SHADY LANE HOME INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: SHADY LANE HOME INC (EIN 39-0829541)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-02-01
IRS object ID: 201110329349300116
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-02-01T15:53:59-06:00	Timestamp
Tax Period End Date	2010-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 12237	AddressLine1
City	GREEN BAY	City
State	WI	State
ZIP Code	543072237	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	390829541	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SHADY LANE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SHAD	NameControl
Phone	9206828254	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1235 SOUTH 24TH STREET	AddressLine1
City	MANITOWOC	City
State	WI	State
ZIP Code	542205516	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Gregg Chaloupka	Name
Title	Treasurer	Title
Phone	9206828254	Phone
Date Signed	2011-01-28	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Terri Rexrode CPA MST	Name
Phone	9206620016	Phone
Date Prepared	2011-01-28	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Gregg Chaloupka	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1235 South 24th Street	AddressLine1
City	Manitowoc	City
State	WI	State
ZIP Code	54220	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	11785854	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.shadylaneinc.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1950	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	NURSING CARE FOR the AGED AND DISABLED.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	342	TotalNbrEmployees
Total Nbr Volunteers	19	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3130	ContributionsGrantsPriorYear
Contributions Grants Current Year	1496	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	11555687	ProgramServiceRevenuePriorYear
Program Service Revenue CY	11565794	ProgramServiceRevenueCY
Investment Income Prior Year	292328	InvestmentIncomePriorYear
Investment Income Current Year	218564	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	11851145	TotalRevenuePriorYear
Total Revenue Current Year	11785854	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	6712434	SalariesEtcPriorYear
Salaries Etc Current Year	6883292	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	4114315	OtherExpensePriorYear
Other Expenses Current Year	4253628	OtherExpensesCurrentYear
Total Expenses Prior Year	10826749	TotalExpensesPriorYear
Total Expenses Current Year	11136920	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1024396	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	648934	RevenuesLessExpensesCY
Total Assets BOY	19180227	TotalAssetsBOY
Total Assets EOY	19751474	TotalAssetsEOY
Total Liabilities BOY	7210851	TotalLiabilitiesBOY
Total Liabilities EOY	7046715	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	11969376	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	12704759	NetAssetsOrFundBalancesEOY
Mission Description	Shady Lane strives to provide older adults in Manitowoc County the highest quality residential care at a reasonable cost. Residents of Shady Lane can expect to enjoy a home-like setting with a supportive atmosphere that respects individuality, promotes physical and emotional well being, and encourages independence.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	9081933	Expense
Revenue	9886359	Revenue
Description	Skilled Nursing services are offered to the senior population. These are the higher acuity population needing the most intense skilled nursing services. residents treated can include the private pay residents, and the residents on government funding (Medicare and Medicaid). Number of residents treated in plan year were 320.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	1044346	Expense
Revenue	1492324	Revenue
Description	Assisted living services are offered to the lighter care assisted living population. These residents can maintain an amount of independence while still receiving the necessary nursing service to maintain a quality of life. Residents in the assisted living can include the private pay residents and residents receiving government funding. Number of residents treated in plan year were 87.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	10126279	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	6	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	342	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
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	0	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	WI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	9206828254	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1235 S 24TH STREET	AddressLine1
City	Manitowoc	City
State	WI	State
ZIP Code	54220	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
DON KARMAN
BOARD CHAIR	0.50	X	0	0	0
Deb Gabriel
board member	0.50	X	0	0	0
JANE FOSTER
board member	0.50	X	0	0	0
Melanie Tiedt
Board Member	0.50	X	0	0	0
CARL LAVECK
board member	0.50	X	0	0	0
PATTY Lou POHLMANN
board member	0.50	X	0	0	0
JOHN TORKE
board member	0.50	X	0	0	0
JIM FUHS
board member	0.50	X	0	0	0
Scott McMeans
board member	0.50	X	0	0	0
Tom Mueller
Board Vice Chair	0.50	X	0	0	0
Jim Noffke
Board member	0.50	X	0	0	0
Dr Joseph DiRaimondo
Board MEmber	0.50	X	0	0	0
Katherine Reynolds
board member	0.50	X	0	0	0
Ron Schwalbe
Board Secretary	0.50	X	0	0	0
TODD MEERDINK
CEO - Administrator	40.00		155667	0	16848	X
GREGG CHALOUPKA
CFO	40.00		103479	0	5705	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	259146	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	22553	TotalOtherCompensation
Number Individuals GT100 K	2	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	REHAB CARE GROUP INC	BusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 503534	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	631503534	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	THERAPY SERVICES	DescriptionOfServices
