FAIRHAVEN CHRISTIAN HOME: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- FAIRHAVEN CHRISTIAN HOME (EIN 36-2606227)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-10-31
- IRS object ID
- 202303049349302185
- Schema version
- 2022v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-10-31T16:17:50-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 170 N RADNOR-CHESTER RD SUITE 200 | AddressLine1Txt |
| City | RADNOR | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19087 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362606227 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAIRHAVEN CHRISTIAN RETIREMENT CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FAIR | BusinessNameControlTxt |
| Phone | 8158771441 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3470 N ALPINE ROAD | AddressLine1Txt |
| City | ROCKFORD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61114 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEITH PENNINGTON | PersonNm |
| Person Title | DIRECTOR OF FINANCE | PersonTitleTxt |
| Phone | 8158771441 | PhoneNum |
| Signature | 2023-10-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KEITH | PersonFirstNm |
| Person Last | PENNINGTON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SOLOMON MARDAKHAEV | PreparerPersonNm |
| PTIN | P01806552 | PTIN |
| Phone | 6105653930 | PhoneNum |
| Preparation | 2023-10-25 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KEITH PENNINGTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3470 N ALPINE ROAD | AddressLine1Txt |
| City | ROCKFORD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,646,998 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FAIRHAVEN.CC | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1965 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE A COMFORTABLE LIFESTYLE AND EXCEPTIONAL CARE WHICH ENHANCES QUALITY OF LIFE IN A MANNER THAT GLORIFIES GOD. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 351 | TotalEmployeeCnt |
| Total Volunteers | 63 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,272,952 | PYContributionsGrantsAmt |
| CY Contributions Grants | $883,750 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,287,378 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,342,603 | CYProgramServiceRevenueAmt |
| PY Investment Income | $181,820 | PYInvestmentIncomeAmt |
| CY Investment Income | $110,843 | CYInvestmentIncomeAmt |
| PY Other Revenue | $250,401 | PYOtherRevenueAmt |
| CY Other Revenue | $309,802 | CYOtherRevenueAmt |
| PY Total Revenue | $15,992,551 | PYTotalRevenueAmt |
| CY Total Revenue | $15,646,998 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,306,835 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,190,301 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $32,820 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $52,200 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $54,270 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,977,221 | PYOtherExpensesAmt |
| CY Other Expenses | $6,490,810 | CYOtherExpensesAmt |
| PY Total Expenses | $15,316,876 | PYTotalExpensesAmt |
| CY Total Expenses | $16,733,311 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $675,675 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,086,313 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $28,131,692 | TotalAssetsBOYAmt |
| Total Assets EOY | $26,813,696 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,696,463 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,029,406 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,435,229 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,784,290 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | FAIRHAVEN CHRISTIAN RETIREMENT CENTER'S MISSION IS TO PROVIDE A COMFORTABLE LIFESTYLE AND EXCEPTIONAL CARE WHICH ENHANCES QUALITY OF LIFE IN A MANNER THAT GLORIFIES GOD. THE CENTER IS DESIGNED AND EQUIPPED SPECIFICALLY FOR THE COMFORT, CONVENIENCE, AND SAFETY OF THE ELDERLY PEOPLE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,202,720 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $6,184,475 | RevenueAmt |
| Desc | NURSING CARE:THE CENTER OPERATES A 96 BED NURSING CARE FACILITY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,129,242 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $5,386,675 | RevenueAmt |
| Desc | INDEPENDENT LIVING AND RESIDENTIAL CARE:THE CENTER OPERATES 112 UNITS OF INDEPENDENT LIVING DUPLEXES AND A 92 UNIT INDEPENDENT LIVING RESIDENTIAL APARTMENT FACILITY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,914,831 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $2,771,453 | RevenueAmt |
| Desc | SUPPORTIVE CARE:THE CENTER OPERATES A 50 BED SUPPORTIVE CARE FACILITY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $15,246,793 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 24 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 351 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEITH PENNINGTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8158771441 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3470 N ALPINE ROAD | AddressLine1Txt |
| City | ROCKFORD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61114 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| DAVID WILES | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHUCK SCHLUETER | |||||||
| VICE PRESIDENT | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAN NYBERG | |||||||
| SECRETARY | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| STEVE SJOGREN | |||||||
| TREASURER | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRENDA BUZZARD | |||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| TOM EWING | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| GREG JOHNSON | |||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| TERRY JOINER | |||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| PALMER KLAAS | |||||||
| DIRECTOR | 0.75 | Yes (X) | $0 | $0 | $0 | ||
| DAVID NORBERG | |||||||
| DIRECTOR | 0.75 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD THOMPSON | |||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| RITA VERSENDAAL | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| RANDY VOORHIES | |||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| LINDA DOHERTY | |||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| DWIGHT SWANSON | |||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| JEFF REIERSON | |||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $179,379 | $0 | $4,907 | ||
| KEITH PENNINGTON | |||||||
| DIRECTOR OF FINANCE | 40.00 | Yes (X) | $95,960 | $0 | $10,274 | ||
| HELEN HANDSCHUH | |||||||
| NURSE | 40.00 | $150,833 | $0 | $1,903 | Yes (X) | ||
| CHERYL MERRICK | |||||||
