SUNRISE MANOR: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SUNRISE MANOR (EIN 42-0805391)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-22
IRS object ID
201202969349300325
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

FieldValueIRS element (for citing)
Timestamp2012-10-22T13:17:02-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420732909EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12900 100TH STREET SUITE 301AddressLine1
CityURBANDALECity
StateIAState
ZIP Code50322ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN420805391EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameBEVERLY ZENORName
TitleCEOTitle
Phone7122763821Phone
Date Signed2012-10-22DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCURTIS E BRAND CPAName
PTINP00299230PTIN
Phone5152253141Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15501 GORDON DRIVEAddressLine1
CitySIOUX CITYCity
StateIAState
ZIP Code51106ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8526511GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SUNRISERETIREMENT.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1956YearFormation
State Legal DomicileIAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HOUSING AND SERVICES TO SIOUXLAND'S ELDERLY IN A WAY THAT INSURES A PHYSICAL AND CARE ENVIRONMENT WHICH MAXIMIZES THE DIGNITY AND INDEPENDENCE OF EACH RESIDENT.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees135TotalNbrEmployees
Total Nbr Volunteers125TotalNbrVolunteers
Total Gross UBI-542TotalGrossUBI
Net Unrelated Business Txbl Income-542NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year556831ContributionsGrantsPriorYear
Contributions Grants Current Year306244ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7874458ProgramServiceRevenuePriorYear
Program Service Revenue CY8123177ProgramServiceRevenueCY
Investment Income Prior Year7742InvestmentIncomePriorYear
Investment Income Current Year10261InvestmentIncomeCurrentYear
Other Revenue Prior Year1942OtherRevenuePriorYear
Other Revenue Current Year69047OtherRevenueCurrentYear
Total Revenue Prior Year8440973TotalRevenuePriorYear
Total Revenue Current Year8508729TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4429188SalariesEtcPriorYear
Salaries Etc Current Year4643416SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year20488TotalFundrsngExpCurrentYear
Other Expense Prior Year3763861OtherExpensePriorYear
Other Expenses Current Year4034722OtherExpensesCurrentYear
Total Expenses Prior Year8193049TotalExpensesPriorYear
Total Expenses Current Year8678138TotalExpensesCurrentYear
Revenues Less Expenses Prior Year247924RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-169409RevenuesLessExpensesCY
Total Assets BOY20954508TotalAssetsBOY
Total Assets EOY25163012TotalAssetsEOY
Total Liabilities BOY16418193TotalLiabilitiesBOY
Total Liabilities EOY20803345TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4536315NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4359667NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HOUSING AND SERVICES TO SIOUXLAND'S ELDERLY IN A WAY THAT INSURES A PHYSICAL AND CARE ENVIRONMENT WHICH MAXIMIZES THE DIGNITY AND INDEPENDENCE OF EACH RESIDENT.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7794155Expense
Revenue8025236Revenue
DescriptionPROVIDED SKILLED NURSING AND NURSING FACILITY LEVELS OF CARE FOR APPROXIMATELY 29,535 BED DAYS; PROVIDED 116 INDEPENDENT LIVING UNITS THAT OPERATE AT NEAR 100% CAPACITYDescription
Total Program Service Expense7794155TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109629NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees135NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledIAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
LARRY BOOK
PRESIDENT1.00XX000
TOM GRIMSLEY
VICE PRESIDENT1.00XX000
RICHARD KEITH
SECRETARY1.00XX000
DONALD KELSEY
TREASURER1.00XX000
JOHN ANDERSON
LEGAL ADVISOR1.00X000
HOWARD LOGAN
PAST PRESIDENT1.00X000
BARBARA CONDON
DIRECTOR1.00X000
MICHAEL GUNSCH
DIRECTOR1.00X000
MARY KOVARNA
DIRECTOR1.00X000
CAROLYN LEMAN
DIRECTOR1.00X000
THOMAS PADGETT
DIRECTOR1.00X000
PETER THOREEN
DIRECTOR1.00X000
COREY WRENN
DIRECTOR1.00X000
WILLIAM BUD ZIEBELL
DIRECTOR1.00X000
BEV ZENOR
CHIEF EXECUTIVE OFFICER40.00X11403300
HALLIE SALMEN
CHIEF FINANCIAL OFFICER40.00X6135600
FieldValueIRS element (for citing)
Total Reportable Comp From Org175389TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events16400FundraisingEvents
All Other Contributions289844AllOtherContributions
Total Contributions306244TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MEDICARE/MEDICAID PAYM62300042186994218699
ROOM AND BOARD-PRIVATE62300022036262203626
INDEPENDENT LIVING62300013999391399939
RESIDENT SERVICES623000168792168792
GUEST MEALS & BARBER/B62300056732$56,732