Compensation	613611	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
All Other Contributions	1496	AllOtherContributions
Total Contributions	1496	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
Skilled Nursing Facili	623000	9886359	9886359
Assisted Living Facili	623000	1492324	1492324
Cafeteria Revenues	623000	129991		$129,991
Other	623000	39396		$39,396
Beauty & Barber Shop	623000	17724		$17,724

Field	Value	IRS element (for citing)
Total Program Service Revenue	11565794	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	218564	TotalRevenueColumn
Exclusion	$218,564	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	11785854	TotalRevenueColumn
Related Or Exempt Function Income	11378683	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$405,675	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	5911616	Total
Program Services	5340009	ProgramServices
Management And General	571607	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	78007	Total
Program Services	70464	ProgramServices
Management And General	7543	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	389383	Total
Program Services	351733	ProgramServices
Management And General	37650	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	504286	Total
Program Services	455525	ProgramServices
Management And General	48761	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	6855	Total
Management And General	6855	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	27207	Total
Management And General	27207	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	744548	Total
Program Services	706236	ProgramServices
Management And General	38312	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	73634	Total
Management And General	73634	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1497989	Total
Program Services	1411204	ProgramServices
Management And General	86785	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	330333	Total
Program Services	310656	ProgramServices
Management And General	19677	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2946	Total
Program Services	2718	ProgramServices
Management And General	228	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	269909	Total
Program Services	253831	ProgramServices
Management And General	16078	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	662005	Total
Program Services	622571	ProgramServices
Management And General	39434	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	254089	Total
Program Services	235903	ProgramServices
Management And General	18186	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BED ASSESSMENT	321780	321780
Other	36676	17992	18684
Bad Debt Expense	25657	25657

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	11136920	Total
Program Services	10126279	ProgramServices
Management And General	1010641	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	642	BOY
EOY	589	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1330025	BOY
EOY	378390	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1004267	BOY
EOY	1115880	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	40570	BOY
EOY	40570	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	116488	BOY
EOY	111826	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	14573365	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	6703886	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	7982642	BOY
EOY	7869479	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	1636227	BOY
EOY	1799691	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	6920862	BOY
EOY	8301435	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	148504	BOY
EOY	133614	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	19180227	BOY
EOY	19751474	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	776623	BOY
EOY	910165	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	6100000	BOY
EOY	5800000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	334228	BOY
EOY	336550	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	7210851	BOY
EOY	7046715	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	11944376	BOY
EOY	12679759	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	25000	BOY
EOY	25000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	11969376	BOY
EOY	12704759	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	19180227	BOY
EOY	19751474	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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 Minus2 Years	33345	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3130	CurrentTaxYearMinus1Year
Current Tax Year	1496	CurrentTaxYear
Total	37971	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	11434345	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	10434890	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	10898636	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	11404858	CurrentTaxYearMinus1Year
Current Tax Year	11378683	CurrentTaxYear
Total	55551412	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	141791	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	147135	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	150829	CurrentTaxYearMinus1Year
Current Tax Year	187111	CurrentTaxYear
Total	626866	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	11434345	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	10576681	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	11079116	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	11558817	CurrentTaxYearMinus1Year
Current Tax Year	11567290	CurrentTaxYear
Total	56216249	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	56216249	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	267361	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	364274	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	384358	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	292373	CurrentTaxYearMinus1Year
