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Nonprofiteer
← METAMORA COMMUNITY NURSING HOME

Form 990 for tax year 2023

Filed by METAMORA COMMUNITY NURSING HOME.

Totals

Total revenue
$19,683,031
Total expenses
$20,062,765
Contributions and grants received
$345,285
Grants paid
$0
Program service revenue
$18,813,854
Investment income
$470,476
Other revenue
$53,416
Total assets, end of year
$43,969,952
Total liabilities, end of year
$28,722,905
Net assets or fund balances, end of year
$15,247,047
Program services expenses (Part IX)
$17,220,738
Management and general expenses
$2,654,279
Fundraising expenses
$187,748
Program service expenses (Part III)
$17,220,738

Program services were 85.8% 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

    $25,008

  • 1d · Related organizations

    $0

  • 1e · Government grants (contributions)

    $0

  • 1f · All other contributions, gifts and grants

    $320,277

  • 1g · Noncash contributions included above

    $0

  • 2a · Program service revenue: Nursing Home Care for the Elderly

    total $11,623,958 · related or exempt $11,623,958 · unrelated business $0 · excluded $0

  • 2b · Program service revenue: Retirement Community Housing and Care for the Elderly

    total $2,529,398 · related or exempt $2,529,398 · unrelated business $0 · excluded $0

  • 2c · Program service revenue: Assisted Living Care for the Elderly

    total $3,561,204 · related or exempt $3,561,204 · unrelated business $0 · excluded $0

  • 2d · Program service revenue: Home Care for the Elderly

    total $1,099,294 · related or exempt $1,099,294 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $422,320 · related or exempt $422,320 · unrelated business $0 · excluded $0

  • 4 · Income from investment of tax-exempt bond proceeds

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

  • 5 · Royalties

    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 $810,053 · other assets $0

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

    securities $761,897 · other assets $0

  • 7c · Gain or loss

    securities $48,156 · other assets $0

  • 7d · Net gain or loss

    total $48,156 · related or exempt $48,156 · unrelated business $0 · excluded $0

  • 8a · Fundraising events: gross income

    $82,199

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

    $25,008

  • 8b · Fundraising events: direct expenses

    $28,783

  • 8c · Net income from fundraising events

    total $53,416 · unrelated business $0 · excluded $53,416

  • 11e · Other revenue, total

    $0

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 $165,652 · program services $0 · management and general $165,652 · fundraising $0

  • 6 · Compensation of disqualified persons

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

  • 7 · Other salaries and wages

    total $10,720,026 · program services $9,023,752 · management and general $1,565,173 · fundraising $131,101

  • 8 · Pension plan contributions

    total $214,705 · program services $177,981 · management and general $34,138 · fundraising $2,586

  • 9 · Other employee benefits

    total $1,072,482 · program services $817,985 · management and general $237,381 · fundraising $17,116

  • 10 · Payroll taxes

    total $811,127 · program services $598,354 · management and general $195,547 · fundraising $17,226

  • 11a · Fees: management

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

  • 11b · Fees: legal

    total $17,316 · program services $0 · management and general $17,316 · fundraising $0

  • 11c · Fees: accounting

    total $38,972 · program services $0 · management and general $38,972 · 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 $364,781 · program services $320,424 · management and general $44,357 · fundraising $0

  • 12 · Advertising and promotion

    total $86,329 · program services $0 · management and general $86,329 · 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 $425,824 · program services $347,109 · management and general $78,715 · 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 $105,939 · program services $89,117 · management and general $16,822 · fundraising $0

  • 21 · Payments to affiliates

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

  • 22 · Depreciation, depletion and amortization

    total $1,598,115 · program services $1,567,430 · management and general $29,312 · fundraising $1,373

  • 23 · Insurance

    total $372,199 · program services $365,209 · management and general $6,990 · fundraising $0

  • 24a · Other expenses: Therapy and Contract Agency

    total $1,496,029 · program services $1,496,029 · management and general $0 · fundraising $0

  • 24b · Other expenses: Food

    total $678,818 · program services $678,818 · management and general $0 · fundraising $0

  • 24c · Other expenses: Medicaid Tax

    total $495,436 · program services $495,436 · management and general $0 · fundraising $0

