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Nonprofiteer
← HEARTHSTONE AT SERENITY CREEK

Form 990 for tax year 2022

Filed by HEARTHSTONE AT SERENITY CREEK.

Totals

Total revenue
$119,461
Total expenses
$70,624
Contributions and grants received
$5,100
Grants paid
$0
Program service revenue
$28,892
Investment income
$84,832
Other revenue
$637
Total assets, end of year
$584,405
Total liabilities, end of year
$926,271
Net assets or fund balances, end of year
-$341,866
Program services expenses (Part IX)
$31,745
Management and general expenses
$38,879
Fundraising expenses
$0
Program service expenses (Part III)
$31,745

Program services were 44.9% 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.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $0

  • 1e · Government grants (contributions)

    $0

  • 1f · All other contributions, gifts and grants

    $5,100

  • 1g · Noncash contributions included above

    $0

  • 2a · Program service revenue: RENTAL INCOME

    total $26,970 · related or exempt $26,970 · unrelated business $0 · excluded $0

  • 2b · Program service revenue: ENTRANCE FEE AMORTIZATION

    total $1,922 · related or exempt $1,922 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    securities $0 · other assets $84,832

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

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $0 · other assets $84,832

  • 7d · Net gain or loss

    total $84,832 · related or exempt $0 · unrelated business $0 · excluded $84,832

  • 8a · Fundraising events: contributions included on line 1c

    $0

  • 11a · Other revenue: Other Revenue

    total $637 · related or exempt $637 · unrelated business $0 · excluded $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $637

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0 · program services $0

  • 2 · Grants to domestic individuals

    total $0 · program services $0

  • 3 · Grants to foreign organizations and individuals

    total $0 · program services $0

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 7 · Other salaries and wages

    total $5,100 · program services $5,100 · management and general $0 · fundraising $0

  • 8 · Pension plan contributions

    total $50 · program services $50 · management and general $0 · fundraising $0

  • 9 · Other employee benefits

    total $749 · program services $749 · management and general $0 · fundraising $0

  • 10 · Payroll taxes

    total $362 · program services $362 · management and general $0 · fundraising $0

  • 11a · Fees: management

    total $5,316 · program services $0 · management and general $5,316 · fundraising $0

  • 11b · Fees: legal

    total $19,662 · program services $0 · management and general $19,662 · fundraising $0

  • 11c · Fees: accounting

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11d · Fees: lobbying

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11e · Fees: professional fundraising services

    total $0 · fundraising $0

  • 11f · Fees: investment management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11g · Fees: other

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 12 · Advertising and promotion

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 14 · Information technology

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 15 · Royalties

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 16 · Occupancy

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 17 · Travel

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 18 · Travel or entertainment for public officials

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 20 · Interest

    total $3,911 · program services $1,703 · management and general $2,208 · fundraising $0

  • 21 · Payments to affiliates

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $20,467 · program services $8,911 · management and general $11,556 · fundraising $0

  • 23 · Insurance

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 24a · Other expenses: PURCHASED AND CONTRACTED SERVICES

    total $14,159 · program services $14,159 · management and general $0 · fundraising $0

  • 24b · Other expenses: SUPPLIES

    total $711 · program services $711 · management and general $0 · fundraising $0

  • 24e · All other expenses

    total $137 · program services $0 · management and general $137 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $55,855 · end of year $4,767

  • 4 · Accounts receivable

    beginning of year -$637 · end of year $0

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

    $764,939

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

    $185,301

  • 10c · Land, buildings and equipment, net

    beginning of year $747,023 · end of year $579,638

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,511 · end of year $2,125

  • 19 · Deferred revenue

    beginning of year $24,990 · end of year $23,068

  • 23 · Secured mortgages and notes payable

    beginning of year $110,012 · end of year $57,361

  • 25 · Other liabilities

    beginning of year $1,053,431 · end of year $843,717

  • 27 · Net assets without donor restrictions

    beginning of year -$390,703 · end of year -$341,866

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

HEARTHSTONE AT SERENITY CREEK, INC. OPERATES AN INDEPENDENT LIVING FACILITY CONSISTING OF DUPLEXES.

  • HEARTHSTONE AT SERENITY CREEK, INC. OPERATES AN INDEPENDENT LIVING FACILITY CONSISTING OF DUPLEXES.

