SUNRISE MANOR: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SUNRISE MANOR (EIN 42-0805391)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-11
IRS object ID
201303169349301190
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-11-11T07:47:27-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420732909EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RYUN GIVENS & COMPANY PLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12900 100TH STREET SUITE 301AddressLine1
CityURBANDALECity
StateIAState
ZIP Code50322ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN420805391EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SUNRISE MANORBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSUNRNameControl
Phone7122763821Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15501 GORDON DRIVEAddressLine1
CitySIOUX CITYCity
StateIAState
ZIP Code51106ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBEVERLY ZENORName
TitleCEOTitle
Phone7122763821Phone
Date Signed2013-11-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCURTIS E BRAND CPAName
PTINP00299230PTIN
Phone5152253141Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBEVERLY ZENORNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15501 GORDON DRIVEAddressLine1
CitySIOUX CITYCity
StateIAState
ZIP Code51106ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8620170GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SUNRISERETIREMENT.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1956YearFormation
State Legal DomicileIAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HOUSING AND SERVICES TO SIOUXLAND'S ELDERLY IN A WAY THAT INSURES A PHYSICAL AND CARE ENVIRONMENT WHICH MAXIMIZES THE DIGNITY AND INDEPENDENCE OF EACH RESIDENT.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees124TotalNbrEmployees
Total Nbr Volunteers196TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year306244ContributionsGrantsPriorYear
Contributions Grants Current Year299478ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8123177ProgramServiceRevenuePriorYear
Program Service Revenue CY8291899ProgramServiceRevenueCY
Investment Income Prior Year10261InvestmentIncomePriorYear
Investment Income Current Year7997InvestmentIncomeCurrentYear
Other Revenue Prior Year69047OtherRevenuePriorYear
Other Revenue Current Year9660OtherRevenueCurrentYear
Total Revenue Prior Year8508729TotalRevenuePriorYear
Total Revenue Current Year8609034TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4643416SalariesEtcPriorYear
Salaries Etc Current Year4372682SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year50902TotalFundrsngExpCurrentYear
Other Expense Prior Year4034722OtherExpensePriorYear
Other Expenses Current Year6304357OtherExpensesCurrentYear
Total Expenses Prior Year8678138TotalExpensesPriorYear
Total Expenses Current Year10677039TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-169409RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2068005RevenuesLessExpensesCY
Total Assets BOY25163012TotalAssetsBOY
Total Assets EOY33692086TotalAssetsEOY
Total Liabilities BOY20803345TotalLiabilitiesBOY
Total Liabilities EOY31400424TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4359667NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2291662NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HOUSING AND SERVICES TO SIOUXLAND'S ELDERLY IN A WAY THAT INSURES A PHYSICAL AND CARE ENVIRONMENT WHICH MAXIMIZES THE DIGNITY AND INDEPENDENCE OF EACH RESIDENT.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7914155Expense
Revenue8127730Revenue
DescriptionPROVIDED SKILLED NURSING AND NURSING FACILITY LEVELS OF CARE FOR 2,497 AND 25,537 BED DAYS, RESPECTIVELY; OPERATED INDEPENDENT LIVING FACILITY WITH 114 UNITS AND APPROXIMATELY 149 OF 217 MAXIMUM OCCUPANCY.Description
Total Program Service Expense7914155TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109659NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees124NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledIAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1HALLIE SALMENBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7122763821TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15501 GORDON DRIVEAddressLine1
CitySIOUX CITYCity
StateIAState
ZIP Code51106ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
LARRY BOOK
PRESIDENT2.00XX000
TOM GRIMSLEY
VICE PRESIDENT1.00XX000
RICHARD KEITH
SECRETARY1.00XX000
DONALD KELSEY
TREASURER1.00XX000
JOHN ANDERSON
LEGAL ADVISOR1.00X000
HOWARD LOGAN
PAST PRESIDENT1.00X000
DR BARBARA CONDON
DIRECTOR1.00X000
MICHAEL GUNSCH
DIRECTOR1.00X000
DR MARY KOVARNA
DIRECTOR1.00X000
DR CAROLYN LEMAN
DIRECTOR1.00X000
THOMAS PADGETT
DIRECTOR1.00X000
PETER THOREEN
DIRECTOR1.00X000
COREY WRENN
DIRECTOR1.00X000
DR WILLIAM BUD ZIEBELL
DIRECTOR1.00X000
BEV ZENOR
CHIEF EXECUTIVE OFFICER40.00X11801007845
HALLIE SALMEN
CHIEF FINANCIAL OFFICER40.00X6933500
FieldValueIRS element (for citing)
Total Reportable Comp From Org187345TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation7845TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1AEGIS THERAPIESBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17160 DALLAS PARKWAYAddressLine1
CityPLANOCity
StateTXState
ZIP Code75024ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesCONTRACTED THERAPIESDescriptionOfServices
Compensation573520Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Federated Campaigns264284FederatedCampaigns
