Liabilities / Assets
69th percentile
Higher debt load relative to assets than 69% of similar nonprofits.
EIN 42-1014553 • 501(c)3 • Council Bluffs, IA
Profile
To provide nursing care, housing, health care and financial services to elderly residents at the lowest feasible cost.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
69th percentile
Higher debt load relative to assets than 69% of similar nonprofits.
Liabilities / Revenue
42nd percentile
Higher debt load relative to revenue than 42% of similar nonprofits.
Net Margin
39th percentile
Higher net margin than 39% of similar nonprofits.
Top Officer Pay
20th percentile
Higher top officer pay than 20% of similar nonprofits.
Top officer pay equals 0.0% of source-year revenue.
Asset Growth
7th percentile
Faster asset growth than 7% of similar nonprofits.
Revenue Growth
56th percentile
Faster revenue growth than 56% of similar nonprofits.
Assets
Down$5,629,179
Down $2,166,339 (-28%) from 2022
Liabilities
Down$2,164,385
Down $4,126,868 (-66%) from 2022
Net Assets
Up$3,464,794
Up $1,960,529 (+130%) from 2022
Revenue
Up$13,318,879
Up $2,220,269 (+20%) from 2022
Expenses
Down$13,195,402
Down $1,277,326 (-8.8%) from 2022
Net Income
Up$123,477
Up $3,497,595 (+104%) from 2022
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To provide nursing care, housing, health care and financial services to elderly residents at the lowest feasible cost.
Nursing care, housing, health care and financial services to elderly residents.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $3,870,965 | $3,449,686 | ▼ $421,279 |
| Accounts Receivable | $1,160,412 | $1,490,730 | ▲ $330,318 |
| Savings and Temporary Cash Investments | $592,336 | $581,292 | ▼ $11,044 |
| Prepaid Expenses and Deferred Charges | $31,519 | $1,601 | ▼ $29,918 |
| Cash and Non-Interest-Bearing Accounts | $100 | $100 | → $0 |
| Total Assets | $5,796,358 | $5,629,179 | ▼ $167,179 |
| Other Assets Total | $141,026 | $105,770 | ▼ $35,256 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $1,060,724 | $1,183,166 | ▲ $122,442 |
| Mortgage Notes Payable Secured by Investment Property | $926,822 | $780,805 | ▼ $146,017 |
| Other Liabilities | $145,330 | $112,691 | ▼ $32,639 |
| Escrow Account Liability | $77,631 | $87,723 | ▲ $10,092 |
| Total Liabilities | $2,210,507 | $2,164,385 | ▼ $46,122 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $3,585,851 | $3,464,794 | ▼ $121,057 |
| Total Net Assets Fund Balance | $3,585,851 | $3,464,794 | ▼ $121,057 |
| Total Liabilities and Net Assets / Fund Balance | $5,796,358 | $5,629,179 | ▼ $167,179 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $2,693,340 | $9,342,768 | $12,036,108 |
| Equipment | $203,430 | $1,721,640 | $1,925,070 |
| Land | $372,874 | - | $372,874 |
| Other Land Buildings | $180,042 | - | $180,042 |
| Name | Title |
|---|---|
| Julie Moreno | President |
| Sherrie Guill | Vice President |
| Alice Goodell | Director |
| Art Hill | Director |
| Diane Carlon | Director |
| John Swalwell | Director |
| Julie Burris | Director |
| Sharon Worthington | Secretary |
| Bill Ringsvold | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Shiftkey | Staffing | PO BOX 735913, Dallas, TX 75373 | $817,887 |
| Blue Stone Therapy Solutions | Therapy Company | 4319 NW URBANDALE DR, West Des Moines, IA 50322 | $680,526 |
| Healthcare Of Iowa | Consultng And Management Services | 5925 DRY CREEK LANE NE, Cedar Rapids, IA 52402 | $676,092 |
| Martin Brothers | Food And Supplies | PO BOX 69, Cedar Falls, IA 50613 | $489,235 |
| Consonus Pharmacy | Pharmacy Services And Consulting | PO BOX 3767, Omaha, NE 68103 | $308,644 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $7,259,700 |
| Other Expenses | $5,935,702 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $5,623,878 | $624,875 | - | $6,248,753 |
| Fees for Services Other | $2,004,638 | $222,738 | - | $2,227,376 |
| Depreciation Depletion | - | $553,973 | - | $553,973 |
| Other Employee Benefits | $458,258 | $50,917 | - | $509,175 |
| Payroll Taxes | $417,584 | $46,398 | - | $463,982 |
| Office Expenses | $45,777 | $411,990 | - | $457,767 |
| Occupancy | $270,157 | $115,781 | - | $385,938 |
| Insurance | - | $197,127 | - | $197,127 |
| Information Technology | $11,016 | $99,139 | - | $110,155 |
| Fees for Services Accounting | - | $110,001 | - | $110,001 |
| Fees for Services Legal | - | $76,235 | - | $76,235 |
| Interest | - | $48,743 | - | $48,743 |
| Pension Plan Contributions | $34,011 | $3,779 | - | $37,790 |
| Other Expenses | $13,276 | $5,689 | - | $18,965 |
| Travel | $11,935 | $4,811 | - | $16,746 |
| Advertising | $1,134 | $10,201 | - | $11,335 |
| All Other Expenses | $5,571 | $2,387 | - | $7,958 |
| Total Functional Expenses | $10,544,225 | $2,651,177 | $0 | $13,195,402 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Lease Liability | $112,691 |
“Bethany luthern home has delegated its control over management duties to healthcare of iowa beginning in fiscal year 2023.”
