KENYON SUNSET HOME: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- KENYON SUNSET HOME (EIN 41-1263434)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-01-29
- IRS object ID
- 201340299349301109
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-01-29T12:44:00-06:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 217 | AddressLine1 |
| City | AUSTIN | City |
| State | MN | State |
| ZIP Code | 55912 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411263434 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KENYON SUNSET HOME DBA KENYON SENIOR LIVING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | KENY | NameControl |
| Phone | 5077896134 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 GUNDERSON BLVD | AddressLine1 |
| City | KENYON | City |
| State | MN | State |
| ZIP Code | 55946 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID VANDERGON | Name |
| Title | ADMINISTRATOR | Title |
| Phone | 5077896134 | Phone |
| Date Signed | 2013-01-07 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TRENT FAST | Name |
| PTIN | P00692704 | PTIN |
| Phone | 5074347000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAVID VANDERGON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 GUNDERSON BLVD | AddressLine1 |
| City | KENYON | City |
| State | MN | State |
| ZIP Code | 55946 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 3766153 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 9386 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1949 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HOUSING AND NURSING SERVICES TO THE ELDERLY IN KENYON, MINNESOTA AND THE SURROUNDING AREA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 134 | TotalNbrEmployees |
| Total Nbr Volunteers | 78 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 27670 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 36429 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3471406 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3539675 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3677 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2687 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 170863 | OtherRevenuePriorYear |
| Other Revenue Current Year | 167292 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3673616 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3746083 | 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 | 2148775 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2274576 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1556834 | OtherExpensePriorYear |
| Other Expenses Current Year | 1598120 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 3705609 | TotalExpensesPriorYear |
| Total Expenses Current Year | 3872696 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -31993 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -126613 | RevenuesLessExpensesCY |
| Total Assets BOY | 3902223 | TotalAssetsBOY |
| Total Assets EOY | 4092429 | TotalAssetsEOY |
| Total Liabilities BOY | 2929329 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3246148 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 972894 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 846281 | NetAssetsOrFundBalancesEOY |
| Mission Description | WE ARE A CHRISTIAN FAITH BASED NOT FOR PROFIT ORGANIZATION THAT EXTENDS THE MINISTRY OF CARING AND HEALING THROUGH A VARIETY OF QUALITY SERVICES FOR THE ELDERLY, FAMILIES, AND THE AREA COMMUNITIES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 3276014 | Expense |
| Revenue | 3539675 | Revenue |
| Description | KENYON SUNSET HOME- SINCE 1949, WE HAVE BEEN PROVIDING HOUSING AND NURSING SERVICES THROUGH OPERATION OF A 48-BED LICENSED NURSING FACILITY AND A 19-BED HOUSING WITH SERVICES FACILITY IN KENYON, MINNESOTA. THE HOME HAD 16,183 RESIDENT DAYS DURING 2012. ALSO, SEVENTEEN SERVICES WERE PROVIDED TO THE RESIDENTS OF THE HOUSING WITH SERVICES FACILITY. | Description |
| Total Program Service Expense | 3276014 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 1 | 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 | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 0 | 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 | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 26 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 134 | 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 | 0 | 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 | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVE VANDERGON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5077896134 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 GUNDERSON BLVD | AddressLine1 |
| City | KENYON | City |
| State | MN | State |
| ZIP Code | 55946 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (11 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| CAREY HJERMSTAD | ||||||
| BOARD DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| PENNY ISAACSON | ||||||
| BOARD DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| LARRY LEHMAN | ||||||
| BOARD TREASURER | 1.00 | X | 0 | 0 | 0 | |
| JUDY PAVEK | ||||||
| BOARD SECRETARY | 1.00 | X | 0 | 0 | 0 | |
| BARNEY NESSETH | ||||||
| BOARD PRESIDENT | 1.00 | X | 0 | 0 | 0 | |
| STEVE SVIGGUM | ||||||
| BOARD DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JIM DAVIS | ||||||
| BOARD DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MARLENE SYVERSON | ||||||
| BOARD VICE PRESIDENT | 1.00 | X | 0 | 0 | 0 | |
| KEVIN ANDERSON | ||||||
| BOARD DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DAVID VANDERGON | ||||||
| ADMINISTRATOR | 40.00 | 79102 | 0 | 304 | X | |
| DENISE BUDD | ||||||
| CFO | 40.00 | 66560 | 0 | 3003 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 145662 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 3307 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | 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 |
|---|---|---|---|---|---|
| REHABCARE GROUP CONTRACT THERAPY DIVISIO | |||||
| PO BOX 503534 | ST LOUIS | MO | 63105 | THERAPIES | 177780 |
| DHS MEDICAL CARE SURCHARGE | |||||
| 540 CEDAR ST | ST PAUL | MN | 55101 | MEDICAL SURCHARGE | 135120 |
| POWER ENGINEERS | |||||
| 105 EAST 4TH STREET | NORTHFIELD | MN | 55057 | ARCHITECT | 132111 |
| US FOODS | |||||
| NW 6059 PO BOX 1450 | MINNEAPOLIS | MN | 55485 | FOOD/SUPPLIES | 120763 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Related Organizations | 36429 | RelatedOrganizations |
| Total Contributions | 36429 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICARE/MEDICAID PAYM | 623000 | 1904758 | 1904758 |
| RESIDENT REVENUE | 623000 | 1587172 | 1587172 |
| RENTAL REVENUE | 623000 | 44604 | 44604 |