| NURSE | 40.00 | $123,603 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $549,775 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $17,084 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SHIFTKEY LLC | |||||
| PO BOX 735913 | DALLAS | TX | 753755913 | NURSING AGENCY SERVICES | $210,996 |
| MCKEE RENOVATION AND RESTORATION | |||||
| 6580 NORTH ALPINE DRIVE | BYRON | IL | 61010 | BUILDING REPAIRS AND RENOVATIONS | $193,507 |
| NURSES PRN | |||||
| 1101 E SOUTH RIVER STREET | APPLETON | WI | 327934729 | NURSING AGENCY SERVICES | $181,210 |
| GALE HEALTHCARE SOLUTIONS | |||||
| PO BOX 4729 | WINTER PARK | FL | 32793 | NURSING AGENCY SERVICES | $180,288 |
| SECURITAS SECURITY SYSTEMS | |||||
| 12672 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | SECURITY SERVICES | $145,594 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $403,413 | GovernmentGrantsAmt |
| All Other Contributions | $480,337 | AllOtherContributionsAmt |
| Total Contributions | $883,750 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NURSING CARE REVENUE | 623000 | $6,184,475 | $6,184,475 |
| INDEPENDENT LIVING REVENUE | 623000 | $5,386,675 | $5,386,675 |
| SUPPORTIVE CARE REVENUE | 623000 | $2,771,453 | $2,771,453 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,342,603 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $110,843 | TotalRevenueColumnAmt |
| Exclusion | $110,843 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $309,802 | TotalRevenueColumnAmt |
| Exclusion | $309,802 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $309,802 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,646,998 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,342,603 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $420,645 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,520 | TotalAmt |
| Management And General | $290,520 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,560,767 | TotalAmt |
| Program Services | $7,965,250 | ProgramServicesAmt |
| Management And General | $595,517 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,436 | TotalAmt |
| Program Services | $75,515 | ProgramServicesAmt |
| Management And General | $10,921 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $674,311 | TotalAmt |
| Program Services | $602,114 | ProgramServicesAmt |
| Management And General | $72,197 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $578,267 | TotalAmt |
| Program Services | $505,205 | ProgramServicesAmt |
| Management And General | $73,062 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $809 | TotalAmt |
| Program Services | $809 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,587 | TotalAmt |
| Management And General | $66,587 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,200 | TotalAmt |
| Fundraising | $52,200 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $697,828 | TotalAmt |
| Program Services | $697,828 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,121 | TotalAmt |
| Program Services | $39,121 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $244,277 | TotalAmt |
| Program Services | $244,277 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,159,690 | TotalAmt |
| Program Services | $1,159,690 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,526 | TotalAmt |
| Program Services | $4,526 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,659 | TotalAmt |
| Program Services | $43,659 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,040 | TotalAmt |
| Management And General | $163,040 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,734,788 | TotalAmt |
| Program Services | $1,734,788 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400,762 | TotalAmt |
| Program Services | $400,762 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| FOOD | $904,955 | $904,955 |
| SUPPLIES | $354,410 | $354,410 |
| OCCUPIED BED TAX | $283,686 | $283,686 |
| REPAIRS & MAINTENANCE | $209,404 | $209,404 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,268 | TotalAmt |
| Program Services | $20,794 | ProgramServicesAmt |
| Management And General | $160,404 | ManagementAndGeneralAmt |
| Fundraising | $2,070 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,733,311 | TotalAmt |
| Program Services | $15,246,793 | ProgramServicesAmt |
| Management And General | $1,432,248 | ManagementAndGeneralAmt |
| Fundraising | $54,270 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,400 | BOYAmt |
| EOY | $1,650 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,017,774 | BOYAmt |
| EOY | $1,637,901 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $245,772 | BOYAmt |
| EOY | $331,927 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,498 | BOYAmt |
| EOY | $178,441 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,367 | BOYAmt |
| EOY | $142,874 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $53,974,825 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $33,333,985 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,302,368 | BOYAmt |
| EOY | $20,640,840 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,151,557 | BOYAmt |
| EOY | $3,808,831 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,956 | BOYAmt |
| EOY | $71,232 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,131,692 | BOYAmt |
| EOY | $26,813,696 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,308,696 | BOYAmt |
| EOY | $1,610,439 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,999,914 | BOYAmt |
| EOY | $4,107,181 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,832,801 | BOYAmt |
| EOY | $4,458,137 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,956 | BOYAmt |
| EOY | $15,607 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $356,247 | BOYAmt |
| EOY | $317,566 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,180,849 | BOYAmt |
| EOY | $3,520,476 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,696,463 | BOYAmt |
| EOY | $14,029,406 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,406,010 | BOYAmt |
| EOY | $12,755,071 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,219 | BOYAmt |
| EOY | $29,219 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,435,229 | BOYAmt |
| EOY | $12,784,290 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,131,692 | BOYAmt |
| EOY | $26,813,696 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,086,313 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$564,626 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $271,589 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $288,143 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,624,570 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,272,952 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $883,750 | CurrentTaxYearAmt |