Current Tax Year	218564	CurrentTaxYear
Total	1526930	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	267361	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	364274	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	384358	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	292373	CurrentTaxYearMinus1Year
Current Tax Year	218564	CurrentTaxYear
Total	1526930	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	11701706	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	10940955	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	11463474	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	11851190	CurrentTaxYearMinus1Year
Current Tax Year	11785854	CurrentTaxYear
Total	57743179	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.97360	PublicSupportPercentage509
Prior Year Support Percentage	0.97450	PriorYearSupportPercentage
Investment Income Percentage	0.02640	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.02550	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	25000	BeginningOfYearBalance
Investment Earnings Or Losses	287	InvestmentEarningsOrLosses
Other Expenditures	287	OtherExpenditures
End Of Year Balance	25000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	25000	BeginningOfYearBalance
Investment Earnings Or Losses	37	InvestmentEarningsOrLosses
Other Expenditures	37	OtherExpenditures
End Of Year Balance	25000	EndOfYearBalance

Field	Value	IRS element (for citing)
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	216216	OtherCostOrOtherBasis
Book Value	216216	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11363251	OtherCostOrOtherBasis
Depreciation	5223493	Depreciation
Book Value	6139758	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2993898	OtherCostOrOtherBasis
Depreciation	1480393	Depreciation
Book Value	1513505	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	7869479	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENTS - OTHER	110000	F
CERTIFICATES OF DEPOSIT	8166435	F
PERM RESTRICTED FUNDS	25000	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	8301435	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	INTEREST RATE SWAP	Description
Amount	$336,550	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	336550	TotalOfAmounts
Total Revenue	11785854	TotalRevenue
Total Expenses	11136920	TotalExpenses
Excess Or Deficit For Year	648934	ExcessOrDeficitForYear
Net Unrealized GL On Investments	88771	NetUnrealizedGLOnInvestments
Other	-$2,322	OtherAmount
Total Adjustments	86449	TotalAdjustments
Excess Or Deficit Per FS	735383	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	11785854	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	11785854	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	11785854	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	11136920	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	11136920	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	11136920	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part X:	Description of Uncertain Tax Positions Under FIN 48:	In order to account for any uncertain tax positions, ASC Topic 740-10, Accounting for Uncertainty in Income Taxes, requires an organization to determine whether it is more likely than not that a tax position will be sustained upon examination of the technical merits of the position, assuming the taxing authority has full knowledge of all information. If the tax position does not meet the more likely than not recognition threshold, the benefit of that position is not recognized in the financial statements.
Part XI, Line 8 - Other Adjustments:		INTEREST RATE SWAP AGREEMENT ADJUSTMENT: -2322.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Base Compensation Filing Org	145667	BaseCompensationFilingOrg
Comp Based On Related Orgs	0	CompBasedOnRelatedOrgs
Bonus Filing Org	10000	BonusFilingOrg
Bonus Related Orgs	0	BonusRelatedOrgs
Other Compensation Filing Org	0	OtherCompensationFilingOrg
Other Compensation Related Orgs	0	OtherCompensationRelatedOrgs
Deferred Comp Filing Org	5025	DeferredCompFilingOrg
Deferred Comp Related Orgs	0	DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org	11823	NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs	0	NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org	172515	TotalCompensationFilingOrg
Total Compensation Related Orgs	0	TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org	0	CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs	0	CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part VI, Section B, line 11	The Form 990 is provided to the organizations' Board of Directors executive committee before it was filed. The executive committee designates the detail review of the Form 990 to management, but has final approval of the return.
Form 990, Part VI, Section B, line 12c	The board of directors authorizes the Officers of the Organization to periodically, but not less than annually, survey the board members regarding any potential conflicts, to maintain such information and report back to the Board regarding any potential conflicts of interest.
Form 990, Part VI, Section B, line 15	The process for determining compensation for the officers and other key employees of the organization include: 1) review and approval by the Executive Committee of the Board of Directors (those without conflict); 2) use of data as to comparable compensation; and 3) contemporaneous documentation and record keeping.
Form 990, Part VI, Section C, line 19	The organization believes its governing documents, conflict of interest policy, and financial statements are the property of the organization and does make available to the public.
	Form 990, Part XI, Line 2c: The Finance Committee is responsible for the oversight of the audit and selection of the audit firm. This process has not changed from the prior year.