2025-10-28T13:56:24-05:00 2024-12-31 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2024-01-01 481209650 CEDAR LAKE VILLAGE INC CEDA 6053331000 PO BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 JOEL FLUIT CFO 6053331000 2025-10-28 1 0 JESS WAGENER P01622613 3128792000 2024 2025-03-06 01:10:19Z NATHAN SCHEMA 4800 W 57TH STREET SIOUX FALLS SD 57117 15945142 0 X WWW.SANFORDHEALTH.ORG X 1998 KS HOUSING, PROGRAMS AND SERVICES FOR ELDERLY PERSONS AND OTHER IN NEED 6 6 0 277 0 0 31286 90735 14429592 15658871 239411 171905 2779 4349 14703068 15925860 0 0 0 0 0 0 0 0 0 14253012 15039394 14253012 15039394 450056 886466 33372588 32318004 23887015 21863962 9485573 10454042 IMPROVING THE WELL-BEING AND QUALITY OF LIFE FOR OLDER PERSONS AND OTHERS IN NEED THROUGH THE PROVISION OF HOUSING, PROGRAMS, AND SERVICES. 0 0 13229546 0 15658871 PROVIDING HOUSING, PROGRAMS, AND SERVICES IN AN EFFORT TO IMPROVE THE QUALITY OF LIFE FOR OLDER PERSONS AND OTHERS IN NEED. 19,604 ASSISTED LIVING RESIDENT DAYS, 40,288 SENIOR HOUSING RESIDENT DAYS AND 10,014 SKILLED NURSING RESIDENT DAYS IN 2024. 13229546 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 KS X JOEL FLUIT 6053623100 4800 W 57TH STREET SIOUX FALLS SD 571175038 X NATHAN SCHEMA TRUSTEE, CHAIR, PRESIDENT 1.00 X X 0 0 0 JACK BEAL TRUSTEE, VICE PRESIDENT - END 07/24 1.00 X X 0 0 0 JOEL FLUIT TRUSTEE, TREASURER 1.00 X X 0 0 0 AIMEE MIDDLETON TRUSTEE, SECRETARY 1.00 X X 0 0 0 BRENDA DYKSTRA TRUSTEE 1.00 X 0 0 0 MIKE JENSEN TRUSTEE 1.00 X 0 0 0 MONICA LUBECK TRUSTEE - START 08/24 1.00 X 0 0 0 0 0 0 0 0 0 0 THE EVANGELICAL LUTHERAN GOOD SAMARITAN 4800 W 57TH STREET SIOUX FALLS SD 57108 MNGMT FEES & SHARED EMPLOYEES 8156276 SELECT REHABILITATION INC 2600 COMPASS ROAD GLENVIEW IL 60026 CONTRACT THERAPY SERVICES 630748 DISTINCTIVE OUTDOORS 4787 SUNSET BLVD LEXINGTON SC 29072 GROUNDS MAINTENANCE 114731 3 90735 90735 ROOM REV, ANCILL SVCS 623000 15626579 15626579 MEALS, GUEST RM, OTHER 623000 32292 32292 15658871 173829 173829 17358 19282 -1924 -1924 -1924 EMPLOYEE MEALS 722514 4349 4349 4349 15925860 15658871 0 176254 842057 842057 32000 32000 11088 11088 793763 779897 13866 102866 82659 20207 136032 40975 95057 1396561 1395847 714 12039 4978 7061 37678 37678 633047 633047 1452898 1452898 295190 295190 CONTRACT SERVICES 7314239 6812715 501524 MEDICAL SUPPLIES 1316426 1295604 20822 PURCHASED SERVICES - SH 360090 360090 0 UNCOLLECTIBLE EXPENSE 206818 0 206818 96602 37968 58634 15039394 13229546 1809848 0 523196 439480 631587 696676 4300 37569 5436 5502 49747040 25243746 25815601 24503294 5627818 5677959 764650 957524 33372588 32318004 508355 415751 73440 209032 12891845 12049614 10413375 9189565 23887015 21863962 X 9228747 10147011 256826 307031 9485573 10454042 33372588 32318004 X 886466 -110676 192679 X 0 1 X 1 0 X 584497 191518 153693 31286 90735 1051729 11684248 12492489 13575564 14429592 15658871 67840764 12268745 12684007 13729257 14460878 15749606 68892493 0 0 0 68892493 238709 253076 222249 252246 173829 1140109 238709 253076 222249 252246 173829 1140109 2779 4349 7128 12507454 12937083 13951506 14715903 15927784 70039730 0.98360 0.98430 0.01630 0.01570 X SCHEDULE A, PART III, SECTION B, LINE 12, EXPLANATION FOR OTHER INCOME: EMPLOYEE MEALS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 111641 -195 111446 111834 -193 111641 112123 -289 111834 177093 -64970 112123 170538 6555 177093 0.00000 1.00000 