Fundraising Events15094FundraisingEvents
Government Grants20100GovernmentGrants
Total Contributions299478TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MEDICARE/MEDICAID PAYM62300034525533452553
ROOM AND BOARD-PRIVATE62300025707922570792
INDEPENDENT LIVING62300019827601982760
RESIDENT SERVICES623000164169$164,169
MEDICAL SUPPLIES6230009260192601

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column29024TotalRevenueColumn
Related Or Exempt Function Income29024RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8291899TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7997TotalRevenueColumn
Exclusion$7,997ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real9660Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real9660Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column9660TotalRevenueColumn
Exclusion$9,660ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events11136GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events15094CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses11136FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8609034TotalRevenueColumn
Related Or Exempt Function Income8127730RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$181,826ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total285956Total
Management And General285956ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3471511Total
Program Services3208021ProgramServices
Management And General234040ManagementAndGeneral
Fundraising29450Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total351509Total
Program Services300109ProgramServices
Management And General48645ManagementAndGeneral
Fundraising2755Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total263706Total
Program Services225144ProgramServices
Management And General36494ManagementAndGeneral
Fundraising2068Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total88822Total
Management And General88822ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3083Total
Management And General3083ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total95003Total
Program Services21371ProgramServices
Management And General73632ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total94513Total
Program Services22656ProgramServices
Management And General55228ManagementAndGeneral
Fundraising16629Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total487636Total
Program Services333805ProgramServices
Management And General153831ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total5644Total
Program Services600ProgramServices
Management And General5044ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total18994Total
Program Services18994ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total977810Total
Program Services977810ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1065580Total
Program Services1033871ProgramServices
Management And General31709ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total70174Total
Management And General70174ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
LOSS ON ABANDONMENT15498481549848
CONTRACT SERVICES81117231385779787
FOOD AND SNACKS334970334970
SUPPLIES330615330615

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total370493Total
Program Services326402ProgramServices
Management And General44091ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10677039Total
Program Services7914155ProgramServices
Management And General2711982ManagementAndGeneral
Fundraising50902Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1355BOY
EOY3567EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1962687BOY
EOY2424966EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY283582BOY
EOY206140EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY752053BOY
EOY458292EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY69336BOY
EOY48717EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY67909BOY
EOY58679EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis33432183LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6855630LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14770751BOY
EOY26576553EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7255339BOY
EOY3915172EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY25163012BOY
EOY33692086EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY898792BOY
EOY516333EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2487114BOY
EOY2183804EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY13805217BOY
EOY26566685EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY2554887BOY
EOY39974EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1057335BOY
EOY2093628EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY20803345BOY
EOY31400424EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4045810BOY
EOY2068804EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY313857BOY
EOY222858EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4359667BOY
EOY2291662EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25163012BOY
EOY33692086EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-2068005ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years102007CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years481925CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years567559CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year384195CurrentTaxYearMinus1Year
Current Tax Year310614CurrentTaxYear
