RESIDENTIAL ALTERNATIVES OF IOWA: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
RESIDENTIAL ALTERNATIVES OF IOWA (EIN 72-1568459)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201213189349301326
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)
Timestamp2012-11-13T09:09:36-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420714325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1117 E MAIN ST STE 210AddressLine1
CityGALESBURGCity
StateILState
ZIP Code61401ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN721568459EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RESIDENTIAL ALTERNATIVES OF IOWABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRESINameControl
Phone3093431550Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1285 SOUTH FARNHAM STREETAddressLine1
CityGALESBURGCity
StateILState
ZIP Code61401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameIRWIN JANNName
TitlePRESIDENTTitle
Phone3093431550Phone
Date Signed2012-11-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBEN MCMAHANName
PTINP00702421PTIN
Phone3093428026Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonIRWIN JANNNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1285 SOUTH FARNHAM STREETAddressLine1
CityGALESBURGCity
StateILState
ZIP Code61401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5341323GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileIAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE & OPERATE NURSING AND ASSISTED LIVING FACILITIES FOR THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees289TotalNbrEmployees
Total Nbr Volunteers9TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year26993ContributionsGrantsPriorYear
Contributions Grants Current Year22258ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5160369ProgramServiceRevenuePriorYear
Program Service Revenue CY5318974ProgramServiceRevenueCY
Investment Income Prior Year24InvestmentIncomePriorYear
Investment Income Current Year91InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year5187386TotalRevenuePriorYear
Total Revenue Current Year5341323TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year263GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY300GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3028546SalariesEtcPriorYear
Salaries Etc Current Year2824164SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3888799OtherExpensePriorYear
Other Expenses Current Year3380055OtherExpensesCurrentYear
Total Expenses Prior Year6917608TotalExpensesPriorYear
Total Expenses Current Year6204519TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1730222RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-863196RevenuesLessExpensesCY
Total Assets BOY1031601TotalAssetsBOY
Total Assets EOY1253576TotalAssetsEOY
Total Liabilities BOY6864885TotalLiabilitiesBOY
Total Liabilities EOY7950056TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-5833284NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-6696480NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF THE ORGANIZATION IS ARTICULATED IN ITS ARTICLES OF INCORPORATION AS FOLLOWS:THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES, INCLUDING, FOR SUCH PURPOSES, THE MAKING OF DISTRIBUTIONS TO ORGANIZATIONS THAT QUALIFY AS TAX-EXEMPT ORGANIZATIONS UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED OR CORRESPONDING SECTION OF ANY FUTURE FEDERAL TAX CODE. IN FURTHERANCE OF THESE PURPOSES, THE CORPORATION MAY BUILD, LEASE, ACQUIRE AND OTHERWISE OWN AND OPERATE HOUSING, NURSING FACILITIES, CONTINUOUS CARE RETIREMENT COMMUNITIES AND OTHER RELATED FACILITIES AND SERVICES FOR THE ELDERLY, MENTALLY RETARDED, MENTALLY ILL, DEVELOPMENTALLY DISABLED AND OTHER LIKE CONDITIONS WITHOUT REGARD TO RACE, RELIGION, COLOR, SEX, CREED OR NATIONAL ORIGIN OF SAID PERSONS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5823794Expense
Grants300Grants
Revenue5318974Revenue
DescriptionALL PROGRAM SERVICES RELATE TO PROVIDING AND OPERATING SKILLED NURSING FACILITIES, HEALTH CARE, ASSISTED AND SEMI-INDEPENDENT LIVING FACILITIES, AND OTHER RELATED SERVICES TO THE ELDERLY.Description
Total Program Service Expense5823794TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
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 Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees289NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
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 Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RON WILSON RFMS INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3093431550TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1285 S FARNHAM STAddressLine1
CityGALESBURGCity
StateILState
ZIP Code61401ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
IRWIN JANN
PRESIDENT2.00XX450000
JEFFREY SHAW
SECRETARY2.00XX450000
DOUG BIEDERSTEDT
DIRECTOR2.00X300000
WILLIAM KEMPINERS
DIRECTOR2.00X450000
RON WILSON RFMS INC
CFO5.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org16500TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RFMS INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1285 S FARNHAM STAddressLine1
CityGALESBURGCity
StateILState
ZIP Code61401ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesADMINISTRATIVE SERVICESDescriptionOfServices
Compensation180000Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions22258AllOtherContributions
Total Contributions22258TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PRIVATE PAY RESIDENT S62300029936312993631
MEDICARE & MEDICAID62300022423102242310
BAD DEBT RECOVERY6230007407774077
OTHER INCOME62300089568956
FieldValueIRS element (for citing)
