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Nonprofiteer
← LONE TREE SENIOR LIVING

Form 990 for tax year 2022

Filed by LONE TREE SENIOR LIVING.

Totals

Total revenue
$1,513,230
Total expenses
$1,435,875
Contributions and grants received
$37,095
Grants paid
$0
Program service revenue
$1,459,072
Investment income
-$937
Other revenue
$18,000
Total assets, end of year
$734,100
Total liabilities, end of year
$1,040,179
Net assets or fund balances, end of year
-$306,079
Program services expenses (Part IX)
$1,255,301
Management and general expenses
$180,574
Fundraising expenses
$0
Program service expenses (Part III)
$1,255,301

Program services were 87.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $36,219

  • 1e · Government grants (contributions)

    $876

  • 2a · Program service revenue: RESIDENT REVENUE

    total $1,458,125 · related or exempt $1,458,125

  • 2b · Program service revenue: OTHER PROGRAM REVENUE

    total $947 · related or exempt $947

  • 3 · Investment income

    total $4,808 · excluded $4,808

  • 6a · Gross rents

    real property $18,000

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $18,000

  • 6d · Net rental income or loss

    total $18,000 · excluded $18,000

  • 7b · Less cost or other basis and sales expenses

    other assets $5,745

  • 7c · Gain or loss

    other assets -$5,745

  • 7d · Net gain or loss

    total -$5,745 · excluded -$5,745

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $692,055 · program services $624,662 · management and general $67,393

  • 8 · Pension plan contributions

    total $8,244 · program services $7,441 · management and general $803

  • 9 · Other employee benefits

    total $125,143 · program services $112,957 · management and general $12,186

  • 10 · Payroll taxes

    total $53,315 · program services $48,123 · management and general $5,192

  • 11c · Fees: accounting

    total $1,575 · program services $1,422 · management and general $153

  • 11g · Fees: other

    total $148,756 · program services $134,270 · management and general $14,486

  • 12 · Advertising and promotion

    total $3,532 · program services $3,188 · management and general $344

  • 13 · Office expenses

    total $31,561 · program services $28,488 · management and general $3,073

  • 16 · Occupancy

    total $62,648 · program services $56,547 · management and general $6,101

  • 20 · Interest

    total $45,145 · management and general $45,145

  • 22 · Depreciation, depletion and amortization

    total $78,516 · program services $70,870 · management and general $7,646

  • 23 · Insurance

    total $18,395 · program services $16,604 · management and general $1,791

  • 24a · Other expenses: FOOD

    total $117,136 · program services $105,729 · management and general $11,407

  • 24b · Other expenses: RESIDENT SUPPLIES

    total $23,787 · program services $21,471 · management and general $2,316

  • 24c · Other expenses: MAINTENANCE & REPAIRS

    total $12,824 · program services $11,575 · management and general $1,249

  • 24d · Other expenses: DUES & SUBSCRIPTIONS

    total $4,383 · program services $3,956 · management and general $427

  • 24e · All other expenses

    total $8,860 · program services $7,998 · management and general $862

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $458,963 · end of year $334,119

  • 2 · Savings and temporary cash investments

    beginning of year $3,468 · end of year $3,932

  • 4 · Accounts receivable

    beginning of year $4,993 · end of year $26,526

  • 9 · Prepaid expenses and deferred charges

    beginning of year $13,336 · end of year $14,493

  • 10a · Land, buildings and equipment: cost or other basis

    $3,367,715

  • 10b · Land, buildings and equipment: accumulated depreciation

    $3,012,685

  • 10c · Land, buildings and equipment, net

    beginning of year $396,965 · end of year $355,030

  • 17 · Accounts payable and accrued expenses

    beginning of year $168,454 · end of year $144,588

  • 21 · Escrow or custodial account liability

    beginning of year $36,016 · end of year $50,480

  • 25 · Other liabilities

    beginning of year $1,056,689 · end of year $845,111

  • 27 · Net assets without donor restrictions

    beginning of year -$383,434 · end of year -$306,079

Mission and programs · 2022

Mission

OUR MISSION IS TO PROVIDE AN ENRICHED LIVING ENVIRONMENT FOR THOSE SEEKING PRIVACY AND INDEPENDENCE, WHILE NURTURING CONTINUED GROWTH OF THE HUMAN SPIRIT THROUGH FRIENDSHIP, SERVICES AND NURSE-DIRECTED PROGRAMS.

Activities or mission (Part I)

TO PROVIDE ASSISTED LIVING SERVICES FOR SENIOR ADULTS.

