2025-11-17T17:15:48-06:00 2025-08-31 470698853 BLAND & ASSOCIATES 450 REGENCY PARKWAY OMAHA NE 68114 990 2024-09-01 486110967 CHENEY GOLDEN AGE HOME INC CHEN 3165403691 724 NORTH MAIN STREET CHENEY KS 67025 PAULA VOTH TREASURER 3165403691 2025-11-17 1 0 JASON REINEKE P00849420 4023978822 2025-11-10 2024 2025-03-06 01:10:19Z PAULA VOTH 724 N MAIN ST CHENEY KS 67025 5466089 0 X WWW.CHENEYGOLDENAGE.ORG X 1962 KS PROVIDE QUALITY HEALTHCARE AND PERSONAL CARES FOR RESIDENTS IN A CARING ENVIRONMENT. MAINTAINING RESIDENTS HIGHEST FUNCTIONAL AND PRACTICABLE LEVELS OF FUNCTION. 7 7 121 2 0 0 3849 684650 4403380 4727421 110 1065 31596 52953 4438935 5466089 0 0 0 0 2954635 3148492 0 0 0 1327270 1531237 4281905 4679729 157030 786360 1634530 2364005 280916 224031 1353614 2139974 X CHENEY GOLDEN AGE HOME, INC. IS DEDICATED TO THE CONCERNS OF OUR RESIDENTS. OUR PRIMARY CONCERNS ARE THE NEEDS, INTERESTS, AND ABILITIES OF EACH INDIVIDUAL RESIDENT. THIS INCLUDES PROVIDING QUALITY CARE IN A CARING ENVIRONMENT AND MAINTAINING RESIDENTS AT THEIR HIGHEST PRACTICABLE LEVEL OF FUNCTIONING. 0 0 3785503 4727421 CHENEY GOLDEN AGE HOME, INC IS A 40-BED NURSING FACILITY WITH AN ADDITIONAL EIGHT-BED HOMES PLUS. WE PROVIDED SKILLED NURSING SERVICES, LONG TERM CARE AND SHORT TERM RESPITE STAYS. 3785503 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 121 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X JESSICA MARTIN 3165403691 724 N MAIN ST CHENEY KS 67025 GLEN KOHLER PRESIDENT 1.00 X X 0 0 0 LINDA BALL VICE-PRESIDENT 1.00 X X 0 0 0 PAULA VOTH TREASURER 1.00 X X 0 0 0 LINDA BEAUCHAMP DIRECTOR 1.00 X 0 0 0 TERRY KOHLER DIRECTOR 1.00 X 0 0 0 JASON MIDDLETON DIRECTOR 1.00 X 0 0 0 CHERYL LOCKE DIRECTOR 1.00 X 0 0 0 JESSICA MARTIN ADMINISTRATOR 40.00 X 79146 0 5832 NICKY JONES DIRECTOR OF NURSING 40.00 X 107122 0 0 186268 0 5832 1 0 0 0 0 672028 12622 684650 RESIDENT SERVICES 623000 4727421 4727421 4727421 1065 1065 OTHER REVENUE 900099 37781 37781 BEAUTY SHOP INCOME 812900 8166 8166 EMPLOYEE/GUEST MEALS 722513 4211 4211 2795 2795 52953 5466089 4727421 0 54018 84979 78719 6260 2578030 2388125 189905 303056 280732 22324 182427 168989 13438 107783 5236 102547 917 917 102398 862 101536 109824 103651 6173 2069 775 1294 1025 1025 118515 18680 99835 114579 61157 53422 CONTRACT SERVICES 273893 243059 30834 BAD DEBT EXPENSE 224219 17566 206653 FOOD EXPENSE 194560 194560 HOUSEKEEPING AND LAUNDR 64243 64243 217212 159149 58063 4679729 3785503 894226 0 134560 1041835 527883 280425 59149 64011 4487878 3573896 849186 913982 63752 63752 1634530 2364005 239916 224031 41000 0 280916 224031 X 1338614 2124974 15000 15000 1353614 2139974 1634530 2364005 786360 0 X 0 0 0 X 800212 273678 348384 3849 684650 2110773 3366771 3505601 3890573 4403380 4727421 19893746 4166983 3779279 4238957 4407229 5412071 22004519 39467 12101 51568 1036653 1248303 2284956 1076120 1260404 2336524 19667995 1514 131133 863 110 1065 134685 1514 131133 863 110 1065 134685 59024 44404 60014 31596 52953 247991 4227521 3954816 4299834 4438935 5466089 22387195 0.87850 0.84270 0.00600 0.00640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 353 0 0 353 0 PART II-B, LINE 1: 10% OF LEADING AGE DUES ARE DEDICATED TO LOBBYING. 74266 74266 2451786 1952351 499435 330533 209849 120684 1631293 1411696 219597 913982 X PART X, LINE 2: THE ORGANIZATION HAS RECEIVED EXEMPTION FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. AS SUCH, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, IN THE U.S. FEDERAL AND STATE JURISDICTIONS. AS OF AUGUST 31, 2025, THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. TAX YEARS SUBSEQUENT TO 2021 REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS. THE ORGANIZATION HAS CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRING DISCLOSURE, AND THERE ARE NO MATERIAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 FORM WITH ALL REQUESTED SCHEDULES ARE THEN PROVIDED TO THE ADMINISTRATOR AND ALL VOTING MEMBERS OF THE BOARD FOR THEIR REVIEW. ANY QUESTIONS AND CONCERNS THE ADMINISTRATOR AND BOARD MEMBERS HAVE ARE ADRESSED AND ANY CORRECTIONS OR CLAIRIFICATIONS ARE MADE. THE FINAL 990 FORM IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990. FORM 990, PART VI, SECTION B, LINE 12C AT THE TIME OF HIRE (OR ELECTION IN THE CASE OF CORPORATE DIRECTORS AND TRUSTEES) AND ANNUALLY THEREAFTER, EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS WILL BE PROVIDED A COPY OF THE CONFLICT OF INTEREST POLICY AND THE APPLICABLE CONFLICT OF INTEREST DISCLOSURE FORM AND QUESTIONNAIRE, WHICH SHALL BE COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES WITH RESPECT TO WHICH IT IS BELIEVED A CONFLICT MAY ARISE. IF THE BOARD DETERMINES THAT A CONFLICT OF INTEREST EXISTS, PROCEDURES TO ADDRESS THE CONFLICT INCLUDE HEARING A PRESENTATION FROM THE INTERESTED PERSON AND INVESTIGATING ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. IF A MORE ADVANTAGEOUS TRANSACTION IS NOT REASONABLY POSSIBLE, THE BOARD SHALL DETERMINE BY MAJORITY VOTE OF THE DISINTERESTED BOARD MEMBERS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE COMPANY'S BEST INTEREST AND WHETHER IT IS FAIR AND REASONABLE. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD USED INFORMATION FROM PHA TO DECIDE UPON ADMINISTRATOR'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. PROGRESSIVE HEALTHCARE ALLIANCE INC PO BOX 3684 LAWRENCE KS 66046 481194308 PURCHASING KS 501(C)(3) LINE 12A, I N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0