CORNERSTONE SENIOR COMMUNITIES OF REMSEN: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CORNERSTONE SENIOR COMMUNITIES OF REMSEN (EIN 20-0782978)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-08-15
IRS object ID: 201332279349302748
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
Form 990
Schedule A
Schedule D
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-15T13:31:16-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WILLIAMS & COMPANY CPA PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 908	AddressLine1
City	SPENCER	City
State	IA	State
ZIP Code	51301	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	200782978	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CORNERSTONE SENIOR COMMUNITIES	BusinessNameLine1
Business Name Line2	OF REMSEN	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	CORN	NameControl
Phone	7123360844	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	409 ASH STREET	AddressLine1
Address Line2	ROOM/SUITE 15	AddressLine2
City	SUTHERLAND	City
State	IA	State
ZIP Code	51058	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MARK CODY	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	7123360844	Phone
Date Signed	2013-08-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	LAWRENCE S HARDEN CPA	Name
Phone	7122621500	Phone
Date Prepared	2013-08-15	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	MARK CODY	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	409 ASH STREET SUITE 15	AddressLine1
City	SUTHERLAND	City
State	IA	State
ZIP Code	51058	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	2916953	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2004	YearFormation
State Legal Domicile	IA	StateLegalDomicile
Activity Or Mission Description	PROVIDE RETIREMENT HOUSING AND NURSING CARE TO SENIOR CITIZENS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	5	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	89	TotalNbrEmployees
Total Nbr Volunteers	37	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Current Year	4150	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2695425	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2868980	ProgramServiceRevenueCY
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Prior Year	50656	OtherRevenuePriorYear
Other Revenue Current Year	43823	OtherRevenueCurrentYear
Total Revenue Prior Year	2746081	TotalRevenuePriorYear
Total Revenue Current Year	2916953	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1357039	SalariesEtcPriorYear
Salaries Etc Current Year	1368430	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1407200	OtherExpensePriorYear
Other Expenses Current Year	1444661	OtherExpensesCurrentYear
Total Expenses Prior Year	2764239	TotalExpensesPriorYear
Total Expenses Current Year	2813091	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-18158	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	103862	RevenuesLessExpensesCY
Total Assets BOY	2753229	TotalAssetsBOY
Total Assets EOY	2802968	TotalAssetsEOY
Total Liabilities BOY	2585139	TotalLiabilitiesBOY
Total Liabilities EOY	2531016	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	168090	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	271952	NetAssetsOrFundBalancesEOY
Mission Description	PROVIDE RETIREMENT HOUSING AND NURSING CARE TO SENIOR CITIZENS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	2813091	Expense
Description	ENRICHING THE QUALITY OF LIFE OF SENIOR CITIZENS WHO WISH TO MAINTAIN AN INDEPENDENT LIFESTYLE, AS WELL AS THOSE SENIOR CITIZENS WHO, BY VIRTUE OF ILLNESS OR INFIRMITY, CANNOT DO SO.	Description
Total Program Service Expense	2813091	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	7	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	89	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	5	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MARK CODY	NamePerson
Telephone Number	7124462599	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	409 ASH STREET	AddressLine1
Address Line2	SUITE 15	AddressLine2
City	SUTHERLAND	City
State	IA	State
ZIP Code	51058	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
MARK CODY
EXECUTIVE DI	23.00	X	48821	0	0
PAUL NETSCH
DIRECTOR	1.00	X	0	0	0
CHERYL CRONIN
PRESIDENT	1.00		0	0	0	X
TOM STEELE
TREASURER	1.00		0	0	0	X
TISHA HALVERSON
SECRETARY	1.00		0	0	0	X
PEG HEIDESCH
VICE PRESIDE	1.00		0	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	48821	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
SIGNATURE CARE CENTER
8101 BIRCHWOOD COURT SUITE A	JOHNSTON	IA	50131	MGMT SERVICES	174516
AVENTURE STAFFING
PO BOX 3124	SIOUX CITY	IA	51102	NURSE SERVICES	172506
MARTIN BROS
406 VIKING RD	CEDAR FALLS	IA	50613	FOOD SERVICES	136569
ONR
1101 S CAPITAL OF TEXAS HWY	AUSTIN	TX	78746	REHABILIATION	110948

