COMMUNITY LTC INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY LTC INC (EIN 35-1877441)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-15
IRS object ID
202443209349309084
Schema version
2023v5.1
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)
Return2024-11-15T08:58:28-08:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351834873PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GORDON & GORDON PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19850 N 950 EAddressLine1Txt
CityBROWNSBURGCityNm
State AbbreviationINStateAbbreviationCd
ZIP46112ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351877441EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Community LTC IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone7652032681PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11030 South Scatterfield RdAddressLine1Txt
CityAndersonCityNm
State AbbreviationINStateAbbreviationCd
ZIP46012ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDiana SmithPersonNm
Person TitleVice Pres/CFOPersonTitleTxt
Phone7652032681PhoneNum
Signature2024-11-13SignatureDt
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 PersonBrian S Gordon CPAPreparerPersonNm
PTINP00522631PTIN
Phone3178525292PhoneNum
Preparation2024-11-15PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Elizabeth HarpeBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11030 South Scatterfield RdAddressLine1Txt
CityAndersonCityNm
State AbbreviationINStateAbbreviationCd
ZIP46012ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,495,057GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionTo provide room, board, and nursing care services as well as assisted living services to elderly citizens of Madison and surrounding counties.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee417TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$39,048PYContributionsGrantsAmt
CY Contributions Grants$42,600CYContributionsGrantsAmt
PY Program Service Revenue$13,958,796PYProgramServiceRevenueAmt
CY Program Service Revenue$14,272,982CYProgramServiceRevenueAmt
PY Investment Income$539PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$147,651PYOtherRevenueAmt
CY Other Revenue$179,475CYOtherRevenueAmt
PY Total Revenue$14,146,034PYTotalRevenueAmt
CY Total Revenue$14,495,057CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,475,686PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,138,209CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$570,731PYOtherExpensesAmt
CY Other Expenses$858,054CYOtherExpensesAmt
PY Total Expenses$13,046,417PYTotalExpensesAmt
CY Total Expenses$13,996,263CYTotalExpensesAmt
PY Revenues Less Expenses$1,099,617PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$498,794CYRevenuesLessExpensesAmt
Total Assets BOY$19,233,530TotalAssetsBOYAmt
Total Assets EOY$19,714,999TotalAssetsEOYAmt
Total Liabilities BOY$1,502,401TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,525,401TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,731,129NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$18,189,598NetAssetsOrFundBalancesEOYAmt
MissionTo provide room, board, and nursing care services as well as assisted living services to elderly citizens of Madison and surrounding counties.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$13,095,354ExpenseAmt
Grant$0GrantAmt
Revenue$14,272,982RevenueAmt
DescCommunity Long Term Care, Inc. (CLTC) operates 3 nursing facilities with a total of 254 licensed beds of which 193 are licensed as skilled nursing beds and 1 assisted living facility. The facility provides long term nursing care or assisted living to area residents who need such services. CLTC participates in the Medicare, Medicaid, Tri-Care, and other government sponsored health care programs as well as private managed care and other health insurance programs. The staff at CLTC make every effort to provide quality services to the residents. Goals are to 1) meet or exceed expectations, 2) display a positive and energetic attitude, 3) honor the dignity, value and involvement of others, 4) provide high quality services at a reasonable cost, and 5) continously improve services. The CLTC governing body is comprised of independent members of the community.Desc
Total Program Service Expenses$13,095,354TotalProgramServiceExpensesAmt
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 AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
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 OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
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 EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee417EmployeeCnt
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
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 AddressYes (true)OfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Diana SmithBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7652032681PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11030 South Scatterfield RdAddressLine1Txt
CityAndersonCityNm
State AbbreviationINStateAbbreviationCd
ZIP46012ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
LeVeda Standifer
Secretary/Treasurer0.50Yes (X)$0$0$0
John Longneker
Member-Board of Directors0.50Yes (X)$0$0$0
Brandon Aiman
Member-Board of Directors0.50Yes (X)$0$0$0
Elizabeth Harpe
President/CEO40.00$193,617$0$10,150Yes (X)
Diana Smith
Vice Pres/CFO40.00$190,873$0$62,151Yes (X)
John Harris
Chairman0.50Yes (X)$0$0$0
Mary Jo Lee
Member-Board of Directors0.50Yes (X)$0$0$0
Dr Kelly Chambers
Member-Board of Directors0.50Yes (X)$0$0$0
Elizabeth Tharp
Member-Board of Directors0.50Yes (X)$0$0$0
Mike Owens
Member-Board of Directors0.50Yes (X)$0$0$0
Betty Crum
Member-Board of Directors0.50Yes (X)$0$0$0
Kerry Robinson
Member-Board of Directors0.50Yes (X)$0$0$0
Michelle Ball
Director of Resource0.50$167,783$0$907Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$552,273TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$73,208TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$2,500GovernmentGrantsAmt
All Other Contributions$40,100AllOtherContributionsAmt
Total Contributions$42,600TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescProgram Service RevenueDesc
Business623000BusinessCd
Total Revenue Column$14,272,982TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$14,272,982TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMisc. IncomeDesc
Business623000BusinessCd
Total Revenue Column$179,475TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$179,475ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$179,475OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,495,057TotalRevenueColumnAmt