  • THE LODGE IS AN ASSISTED LIVING FACILITY DESIGNED FOR SENIOR ADULTS WHO WISH TO MAINTAIN THEIR INDEPENDENCE IN AN ENRICHED, COMFORTABLE SETTING AMONG FRIENDS, FAMILY AND A DEDICATED STAFF. WE PROVIDE YOU WITH CHOICE, INDEPENDENCE, 24-HOUR SECURITY, SERVICE AS YOU NEED IT, COMPANIONSHIP, HOME-COOKED MEALS, WELLNESS PROGRAMS, MEDICATION SERVICES AND NURSE-DIRECTED PROGRAMS.

    Expenses $1,255,301 · Revenue $1,459,072

As filed on the 2022 return.

Listed in Part VII

  • Rajohn Karanjai MD

    TRUSTEE/CMO

    Total calculated
    $1,090,748
    From this org
    $0
    From related orgs
    $1,090,748
    Other
    $0
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,090,748 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $1,090,748 related
  • Leszek Jaszczak MD

    FORMER OFFICER

    Total calculated
    $713,745
    From this org
    $0
    From related orgs
    $681,078
    Other
    $32,667
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $680,078 related
    Bonus
    $0 + $1,000 related
    Other
    $0
    Deferred
    $0 + $5,861 related
    Nontaxable benefits
    $0 + $26,806 related
    Filer's total
    $0 + $713,745 related
  • Malua Tambi MD

    CHIEF OF MEDICAL STAFF

    Total calculated
    $589,094
    From this org
    $0
    From related orgs
    $545,166
    Other
    $43,928
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $544,066 related
    Bonus
    $0 + $1,100 related
    Other
    $0
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $34,778 related
    Filer's total
    $0 + $589,094 related
  • Ralf Kiehl MD Chief Of

    MEDICAL STAFF (THROUGH 12/31/22)

    Total calculated
    $470,350
    From this org
    $0
    From related orgs
    $447,346
    Other
    $23,004
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $446,321 related
    Bonus
    $0 + $1,025 related
    Other
    $0
    Deferred
    $0 + $7,877 related
    Nontaxable benefits
    $0 + $15,127 related
    Filer's total
    $0 + $470,350 related
  • Jen Doty

    CEO

    Total calculated
    $307,916
    From this org
    $0
    From related orgs
    $275,289
    Other
    $32,627
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $272,889 related
    Bonus
    $0 + $2,400 related
    Other
    $0
    Deferred
    $0 + $8,456 related
    Nontaxable benefits
    $0 + $24,171 related
    Filer's total
    $0 + $307,916 related
  • Tina Montgomery

    CFO

    Total calculated
    $207,715
    From this org
    $0
    From related orgs
    $182,722
    Other
    $24,993
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $180,472 related
    Bonus
    $0 + $2,250 related
    Other
    $0
    Deferred
    $0 + $5,607 related
    Nontaxable benefits
    $0 + $19,386 related
    Filer's total
    $0 + $207,715 related
  • Lance Averett

    PRESIDENT & VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Robert Burnison

    TRUSTEE & PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Randy Johnson

    VICE PRESIDENT & TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Rebecca Bradley

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Eric Beenken

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Susan Duffey

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Stephanie Livers

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Kevin Mayer

    TRUSTEE (THROUGH 11/16/22)

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Cheryl Van Every

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 5b · Pay contingent on a related organization's revenues
  • 6b · Pay contingent on a related organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE CEO OF LONE TREE SENIOR LIVING IS COMPENSATED THROUGH LONE TREE'S RELATED ORGANIZATION, SIDNEY HEALTH CENTER. THE METHODS USED TO DETERMINE THE CEO'S COMPENSATION ARE (A) COMPENSATION SURVERY OR STUDY AND (B) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 5
SIDNEY HEALTH CENTER PHYSICIANS RECEIVE BONUSES BASED ON PRODUCTIVITY, AMONG OTHER FACTORS, PRODUCTIVITY IS CLOSELY CONNECTED WITH REVENUES. NO BONUS IS PAID BY LONE TREE SENIOR LIVING.
PART I, LINE 6
FOR THE EXECUTIVES, ANNUAL RAISES FROM SIDNEY HEALTH CENTER ARE BASED ON MEETING ORGANIZATIONAL GOALS RELATED TO VARIOUS FACTORS INCLUDING EMPLOYEE RETENTION, PATIENT SATISFACTION, QUALITY METRICS, AND OPERATING MARGIN.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
6 May 2024
IRS schema version
2022v5.0
Source object
202441289349300634

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