0.00000 1 0 1957128 1957128 41062532 20554904 20507628 3653085 2698003 955082 3074295 1990839 1083456 24503294 HOUSING ENTRY FEES 5677959 F 5677959 SPECIAL ASSESSMENTS PAYABLE 21558 SEC MORT & NOTE PAY TO MEMB 3882013 SECURITY DEPOSITS 391370 HOUSING ENTRY FEES AND OTHER 4894624 9189565 X 15666071 -110676 -93978 -204654 15870725 14576 40559 55135 15925860 14818000 0 14818000 14576 206818 221394 15039394 PART V, LINE 4: EARNINGS ON THE CEDAR LAKE VILLAGE ENDOWMENT FUNDS WILL BE USED AS DIRECTED BY DONOR RESTRICTIONS OR THE BOARD'S DESIGNATION, ABSENT DONOR RESTRICTIONS. PART X, LINE 2: THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES WERE INCURRED. THE ORGANIZATION IS SUBJECT TO FEDERAL AND STATE TAX EXAMINATIONS BY TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -206,818. CHANGE IN VALUE OF INTEREST SWAP 112,840. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTION WITH DONOR RESTRICTIONS 90,735. NET ASSET RELEASED FROM RESTRICTIONS -50,176. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 206,818. A CITY OF OLATHE KANSAS 486034756 000000000 2015-05-15 19200000 SEE PART V 0 0 0 A 7137000 19200000 270367 7509781 11419852 2015 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 1 CENTER STATE BANK 20.600000000000 0 0 0 0 1 A 1 SCHEDULE K, PART I, COLUMN (F) DESCRIPTION OF PURPOSE: 2015: CONSTRUCT ADDITIONAL FACILITIES, PAY COSTS RELATED TO BOND ISSUANCE, REFUND OF CITY OF OLATHE, KS BOND ISSUE DATED 12/16/04, CUSIP 679390FB5, AND REFUND OF BANK OF AMERICA LINE OF CREDIT. FORM 990, PART V, LINES 1A AND 2A FORM 1099 AND W-2 PROCESSING IS COMPLETED BY THE MANAGEMENT COMPANY, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, A MEMBER OF THE ORGANIZATION. AS SUCH, PART V LINES 1A AND 2A REPORT NO 1099'S OR W-2'S FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS DELEGATED MANAGEMENT DUTIES TO THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, A MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS ARE OLATHE MEDICAL CENTER, INC. AND THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. FORM 990, PART VI, SECTION A, LINE 7A THE TRUSTEES ARE APPOINTED BY THE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE DECISIONS OF THE GOVERNING BODY THAT ARE SUBJECT TO APPROVAL INCLUDE: ELECTION OF TRUSTEES AND OFFICERS; APPROVE ARTICLE AND BYLAW CHANGES; APPROVE OR REJECT NON-BUDGETED ACQUISITIONS, EXPENDITURES, OR DISPOSALS OF A VALUE IN EXCESS OF $100,000; DISTRIBUTIONS TO MEMBERS; APPROVE INCURRENCE OF DEBT BY CEDAR LAKE VILLAGE, INC ("CLV") IN EXCESS OF $100,000; AND APPROVE LIENS OF ANY CLV PROPERTY HAVING A VALUE IN EXCESS OF $100,000. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B AN ELECTRONIC COPY OF FORM 990 IS SENT TO EACH MEMBER OF THE BOARD PRIOR TO ITS FILING. THE ORGANIZATION'S OFFICERS AND MANAGEMENT ARE AN INTEGRAL PART OF THE PREPARATION OF THE FORM 990 AND HAVE AN ON-GOING REVIEW OF THE FORM 990 AS IT IS PREPARED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ASKS THAT ALL OFFICERS AND DIRECTORS COMPLY WITH THE IRS CONFLICT OF INTEREST AND DISCLOSURE CERTIFICATION. THE ORGANIZATION REQUIRES ALL OFFICERS AND DIRECTORS TO PROVIDE A SIGNED COPY TO THE CORPORATION'S MAIN OFFICE ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: SWAP VALUATION CHANGE 112,840. AMORTIZATION OF DE-RECOGNITION OF INTEREST RATE SWAP 60,871. CHANGE IN BENEFICIAL INTEREST 19,163. CHANGE IN ENDOWMENT FUNDS -195.