Related Or Exempt Func Income$14,272,982RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$179,475ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$384,490TotalAmt
Program Services$0ProgramServicesAmt
Management And General$384,490ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,346,747TotalAmt
Program Services$10,042,315ProgramServicesAmt
Management And General$304,432ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,628,856TotalAmt
Program Services$1,514,836ProgramServicesAmt
Management And General$114,020ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$778,116TotalAmt
Program Services$723,648ProgramServicesAmt
Management And General$54,468ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$719TotalAmt
Program Services$719ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,643TotalAmt
Program Services$4,643ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$21,993TotalAmt
Program Services$0ProgramServicesAmt
Management And General$21,993ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$982TotalAmt
Program Services$0ProgramServicesAmt
Management And General$982ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,496TotalAmt
Program Services$5,496ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$355TotalAmt
Program Services$355ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$79,902TotalAmt
Program Services$79,902ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$698,975TotalAmt
Program Services$696,353ProgramServicesAmt
Management And General$2,622ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,860TotalAmt
Program Services$345ProgramServicesAmt
Management And General$4,515ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$40,129TotalAmt
Program Services$26,742ProgramServicesAmt
Management And General$13,387ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,996,263TotalAmt
Program Services$13,095,354ProgramServicesAmt
Management And General$900,909ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,865,306BOYAmt
EOY$1,860,899EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,299,238BOYAmt
EOY$10,096,139EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$140,446BOYAmt
EOY$111,607EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,339,240LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,692,886LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,928,540BOYAmt
EOY$7,646,354EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$19,233,530BOYAmt
EOY$19,714,999EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$759BOYAmt
EOY$120,300EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$28,441BOYAmt
EOY$25,707EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,442,733BOYAmt
EOY$1,348,555EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,468BOYAmt
EOY$30,839EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,502,401BOYAmt
EOY$1,525,401EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,731,129BOYAmt
EOY$18,189,598EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,731,129BOYAmt
EOY$18,189,598EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,233,530BOYAmt
EOY$19,714,999EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$498,794ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$40,325PriorPeriodAdjustmentsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind
Other Support Sum$0OtherSupportSumAmt
Public Support CY1700PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,695,653CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$39,048CurrentTaxYearMinus1YearAmt
Current Tax Year$42,600CurrentTaxYearAmt
Total$1,777,301TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,386,119CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,270,007CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,870,617CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,958,796CurrentTaxYearMinus1YearAmt
Current Tax Year$14,272,982CurrentTaxYearAmt
Total$66,758,521TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,386,119CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,270,007CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,566,270CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,997,844CurrentTaxYearMinus1YearAmt
Current Tax Year$14,315,582CurrentTaxYearAmt
Total$68,535,822TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$68,535,822PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,620CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,846CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$539CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$7,005TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,620CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,846CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$539CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$7,005TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$41,246CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,236CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,455CurrentTaxYearMinus2YearsAmt
Total$66,937TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$68,609,764TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99890PublicSupportCY509Pct
Public Support PY5090.99860PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00020InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePt III Ln 12FormAndLineReferenceDesc
ExplanationOther Income Part III, Line 12 Description: Other Income 2019: 41246. 2020: 9236. 2021: 16455.ExplanationTxt

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

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$220,561OtherCostOrOtherBasisAmt
Book Value$220,561BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,410,673OtherCostOrOtherBasisAmt
Depreciation$5,615,149DepreciationAmt
Book Value$6,795,524BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,708,006OtherCostOrOtherBasisAmt
Depreciation$1,077,737DepreciationAmt
Book Value$630,269BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,646,354TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Resident Funds$3,183
Due to Other$27,656
FieldValueIRS element (for citing)
Total Liability$30,839TotalLiabilityAmt

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 (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Elizabeth Harpe
$193,617$0$0$0$0$0$0$0$10,150$0$203,767$0$0$0
Diana Smith
$190,873$0$0$0$0$0$0$0$62,151$0$253,024$0$0$0
Michelle Ball
$167,783$0$0$0$0$0$0$0$907$0$168,690$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (56 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bThe Form 990 is prepared by an outside Accountant.
