EVERGREEN LIVING INNOVATIONS INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- EVERGREEN LIVING INNOVATIONS INC (EIN 74-2857475)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-09
- IRS object ID
- 201332219349300958
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-09T12:31:05-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481026809 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wendling Noe Nelson & Johnson LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 534 S Kansas Ave Suite 1500 | AddressLine1 |
| City | Topeka | City |
| State | KS | State |
| ZIP Code | 666033491 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742857475 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Evergreen Living Innovations Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | EVER | NameControl |
| Phone | 9134778227 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11875 S Sunset Drive No 100 | AddressLine1 |
| City | Olathe | City |
| State | KS | State |
| ZIP Code | 66061 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KJ Langlais | Name |
| Title | CEO | Title |
| Phone | 9134778227 | Phone |
| Date Signed | 2013-07-26 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Eric L Otting | Name |
| PTIN | P00298454 | PTIN |
| Phone | 7852334226 | Phone |
| Date Prepared | 2013-07-26 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KJ Langlais | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11875 S Sunset Drive No 100 | AddressLine1 |
| City | Olathe | City |
| State | KS | State |
| ZIP Code | 66061 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 9726004 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | KS | StateLegalDomicile |
| Activity Or Mission Description | The organization operates a skilled care nursing facility for the elderly and disabled, and provides geriatric care education for employees and other organizations. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 184 | TotalNbrEmployees |
| Total Nbr Volunteers | 42 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1213199 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1139601 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 8896090 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 8542451 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4186 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1684 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 32471 | OtherRevenuePriorYear |
| Other Revenue Current Year | 27999 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 10145946 | TotalRevenuePriorYear |
| Total Revenue Current Year | 9711735 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 6243385 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6329322 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 49000 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3390210 | OtherExpensePriorYear |
| Other Expenses Current Year | 3115428 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 9682595 | TotalExpensesPriorYear |
| Total Expenses Current Year | 9444750 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 463351 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 266985 | RevenuesLessExpensesCY |
| Total Assets BOY | 2681046 | TotalAssetsBOY |
| Total Assets EOY | 2898401 | TotalAssetsEOY |
| Total Liabilities BOY | 576702 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 527072 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2104344 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2371329 | NetAssetsOrFundBalancesEOY |
| Mission Description | The organization operates a skilled care nursing facility for the elderly and disabled, and provides geriatric care education for employees and other organizations. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 7766070 | Expense |
| Revenue | 8422768 | Revenue |
| Description | Operates a 112 bed skilled residential nursing facility in Olathe, Kansas. The organization had $100,000 of bad debt expense attributed to self-pay accounts and offered approximately $51,000 of charity care in 2012. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 326651 | Expense |
| Revenue | 119683 | Revenue |
| Description | GERTI - conducts aging care and service education and programs for employees and other organizations. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 8092721 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 24 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 184 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ray Smith | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9134778227 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11875 S Sunset Suite 100 | AddressLine1 |
| City | Olathe | City |
| State | KS | State |
| ZIP Code | 66061 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| Jessica Dupriest | ||||||
| Chairman | 1.00 | X | X | 0 | 0 | 0 |
| Lin Knudson | ||||||
| Vice-Chairman | 1.00 | X | X | 0 | 0 | 0 |
| Will Tschudy | ||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 |
| Rod Corn | ||||||
| Treasurer | 1.00 | X | X | 0 | 0 | 0 |
| Dolores Furtado PhD | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Patricia McKillip | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| John A Mondi | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Gordon F Ho | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Tom Dupriest | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| KJ Langlais | ||||||
| CEO | 40.00 | X | 137488 | 0 | 12265 | |
| Raymond Smith | ||||||
| CFO | 40.00 | X | 91144 | 0 | 25971 | |
| Linda Kettles | ||||||
| COO | 40.00 | X | 89878 | 0 | 25478 | |
| Chris Osborn | ||||||
| CBO | 40.00 | X | 84839 | 0 | 25361 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 403349 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 89075 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Summit Care Inc | |||||
| 6830 W 121st Ct | Overland Park | KS | 66209 | Therapy Services | 474844 |
| Cascade Health Services | |||||
| 1045 Swift | North Kansas City | MO | 64116 | Nursing Services | 326572 |
| Morrison Management Specialists | |||||
| 5801 Peachtree Dunwoody Road | Atlanta | GA | 30342 | Dietary Services | 192478 |
| The Zack Group | |||||
| 6335 West 110th St | Overland Park | KS | 66211 | Nursing Services | 154103 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Government Grants | 1127323 | GovernmentGrants |
| All Other Contributions | 12278 | AllOtherContributions |
| Total Contributions | 1139601 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Res care-Medicaid | 623000 | 6295898 | 6295898 |
| Res care-Medicare | 623000 | 1177862 | 1177862 |
| Res care-private pay | 623000 | 898562 | 898562 |
| GERTI education & cons | 611430 | 119683 | 119683 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 50446 | TotalRevenueColumn |
| Related Or Exempt Function Income | 50446 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 8542451 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1684 | TotalRevenueColumn |
| Exclusion | $1,684 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 42268 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 14269 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 27999 | TotalRevenueColumn |
| Exclusion | $27,999 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9711735 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8542451 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $29,683 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 492424 | Total |
| Program Services | 115357 | ProgramServices |
| Management And General | 377067 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4445162 | Total |
| Program Services | 4097174 | ProgramServices |
| Management And General | 347988 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106810 | Total |
| Program Services | 103094 | ProgramServices |
| Management And General | 3716 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 863204 | Total |
| Program Services | 791876 | ProgramServices |
| Management And General | 71328 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 421722 | Total |
| Program Services | 364189 | ProgramServices |
| Management And General | 57533 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43140 | Total |
| Management And General | 43140 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7449 | Total |
| Management And General | 7449 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61383 | Total |
| Program Services | 83 | ProgramServices |
| Management And General | 61300 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 289664 | Total |
| Program Services | 260698 | ProgramServices |
| Management And General | 28966 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10397 | Total |
| Program Services | 3542 | ProgramServices |
| Management And General | 6855 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17627 | Total |
