Civic Intelligence

Country Winds Manor Inc

EIN 42-1336328 • 501(c)3 • Cresco, IA

Profile

It is country winds manor's mission to meet the needs within its service area, and to provide long-term residential and intermediate/skilled nursing care and other services, related health services, while remaining financially viable.

21668 80th StreetCresco, IA 52136

www.countrywindsmanor.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

84th percentile

0.55x

Higher debt load relative to assets than 84% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2021

Liabilities / Revenue

87th percentile

0.84x

Higher debt load relative to revenue than 87% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2021

Net Margin

26th percentile

-6.3%

Higher net margin than 26% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2021

Top Officer Pay

40th percentile

$0

Higher top officer pay than 40% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2021

Asset Growth

15th percentile

-12%

Faster asset growth than 15% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2020 to 2021

Revenue Growth

42nd percentile

3.0%

Faster revenue growth than 42% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2020 to 2021

Assets

Down

$3,653,187

Down $486,442 (-12%) from 2020

Liabilities

Down

$1,995,242

Down $336,914 (-14%) from 2020

Net Assets

Down

$1,657,945

Down $149,528 (-8.3%) from 2020

Revenue

Up

$2,378,561

Up $69,360 (+3.0%) from 2020

Expenses

Up

$2,528,089

Up $75,202 (+3.1%) from 2020

Net Income

Down

-$149,528

Down $5,842 (-4.1%) from 2020

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$6.0M$4.0M$2.0M$0Assets 2010: $936,187Liabilities 2010: $129,223Net Assets 2010: $806,9642010Assets 2011: $1,938,509Liabilities 2011: $164,956Net Assets 2011: $1,773,5532011Assets 2012: $1,998,468Liabilities 2012: $182,114Net Assets 2012: $1,816,3542012Assets 2013: $3,925,833Liabilities 2013: $344,265Net Assets 2013: $3,581,5682013Assets 2014: $4,807,478Liabilities 2014: $1,084,160Net Assets 2014: $3,723,3182014Assets 2015: $5,365,329Liabilities 2015: $2,137,039Net Assets 2015: $3,228,2902015Assets 2016: $5,023,307Liabilities 2016: $2,264,053Net Assets 2016: $2,759,2542016Assets 2017: $4,577,043Liabilities 2017: $2,168,344Net Assets 2017: $2,408,6992017Assets 2018: $4,329,538Liabilities 2018: $2,086,602Net Assets 2018: $2,242,9362018Assets 2020: $4,139,629Liabilities 2020: $2,332,156Net Assets 2020: $1,807,4732020Assets 2021: $3,653,187Liabilities 2021: $1,995,242Net Assets 2021: $1,657,9452021

Highlighted filing

2021

Assets$3,653,187
Liabilities$1,995,242
Net Assets$1,657,945

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $2,339,9692010Expenses 2011: $2,496,4712011Expenses 2012: $2,409,7082012Revenue 2013: $4,283,555Expenses 2013: $2,518,341Net Income 2013: $1,765,2142013Revenue 2014: $2,897,816Expenses 2014: $2,756,066Net Income 2014: $141,7502014Revenue 2015: $2,372,154Expenses 2015: $2,867,182Net Income 2015: -$495,0282015Revenue 2016: $2,427,238Expenses 2016: $2,896,272Net Income 2016: -$469,0342016Revenue 2017: $2,039,828Expenses 2017: $2,390,383Net Income 2017: -$350,5552017Revenue 2018: $2,204,825Expenses 2018: $2,370,588Net Income 2018: -$165,7632018Revenue 2020: $2,309,201Expenses 2020: $2,452,887Net Income 2020: -$143,6862020Revenue 2021: $2,378,561Expenses 2021: $2,528,089Net Income 2021: -$149,5282021

Highlighted filing

2021

Revenue$2,378,561
Expenses$2,528,089
Net Income-$149,528

Filings

Latest Detailed Filing

The latest 2021 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2018 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
Mar 5, 2019
Return Version
2017v2.3
Gross Receipts
$2,204,825
Mission and Program Overview

Mission

It is country winds manor's mission to meet the needs within its service area, and to provide long-term residential and intermediate/skilled nursing care and other services, related health services, while remaining financially viable.