Pt VI, Line 11bA complete copy of Form 990 was provided to the CFO prior
Pt VI, Line 11bto filing. The CFO will forward the Form 990 to each member
Pt VI, Line 11bof the Board of Directors who will discuss it with each
Pt VI, Line 11bmember and answer any questions.
Pt VI, Line 12cThe conflict of interest policy is discussed with new
Pt VI, Line 12cboard members at the start of their term.
Pt VI, Line 12cThe board of directors and key employees are required to
Pt VI, Line 12csign the conflict of interest policy and disclose any
Pt VI, Line 12cconflicts at the beginning of every Board Meeting and
Pt VI, Line 12con an annual basis. Board members are prohibited from
Pt VI, Line 12cvoting or exerting personal influence related to any issue
Pt VI, Line 12cthat presents a conflict of interest.
Pt VI, Line 15aTop management compensation of Community LTC, Inc. is
Pt VI, Line 15adetermined by the Board of Directors. The Board of
Pt VI, Line 15aDirectors evaluates the performance of the CEO and CFO and
Pt VI, Line 15adetermines compensation based on average compensation
Pt VI, Line 15aincreases in the industry in general and compensation at
Pt VI, Line 15asimilar facilities.
Pt VI, Line 15aCommunity LTC, Inc. participates in a state and national
Pt VI, Line 15aindustry trade association which conducts an annual wage
Pt VI, Line 15asurvey - this survey is utilized for evaluation of
Pt VI, Line 15asalaries and wages.
Pt VI, Line 15bOther officers and key employees compensation is proposed
Pt VI, Line 15bby the CEO for Board of Directors approval as part of
Pt VI, Line 15bthe annual budget process. The CEO and CFO together review
Pt VI, Line 15bthe performance of department heads and other regular
Pt VI, Line 15bemployees determining compensation adjustments based on
Pt VI, Line 15bindustry adjustments and compensation levels at other
Pt VI, Line 15bfacilities. Community, LTC, Inc. participates in a state
Pt VI, Line 15band national industry trade association which conducts an
Pt VI, Line 15bannual wage survey - this survey is utilized for
Pt VI, Line 15bevaluation of salaries and wages.
Pt VI, Line 19A) The articles of incorporation and certificate of
Pt VI, Line 19existence are on file with the Indiana Secretary of State
Pt VI, Line 19and are available to the public upon request to the
Pt VI, Line 19Indiana Secretary of State.
Pt VI, Line 19B) Community LTC, Inc. conflict of interest policy is
Pt VI, Line 19available to the public upon request.
Pt VI, Line 19Community LTC, Inc. does file the Form 990 tax return,
Pt VI, Line 19Medicaid and Medicare Cost Reports with the appropriate
Pt VI, Line 19agencies on an annual basis. The Form 990 tax return is
Pt VI, Line 19available upon request and/or available on a delayed
Pt VI, Line 19basis on GuideStar.com. The Medicaid and Medicare
Pt VI, Line 19Cost Reports are available via Freedom of Information
Pt VI, Line 19Request filed with the applicable agencies.
Form 990, Part VI, Line 9Betty Crum 6897 N 200 East Alexandria IN 46001
Form 990, Part VI, Line 9John Longnecker 940 Meridian Street Anderson IN 46016
Form 990, Part VI, Line 9Brandon Aiman 14726 N 300 W Summitville IN 46070
Form 990, Part VI, Line 9John Harris 217 Somerville Rd. Anderson IN XXX-XX-XXXX
Form 990, Part VI, Line 9Mary Jo Lee P.O. Box 1302 Anderson IN 46015
Form 990, Part VI, Line 9Dr. Kelly Chambers 9739 W. 400 N. Noblesville IN 46060
Form 990, Part VI, Line 9Elizabeth Tharp 1515 N. Madison Ave. Anderson IN 46011
Form 990, Part VI, Line 9Mike Owens 412 N. Harrison Alexandria IN 46001
Form 990, Part VI, Line 9Kerry Robinson 4012 Northwood Lane Anderson IN 46012
Form 990, Part VI, Line 9LeVeda Standifer PO Box 2749 Anderson IN 46018

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