CHURCH HOME REHABILITATION AND HEALTHCARE LLC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
CHURCH HOME REHABILITATION AND HEALTHCARE LLC (EIN 45-1630208)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-13
IRS object ID
202501339349306650
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-05-13T15:03:04-04:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN581094351PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MCNAIR MCLEMORE MIDDLEBROOKS & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX ONEAddressLine1Txt
CityMACONCityNm
State AbbreviationGAStateAbbreviationCd
ZIP312020001ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN451630208EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHURCH HOME REHABILITATION ANDBusinessNameLine1Txt
Business Name Line2HEALTHCARE LLCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCHURBusinessNameControlTxt
Phone4789871239PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1376AddressLine1Txt
CityPERRYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31069ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGLENN SMITHPersonNm
Person TitleCOOPersonTitleTxt
Phone4789871239PhoneNum
Signature2024-05-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERESA F BEHRMANPreparerPersonNm
PTINP01055799PTIN
Phone4787466277PhoneNum
Preparation2025-05-13PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHARLES CHIP BISHOPPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16131 FALLS OF NEUSE ROAD SUITE 200AddressLine1Txt
CityRALEIGHCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27609ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,332,293GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LIFESPRINGCOMMUNITY.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2017FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionPROVIDE THE HIGHEST QUALITY NURSING CARE AND REHABILITATION POSSIBLE FOR RESIDENTS REQUIRING SHORT TERM OR LONG TERM CARE.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee189TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,550,287PYContributionsGrantsAmt
CY Contributions Grants$491,594CYContributionsGrantsAmt
PY Program Service Revenue$8,076,844PYProgramServiceRevenueAmt
CY Program Service Revenue$8,703,131CYProgramServiceRevenueAmt
PY Investment Income$195,354PYInvestmentIncomeAmt
CY Investment Income$76,777CYInvestmentIncomeAmt
PY Other Revenue$69,930PYOtherRevenueAmt
CY Other Revenue$60,791CYOtherRevenueAmt
PY Total Revenue$9,892,415PYTotalRevenueAmt
CY Total Revenue$9,332,293CYTotalRevenueAmt
CY Grants And Similar Paid$100,000CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,110,664PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,062,668CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,093,572PYOtherExpensesAmt
CY Other Expenses$4,541,783CYOtherExpensesAmt
PY Total Expenses$8,204,236PYTotalExpensesAmt
CY Total Expenses$9,704,451CYTotalExpensesAmt
PY Revenues Less Expenses$1,688,179PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$372,158CYRevenuesLessExpensesAmt
Total Assets BOY$17,318,373TotalAssetsBOYAmt
Total Assets EOY$17,479,439TotalAssetsEOYAmt
Total Liabilities BOY$9,458,136TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,991,360TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,860,237NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,488,079NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE THE HIGHEST QUALITY NURSING CARE AND REHABILITATION POSSIBLE FOR RESIDENTS REQUIRING SHORT TERM OR LONG TERM CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,982,063ExpenseAmt
Grant$100,000GrantAmt
Revenue$8,703,131RevenueAmt
DescPROVIDE THE HIGHEST QUALITY NURSING CARE AND REHABILITATION POSSIBLE FOR RESIDENTS REQUIRING SHORT TERM OR LONG TERM CARE.Desc
Total Program Service Expenses$7,982,063TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document64IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee189EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGLENN SMITHPersonNm
Phone4789871239PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15800 ZEBULON ROADAddressLine1Txt
CityMACONCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31210ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
GLENN SMITH
COO40.00Yes (X)$174,545$0$0
DAWN G DUNBAR
ADMINISTRATO40.00$136,865$0$0Yes (X)
CHARLES CHIP BISHOP
CHAIRMAN3.00Yes (X)$0$0$0Yes (X)
JORDAN COLLIER
TREASURER1.00Yes (X)$0$0$0Yes (X)
MARIOLA COSBY
DIRECTOR1.00$0$0$0Yes (X)
ELWOOD COLLIER JR
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
FRANK ROBUCK JR
DIRECTOR1.00$0$0$0Yes (X)
TRACY ROGERS
SECRETARY1.00$0$0$0Yes (X)
RANDALL WALKER
DIRECTOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$311,410TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TREY'S LAWN SERVICEBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line12204 BARNES ROADAddressLine1Txt
CityMACONCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31216ZIPCd
FieldValueIRS element (for citing)
ServicesLAWN SERVICEServicesDesc
Compensation$142,582CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$1,303GovernmentGrantsAmt
All Other Contributions$490,291AllOtherContributionsAmt
Total Contributions$491,594TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET RESIDENT SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$8,703,131TotalRevenueColumnAmt
Related Or Exempt Func Income$8,703,131RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$8,703,131TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$76,777TotalRevenueColumnAmt
Related Or Exempt Func Income$76,777RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER OPERATING REVENUEDesc
Business623000BusinessCd
Total Revenue Column$60,791TotalRevenueColumnAmt
Related Or Exempt Func Income$60,791RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$60,791OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,332,293TotalRevenueColumnAmt
Related Or Exempt Func Income$8,840,699RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$100,000TotalAmt
Program Services$100,000ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,451,178TotalAmt
Program Services$3,721,742ProgramServicesAmt
Management And General$729,436ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$32,689TotalAmt
Program Services$12,557ProgramServicesAmt
Management And General$20,132ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$253,213TotalAmt
Program Services$216,048ProgramServicesAmt
Management And General$37,165ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$325,588TotalAmt
Program Services$273,372ProgramServicesAmt