Country winds manor is dedicated in meeting the needs of those we serve by providing dementia assisted living care, intermediate/skilled dementia nursing care, and adult day service and waiver services while remaining financially viable.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$4,225,623$3,976,996▼ $248,627
Savings and Temporary Cash Investments$100,965$133,253▲ $32,288
Investments in Publicly Traded Securities$133,231$133,019▼ $212
Accounts Receivable$77,514$61,437▼ $16,077
Prepaid Expenses and Deferred Charges$39,671$24,783▼ $14,888
Total Assets$4,577,043$4,329,538▼ $247,505
Other Assets Total$39$50▲ $11
Liabilities
Mortgage Notes Payable Secured by Investment Property$1,994,681$1,966,148▼ $28,533
Accounts Payable and Accrued Expenses$168,696$115,543▼ $53,153
Other Liabilities$4,928$4,861▼ $67
Escrow Account Liability$39$50▲ $11
Total Liabilities$2,168,344$2,086,602▼ $81,742
Net Assets / Fund Balance
Unrestricted Net Assets$2,408,699$2,242,936▼ $165,763
Total Net Assets Fund Balance$2,408,699$2,242,936▼ $165,763
Total Liabilities and Net Assets / Fund Balance$4,577,043$4,329,538▼ $247,505

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$3,586,455$851,965$4,438,420
Equipment$255,532$518,007$773,539
Leasehold Improvements$36,109$93,442$129,551
Land$98,900-$98,900
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Allison PedrettiPart Year AdministratorFT$40,832$40,832

Board Members and Trustees

NameTitle
Gordon KohlerChairperson
James PufferVice Chairperson
Judy BinaDirector
Robert ElwoodDirector
Mark GrinhaugSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Western Home ServicesManagement Fees420 E 11TH STREET, Cedar Falls, IA 50613$117,689
Revenue and Support

Revenue Composition

Contributions and Grants
$5,632
Program Service Revenue
$2,197,132
Investment Income
$652
Other Revenue
$1,409
All Other Contributions
$5,632
Change in Net Assets
$-165,763

Audited Revenue Reconciliation

Revenue per Audited Statements
$2,205,809
Revenue Not Reported on Financial Statements
$-984
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$-984
Total Revenue per Audited Statements
$2,205,809
Total Revenue per Form 990
$2,204,825
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,363,100
Other Expenses$1,007,488
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,059,404$13,020-$1,072,424
Fees for Services Other$262,302$53,577-$315,879
Depreciation Depletion$265,978--$265,978
Other Employee Benefits$127,705--$127,705
Payroll Taxes$110,390$3,818-$114,208
Occupancy$76,716--$76,716
Interest$74,540--$74,540
Insurance-$43,827-$43,827
Current Officers, Directors, Trustees, and Key Employees-$40,832-$40,832
All Other Expenses$16,200$18,591-$34,791
Other Expenses$24,228$21,499-$21,499
Pension Plan Contributions$6,647$1,284-$7,931
Advertising-$3,780-$3,780
Travel$2,363$217-$2,580
Office Expenses-$657-$657
Total Functional Expenses$2,169,486$201,102$0$2,370,588

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$2,370,588
Total Expenses per Audited Statements$2,370,588
Total Expenses per Form 990$2,370,588
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Interest Payable$4,861
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 1

The board of directors, by a vote of the majority, may establish one or more committees, including an executive committee. The executive committee serves at the will of the board of directors and has the powers and duties delegated to it by the board of directors.

Form 990, Part VI, Section A, Line 3

Country winds manor has a contractual arrangement with western home community, under which they provide management consultation, contracted employee services, and other services to the organization. The arrangement does not alter the authority or responsibility of the board of directors of country winds manor.

Form 990, Part VI, Section B, Line 11B

The board of directors are provided a copy of the form 990 before it is filed. The board of directors of country winds manor and the cfo of western home communities, an unrelated management company, review the form 990.