    Expenses $31,745 · Revenue $29,529

As filed on the 2022 return.

Listed in Part VII

  • Lisa Haglund

    President & CEO

    Total calculated
    $354,461
    From this org
    $0
    From related orgs
    $331,712
    Other
    $22,749
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $303,161 related
    Bonus
    $0 + $15,000 related
    Other
    $0 + $13,552 related
    Deferred
    $0 + $3,204 related
    Nontaxable benefits
    $0 + $19,545 related
    Filer's total
    $0 + $354,462 related

  • Mark Wilcox

    Chief Information Officer

    Total calculated
    $202,950
    From this org
    $0
    From related orgs
    $180,692
    Other
    $22,258
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $165,865 related
    Bonus
    $0 + $8,278 related
    Other
    $0 + $6,549 related
    Deferred
    $0 + $2,716 related
    Nontaxable benefits
    $0 + $19,542 related
    Filer's total
    $0 + $202,950 related

  • Jennifer Whitten

    Chief Operating Officer

    Total calculated
    $181,533
    From this org
    $0
    From related orgs
    $172,853
    Other
    $8,680
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $165,041 related
    Bonus
    $0 + $5,500 related
    Other
    $0 + $2,313 related
    Deferred
    $0 + $1,731 related
    Nontaxable benefits
    $0 + $6,949 related
    Filer's total
    $0 + $181,534 related

  • Danielle Bozich

    Chief Human Resources Officer

    Total calculated
    $170,923
    From this org
    $0
    From related orgs
    $159,115
    Other
    $11,808
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $150,634 related
    Bonus
    $0 + $8,250 related
    Other
    $0 + $231 related
    Deferred
    $0 + $1,628 related
    Nontaxable benefits
    $0 + $10,180 related
    Filer's total
    $0 + $170,923 related

  • Matthew Boswell

    VP of Finance

    Total calculated
    $167,052
    From this org
    $0
    From related orgs
    $156,792
    Other
    $10,260
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $142,927 related
    Bonus
    $0 + $13,640 related
    Other
    $0 + $224 related
    Deferred
    $0 + $2,359 related
    Nontaxable benefits
    $0 + $7,902 related
    Filer's total
    $0 + $167,052 related

  • Richard Whitver

    Pharmacist

    Total calculated
    $159,825
    From this org
    $0
    From related orgs
    $157,304
    Other
    $2,521
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $155,721 related
    Bonus
    $0 + $1,400 related
    Other
    $0 + $183 related
    Deferred
    $0 + $2,365 related
    Nontaxable benefits
    $0 + $156 related
    Filer's total
    $0 + $159,825 related

  • Mark Constantino

    VP of Quality & Clinical Strategies

    Total calculated
    $151,102
    From this org
    $0
    From related orgs
    $147,800
    Other
    $3,302
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $135,477 related
    Bonus
    $0 + $12,000 related
    Other
    $0 + $323 related
    Deferred
    $0 + $2,221 related
    Nontaxable benefits
    $0 + $1,081 related
    Filer's total
    $0 + $151,102 related

  • Kathy Trisket

    Nurse Practitioner

    Total calculated
    $146,395
    From this org
    $0
    From related orgs
    $129,309
    Other
    $17,086
    Hours/week
    0 + 40 related

  • Sallie Williams

    VP of Advancements

    Total calculated
    $141,625
    From this org
    $0
    From related orgs
    $127,655
    Other
    $13,970
    Hours/week
    1 + 39 related

  • Paul DeSantis

    Chief Financial Officer

    Total calculated
    $121,606
    From this org
    $0
    From related orgs
    $114,009
    Other
    $7,597
    Hours/week
    1 + 39 related

  • Bertha Saho

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Dan Parrilli

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Brent Richardson

    Chair

    Total calculated
    $0
    Hours/week
    1

  • Janet Snyder

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Larry Roberts

    Secretary/Treasurer

    Total calculated
    $0
    Hours/week
    1

  • Peggy Grasley

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Walter Fleming

    Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Susan Wilston

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Honna Curtis

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Charles Toy

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Joanne Smikle

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Peter Schmitt

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Suzanne Mohnkern

    Board Member

    Total calculated
    $0
    Hours/week
    1

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

None.

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
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

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
17 November 2023
IRS schema version
2022v5.0
Source object
202323249349300307

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