Management And General$52,216ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,233,987TotalAmt
Program Services$2,350,548ProgramServicesAmt
Management And General$883,439ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$387,449TotalAmt
Program Services$387,449ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$626,999TotalAmt
Program Services$626,999ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
LEASE$240,000$240,000
BAD DEBTS$53,348$53,348

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,704,451TotalAmt
Program Services$7,982,063ProgramServicesAmt
Management And General$1,722,388ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,146,267BOYAmt
EOY$1,540,735EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$21,129BOYAmt
EOY$2,930EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$302,772BOYAmt
EOY$565,196EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$85,571BOYAmt
EOY$106,843EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,862,899LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,839,790LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,286,420BOYAmt
EOY$14,023,109EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,476,214BOYAmt
EOY$1,240,626EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,318,373BOYAmt
EOY$17,479,439EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$540,543BOYAmt
EOY$942,486EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$131,978BOYAmt
EOY$43,847EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt
EOY$590,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$5,865,000BOYAmt
EOY$6,020,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,870,615BOYAmt
EOY$2,395,027EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,458,136BOYAmt
EOY$9,991,360EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$7,860,237BOYAmt
EOY$7,488,079EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,860,237BOYAmt
EOY$7,488,079EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,318,373BOYAmt
EOY$17,479,439EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$372,158ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$391,592CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,120,905CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$820,936CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,550,287CurrentTaxYearMinus1YearAmt
Current Tax Year$491,594CurrentTaxYearAmt
Total$5,375,314TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,680,616CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,002,041CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,298,340CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,342,128CurrentTaxYearMinus1YearAmt
Current Tax Year$8,840,699CurrentTaxYearAmt
Total$37,163,824TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,072,208CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,122,946CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,119,276CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,892,415CurrentTaxYearMinus1YearAmt
Current Tax Year$9,332,293CurrentTaxYearAmt
Total$42,539,138TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$42,539,138PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,072,208CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,122,946CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,119,276CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,892,415CurrentTaxYearMinus1YearAmt
Current Tax Year$9,332,293CurrentTaxYearAmt
Total$42,539,138TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,946,050OtherCostOrOtherBasisAmt
Depreciation$774,056DepreciationAmt
Book Value$1,171,994BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,171,994TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
OPERATING RIGHT OF USE ASSET$1,190,027
CERTIFICATE OF NEED COSTS$50,599
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,240,626TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
NOTES PAYABLE TO RELATED PARTIES$1,225,000
OPERATING LEASE LIABILITY$1,170,027
FieldValueIRS element (for citing)
Total Liability$2,395,027TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$9,332,293TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$9,332,293RevenueSubtotalAmt
Total Revenue Per Form990$9,332,293TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,704,451TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$9,704,451ExpensesSubtotalAmt
Total Expenses Per Form990$9,704,451TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRIST SANCTIFIED HOLY CHURCH INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1465AddressLine1Txt
CityPERRYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31069ZIPCd
FieldValueIRS element (for citing)
Recipient EIN586014581RecipientEIN
Cash Grant$100,000CashGrantAmt
FieldValueIRS element (for citing)
Total Other Org1TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonGLENN SMITHPersonNm
TitleCOOTitleTxt
Base Compensation Filing Org$174,545BaseCompensationFilingOrgAmt
Total Compensation Filing Org$174,545TotalCompensationFilingOrgAmt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan To OrganizationLoanToOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
CHRIST SANCTIFIED HOLY CHURCH INC
OWNERASSIST WITH FINANCING OF RENOVATIONYes (X)$540,000$540,000falseYes (true)Yes (true)
ELWOOD T COLLIER JR
DIRECTORASSIST WITH FINANCING OF RENOVATIONYes (X)$50,000$50,000falseYes (true)Yes (true)
FieldValueIRS element (for citing)
Total Balance Due$590,000TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE DIRECTORS AND CHIEF OPERATION OFFICER REVIEWS THE FORM 990 PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12CTHE BOARD OF MANAGERS ANNUALLY REVIEWS POTENTIAL CONFLICTS OF INTEREST AND BY BOARD ACTION DETERMINES IF A CONFLICT EXISTS.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION'S PUBLIC DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GNURSING AND SPEC SERVICES 1,229,786 0 0 DIETARY 650,772 0 0 LAUNDRY AND HOUSEKEEPING 64,022 0 0 PLANT OPERATIONS 405,968 0 0 ADMINISTRATIVE 0 883,439 0 TOTAL 2,350,548 883,439 0

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CHRIST'S SANCTIFIED HOLY CHURCH INBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1376AddressLine1Txt
CityPERRYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31069ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesCHURCHPrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd
Exempt Code Section501C3ExemptCodeSectionTxt
Public Charity Status1PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SAMEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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