Form 990, Part VI, Section B, Line 12C

Any duality of interest or possible conflict of interest on the part of any board member, officer, or the administrator is disclosed to the other members of the board and made a matter of record through an annual procedure and also when the interest becomes a matter of board action. Any individual having possible conflict of interest on any matter is not allowed to vote or use his or her personal influence on the matter. The minutes of the meeting reflect the disclosure, the abstention from voting, and the quorum situation. Any new member of the board will be advised of this policy upon entering on the duties of office. The forms are reviewed by the chairperson of the board and the administrator and if a potential conflict is identified these individuals follow up.

Form 990, Part VI, Section B, Line 15

The process for determining compensation for the administrator is based on salary adjustment recommendations based on an annual evaluation by the director of process improvement, and the director of human resources at western home communities. This includes review of wages in comparison to comparable positions. The organization documents and substantiation for the compensation process for the administrator. The process was last undertaken in fiscal year 2015. The organization does not have other officers or key employees.

Form 990, Part VI, Section C, Line 19

The organization's governing documents, conflict of interest policy, and financial statements are not available to the public. However, financial information is available through the public disclosure copy of the 990.

Filing and Contact Details

Filer

Filer Name
Country Winds Manor Inc
EIN
42-1336328
Phone
5635472398
Address
21668 80TH STREET, CRESCO, IA 52136

Signing Officer

Name
Gordon Koehler
Title
Board President
Phone
5635472398
Signed
2019-03-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Gordon Koehler
Formed
1989
Legal Domicile
Ia
Voting Board Members
5
Independent Board Members
5
Employees
70
Volunteers
0

Preparer

Firm
Cliftonlarsonallen Llp
Address
PO BOX 217, AUSTIN, MN 55912
Preparer
Trent Fast
Phone
5074347000
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Pharmacist fees : program service expenses 5,056. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,056. Contracted serv. : program service expenses 164,400. Management and general expenses 0. Fundraising expenses 0. Total expenses 164,400. Dietician fees : program service expenses 2,800. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,800. Ccdi-dietary-dietician fees : program service expenses 90,046. Management and general expenses 0. Fundraising expenses 0. Total expenses 90,046. Administration - mgment svcs : program service expenses 0. Management and general expenses 53,577. Fundraising expenses 0. Total expenses 53,577.

FORM 990, PART XII, LINE 2C:

NO CHANGES WERE MADE.

Financial Statement Notes

PART IV, LINE 1B:

Country winds manor is teh trustee of the resident trust accounts. Country winds manor holds this money on behalf of the resident. There is an asset and a matching liability on the balance sheet for this account.

PART IV, LINE 2B:

Country winds manor is the trustee of the resident trust accounts. Country winds manor holds this money on behalf of the resident. There is an asset and a matching liability on the balance sheet for this account.

PART X, LINE 2:

The organization has been granted exempt status relative to federal and state income taxes under section 501(c)(3) of the internal revenue code. The organization follows the income tax standard for uncertain tax positions. No liability has been recognized by the organization as a result of this standard.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Net assets released -984.