| Program Services | 3613 | ProgramServices |
| Management And General | 14014 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2634 | Total |
| Program Services | 2634 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85865 | Total |
| Program Services | 77278 | ProgramServices |
| Management And General | 8587 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69524 | Total |
| Program Services | 69524 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Contracted services | 1247012 | 1212282 | 34730 |
| Consumable supplies | 490507 | 455344 | 35163 |
| Dietary services and su | 373230 | 373230 | |
| Leases and rentals | 105401 | 67395 | 38006 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 311595 | Total |
| Program Services | 95408 | ProgramServices |
| Management And General | 216187 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9444750 | Total |
| Program Services | 8092721 | ProgramServices |
| Management And General | 1352029 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 253934 | BOY |
| EOY | 265413 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1318952 | BOY |
| EOY | 1490029 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 673203 | BOY |
| EOY | 646281 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70269 | BOY |
| EOY | 111984 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 792696 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 433360 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 329769 | BOY |
| EOY | 359336 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34919 | BOY |
| EOY | 25358 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2681046 | BOY |
| EOY | 2898401 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 516368 | BOY |
| EOY | 504105 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48235 | BOY |
| EOY | 20509 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12099 | BOY |
| EOY | 2458 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 576702 | BOY |
| EOY | 527072 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2104344 | BOY |
| EOY | 2371329 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2104344 | BOY |
| EOY | 2371329 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2681046 | BOY |
| EOY | 2898401 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 266985 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1230930 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1229965 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1301671 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1256636 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1181868 | CurrentTaxYear |
| Total | 6201070 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7038823 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7578362 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8111399 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8896090 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8542451 | CurrentTaxYear |
| Total | 40167125 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8269753 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8808327 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9413070 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10152726 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9724319 | CurrentTaxYear |
| Total | 46368195 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 46368195 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4571 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3950 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4509 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4186 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1684 | CurrentTaxYear |
| Total | 18900 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4571 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3950 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4509 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4186 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1684 | CurrentTaxYear |
| Total | 18900 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8274324 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8812277 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9417579 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10156912 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9726003 | CurrentTaxYear |
| Total | 46387095 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99960 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99950 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00040 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00050 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 141852 | OtherCostOrOtherBasis |
| Depreciation | 61142 | Depreciation |
| Book Value | 80710 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 650844 | OtherCostOrOtherBasis |
| Depreciation | 372218 | Depreciation |
| Book Value | 278626 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 359336 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Estimated third-party payor settlement | Description |
| Amount | $2,458 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2458 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 9659286 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 9659286 | RevenueSubtotal |
| Other Revenues Not Included | 52449 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 52449 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 9711735 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 9444750 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 9444750 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 9444750 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Uncertain Tax Positions Under FIN 48: | Part X, Line 2: | The organization has been recognized by the Internal Revenue Service as a tax-exempt organization as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal income taxes pursuant to Section 501(a) of the code. Management is not aware of any uncertainties in income tax positions. The years ended December 31, 2012, 2011, and 2010 remain subject to examiniation for both federal and state purposes. |
| Part XI, Line 4b - Other Adjustments: | Investment income 1,684. Fundraising events, net 27,999. Grants and contributions 22,766. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Denim & Dazzle | NameOfEvent1 |
| Gross Receipts Event1 | 38225 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 38225 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 12456 | OtherDirectExpensesEvent1 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 4043 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 4043 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 1813 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 42268 | GrossReceiptsTotal |
| Gross Revenue Total Events | 42268 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 14269 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 14269 | DirectExpenseSummaryEvents |
| Net Income Summary | 27999 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 2 | Jessica Dupriest and Tom Dupriest are married. Both Tom and Jessica serve on the Board Directors for Evergreen Living Innovations, Inc. Jessica Dupriest is the Chairman/Director, and Tom Dupriest is a Director. |
| Form 990, Part VI, Section A, line 4 | In 2012, the maximum number of consecutive terms was reduced from 3 to 2. The minimum number of directors was changed from 3 to 7, and the maximum number was changed from 19 to 15. The organization will now have at least one member of Johnson County Young Matrons as a member of the Board of Directors. Previously, the CEO was a non-voting ex-officio member. The Medical Director and CEO are now nonvoting members of the board. |
| Form 990, Part VI, Section B, line 11 | The Form 990 is reviewed by the Board of Directors at a regularly scheduled meeting of the Board. |
| Form 990, Part VI, Section B, line 12c | The organization's conflict of interest policy states periodic reviews of the policy should be conducted. |
| Form 990, Part VI, Section B, line 15a | The compensation of the chief executive officer is determined and approved by the Board of Directors. All other compensation is approved by the chief executive officer. |
| Form 990, Part VI, Section C, line 19 | The organization makes its organizing documents and IRS Form 990 available upon specific written request. |
| Form 990, Part XII, Line 2c | The Audit committee oversees the review of the audited financial statements. |
| Schedule A, PartIII, Sec. A, Line 2e | Total of 2012 gifts, grants, contributions and membership fees received is comprised of the following: Fundraising contributions $42,267 Gifts & donations $12,278 Government grants $38,915 Johnson County subsidies $1,088,408 |
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