Total1846300Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6248065CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6794176CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7777612CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8025236CurrentTaxYearMinus1Year
Current Tax Year8127730CurrentTaxYear
Total36972819Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years77673CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years96846CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year97941CurrentTaxYearMinus1Year
Current Tax Year164169CurrentTaxYear
Total436629Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6350072CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7353774CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8442017CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8507372CurrentTaxYearMinus1Year
Current Tax Year8602513CurrentTaxYear
Total39255748Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9034CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years143641CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50750CurrentTaxYearMinus1Year
Current Tax Year24273CurrentTaxYear
Total257698Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9034CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years143641CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50750CurrentTaxYearMinus1Year
Current Tax Year24273CurrentTaxYear
Total257698Total
FieldValueIRS element (for citing)
Public Support Total50938998050PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28135CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14745CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17162CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19681CurrentTaxYearMinus1Year
Current Tax Year17657CurrentTaxYear
Total97380Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28135CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14745CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17162CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19681CurrentTaxYearMinus1Year
Current Tax Year17657CurrentTaxYear
Total97380Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years8925CurrentTaxYearMinus3Years
Total8925Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6378207CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7377444CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8459179CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8527053CurrentTaxYearMinus1Year
Current Tax Year8620170CurrentTaxYear
Total39362053Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99080PublicSupportPercentage509
Prior Year Support Percentage0.98830PriorYearSupportPercentage
Investment Income Percentage0.00250InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00370PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance127371BeginningOfYearBalance
Other Expenditures127371OtherExpenditures

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance81265BeginningOfYearBalance
Contributions47787Contributions
Investment Earnings Or Losses143InvestmentEarningsOrLosses
Other Expenditures-1824OtherExpenditures
End Of Year Balance127371EndOfYearBalance

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis205322OtherCostOrOtherBasis
Book Value205322BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis31549834OtherCostOrOtherBasis
Depreciation6360397Depreciation
Book Value25189437BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1276839OtherCostOrOtherBasis
Depreciation277481Depreciation
Book Value999358BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis400188OtherCostOrOtherBasis
Depreciation217752Depreciation
Book Value182436BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings26576553TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM MAPLE HEIGHTS156751
DESIGNATED OR RESTRICTED SAVINGS ACCOUNTS1020941
DEFERRED ISSUANCE COSTS555210
CAPITALIZED MARKETING COSTS80713
DEBT SERVICE RESERVE FUND2101557
FieldValueIRS element (for citing)
Total Book Value Other Assets3915172TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
COTTAGE & POINTE DEPOSITS$153,865
DUE TO FOUNTAIN VIEW$1,108,684
ACCRUED PAYROLL$353,332
ACCRUED INTEREST PAYABLE$291,277
ACCRUED REAL ESTATE TAXES$186,470
FieldValueIRS element (for citing)
Total Of Amounts2093628TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt10106136TotRevenueEtcAuditedFinclStmt
Other Revenues1518427OtherRevenues
Revenue Not Rptd F9901518427RevenueNotRptdF990
Revenue Subtotal8587709RevenueSubtotal
Other Revenues Not Included21325OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt21325RevenueNotRptdOnFinStmt
Total Revenue Per Form9908609034TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12138405TotExpensesEtcAuditedFinclStmt
Other Expenses Included1482691OtherExpensesIncluded
Expenses Not Rptd F9901482691ExpensesNotRptdF990
Expenses Subtotal10655714ExpensesSubtotal
Other Expenses Not Included21325OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt21325ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010677039TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 2D - OTHER ADJUSTMENTS:CONSOLIDATED COMPANY REVENUE 1,507,291. FUNDRAISING EXPENSE NETTED AGAINST REVENUE 11,136.
PART XI, LINE 4B - OTHER ADJUSTMENTS:EXPENSES NETTED AGAINST REVENUE ON FINANCIAL STATEMENTS 21,325.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CONSOLIDATED COMPANY EXPENSES 1,471,555. FUNDRAISING EXPENSE NETTED AGAINST REVENUE 11,136.
