitleTxt
Phone9204582137PhoneNum
Signature2014-10-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRY T STRITTMATER CPAPreparerPersonNm
PTINP00012661PTIN
Phone9204580341PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTARA HOLZEMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1930 N 6TH STREETAddressLine1
CitySHEBOYGANCity
StateWIState
ZIP Code53081ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$7,180,086GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RETIRESHEBOYGAN.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1962FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO PROVIDE AND OPERATE A RETIREMENT HOME, HEALTH CARE CENTER, AND RELATED SERVICES IN THE GREATER SHEBOYGAN AREA FOR ELDERLY AND PHYSICALLY HANDICAPPED ADULTS, WHICH SHALL ENHANCE, HONOR AND PRESERVE THE DIGNITY OF THE INDIVIDUAL, AND WHERE SPIRITUAL, PHYSICAL AND SOCIAL NEEDS ARE SUPPLIED IN A SPIRIT OF CHRISTIAN LOVE AND CONCERN WITHOUT REGARD TO AGE, SEX, RACE, CREED OR COLOR.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee239TotalEmployeeCnt
Total Volunteers27TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$70,573PYContributionsGrantsAmt
CY Contributions Grants$19,676CYContributionsGrantsAmt
PY Program Service Revenue$8,038,129PYProgramServiceRevenueAmt
CY Program Service Revenue$6,956,077CYProgramServiceRevenueAmt
PY Investment Income$2,660PYInvestmentIncomeAmt
CY Investment Income-$5,778CYInvestmentIncomeAmt
PY Other Revenue$47,427PYOtherRevenueAmt
CY Other Revenue$27,820CYOtherRevenueAmt
PY Total Revenue$8,158,789PYTotalRevenueAmt
CY Total Revenue$6,997,795CYTotalRevenueAmt
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$4,868,125PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,653,177CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,046,664PYOtherExpensesAmt
CY Other Expenses$2,779,845CYOtherExpensesAmt
PY Total Expenses$7,914,789PYTotalExpensesAmt
CY Total Expenses$7,433,022CYTotalExpensesAmt
PY Revenues Less Expenses$244,000PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$435,227CYRevenuesLessExpensesAmt
Total Assets BOY$7,387,813TotalAssetsBOYAmt
Total Assets EOY$6,747,022TotalAssetsEOYAmt
Total Liabilities BOY$3,043,022TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,837,458TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,344,791NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,909,564NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE AND OPERATE A RETIREMENT HOME, HEALTH CARE CENTER, AND RELATED SERVICES IN THE GREATER SHEBOYGAN AREA FOR ELDERLY AND PHYSICALLY HANDICAPPED ADULTS, WHICH SHALL ENHANCE, HONOR AND PRESERVE THE DIGNITY OF THE INDIVIDUAL, AND WHERE SPIRITUAL, PHYSICAL AND SOCIAL NEEDS ARE SUPPLIED IN A SPIRIT OF CHRISTIAN LOVE AND CONCERN WITHOUT REGARD TO AGE, SEX, RACE, CREED OR COLOR.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,465,681ExpenseAmt
Revenue$6,981,229RevenueAmt
DescOPERATION OF A FULL-TIME SKILLED NURSING HOME AND RESIDENTIAL CARE CENTER. TOTAL PATIENT DAYS: 34,244.Desc
Total Program Service Expenses$6,465,681TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee239EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TARA HOLZEMBusinessNameLine1
FieldValueIRS element (for citing)
Phone9204582137PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1930 N 6TH STREETAddressLine1
CitySHEBOYGANCity
StateWIState
ZIP Code53081ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
REV ROGER CLAPP
DIRECTOR0.00Yes (X)$0$0$0
ATTY MICHAEL ROTH
DIRECTOR0.00Yes (X)$0$0$0
REV RIC OLSON
DIRECTOR0.00Yes (X)$0$0$0
JAMES F PRICE
DIRECTOR0.00Yes (X)$0$0$0
MARCY KERPE
DIRECTOR0.00Yes (X)$0$0$0
ATTY ELDON BOHROFEN
DIRECTOR0.00Yes (X)$0$0$0
NANCY MCADAMS
DIRECTOR0.00Yes (X)$0$0$0
LISA O'NEILL
DIRECTOR0.00Yes (X)$0$0$0
DENNIS OHL
DIRECTOR0.00Yes (X)$0$0$0
DAVID VANDEWATER
DIRECTOR0.00Yes (X)$0$0$0
STEPHANIE MALIS
DIRECTOR0.00Yes (X)$0$0$0
JIM HOUWERS
PRESIDENT0.00$0$0$0Yes (X)
DORIS THUENE
SECRETARY0.00$0$0$0Yes (X)
GARY MAPLES
TREASURER0.00$0$0$0Yes (X)
STEVE HAMER
VICE PRESIDENT0.00$0$0$0Yes (X)
MICHAEL BASCH
EXECUTIVE DIRECTOR40.00$121,672$0$21,970Yes (X)
JOAN KLEIST
EXECUTIVE DIRECTOR40.00$92,139$0$8,840Yes (X)
MIKE JONAS
BUSINESS MANAGER40.00$75,185$0$5,530Yes (X)
TARA HOLZEM
BUSINESS MANAGER40.00$31,779$0$669Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$320,775TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$37,009TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
REHABCARE GROUP INC
PO BOX 503534ST LOUISMO63150THERAPIES$530,596
COMMUNITY LIVING SOLUTIONS
2801 EAST ENTERPISE AVENUE SUITE 2APPLETONWI54913NEW PROJECT ARCHITECTURAL SERVICES$529,511
SYSCO EASTERN WISCONSIN
ONE SYSCO DRIVEJACKSONWI53037PROVIDE VARIOUS SUPPLIES AND FOOD$353,579
ELITE NURSES INC
C/O ADVANTAGE ACCOUNTING 498 W SCOFOND DU LACWI54937NURSING SERVICES - POOL$294,604
BSG MAINTENANCE
PO BOX 165NEWBURGWI53060HOUSEKEEPING$235,613
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
All Other Contributions$19,676AllOtherContributionsAmt
Total Contributions$19,676TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PROG900099$4,822,891$4,822,891
RESIDENTIAL CENTER623000$1,670,745$1,670,745
INDEPENDENT LIVING623990$409,212$409,212
BEAUTY SHOP812900$29,572$29,572
MISCELLANEOUS900099$14,217$14,217

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,440TotalRevenueColumnAmt