Total Program Service Revenue5318974TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column91TotalRevenueColumn
Exclusion$91ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5341323TotalRevenueColumn
Related Or Exempt Function Income5318974RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$91ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total300Total
Program Services300ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total16500Total
Management And General16500ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2382000Total
Program Services2298923ProgramServices
Management And General83077ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10058Total
Program Services9707ProgramServices
Management And General351ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total185230Total
Program Services178770ProgramServices
Management And General6460ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total230376Total
Program Services222341ProgramServices
Management And General8035ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total216000Total
Program Services122400ProgramServices
Management And General93600ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4851Total
Management And General4851ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total38500Total
Management And General38500ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total1648Total
Management And General1648ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total238190Total
Program Services236690ProgramServices
Management And General1500ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total33170Total
Program Services29853ProgramServices
Management And General3317ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total52858Total
Program Services41635ProgramServices
Management And General11223ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total21177Total
Program Services16942ProgramServices
Management And General4235ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1847080Total
Program Services1792339ProgramServices
Management And General54741ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total18378Total
Program Services16681ProgramServices
Management And General1697ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5180Total
Program Services4662ProgramServices
Management And General518ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total22139Total
Management And General22139ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total61425Total
Program Services58353ProgramServices
Management And General3072ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total68273Total
Program Services60365ProgramServices
Management And General7908ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES & SMALL EQUIP.596636596636
MEDICAID ASSESSMENT TAX8179881798
EQUIPMENT RENT & MAINT.484494839851
SUBSCRIPTIONS & FEES14359280511554

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9944Total
Program Services4196ProgramServices
Management And General5748ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6204519Total
Program Services5823794ProgramServices
Management And General380725ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY68749BOY
EOY359210EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY31365BOY
EOY1406EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY539089BOY
EOY576746EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY54896BOY
EOY59018EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis682020LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec444824LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY286252BOY
EOY237196EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY51250BOY
EOY20000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1031601BOY
EOY1253576EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY790389BOY
EOY809987EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY18909BOY
EOY26406EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY2500000BOY
EOY2500000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3555587BOY
EOY4613663EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6864885BOY
EOY7950056EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-5833284BOY
EOY-6696480EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-5833284BOY
EOY-6696480EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1031601BOY
EOY1253576EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-863196ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview
FS Audited0FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years116747CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years85257CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years99985CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26993CurrentTaxYearMinus1Year
Current Tax Year22258CurrentTaxYear
Total351240Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6726270CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6716691CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5621651CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5160369CurrentTaxYearMinus1Year
Current Tax Year5318974CurrentTaxYear
Total29543955Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6843017CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6801948CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5721636CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5187362CurrentTaxYearMinus1Year
Current Tax Year5341232CurrentTaxYear
Total29895195Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2207CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32912CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years115159CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year449253CurrentTaxYearMinus1Year