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column75389TotalRevenueColumn
Related Or Exempt Function Income34180RelatedOrExemptFunctionIncome
Exclusion$41,209ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue8123177TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10261TotalRevenueColumn
Exclusion$10,261ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real9420Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real3957Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real5463Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column5463TotalRevenueColumn
Exclusion$5,463ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events77951GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events16400CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses13825FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column64126TotalRevenueColumn
Exclusion$64,126ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionPARTNERSHIP LOSSDescription
Business Code621610BusinessCode
Total Revenue Column-542TotalRevenueColumn
Unrelated Business Revenue-542UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue-542TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8508729TotalRevenueColumn
Related Or Exempt Function Income8025236RelatedOrExemptFunctionIncome
Unrelated Business Revenue-542UnrelatedBusinessRevenue
Exclusion$177,791ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total175389Total
Management And General175389ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3826902Total
Program Services3615382ProgramServices
Management And General198229ManagementAndGeneral
Fundraising13291Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total360100Total
Program Services325288ProgramServices
Management And General33616ManagementAndGeneral
Fundraising1196Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total281025Total
Program Services253858ProgramServices
Management And General26234ManagementAndGeneral
Fundraising933Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total95935Total
Program Services87706ProgramServices
Management And General8229ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total168223Total
Program Services2610ProgramServices
Management And General165613ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total85600Total
Program Services36293ProgramServices
Management And General44239ManagementAndGeneral
Fundraising5068Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1088589Total
Program Services1088589ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total4066Total
Program Services913ProgramServices
Management And General3153ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total11802Total
Program Services11802ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total808762Total
Program Services808762ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total49968Total
Program Services6457ProgramServices
Management And General43511ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACT SERVICES86843883930329135
SUPPLIES346258346258
FOOD AND SNACKS301513301513
MISCELLANEOUS20556869421136147