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	4	NumberOfContractorsGT100K
Related Organizations	3000	RelatedOrganizations
All Other Contributions	1150	AllOtherContributions
Total Contributions	4150	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PROGRAM SERVICE REV.-RELATED	Description
Business Code	623000	BusinessCode
Total Revenue Column	2868980	TotalRevenueColumn
Related Or Exempt Function Income	2868980	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	2868980	TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	OTHER REVENUE - RELATED	Description
Business Code	623000	BusinessCode
Total Revenue Column	43823	TotalRevenueColumn
Related Or Exempt Function Income	43823	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	43823	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2916953	TotalRevenueColumn
Related Or Exempt Function Income	2912803	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	48821	Total
Program Services	48821	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1098548	Total
Program Services	1098548	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	123113	Total
Program Services	123113	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	97948	Total
Program Services	97948	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	3193	Total
Program Services	3193	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	60086	Total
Program Services	60086	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	441	Total
Program Services	441	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	116342	Total
Program Services	116342	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	93638	Total
Program Services	93638	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
CONTRACT NURSING SERVICES	210574	210574
SUPPLIES	182213	182213
MANAGEMENT FEES	157000	157000
THERAPY	118036	118036

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	503138	Total
Program Services	503138	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2813091	Total
Program Services	2813091	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	253807	BOY
EOY	154193	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
EOY	150040	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	182106	BOY
EOY	204060	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3952	BOY
EOY	3203	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	26472	BOY
EOY	8787	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	3221018	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	939966	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2226926	BOY
EOY	2281052	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	2939	BOY
EOY	1633	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	57027	BOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2753229	BOY
EOY	2802968	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	53612	BOY
EOY	97006	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2382699	BOY
EOY	2279120	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	148828	BOY
EOY	154890	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2585139	BOY
EOY	2531016	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	168090	BOY
EOY	271952	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	168090	BOY
EOY	271952	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2753229	BOY
EOY	2802968	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	103862	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	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 Minus3 Years	36463	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6300	CurrentTaxYearMinus2Years
Current Tax Year	1150	CurrentTaxYear
Total	43913	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2921300	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2713640	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3009026	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2746081	CurrentTaxYearMinus1Year
Current Tax Year	2912803	CurrentTaxYear
Total	14302850	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2921300	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2750103	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3015326	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2746081	CurrentTaxYearMinus1Year
Current Tax Year	2913953	CurrentTaxYear
Total	14346763	Total

Field	Value	IRS element (for citing)
Public Support Total509	14346763	PublicSupportTotal509

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2921300	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2750103	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3015326	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2746081	CurrentTaxYearMinus1Year
Current Tax Year	2913953	CurrentTaxYear
Total	14346763	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	1.00000	PublicSupportPercentage509
Prior Year Support Percentage	1.00000	PriorYearSupportPercentage
Investment Income Percentage	0.00000	InvestmentIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	72095	OtherCostOrOtherBasis
Book Value	72095	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2703187	OtherCostOrOtherBasis
Depreciation	567878	Depreciation
Book Value	2135309	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	445736	OtherCostOrOtherBasis
Depreciation	372088	Depreciation
Book Value	73648	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2281052	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
ACCRUED EMPLOYEE COMPENSATION	$86,231
ACCRUED PROPERTY TAXES PAYABLE	$62,998
ACCRUED INTEREST PAYABLE	$5,661