Current Tax Year244369CurrentTaxYear
Total843900Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2207CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32912CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years115159CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year449253CurrentTaxYearMinus1Year
Current Tax Year244369CurrentTaxYear
Total843900Total
FieldValueIRS element (for citing)
Public Support Total50929051295PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6562CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1535CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24CurrentTaxYearMinus1Year
Current Tax Year91CurrentTaxYear
Total8232Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6562CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1535CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24CurrentTaxYearMinus1Year
Current Tax Year91CurrentTaxYear
Total8232Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6849579CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6803483CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5721656CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5187386CurrentTaxYearMinus1Year
Current Tax Year5341323CurrentTaxYear
Total29903427Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97150PublicSupportPercentage509
Prior Year Support Percentage0.97810PriorYearSupportPercentage
Investment Income Percentage0.00030InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00040PriorYrInvestIncomePercentage
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 C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals1648FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals1648FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals5823794FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals5825442FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals441272FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals110318FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3484503CurrentYearMinus3
Current Year Minus2490659CurrentYearMinus2
Current Year Minus1456257CurrentYearMinus1
Current Year441272CurrentYear
Total1872691Total
FieldValueIRS element (for citing)
Lobbying Ceiling$2,809,037LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus31518CurrentYearMinus3
Current Year Minus21868CurrentYearMinus2
Current Year Minus11558CurrentYearMinus1
Current Year1648CurrentYear
Total6592Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3121126CurrentYearMinus3
Current Year Minus2122665CurrentYearMinus2
Current Year Minus1114064CurrentYearMinus1
Current Year110318CurrentYear
Total468173Total
FieldValueIRS element (for citing)
Grassroots Ceiling$702,260GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis254784OtherCostOrOtherBasis
Depreciation128022Depreciation
Book Value126762BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis387275OtherCostOrOtherBasis
Depreciation279093Depreciation
Book Value108182BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis39961OtherCostOrOtherBasis
Depreciation37709Depreciation
Book Value2252BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings237196TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
RESIDENT SECURITY DEPOSITS$84,125
DUE TO RESIDENTS, TRUST ACCTS$10,101
REFUNDABLE RESIDENT ACCOUNTS$4,592
AMOUNTS DUE TO THIRD-PARTY PAYORS$93,221
STANDY LOAN AGREEMENT WITH RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC.$4,421,624
FieldValueIRS element (for citing)
Total Of Amounts4613663TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION RECEIVES MANAGEMENT SERVICES FROM LTC SUPPORT SERVICES, LLC, AN UNRELATED COMPANY. THESE SERVICES INCLUDE OVERSIGHT, TRAINING, REGULATORY COMPLIANCE, QUALITY ASSURANCE PROGRAMS, HUMAN RESOURCE SUPPORT, MARKETING AND MAINTENANCE. RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., IS A 12.5% OWNER OF LTC SUPPORT SERVICES, LLC. RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., IS RELATED TO RESIDENTIAL ALTERNATIVES OF IOWA, INC., THROUGH A COMMON BOARD OF DIRECTORS (SEE SCHEDULE R). THE REMAINING 87.5% OF LTC SUPPORT SERVICES, LLC., IS OWNED BY UNRELATED EXEMPT ORGANIZATIONS. THE ORGANIZATION ALSO HAS A NEGOTIATED ARMS LENGTH ADMINISTRATIVE SERVICES CONTRACT WITH RFMS, INC., AN UNRELATED COMPANY, TO OBTAIN SERVICES SUCH AS CASH MANAGEMENT, ACCOUNTING AND FINANCIAL REPORTING, PAYROLL AND EMPLOYEE BENEFITS, INFORMATION TECHNOLOGY, REGULATORY MATTERS, AND OTHER GENERAL BUSINESS AND FINANCIAL MANAGEMENT SERVICES AS REQUIRED.
FORM 990, PART VI, SECTION B, LINE 11EACH MEMBER OF THE BOARD OF DIRECTORS RECEIVES A PAPER COPY OF FORM 990 FOR THEIR REVIEW AND COMMENT PRIOR TO ITS FILING. THE BOARD ALSO REVIEWS IN DETAIL EACH FORM 990 FILED BY THE ORGANIZATION AT ITS REGULARLY SCHEDULED BOARD MEETINGS. ON AN ANNUAL BASIS, EACH BOARD MEMBER ATTENDS A TRAINING SESSION THAT PROVIDES UPDATES ON CURRENT EXEMPT ORGANIZATION TAX COMPLIANCE MATTERS.
FORM 990, PART VI, SECTION B, LINE 12CALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO ATTEST TO THEIR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. THE BOARD OF DIRECTORS REVIEWS ALL COMPLETED CONFLICT OF INTEREST STATEMENTS TO DETERMINE IF ANY CONFLICTS EXIST WHICH WOULD REQUIRE RESTRICTION ON PARTICIPATION IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN ANY TRANSACTION INVOLVING THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 18A PAPER COPY OF FORM 990 IS PROVIDED UPON REQUEST. THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE VIA THE GUIDESTAR.ORG WEBSITE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC EXCEPT THROUGH PUBLIC FILING REQUIREMENTS.