Raw XML AppendixShowing 400 of 460 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0COUNTRY WINDS MANOR PROVIDES NURSING AND ASSISTED LIVING SERVICES FOR 28 RESIDENTS AND RESPITE SERVICES FOR SHORT-TERM NEEDS. RESPITE SERVICES ARE PROVIDED IN TWO WAYS. ADULT DAY SERVICES-PROVIDES FAMILY MEMBERS A BREAK DURING THE DAY WHILE THEIR LOVED-ONE ATTENDS AN ADULT DAY SERVICE PROGRAM. ADULT DAY SERVICES IS A DAY PROGRAM THAT PROVIDES SOCIALIZATION, MEALS, INDIVIDUALIZED CARE, AND LIMITED TRANSPORTATION FOR PARTICIPANTS. 24-HOUR CARE RESPITE PROVIDES FAMILY MEMBERS THE OPPORTUNITY FOR A BREAK FOR MORE THAN A SINGLE DAY BY PROVIDING 24-HOUR CARE FOR A LOVED ONE IN A SAFE, CARING, HOME-LIKE AND SOCIAL ENVIRONMENT. THE PATTY ELWOOD AND DONALD LUNDAC CENTERS ARE SPECIAL PLACES FOR THOSE SUFFERING FROM ALZHEIMER'S DISEASE AND OTHER FORMS OF DEMENTIA. THE CENTER HAS 24 BEDS ARRANGED IN A SPACIOUS ENVIRONMENT THAT IS SPECIFICALLY DESIGNED TO ENHANCE THE LIVES OF OUR RESIDENTS. WE OFFER A SECURE UNIT AND COURTYARD FOR THE SAFETY OF THE RESIDENTS. THE ENVIRONMENT ALLOWS RESIDENTS TO LIVE WITH DIGNITY AND RESPECT. NURSES ARE ON SITE 24 HOURS A DAY TO CARE FOR MEDICAL NEEDS. OTHER SERVICES ARE ACTIVITY PROGRAMS, MEMORY BOXES FOR EACH ROOM TO PROVIDE THE RESIDENT WITH FAMILIAR POSSESSIONS, TRANSPORTATION TO DOCTOR APPOINTMENTS, SPECIAL ATTENTION TO LIGHTING AND NOISE TO PROVIDE A RELAXING ATMOSPHERE, AND THREE HOMEMADE MEALS DAILY APPROVED BY A DIETICIAN. THE ORGANIZATION PROVIDES CARE TO RESIDENTS WHO MEET CERTAIN CRITERIA, AS DETERMINED BY THE ADMINISTRATOR AND THE BOARD, WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. REVENUE FROM SERVICES TO THESE RESIDENTS IS AUTOMATICALLY RECORDED IN THE ACCOUNTING SYSTEM AT THE ESTABLISHED RATES, BUT THE ORGANIZATION DOES NOT PURSUE COLLECTION OF THE AMOUNTS. THE RESULTING ADJUSTMENTS ARE RECORDED AS BAD DEBTS OR ADJUSTMENTS TO RESIDENT CARE SERVICE REVENUE, DEPENDING ON THE TIMING OF THE CHARITY CARE DETERMINATION.
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IRS990/MissionDesc0COUNTRY WINDS MANOR IS DEDICATED IN MEETING THE NEEDS OF THOSE WE SERVE BY PROVIDING DEMENTIA ASSISTED LIVING CARE, AND INTERMEDIATE/SKILLED DEMENTIA NURSING CARE WHILE REMAINING FINANCIALLY VIABLE.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt01994681
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt01966148
IRS990/NetAssetsOrFundBalancesBOYAmt02408699
IRS990/NetAssetsOrFundBalancesEOYAmt02242936
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ProgramServicesAmt076716
IRS990/OccupancyGrp/TotalAmt076716
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt0657
IRS990/OfficeExpensesGrp/TotalAmt0657
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt039
IRS990/OtherAssetsTotalGrp/EOYAmt050
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0127705
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0127705
IRS990/OtherExpensesGrp/Desc0FOOD
IRS990/OtherExpensesGrp/Desc1SUPPLIES
IRS990/OtherExpensesGrp/Desc2MISCELLANEOUS EXPENSE
IRS990/OtherExpensesGrp/Desc3SOFTWARE LICENSES
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt021499
IRS990/OtherExpensesGrp/ProgramServicesAmt094352
IRS990/OtherExpensesGrp/ProgramServicesAmt148661
IRS990/OtherExpensesGrp/ProgramServicesAmt224228
IRS990/OtherExpensesGrp/TotalAmt094352
IRS990/OtherExpensesGrp/TotalAmt148661
IRS990/OtherExpensesGrp/TotalAmt224228
IRS990/OtherExpensesGrp/TotalAmt321499
IRS990/OtherLiabilitiesGrp/BOYAmt04928
IRS990/OtherLiabilitiesGrp/EOYAmt04861
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0MISCELLANEOUS
IRS990/OtherRevenueMiscGrp/ExclusionAmt01409
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt01409
IRS990/OtherRevenueTotalAmt01409
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt013020
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt01059404
IRS990/OtherSalariesAndWagesGrp/TotalAmt01072424
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt03818
IRS990/PayrollTaxesGrp/ProgramServicesAmt0110390
IRS990/PayrollTaxesGrp/TotalAmt0114208
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt01284
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt06647
IRS990/PensionPlanContributionsGrp/TotalAmt07931
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt039671
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt024783
IRS990/PrincipalOfficerNm0GORDON KOEHLER
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0623000
IRS990/ProgramServiceRevenueGrp/Desc0RESIDENT CARE
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt02197132
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt02197132
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt05234
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt06627
IRS990/PYOtherExpensesAmt0934796
IRS990/PYOtherRevenueAmt02083