Field	Value	IRS element (for citing)
Total Of Amounts	154890	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	2913953	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	2913953	RevenueSubtotal
Other Revenues Not Included	3000	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	3000	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	2916953	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	2813091	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	2813091	ExpensesSubtotal
Total Expenses Per Form990	2813091	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	Identifier
Return Reference	SCHEDULE D, PAGE 4, PART XI, LINE 4B	ReturnReference
Explanation	PAYMENTS FROM AFFILIATES 3,000	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE BOARD RECEIVES A COPY OF THE RETURN BEFORE IT IS FILED AND REVIEWS THE ACCURACY OF THE INFORMATION USED TO COMPLETE IT. UPON REVIEW, THE BOARD APPROVES THE RETURN TO BE FILED.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	THE POLICY IS REVIEWED WITH BOARD MEMBERS ONE TIME EACH YEAR.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE BOARD OF DIRECTORS REVIEWS THE EXECUTIVE DIRECTOR'S PERFORMANCE AND COMPENSATION ON AN ANNUAL BASIS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE ORGANIZATION MAKES THEIR DOCUMENTS AVAILABLE AT THEIR OFFICE FOR PUBLIC INSPECTION UPON REQUEST.
OTHER EXPENSES	FORM 990, PART IX, LINE 24E	UTILITIES 90,812 0 0 NON-RECURRING 80,189 0 0 PROPERTY TAXES 65,452 0 0 INSURANCE 51,244 0 0 REPAIRS AND MAINTENANCE 42,430 0 0 MISCELLANEOUS 42,019 0 0 WORKERS COMPENSATION 37,354 0 0 PHARMACY 26,488 0 0 COMPUTER 19,045 0 0 ADVERTISING 10,068 0 0 CONSULTANT 8,300 0 0 EDUCATION & SEMINARS 7,277 0 0 DUES & SUBSCRIPTIONS 4,858 0 0 BAD DEBT EXPENSE 4,317 0 0 EQUIPMENT REPAIR & MAINT. 4,010 0 0 CONTRACT SERVICES 2,893 0 0 VENDING EXPENSE 2,186 0 0 TRAVEL 1,830 0 0 POSTAGE & SHIPPING 1,628 0 0 LICENSE 586 0 0 TRANSPORTATION 152 0 0

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	WILLOWAY DEVELOPMENT LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	409 ASH STREET	AddressLine1
City	SUTHERLAND	City
State	IA	State
ZIP Code	51058	ZIPCode

Field	Value	IRS element (for citing)
EIN	200782978	EIN
Primary Activities	HOUSING	PrimaryActivities
Legal Domicile State	IA	LegalDomicileState
Total Income	42693	TotalIncome
EOY Assets	318365	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CORNERSTON	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	CORNERSTONE SENIOR - SPIRIT LAKE	BusinessNameLine1
Business Name Line2	CORNERSTONE SENIOR - SPIRIT LAKE	BusinessNameLine2

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	409 ASH STREET	AddressLine1
City	SUTHERLAND	City
State	IA	State
ZIP Code	51301	ZIPCode

Field	Value	IRS element (for citing)
EIN	200273031	EIN
Primary Activities	HOUSING	PrimaryActivities
Legal Domicile State	IA	LegalDomicileState
Exempt Code Section	501C3	ExemptCodeSection
Public Charity Status	7	PublicCharityStatus
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	false	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

CORNERSTONE SENIOR COMMUNITIES OF REMSEN: Form 990, tax year 2012

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990 IRS990

Address Principal Officer US AddressPrincipalOfficerUS

The Books Are In Care Of TheBooksAreInCareOf

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

Contractor Compensation ContractorCompensation (4 entries)

Program Service Revenue ProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

Total Revenue TotalRevenue

Comp Current Officers Directors CompCurrentOfficersDirectors

Other Salaries And Wages OtherSalariesAndWages

Other Employee Benefits OtherEmployeeBenefits

Payroll Taxes PayrollTaxes

Fees For Services Legal FeesForServicesLegal

Fees For Services Accounting FeesForServicesAccounting

Fees For Services Other FeesForServicesOther

Interest Interest

Depreciation Depletion DepreciationDepletion

Other Expenses OtherExpenses (4 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Cash Non Interest Bearing CashNonInterestBearing

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Accounts Receivable AccountsReceivable

Inventories For Sale Or Use InventoriesForSaleOrUse

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Intangible Assets IntangibleAssets

Other Assets Total OtherAssetsTotal

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Other Liabilities OtherLiabilities

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FS Audited Basis FSAuditedBasis

Schedule A IRS990ScheduleA

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Total509 Total509

Total Support Total TotalSupportTotal

Schedule D IRS990ScheduleD

Land Land

Buildings Buildings

Equipment Equipment

Other Liabilities OtherLiabilities (3 entries)

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Address US AddressUS

Direct Controlling Entity Name DirectControllingEntityName

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Address US AddressUS

Comments