| MISCELLANEOUS INCOME | 623000 | 3141 | 3141 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3539675 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1614 | TotalRevenueColumn |
| Exclusion | $1,614 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 21143 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 20070 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1073 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1073 | TotalRevenueColumn |
| Exclusion | $1,073 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| MISCELLANEOUS INCOME | 900099 | 94250 | $94,250 |
| MEAL REVENUE | 623000 | 66420 | $66,420 |
| DAY CARE REVENUE | 623000 | 6622 | $6,622 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 167292 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3746083 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3539675 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $169,979 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 148969 | Total |
| Management And General | 148969 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1767291 | Total |
| Program Services | 1699040 | ProgramServices |
| Management And General | 68251 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5984 | Total |
| Program Services | 3928 | ProgramServices |
| Management And General | 2056 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 214079 | Total |
| Program Services | 155740 | ProgramServices |
| Management And General | 58339 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 138253 | Total |
| Program Services | 99212 | ProgramServices |
| Management And General | 39041 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92164 | Total |
| Program Services | 54559 | ProgramServices |
| Management And General | 37605 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2890 | Total |
| Management And General | 2890 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14175 | Total |
| Management And General | 14175 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 409617 | Total |
| Program Services | 317637 | ProgramServices |
| Management And General | 91980 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20973 | Total |
| Management And General | 20973 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187327 | Total |
| Program Services | 154871 | ProgramServices |
| Management And General | 32456 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130385 | Total |
| Program Services | 130385 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2128 | Total |
| Program Services | 2128 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28778 | Total |
| Program Services | 25415 | ProgramServices |
| Management And General | 3363 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117638 | Total |
| Program Services | 117638 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 166371 | Total |
| Program Services | 166371 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48069 | Total |
| Program Services | 2516 | ProgramServices |
| Management And General | 45553 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| FOOD COSTS | 167927 | 167927 | |
| MINNESOTA SURCHARGE | 135120 | 135120 | |
| REAL ESTATE TAXES | 20141 | 20141 | |
| MISCELLANEOUS EXPENSE | 13683 | 13683 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40734 | Total |
| Program Services | 23386 | ProgramServices |
| Management And General | 17348 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3872696 | Total |
| Program Services | 3276014 | ProgramServices |
| Management And General | 596682 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75512 | BOY |
| EOY | 102344 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 91876 | BOY |
| EOY | 82139 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 271935 | BOY |
| EOY | 217722 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11849 | BOY |
| EOY | 10902 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43905 | BOY |
| EOY | 40707 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5954441 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2497676 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3114131 | BOY |
| EOY | 3456765 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 181749 | BOY |
| EOY | 51417 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111266 | BOY |
| EOY | 130433 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3902223 | BOY |
| EOY | 4092429 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 232449 | BOY |
| EOY | 509893 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2377679 | BOY |
| EOY | 2390671 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 319201 | BOY |
| EOY | 345584 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2929329 | BOY |
| EOY | 3246148 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 972894 | BOY |
| EOY | 846281 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 972894 | BOY |
| EOY | 846281 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3902223 | BOY |
| EOY | 4092429 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -126613 | 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 |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 | 57320 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 23473 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 54288 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 25969 | CurrentTaxYearMinus1Year |
| Current Tax Year | 35113 | CurrentTaxYear |
| Total | 196163 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3711392 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3460096 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3419521 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3471406 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3539675 | CurrentTaxYear |
| Total | 17602090 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3768712 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3483569 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3473809 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3497375 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3574788 | CurrentTaxYear |
| Total | 17798253 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 57320 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 23473 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 23470 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 28998 | CurrentTaxYearMinus1Year |
| Current Tax Year | 35113 | CurrentTaxYear |