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8678138Total
Program Services7794155ProgramServices
Management And General863495ManagementAndGeneral
Fundraising20488Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1376BOY
EOY1355EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY925236BOY
EOY1962687EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY323717BOY
EOY283582EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY807112BOY
EOY752053EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY63017BOY
EOY69336EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY66109BOY
EOY67909EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis23528213LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8757462LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15464514BOY
EOY14770751EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3303427BOY
EOY7255339EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20954508BOY
EOY25163012EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY808906BOY
EOY898792EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2573749BOY
EOY2487114EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY11112047BOY
EOY13805217EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1100000BOY
EOY2554887EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY823491BOY
EOY1057335EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY16418193BOY
EOY20803345EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4173392BOY
EOY4045810EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY362923BOY
EOY313857EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4536315BOY
EOY4359667EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20954508BOY
EOY25163012EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-169409ReconcilationRevenueExpenses
Reconcilation Other Changes-7239ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years147462CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years102007CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years481925CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year567559CurrentTaxYearMinus1Year
Current Tax Year384195CurrentTaxYear
Total1683148Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5812692CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6248065CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6794176CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7777612CurrentTaxYearMinus1Year
Current Tax Year8025236CurrentTaxYear
Total34657781Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years77673CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year96846CurrentTaxYearMinus1Year
Current Tax Year97941CurrentTaxYear
Total272460Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5960154CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6350072CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7353774CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8442017CurrentTaxYearMinus1Year
Current Tax Year8507372CurrentTaxYear
Total36613389Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years50000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9034CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years143641CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30000CurrentTaxYearMinus1Year
Current Tax Year50750CurrentTaxYear
Total283425Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years50000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9034CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years143641CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30000CurrentTaxYearMinus1Year
Current Tax Year50750CurrentTaxYear
Total283425Total
FieldValueIRS element (for citing)
Public Support Total50936329964PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years56945CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28135CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14745CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17162CurrentTaxYearMinus1Year
Current Tax Year19681CurrentTaxYear
Total136668Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years56945CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28135CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14745CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17162CurrentTaxYearMinus1Year
Current Tax Year19681CurrentTaxYear
Total136668Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years8925CurrentTaxYearMinus2Years
Total8925Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6017099CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6378207CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7377444CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8459179CurrentTaxYearMinus1Year
Current Tax Year8527053CurrentTaxYear
Total36758982Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98830PublicSupportPercentage509
Prior Year Support Percentage0.98720PriorYearSupportPercentage
Investment Income Percentage0.00370InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00520PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21812395OtherCostOrOtherBasis
Depreciation7465260Depreciation
Book Value14347135BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1150000OtherCostOrOtherBasis
Depreciation1082497Depreciation
Book Value67503BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis360496OtherCostOrOtherBasis
Depreciation209705Depreciation
Book Value150791BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14770751TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM MAPLE HEIGHTS147951
DESIGNATED OR RESTRICTED SAVINGS ACCOUNTS323062
CONSTRUCTION IN PROGRESS5818907
DEFERRED ISSUANCE COSTS868004
CAPITALIZED MARKETING COSTS93801
INVESTMENT IN HOME FOR LIFE3614
FieldValueIRS element (for citing)
Total Book Value Other Assets7255339TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
COTTAGE DEPOSITS$14,823
DUE TO FOUNTAIN VIEW$1,042,512
FieldValueIRS element (for citing)
Total Of Amounts1057335TotalOfAmounts
Total Revenue8508729TotalRevenue
Total Expenses8678138TotalExpenses
Excess Or Deficit For Year-169409ExcessOrDeficitForYear
Net Unrealized GL On Investments-7844NetUnrealizedGLOnInvestments
Other$605OtherAmount
Total Adjustments-7239TotalAdjustments
Excess Or Deficit Per FS-176648ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt9561908TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-8386NetUnrealizedGainsInvestments
Other Revenues1061023OtherRevenues
Revenue Not Rptd F9901052637RevenueNotRptdF990
Revenue Subtotal8509271RevenueSubtotal
Other Revenues Not Included-542OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-542RevenueNotRptdOnFinStmt
Total Revenue Per Form9908508729TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9485569TotExpensesEtcAuditedFinclStmt
Other Expenses Included807431OtherExpensesIncluded
Expenses Not Rptd F990807431ExpensesNotRptdF990
Expenses Subtotal8678138ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908678138TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:PARTNERSHIP LOSS 605.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CONSOLIDATED COMPANY REVENUE 1,043,241. RENTAL EXPENSES NETTED AGAINST RENTAL REVENUE PER FINANCIALS 3,957. FUNDRAISING EVENTS EXPENSES NETTED AGAINST EVENT REVENUE 13,825.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PARTNERSHIP LOSS -542.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:CONSOLIDATED COMPANY EXPENSES 789,649. RENTAL EXPENSE NETTED AGAINST RENTAL REVENUE ON 990 3,957. FUNDRAISING EVENTS EXPENSES NETTED AGAINST EVENT REVENUE 13,825.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BENEFIT CONCERTNameOfEvent1
Gross Receipts Event194351GrossReceiptsEvent1
Charitable Contributions Event116400CharitableContributionsEvent1
Gross Revenue Event177951GrossRevenueEvent1
Rent Facility Costs Event15640RentFacilityCostsEvent1
Entertainment Event13900EntertainmentEvent1
Other Direct Expenses Event14285OtherDirectExpensesEvent1
Gross Receipts Total94351GrossReceiptsTotal
Charitable Contributions Total16400CharitableContributionsTotal
Gross Revenue Total Events77951GrossRevenueTotalEvents
Rent Facility Costs Total Events5640RentFacilityCostsTotalEvents
Entertainment Total Events3900EntertainmentTotalEvents
Other Direct Expenses Total Events4285OtherDirectExpensesTotalEvents
Direct Expense Summary Events13825DirectExpenseSummaryEvents
Net Income Summary64126NetIncomeSummary