Related Or Exempt Func Income$9,440RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,956,077TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,305TotalRevenueColumnAmt
Exclusion$1,305ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$7,083OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$7,083OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$7,083TotalRevenueColumnAmt
Exclusion-$7,083ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$200,360GrossSalesOfInventoryAmt
Cost Of Goods Sold$175,208CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,152TotalRevenueColumnAmt
Related Or Exempt Func Income$25,152RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescGUEST MEALSDesc
Business721000BusinessCd
Total Revenue Column$2,668TotalRevenueColumnAmt
Exclusion$2,668ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,668OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,997,795TotalRevenueColumnAmt
Related Or Exempt Func Income$6,981,229RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$3,110ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$320,775TotalAmt
Program Services$278,963ProgramServicesAmt
Management And General$41,812ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,766,630TotalAmt
Program Services$3,275,668ProgramServicesAmt
Management And General$490,962ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$58,594TotalAmt
Program Services$50,568ProgramServicesAmt
Management And General$8,026ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$211,182TotalAmt
Program Services$182,255ProgramServicesAmt
Management And General$28,927ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$295,996TotalAmt
Program Services$255,451ProgramServicesAmt
Management And General$40,545ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,887TotalAmt
Management And General$4,887ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$24,330TotalAmt
Management And General$24,330ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$63,975TotalAmt
Management And General$63,975ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$37,999TotalAmt
Management And General$37,999ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$40,761TotalAmt
Management And General$40,761ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$229,644TotalAmt
Program Services$229,644ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$35,213TotalAmt
Program Services$35,213ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$274,807TotalAmt
Program Services$230,127ProgramServicesAmt
Management And General$44,680ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$88,224TotalAmt
Program Services$88,224ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES AND$1,839,568$1,839,568
EMPLOYMENT COSTS$68,581$68,581
DUES AND SUBSCRIPTIONS$34,363$34,363
BAD DEBT EXPENSE$32,412$32,412

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,081TotalAmt
Management And General$5,081ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,433,022TotalAmt
Program Services$6,465,681ProgramServicesAmt
Management And General$967,341ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Joint CostsYes (X)JointCostsInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$293,914BOYAmt
EOY$711,125EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$313,722BOYAmt
EOY$392,275EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,367,972BOYAmt
EOY$1,611,795EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$40,059BOYAmt
EOY$38,990EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$87,284BOYAmt
EOY$82,235EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,341,614LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,442,345LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,104,066BOYAmt
EOY$3,899,269EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$180,796BOYAmt
EOY$11,333EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,387,813BOYAmt
EOY$6,747,022EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,901,556BOYAmt
EOY$2,098,680EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$291,082BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$847,351BOYAmt
EOY$738,778EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,033BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,043,022BOYAmt
EOY$2,837,458EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,284,791BOYAmt
EOY$3,839,564EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$60,000BOYAmt
EOY$70,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,344,791BOYAmt
EOY$3,909,564EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,387,813BOYAmt
EOY$6,747,022EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$435,227ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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$10,334CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,155CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,811CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$70,573CurrentTaxYearMinus1YearAmt
Current Tax Year$19,676CurrentTaxYearAmt
Total$118,549TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,894,962CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,163,659CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,880,398CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,612,760CurrentTaxYearMinus1YearAmt