PART XII, LINE 4B - OTHER ADJUSTMENTS:EXPENSES NETTED AGAINST REVENUE ON FINANCIAL STATEMENTS 21,325.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BENEFIT CONCERTNameOfEvent1
Gross Receipts Event126230GrossReceiptsEvent1
Charitable Contributions Event115094CharitableContributionsEvent1
Gross Revenue Event111136GrossRevenueEvent1
Rent Facility Costs Event16845RentFacilityCostsEvent1
Entertainment Event13100EntertainmentEvent1
Other Direct Expenses Event11191OtherDirectExpensesEvent1
Gross Receipts Total26230GrossReceiptsTotal
Charitable Contributions Total15094CharitableContributionsTotal
Gross Revenue Total Events11136GrossRevenueTotalEvents
Rent Facility Costs Total Events6845RentFacilityCostsTotalEvents
Entertainment Total Events3100EntertainmentTotalEvents
Other Direct Expenses Total Events1191OtherDirectExpensesTotalEvents
Direct Expense Summary Events11136DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
WOODBURY COUNTY IOWA
A426005221NONEAVAIL2008-05-293000000CURRENT REFUND BOND ANTICIPATION NOTE SERIES 2007000
CITY OF LAWTON IOWA
B426004868NONEAVAIL2008-05-299000000CONSTRUCTION OF A 62-UNIT INDEPENDENT LIVING BUILDING000
CITY OF BRONSON IOWA
C420937601NONEAVAIL2011-08-0310000000CONSTRUCTION OF A 36-UNIT SKILLED NURSING FACILITY AND 46-UNIT ASSISTED LIVI000
WOODBURY COUNTY IOWA
D426005221NONEAVAIL2011-08-03380000CONSTRUCTION OF A 36-UNIT SKILLED NURSING FACILITY AND 46-UNIT ASSISTED LIVI000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A300000020080000
B900000020090000
C1000000020120000
D38000020120000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0000000
B0000000
C0000000
D0000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A001000000
B000000000
C000000000
D000000000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1IOWA FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521699886IssuerEIN
CUSIP Number46247CBF5CUSIPNumber
Date Issued2012-10-11DateIssued
Issue Price24156685IssuePrice
Description Of PurposeREFUND PRIOR BONDS; FINANCE PROJECT;FUND DEBT SERVICE FUNDDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds24156685TotalProceeds
Amount In Reserve Fund1657919AmountInReserveFund
Refunding Escrow21476972RefundingEscrow
Issuance Costs From Proceeds483134IssuanceCostsFromProceeds
Capital Expenditures538660CapitalExpenditures
Year Of Subst Completion2012YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE OF THE BOARD WILL REVIEW THE 990 BEFORE IT IS SUBMITTED.
FORM 990, PART VI, SECTION B, LINE 12CDIRECTORS RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY EACH YEAR. DIRECTORS ARE REQUIRED TO CERTIFY THAT THEY HAVE RECEIVED A COPY AND THAT THEY HAVE READ, UNDERSTAND AND AGREE WITH THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS WAGE & BENEFIT SURVEYS PREPARED BY AN INDEPENDENT ORGANIZATION, NOTING SALARY RANGES FOR SIMILAR SIZED ORGANIZATIONS & DETERMINES WAGES TO BE OFFERED TO EXECUTIVE DIRECTOR & ADMINISTRATOR. THIS DECISION IS REVIEWED BY THE FULL BOARD OF DIRECTORS AND APPROVED.
FORM 990, PART VI, SECTION C, LINE 18FORM 990 AND SUPPORTING DOCUMENTS ARE AVAILABLE FROM THE ORGANIZATION UPON REQUEST. ADDITIONALLY, A PUBLIC WEBSITE CALLED GUIDESTAR MAKES CERTAIN PARTS OF THE 990 AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS ALONG WITH THE FINANCIAL STATEMENTS ARE AVAILABLE TO INTERESTED PARTIES UPON REQUEST FROM THE BUSINESS OFFICE OF SUNRISE RETIREMENT COMMUNITY.
FORM 990, PART XII, LINE 2CTHE BOARD OF DIRECTORS IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND IS RESPONSIBLE FOR SELECTING AN INDEPENDENT AUDITOR. THE PROCESS IS UNCHANGED FROM PRIOR YEARS.OVERSIGHT OF FINANCIAL STATEMENT AUDIT

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
FOUNTAIN VIEW ASSISTED LIVING
5501 GORDON DRIVESIOUX CITYIA51106421527142ASSISTED LIVING HOUSING AND CARE FOR THE ELDERLYIA501(C)(3)LINE 90
MAPLE HEIGHTS APARTMENTS INC
5501 GORDON DRIVESIOUX CITYIA51106421184135OWNING AND OPERATING AN APARTMENT COMPLEX IN CONJUCTION WITH HUD ASSISTANCEIA501(C)(4)LINE 70
MAPLE HEIGHTS ANNEX INC
5501 GORDON DRIVESIOUX CITYIA51106421456926OWNING AND OPERATING AN APARTMENT COMPLEX IN CONJUCTION WITH HUD ASSISTANCEIA501(C)(4)LINE 70
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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