FORM 990, PART VII, SECTION A, COLUMN FRON WILSON IS EMPLOYED BY RFMS, INC., AN UNRELATED ORGANIZATION WHICH HAS AN ADMINISTRATIVE SERVICES CONTRACT WITH RESIDENTIAL ALTERNATIVES OF IOWA. THE TYPE OF SERVICES PROVIDED BY RFMS, INC., ARE DETAILED IN THE SCHEDULE O EXPLANATION ABOVE RELATIVE TO FORM 990, PART VI, SECTION A, LINE 3. RON WILSON IS THE CHIEF FINANCIAL OFFICER OF RFMS, INC. HIS COMPENSATION REPORTED ON HIS RFMS, INC. FORM W-2, BOX 5 FOR CALENDAR YEAR 2011 IS $174,956. THIS COMPENSATION AMOUNT HAS NOT BEEN PRORATED BASED ON TIME SPENT FOR EACH OF THE NINETEEN ORGANIZATIONS TO WHOM SERVICES ARE PROVIDED BY RFMS, INC.
FORM 990, PART VII, SECTION A, COLUMN B:APPROXIMATELY ONE HALF OF THE AVERAGE HOURS PER WEEK ESTIMATED FOR EACH DIRECTOR AND OFFICER IS DEVOTED TO RELATED ORGANIZATIONS LISTED ON SCHEDULE R.
FORM 990, PART XII, LINE 2C:THE PROCESS FOR OVERSIGHT OF THE COMPILATION AND SELECTION OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CORALVILLE MANOR LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12332 LIBERTY DRIVEAddressLine1
CityCORALVILLECity
StateIAState
ZIP Code52241ZIPCode
FieldValueIRS element (for citing)
EIN300233914EIN
Primary ActivitiesOPERATES WINDMILL MANOR, A SKILLED NURSING FACILITYPrimaryActivities
Legal Domicile StateIALegalDomicileState
Total Income4126293TotalIncome
EOY Assets997584EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
RESIDENTIAL ALTERNATIVES OF ILLINOIS INC
285 S FARNHAM STGALESBURGIL61401371223846OPERATES ELDERLY SKILLED NURSING,ASSISTED/INDEPNDENT LIVING FACILITIESIL501(C)(3)LINE 9N/A0
RFMS INC MEDICAL BENEFIT PLAN TRUST
285 S FARNHAM STGALESBURGIL61401367042729MEDICAL, ST DISABILITY & DEATH BENEFITS FOR ELIGIBLE EMPLOYEESIL501(C)(9)N/A0
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 Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
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 Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1RFMS INC MEDICAL BENEFIT PLAN TRUSTBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeQTransactionType
Amount Involved77491AmountInvolved
Method Of Amt DeterminationCOST OF PREMIUMSMethodOfAmtDetermination

Form990 Schedule R Part VII Form990ScheduleRPartVII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
SCHEDULE R, PART II:RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., IS RELATED TO RESIDENTIAL ALTERNATIVES OF IOWA ONLY BY SHARING A COMMON BOARD OF DIRECTORS.
SCHEDULE R, PART II AND PART V:THE RFMS, INC. MEDICAL BENEFIT PLAN TRUST IS A SELF-INSURED BENEFIT PROGRAM FUNDED BY THE EMPLOYERS AND PARTICIPANTS WITHIN THE PLAN. PARTICIPANTS IN THE PLAN ARE CURRENT AND FORMER EMPLOYEES OF THE FOLLOWING SPONSORS: RFMS, INC., LTC SUPPORT SERVICES, LLC, COMMUNITY RESIDENTIAL CENTERS, INC., COMMUNITY LIVING OPTIONS, INC., FRANCES HOUSE, INC., UNLIMITED DEVELOPMENT, INC., KENSINGTON OF GALESBURG, INC., ACHIEVEMENT UNLIMITED, INC., CONCEPTS PLUS, INC., PINNACLE OPPORTUNITIES, INC., PIONEER CONCEPTS, INC., RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., RESIDENTIAL ALTERNATIVES OF IOWA, DESERT HEALTHCARE FACILITIES, INC., FLORIDA LIVING OPTIONS, INC., AND HIGHLAND ESTATES RESORT, LLC. NO TRUSTEE FEES OR MANAGEMENT FEES ARE PAID BY THE RFMS, INC. MEDICAL BENEFIT PLAN TRUST.

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