“The membership consists of lutheran church congregations as stated in article v of the articles of incorporation. Congregations having up to 200 confirmed members are allowed one board delegate. Congregations having 200 or more confirmed members are allowed two board delegates.”
“The congregation-members elect one or two lay persons as board members for bethany lutheran home. The number of persons elected is based on the size of the congregation, as noted above.”
“The organization does not have committees with board authority to act on behalf of the governing body.”
“The form 990 was prepared by an independent accounting firm with information provided by management. The return is reviewed by the cfo and subsequently authorized by the finance subcommittee of the board.”
“The code of conduct policy covers the board of directors. The board of directors determine if a conflict exists among board members. The board would review actual conflicts among the board members. An interested person may make a factual presentation at the board or committee meeting, but after such presentation, he or she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in the conflict of interest. An interested person shall not actively participate in the discussion of, or vote on, the transaction or arrangement that results in the conflict of interest, either formally at a board or committee meeting or informally through contact with individual board or committee members. The minutes of the board and all committees with board-delegated powers shall contain: a. The names of the persons who disclosed or otherwise were found to have a financial interest in connection with an actual or possible conflict of interest, the nature of the financial interest, any action taken to determine whether a conflict of interest was present, and the board's or committee's decision as to whether a conflict of interest in fact existed, and b. The names of the persons who were present for discussions and votes relating to the transaction or arrangement, the names of the persons who recused themselves from such discussion and votes, the content of the discussion, including any alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection therewith. The organization also has a conflict of interest policy that it reviews with new employees prior to their employment start date.”
“The board of directors approves compensation for the coo through utilization of a compensation survey/study and a written employment contract. The deliberation and decision regarding the coo's salary is documented in the board minutes. Compensation for the cfo, administrator and all other employees is based on the salary survey information provided by leadingage iowa. This process is typically not conducted by the board and is completed annually.”
“The governing documents, conflict of interest policy, and financial statements are available to the public upon request.”
“Nursing home contracted fees: program service expenses 2,004,638. Management and general expenses 222,738. Fundraising expenses 0. Total expenses 2,227,376.”
“No change from prior year.”
“The facility maintains a system that ensures a full, complete, and separate accounting of each resident's personal funds entrusted to the facility on the resident's behalf. Accounting is in accordance with generally accepted accounting principles. The system precludes any commingling of resident funds with facility funds or with the funds of any person other than another resident. Resident security deposits are held in an interest-bearing account and are generally not available for use in operations.”