  • 24d · Other expenses: Supplies

    total $880,026 · program services $822,503 · management and general $44,635 · fundraising $12,888

  • 24e · All other expenses

    total $518,989 · program services $420,591 · management and general $92,940 · fundraising $5,458

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,138 · end of year $1,012

  • 2 · Savings and temporary cash investments

    beginning of year $10,194,525 · end of year $8,136,479

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $2,456,745 · end of year $2,215,566

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $106,629 · end of year $127,984

  • 9 · Prepaid expenses and deferred charges

    beginning of year $340,930 · end of year $341,131

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

    $52,018,948

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

    $25,603,519

  • 10c · Land, buildings and equipment, net

    beginning of year $25,556,875 · end of year $26,415,429

  • 11 · Investments: publicly traded securities

    beginning of year $5,603,546 · end of year $6,732,351

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,441,146 · end of year $2,324,118

  • 18 · Grants payable

    beginning of year $509,629 · end of year $759,319

  • 19 · Deferred revenue

    beginning of year $7,261,807 · end of year $7,339,766

  • 20 · Tax-exempt bond liabilities

    beginning of year $5,154,198 · end of year $4,886,198

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $848,655 · end of year $670,508

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $12,919,615 · end of year $12,742,996

  • 27 · Net assets without donor restrictions

    beginning of year $15,125,338 · end of year $15,247,047

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2023

Mission

Care of the Elderly

  • Nursing Home Care for the Elderly

    Expenses $11,217,974 · Revenue $11,623,958

  • Retirement Community Housing and Care for the Elderly

    Expenses $2,179,129 · Revenue $2,529,398

  • Assisted Living Care for the Elderly

    Expenses $2,910,591 · Revenue $3,561,204

  • Home Care for the elderly

    Expenses $913,044 · Revenue $1,099,294

As filed on the 2023 return.

Listed in Part VII

  • Janelle Clark

    Executive Director/CEO

    Total calculated
    $146,050
    From this org
    $146,050
    From related orgs
    $0
    Other
    $0
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $146,050
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $146,050

  • Heather O'Brien

    Administrator

    Total calculated
    $127,843
    From this org
    $127,843
    From related orgs
    $0
    Other
    $0
    Hours/week
    50

  • Rebecca Burrell

    Registered Nurse

    Total calculated
    $119,330
    From this org
    $119,330
    From related orgs
    $0
    Other
    $0
    Hours/week
    55

  • Tanaisha Walker

    Nurse Aide

    Total calculated
    $113,131
    From this org
    $113,131
    From related orgs
    $0
    Other
    $0
    Hours/week
    78

  • Frank Reinsma

    CFO

    Total calculated
    $105,775
    From this org
    $105,775
    From related orgs
    $0
    Other
    $0
    Hours/week
    50

  • Shannon Isbell

    Director of Nursing

    Total calculated
    $105,646
    From this org
    $105,646
    From related orgs
    $0
    Other
    $0
    Hours/week
    50

  • Keith Swartzentruber

    Former Exec Director/CEO

    Total calculated
    $19,602
    From this org
    $19,602
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $19,602
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $19,602

  • Diane Gravlin

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Wendee Guth

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Regina Schmillen

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Lisa Obery

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Debbie Kerker

    Secretary

    Total calculated
    $0
    Hours/week
    1

  • Greg Minger

    President

    Total calculated
    $0
    Hours/week
    1

  • Laurie Walker

    Vice President

    Total calculated
    $0
    Hours/week
    1

  • Gary Baranowski

    Treasurer

    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

  • 3 · Approval by the board or compensation committee

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

The filer's explanations (Part III)

Schedule J, Part I, Line 3
Compensation for the Executive Director is determined, reviewed and approved by independent members of the Board of Directors. A rotating group of three independent Board Members annually conducts a performance appraisal of the Executive Director. As part of the performance appraisal process, this group reviews comparability data obtained from an independent survey of key employees in the top management positions at similar facilities in Illinois. This group also review the Executive Director's compensation for the next year, subject to final approval by the Board of Directors. This process was last completed in December 2022.

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
2023
Filed
4 October 2024
IRS schema version
2023v5.0
Source object
202402819349301525

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