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
WOODBURY COUNTY IOWA
426005221NONEAVAIL2008-05-293000000CURRENT REFUND BOND ANTICIPATION NOTE SERIES 2007000
CITY OF LAWTON IOWA
426004868NONEAVAIL2008-05-299000000CONSTRUCTION OF A 62-UNIT INDEPENDENT LIVING BUILDING000
CITY OF BRONSON IOWA
420937601NONEAVAIL2011-08-0310000000CONSTRUCTION OF A 36-UNIT SKILLED NURSING FACILITY AND 46-UNIT ASSISTED LIVI000
WOODBURY COUNTY IOWA
426005221NONEAVAIL2011-08-03380000CONSTRUCTION OF A 36-UNIT SKILLED NURSING FACILITY AND 46-UNIT ASSISTED LIVI000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetiredCapitalized InterestCapitalizedInterestWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresAmount UnspentAmountUnspent
27780134000020081011
833403418000020090011874246298171580258032158
10000000200000201200019800000
380000760020120001372400

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00001
00001
00001
00001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000001
000000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE OF THE BOARD WILL REVIEW THE 990 BEFORE IT IS SUBMITTED.
FORM 990, PART VI, SECTION B, LINE 12CDIRECTORS RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY EACH YEAR. DIRECTORS ARE REQUIRED TO CERTIFY THAT THEY HAVE RECEIVED A COPY AND THAT THEY HAVE READ, UNDERSTAND AND AGREE WITH THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS WAGE & BENEFIT SURVEYS PREPARED BY AN INDEPENDENT ORGANIZATION, NOTING SALARY RANGES FOR SIMILAR SIZED ORGANIZATIONS & DETERMINES WAGES TO BE OFFERED TO EXECUTIVE DIRECTOR & ADMINISTRATOR. THIS DECISION IS REVIEWED BY THE FULL BOARD OF DIRECTORS AND APPROVED.
FORM 990, PART VI, SECTION C, LINE 18FORM 990 AND SUPPORTING DOCUMENTS ARE AVAILABLE FROM THE ORGANIZATION UPON REQUEST. ADDITIONALLY, A PUBLIC WEBSITE CALLED GUIDESTAR MAKES CERTAIN PARTS OF THE 990 AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS ALONG WITH THE FINANCIAL STATEMENTS ARE AVAILABLE TO INTERESTED PARTIES UPON REQUEST FROM THE BUSINESS OFFICE OF SUNRISE RETIREMENT COMMUNITY.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -7,844. PARTNERSHIP LOSS 605. TOTAL TO FORM 990, PART XI, LINE 5: -7,239.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE BOARD OF DIRECTORS IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND IS RESPONSIBLE FOR SELECTING AN INDEPENDENT AUDITOR. THE PROCESS IS UNCHANGED FROM PRIOR YEARS.OVERSIGHT OF FINANCIAL STATEMENT AUDIT

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
FOUNTAIN VIEW ASSISTED LIVING
5501 GORDON DRIVESIOUX CITYIA51106421527142ASSISTED LIVING HOUSING AND CARE FOR THE ELDERLYIA501(C)(3)LINE 90
MAPLE HEIGHTS APARTMENTS INC
5501 GORDON DRIVESIOUX CITYIA51106421184135OWNING AND OPERATING AN APARTMENT COMPLEX IN CONJUCTION WITH HUD ASSISTANCEIA501(C)(4)LINE 70
MAPLE HEIGHTS ANNEX INC
5501 GORDON DRIVESIOUX CITYIA51106421456926OWNING AND OPERATING AN APARTMENT COMPLEX IN CONJUCTION WITH HUD ASSISTANCEIA501(C)(4)LINE 70

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1HOME FOR LIFE SOLUTIONS OF IOWA LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1420 E 11TH STREETAddressLine1
CityCEDAR FALLSCity
StateIAState
ZIP Code50613ZIPCode
FieldValueIRS element (for citing)
EIN272065745EIN
Primary ActivitySALES OF ELDERLY CARE SERVICESPrimaryActivity
Legal Domicile StateIALegalDomicileState
Predominant Income TypeUNRELATEDPredominantIncomeType
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.05350PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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