IRS990/PYProgramServiceRevenueAmt02025884
IRS990/PYRevenuesLessExpensesAmt0-350558
IRS990/PYSalariesCompEmpBnftPaidAmt01455590
IRS990/PYTotalExpensesAmt02390386
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt02039828
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-165763
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt02197132
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0100965
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0133253
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt05632
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt05234
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0231808
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0164930
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0703759
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt01111363
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt0652
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt06377
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt07545
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt011961
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt020101
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt046636
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt010776729
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt01409
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt02083
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt0938
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt0553
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt02765
IRS990ScheduleA/OtherIncome170Grp/TotalAmt07748
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.95330
IRS990ScheduleA/PublicSupportPY170Pct00.91310
IRS990ScheduleA/PublicSupportTotal170Amt01111363
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt05632
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt05234
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0231808
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0164930
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0703759
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt01111363
IRS990ScheduleA/TotalSupportAmt01165747
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/AdditionsDuringYearAmt011
IRS990ScheduleD/AgentTrusteeEtcInd01
IRS990ScheduleD/BeginningBalanceAmt039
IRS990ScheduleD/BuildingsGrp/BookValueAmt03586455
IRS990ScheduleD/BuildingsGrp/DepreciationAmt0851965
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt04438420
IRS990ScheduleD/EndingBalanceAmt050
IRS990ScheduleD/EquipmentGrp/BookValueAmt0255532
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0518007
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0773539
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt02370588
IRS990ScheduleD/ExplanationProvidedInd0X
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/InclEscrowCustodialAcctLiabInd01
IRS990ScheduleD/LandGrp/BookValueAmt098900
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt098900
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt036109
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt093442
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt0129551
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt04861
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0INTEREST PAYABLE
IRS990ScheduleD/OtherRevenuesNotIncludedAmt0-984
IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt0-984
IRS990ScheduleD/RevenueSubtotalAmt02205809
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0COUNTRY WINDS MANOR IS TEH TRUSTEE OF THE RESIDENT TRUST ACCOUNTS. COUNTRY WINDS MANOR HOLDS THIS MONEY ON BEHALF OF THE RESIDENT. THERE IS AN ASSET AND A MATCHING LIABILITY ON THE BALANCE SHEET FOR THIS ACCOUNT.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1COUNTRY WINDS MANOR IS THE TRUSTEE OF THE RESIDENT TRUST ACCOUNTS. COUNTRY WINDS MANOR HOLDS THIS MONEY ON BEHALF OF THE RESIDENT. THERE IS AN ASSET AND A MATCHING LIABILITY ON THE BALANCE SHEET FOR THIS ACCOUNT.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED BY THE ORGANIZATION AS A RESULT OF THIS STANDARD.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt3NET ASSETS RELEASED -984.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART IV, LINE 1B:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART IV, LINE 2B:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc3PART XI, LINE 4B - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt03976996
IRS990ScheduleD/TotalExpensesPerForm990Amt02370588
IRS990ScheduleD/TotalLiabilityAmt04861
IRS990ScheduleD/TotalRevenuePerForm990Amt02204825
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt02205809
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt02370588
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/CompensationSurveyInd0X