“Bethany lutheran home is generally exempt from income taxes under section 501(c)(3) of the internal revenue code and applicable sections of the state statutes. Consequently, no provision has been made for income taxes. However, there are immaterial amounts of unrelated business income that are taxable. Bethany lutheran home follows the accounting standards for contingencies in evaluating uncertain tax positions. The organizations file informational returns as tax-exempt organizations. Should that status be challenged in the future, all years since inception could be subject to review by the internal revenue service (irs).”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 1060724 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1183166 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1160412 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1490730 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | NURSING CARE, HOUSING, HEALTH CARE AND FINANCIAL SERVICES TO ELDERLY RESIDENTS. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 10201 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 1134 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 11335 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 2387 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 5571 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 7958 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | DAN SPELLERBERG |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7123289500 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 7 ELLIOTT ST |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | COUNCIL BLUFFS |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 51530 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 100 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 100 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 12 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 817887 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 680526 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 676092 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 489235 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 308644 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 735913 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 4319 NW URBANDALE DR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 5925 DRY CREEK LANE NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO BOX 69 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 3767 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | WEST DES MOINES |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | CEDAR RAPIDS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | CEDAR FALLS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | OMAHA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 75373 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 50322 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 52402 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 50613 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 68103 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | SHIFTKEY |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | BLUE STONE THERAPY SOLUTIONS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | HEALTHCARE OF IOWA |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | MARTIN BROTHERS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | CONSONUS PHARMACY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | STAFFING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | THERAPY COMPANY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONSULTNG AND MANAGEMENT SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | FOOD AND SUPPLIES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | PHARMACY SERVICES AND CONSULTING |
| IRS990/CreditCounselingInd | 0 | 1 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 10 |
| IRS990/CYOtherExpensesAmt | 0 | 5935702 |
| IRS990/CYOtherRevenueAmt | 0 | 66839 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 13252030 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 123477 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 7259700 |
| IRS990/CYTotalExpensesAmt | 0 | 13195402 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 13318879 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 553973 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 553973 |
| IRS990/Desc | 0 | BETHANY LUTHERAN HOME, A 121 BED NURSING CARE FACILITY, AND BETHANY LUTHERAN HEIGHTS, A 60 UNIT CONGREGATE LIVING FACILITY, PROVIDING NURSING CARE, HOUSING, HEALTH CARE AND FINANCIAL SERVICES TO ELDERLY RESIDENTS AT THE LOWEST FEASIBLE COST. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 0 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 264 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 77631 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 87723 |
| IRS990/ExpenseAmt | 0 | 10544225 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 110001 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 110001 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 76235 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 76235 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 222738 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 2004638 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 2227376 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | JULIE MORENO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | SHERRIE GUILL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | BILL RINGSVOLD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | SHARON WORTHINGTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DIANE CARLON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | ALICE GOODELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JULIE BURRIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | ART HILL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JOHN SWALWELL |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1976 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 13318879 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 99139 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 11016 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 110155 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 197127 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 197127 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 48743 |
| IRS990/InterestGrp/TotalAmt | 0 | 48743 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 10 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 10 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 8 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 11064408 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 3870965 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 3449686 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 14514094 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 0 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO PROVIDE NURSING CARE, HOUSING, HEALTH CARE AND FINANCIAL SERVICES TO ELDERLY RESIDENTS AT THE LOWEST FEASIBLE COST. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 926822 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 780805 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 3585851 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 3464794 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 3585851 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 3464794 |
| IRS990/NoListedPersonsCompensatedInd | 0 | X |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 115781 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 270157 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 385938 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 411990 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 45777 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 457767 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 141026 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 105770 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 50917 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 458258 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 509175 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | FOOD AND MEALS |
| IRS990/OtherExpensesGrp/Desc | 2 | REPAIRS AND MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 3 | DUES AND SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 66393 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 5689 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 1114457 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 377615 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 154918 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 13276 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1114457 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 377615 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 221311 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 18965 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 145330 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 112691 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 623990 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | OTHER REVENUE |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 66839 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 66839 |
| IRS990/OtherRevenueTotalAmt | 0 | 66839 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 624875 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 5623878 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 6248753 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 46398 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 417584 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 463982 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 3779 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 34011 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 37790 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 31519 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 1601 |
| IRS990/PrincipalOfficerNm | 0 | DAN SPELLERBERG |
| IRS990/PriorPeriodAdjustmentsAmt | 0 | -244534 |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 623000 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | RESIDENT REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 13252030 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 13252030 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 3906627 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 6 |
| IRS990/PYOtherExpensesAmt | 0 | 8147643 |
| IRS990/PYOtherRevenueAmt | 0 | 86615 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 12874303 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 2081586 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 6638322 |
| IRS990/PYTotalExpensesAmt | 0 | 14785965 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 16867551 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 123477 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 1 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 13252030 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 592336 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 581292 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus3YearsAmt | 0 | 5000 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 5000 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | OTHER REVENUE - 2019 AMOUNT: $ 812,793. 2020 AMOUNT: $ 1,242,272. 2021 AMOUNT: $ 85,656. 2022 AMOUNT: $ 86,615. 2023 AMOUNT: $ 66,839. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 3906627 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 38792 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 1633765 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 2570786 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 8149970 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 10 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 6 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 10224 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 16296 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 15765 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 42301 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 13252030 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 12874303 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 10963938 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 10479846 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 11777528 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 59347645 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 10 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 6 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 10224 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 16296 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 15765 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 42301 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00060 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00090 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt | 0 | 66839 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 86615 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 85656 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 1242272 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 812793 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 2294175 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.96650 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.96740 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 67492615 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus3YearsAmt | 0 | 5000 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 5000 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 13252030 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 16780930 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 11002730 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 12113611 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 14348314 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 67497615 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 13318879 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 16867551 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 11098610 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 13372179 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 15176872 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 69834091 |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleD/AgentTrusteeEtcInd | 0 | 0 |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 2693340 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 9342768 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 12036108 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 203430 |
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