| Total | 168374 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1320765 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1392852 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1323617 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1234064 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1228742 | CurrentTaxYear |
| Total | 6500040 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1378085 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1416325 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1347087 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1263062 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1263855 | CurrentTaxYear |
| Total | 6668414 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 11129839 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8666 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6746 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5851 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5378 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2930 | CurrentTaxYear |
| Total | 29571 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8666 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6746 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5851 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5378 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2930 | CurrentTaxYear |
| Total | 29571 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 170863 | CurrentTaxYearMinus1Year |
| Current Tax Year | 167292 | CurrentTaxYear |
| Total | 338155 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3777378 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3490315 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3479660 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3673616 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3745010 | CurrentTaxYear |
| Total | 18165979 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.61270 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.63170 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00160 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00180 | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $0 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 0 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | SPENT TIME WALKING AROUND CAPITAL WITH LEGISLATURES. ALSO EMAILED LEGISLATURES ON VARIOUS TOPICS. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Historic Structure | X | HistoricStructure |
| Total Number Of Easements | 1 | TotalNumberOfEasements |
| Total Acreage | 1.00 | TotalAcreage |
| Nmbr Hist Struct Easements | 1 | NmbrHistStructEasements |
| Nmbr Hist Struct Easements After | 0 | NmbrHistStructEasementsAfter |
| Nmbr Easements Modified | 0 | NmbrEasementsModified |
| Nmbr States In Which Easements Held | 1 | NmbrStatesInWhichEasementsHeld |
| Written Policy Monitoring | 0 | WrittenPolicyMonitoring |
| Staff Hours Spent On Enforcement | 0.00 | StaffHoursSpentOnEnforcement |
| Expenses Incurred For Enforcement | 0 | ExpensesIncurredForEnforcement |
| Sect170h Requirements Satisfied | 1 | Sect170hRequirementsSatisfied |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 65505 | OtherCostOrOtherBasis |
| Book Value | 65505 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4653115 | OtherCostOrOtherBasis |
| Depreciation | 1803168 | Depreciation |
| Book Value | 2849947 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 864169 | OtherCostOrOtherBasis |
| Depreciation | 694508 | Depreciation |
| Book Value | 169661 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 371652 | OtherCostOrOtherBasis |
| Book Value | 371652 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3456765 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| RESIDENT DEPOSITS & TRUST FUNDS PAY | $17,841 |
| ASSET RETIREMENT OBLIGATION | $242,908 |
| DUE TO FOUNDATION | $84,835 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 345584 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF HOW ORGANIZATION REPORTS CONSERVATION EASEMENTS: | PART II, LINE 9: | FACILITY IS ADJACENT TO THE GUNDERSON HOUSE WHICH IS ON THE NATIONAL HISTORIC REGISTRY, AND COVENENTS APPLY TO RECENT PROPERTY DEVELOPMENTS. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | BOTH KENYON SENIOR LIVING AND THE FOUNDATION HAVE BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)3 OF THE INTERNAL REVENUE CODE. KENYON SENIOR LIVING AND THE FOUNDATION FOLLOW THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED BY THE ORGANIZATION OR FOUNDATION AS A RESULT OF THIS STANDARD. KENYON SENIOR LIVING AND FOUNDATION FILE AS TAX-EXEMPT ORGANIZATIONS. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE 2009, 2010, AND 2011 TAX YEARS OF KENYON SENIOR LIVING AND THE FOUNDATION ARE OPEN FOR EXAMINATION BY THE IRS. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | CAREY HJERMSTAD AND DAVID HJERMSTAD - FAMILY RELATIONSHIP |
| FORM 990, PART VI, SECTION B, LINE 11 | PRIOR TO BEING FILED WITH THE IRS, A COPY OF THE IRS FORM 990 AND RELATED SCHEDULES ARE REVIEWED BY THE ADMINISTRATOR, INCLUDING A CONFIRMATION OF THE ACCURACY OF EVERY ANSWER AND OVERSIGHT OF APPROPRIATE CHANGES. TWO MEMBERS OF THE BOARD OF DIRECTORS ALSO REVIEW AND APPROVE FORM 990 PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ADMINISTRATION WILL BE RESPONSIBLE TO COMMUNICATE THIS POLICY TO EACH OFFICER, DIRECTOR, AND TRUSTEE SERVING KSH OR ANY OF ITS SUBSIDIARIES AND OTHERS AS THEY ARE NEWLY APPOINTED TO SUCH RULES. IF THERE IS A PERSON WITH A CONFLICT OR POTENTIAL CONFLICT, THEY SHALL REFRAIN FROM VOTING OR OTHERWISE ATTEMPT TO EXERT ANY INFLUENCE OF KSH. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS DETERMINE AND REVIEW THE CEO. THE CEO, WITH THE HELP FROM THE BOARD DETERMINE'S AND REVIEWS THE OTHER KEY EMPLOYEES. THE LAST REVIEWS WERE IN 2012. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: THE ORGANIZATIONS CONSOLIDATED FINANCIAL STATEMENTS ARE AUDITED ANNUALLY BY AN INDEPENDENT ACCOUNTANT, RECEIVING AN UNQUALIFIED OPINION AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2012 AND 2011. THE ORGANIZATIONS BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KENYON SUNSET HOME FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 GUNDERSON BLVD | AddressLine1 |
| City | KENYON | City |
| State | MN | State |
| ZIP Code | 55946 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411694615 | EIN |
| Primary Activities | SUPPORTING ORGANIZATION | PrimaryActivities |
| Legal Domicile State | MN | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 11, TYPE II | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KENYON SUNSET HOME | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALL TRANSACTIONS WERE UNDER 50000 THEREFORE NOT REQUIRED TO BE DISCLOSED | BusinessNameLine1 |