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION DID NOT PAY COMPENSATION TO ALLISON PEDRETTI, ADMINISTRATOR, DIRECTLY. ALLISON WAS COMPENSATED BY WESTERN HOME COMMUNITIES, AN UNRELATED MANAGEMENT COMPANY. THE BOARD OF DIRECTORS APPROVED THE COMPENSATION OF THE ADMINISTRATOR WITH THE MANAGEMENT COMPANY. ALLISON PEDRETTI WAS PAID WAGES IN THE AMOUNT OF $40,831.95.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 PART VII, LINE 5
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleJ/WrittenEmploymentContractInd0X
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE BOARD OF DIRECTORS, BY A VOTE OF THE MAJORITY, MAY ESTABLISH ONE OR MORE COMMITTEES, INCLUDING AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SERVES AT THE WILL OF THE BOARD OF DIRECTORS AND HAS THE POWERS AND DUTIES DELEGATED TO IT BY THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1COUNTRY WINDS MANOR HAS A CONTRACTUAL ARRANGEMENT WITH WESTERN HOME COMMUNITY, UNDER WHICH THEY PROVIDE MANAGEMENT CONSULTATION, CONTRACTED EMPLOYEE SERVICES, AND OTHER SERVICES TO THE ORGANIZATION. THE ARRANGEMENT DOES NOT ALTER THE AUTHORITY OR RESPONSIBILITY OF THE BOARD OF DIRECTORS OF COUNTRY WINDS MANOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE BOARD OF DIRECTORS ARE PROVIDED A COPY OF THE FORM 990 BEFORE IT IS FILED. THE BOARD OF DIRECTORS OF COUNTRY WINDS MANOR AND THE CFO OF WESTERN HOME COMMUNITIES, AN UNRELATED MANAGEMENT COMPANY, REVIEW THE FORM 990.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY BOARD MEMBER, OFFICER, OR THE ADMINISTRATOR IS DISCLOSED TO THE OTHER MEMBERS OF THE BOARD AND MADE A MATTER OF RECORD THROUGH AN ANNUAL PROCEDURE AND ALSO WHEN THE INTEREST BECOMES A MATTER OF BOARD ACTION. ANY INDIVIDUAL HAVING POSSIBLE CONFLICT OF INTEREST ON ANY MATTER IS NOT ALLOWED TO VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. THE MINUTES OF THE MEETING REFLECT THE DISCLOSURE, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. ANY NEW MEMBER OF THE BOARD WILL BE ADVISED OF THIS POLICY UPON ENTERING ON THE DUTIES OF OFFICE. THE FORMS ARE REVIEWED BY THE CHAIRPERSON OF THE BOARD AND THE ADMINISTRATOR AND IF A POTENTIAL CONFLICT IS IDENTIFIED THESE INDIVIDUALS FOLLOW UP.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE PROCESS FOR DETERMINING COMPENSATION FOR THE ADMINISTRATOR IS BASED ON SALARY ADJUSTMENT RECOMMENDATIONS BASED ON AN ANNUAL EVALUATION BY THE DIRECTOR OF PROCESS IMPROVEMENT, AND THE DIRECTOR OF HUMAN RESOURCES AT WESTERN HOME COMMUNITIES. THIS INCLUDES REVIEW OF WAGES IN COMPARISON TO COMPARABLE POSITIONS. THE ORGANIZATION DOCUMENTS AND SUBSTANTIATION FOR THE COMPENSATION PROCESS FOR THE ADMINISTRATOR. THE PROCESS WAS LAST UNDERTAKEN IN FISCAL YEAR 2015. THE ORGANIZATION DOES NOT HAVE OTHER OFFICERS OR KEY EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. HOWEVER, FINANCIAL INFORMATION IS AVAILABLE THROUGH THE PUBLIC DISCLOSURE COPY OF THE 990.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6PHARMACIST FEES : PROGRAM SERVICE EXPENSES 5,056. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,056. CONTRACTED SERV. : PROGRAM SERVICE EXPENSES 164,400. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 164,400. DIETICIAN FEES : PROGRAM SERVICE EXPENSES 2,800. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,800. CCDI-DIETARY-DIETICIAN FEES : PROGRAM SERVICE EXPENSES 90,046. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,046. ADMINISTRATION - MGMENT SVCS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 53,577. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,577.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7NO CHANGES WERE MADE.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART IX, LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART XII, LINE 2C:
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0IA
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt04577043
IRS990/TotalAssetsEOYAmt04329538
IRS990/TotalAssetsGrp/BOYAmt04577043
IRS990/TotalAssetsGrp/EOYAmt04329538
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt05632
IRS990/TotalEmployeeCnt070
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0201102
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt02169486
IRS990/TotalFunctionalExpensesGrp/TotalAmt02370588
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt02168344
IRS990/TotalLiabilitiesEOYAmt02086602
IRS990/TotalLiabilitiesGrp/BOYAmt02168344
IRS990/TotalLiabilitiesGrp/EOYAmt02086602
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt02408699
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt02242936
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt02169486
IRS990/TotalProgramServiceRevenueAmt02197132

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