Current Tax Year$7,156,437CurrentTaxYearAmt
Total$45,708,216TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,905,296CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,173,814CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,888,209CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,683,333CurrentTaxYearMinus1YearAmt
Current Tax Year$7,176,113CurrentTaxYearAmt
Total$45,826,765TotalAmt

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$45,826,765PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,681CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,521CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,010CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,660CurrentTaxYearMinus1YearAmt
Current Tax Year$1,305CurrentTaxYearAmt
Total$14,177TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,681CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,521CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,010CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,660CurrentTaxYearMinus1YearAmt
Current Tax Year$1,305CurrentTaxYearAmt
Total$14,177TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,564CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,918CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,774CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,213CurrentTaxYearMinus1YearAmt
Current Tax Year$2,668CurrentTaxYearAmt
Total$76,137TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,911,541CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,210,253CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,926,993CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,688,206CurrentTaxYearMinus1YearAmt
Current Tax Year$7,180,086CurrentTaxYearAmt
Total$45,917,079TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99800PublicSupportCY509Pct
Public Support PY5090.99610PublicSupportPY509Pct
Investment Income CY0.00030InvestmentIncomeCYPct
Investment Income PY0.00030InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$826,921OtherCostOrOtherBasisAmt
Book Value$826,921BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,934,978OtherCostOrOtherBasisAmt
Depreciation$5,474,129DepreciationAmt
Book Value$1,460,849BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,027,785OtherCostOrOtherBasisAmt
Depreciation$1,894,142DepreciationAmt
Book Value$133,643BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,551,930OtherCostOrOtherBasisAmt
Depreciation$1,074,074DepreciationAmt
Book Value$1,477,856BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,899,269TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$7,004,430TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$6,635DonatedServicesAndUseFcltsAmt
Revenue Not Reported$6,635RevenueNotReportedAmt
Revenue Subtotal$6,997,795RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,997,795TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,439,657TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$6,635DonatedServicesUseFcltsAmt
Expenses Not Reported$6,635ExpensesNotReportedAmt
Expenses Subtotal$7,433,022ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,433,022TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11A PDF COPY OF FORM 990 IS EMAILED TO THE BUSINESS MANAGER. THE BUSINESS MANAGER FORWARDS THE EMAIL TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN. THE 990 IS REVIEWED BY THE BUSINESS MANAGER PRIOR TO FILING. THE BUSINESS MANAGER CHECKS FORM 990 WITH INTERNAL REPORTS.
FORM 990, PART VI, SECTION B, LINE 12CA NEW CONFLICT OF INTEREST POLICY IS FILLED OUT ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15ASHEBOYGAN SENIOR COMMUNITY, INC. USES DATA GATHERED FOR THEIR STATE ASSOCIATION (WISCONSIN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING) BY MANAGEMENT RESOURCE ASSOCIATES (MRA), A THIRD PARTY INDEPENDENT, NOT FOR PROFIT, MANAGEMENT CONSULTING GROUP. THE DATA IS GATHERED FROM PARTICIPATING NOT FOR PROFIT HOMES THROUGHOUT THE STATE OF WISCONSIN. SALARY RECOMMENDATIONS FOR THE EXECUTIVE DIRECTOR ARE REVIEWED AND SET BY THE EXECUTIVE COMMITTEE IN AN EXECUTIVE SESSION WITHOUT THE EXECUTIVE DIRECTOR'S PRESENCE AFTER THE FULL ANNUAL PERFORMANCE EVALUATION, UTILIZING THE DATA DESCRIBED ABOVE. NO OTHER MANAGEMENT STAFF ARE REVIEWED IN THIS MANNER, THOUGH ALL SALARY AND EXPENSE DATA IS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD IN THEIR ANNUAL BUDGET PREPARATION AND APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FROM 990, PART XI, LINE 2C:THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SHEBOYGAN SENIOR COMMUNITY FOUNDATIONBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1930 N 6TH STREETAddressLine1
CitySHEBOYGANCity
StateWIState
ZIP Code53081ZIPCode
FieldValueIRS element (for citing)
EIN391450846EIN
Primary ActivitiesRAISE/RECEIVE FUNDS TO BE USED FOR GENERAL SUPPORT OF THIS ORGANIZATIONPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status11PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BOARD OF DIRECTORSBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SHEBOYGAN SENIOR COMMUNITY FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeETransactionTypeTxt
Involved$1,652,017InvolvedAmt
Method Of Amount DeterminationACTUAL BALANCE OUTSTANDINGMethodOfAmountDeterminationTxt

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