| Total | $6,341,004 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,171,915 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,413,900 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,346,873 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,287,378 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,342,603 | CurrentTaxYearAmt |
| Total | $67,562,669 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,443,504 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,702,043 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,971,443 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,560,330 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,226,353 | CurrentTaxYearAmt |
| Total | $73,903,673 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,455 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,555 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,126 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,125 | CurrentTaxYearAmt |
| Total | $64,261 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,455 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,555 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,126 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,125 | CurrentTaxYearAmt |
| Total | $64,261 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $73,839,412 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $111,147 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $107,039 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $101,219 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $181,820 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $110,843 | CurrentTaxYearAmt |
| Total | $612,068 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $111,147 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $107,039 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $101,219 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $181,820 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $110,843 | CurrentTaxYearAmt |
| Total | $612,068 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $283,343 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $268,045 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $228,987 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $250,401 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $309,802 | CurrentTaxYearAmt |
| Total | $1,340,578 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,837,994 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,077,127 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,301,649 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,992,551 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,646,998 | CurrentTaxYearAmt |
| Total | $75,856,319 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97340 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97320 | PublicSupportPY509Pct |
| Investment Income CY | 0.00810 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00810 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,250,402 | BeginningYearBalanceAmt |
| Contributions | $141,400 | ContributionsAmt |
| Investment Earnings Or Losses | -$396,327 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $16,112 | OtherExpendituresAmt |
| End Year Balance | $1,979,363 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,006,494 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $260,628 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $16,720 | OtherExpendituresAmt |
| End Year Balance | $2,250,402 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,656,600 | BeginningYearBalanceAmt |
| Contributions | $96,150 | ContributionsAmt |
| Investment Earnings Or Losses | $267,036 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $13,292 | OtherExpendituresAmt |
| End Year Balance | $2,006,494 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,306,596 | BeginningYearBalanceAmt |
| Contributions | $104,100 | ContributionsAmt |
| Investment Earnings Or Losses | $257,069 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $11,165 | OtherExpendituresAmt |
| End Year Balance | $1,656,600 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,339,187 | BeginningYearBalanceAmt |
| Contributions | $80,678 | ContributionsAmt |
| Investment Earnings Or Losses | -$102,540 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $10,729 | OtherExpendituresAmt |
| End Year Balance | $1,306,596 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.98520 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.01480 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,534,707 | OtherCostOrOtherBasisAmt |
| Book Value | $1,534,707 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,681,345 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,620,627 | DepreciationAmt |
| Book Value | $16,060,718 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,660,499 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,713,358 | DepreciationAmt |
| Book Value | $2,947,141 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $98,274 | OtherCostOrOtherBasisAmt |
| Book Value | $98,274 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,640,840 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ADVANCED DEPOSITS | $120,611 |
| REFUNDABLE FOUNDERS' FEES | $3,104,840 |
| SETTLEMENTS PAYABLE | $295,025 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,520,476 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $15,082,372 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$564,626 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$564,626 | RevenueNotReportedAmt |
| Revenue Subtotal | $15,646,998 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $15,646,998 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $16,733,311 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $16,733,311 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $16,733,311 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE ACCOUNT THAT THE ORGANIZATION IS A CUSTODIAN FOR IS RESIDENT TRUST FUNDS, WHICH ARE FOR RESIDENTS TO USE AS THEY WISH FOR PERSONAL EXPENSES. |
| PART V, LINE 4: | THE ORGANIZATION'S ENDOWMENT CONSISTS OF ONE FUND ESTABLISHED TO BENEFIT THE ORGANIZATION FOR A VARIETY OF PURPOSES. THE CENTER HAS ADOPTED AN INVESTMENT POLICY FOR ITS ENDOWMENT ASSETS THAT REQUIRES THE INVESTMENT PORTFOLIO TO BE MAINTAINED FOR LONG-TERM INVESTMENT PURPOSES. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOE SOSNOWSKI | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6153 MUIRFIELD LANE | AddressLine1Txt |
| City | ROCKFORD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | FUNDRAISING | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $0 | GrossReceiptsAmt |
| Retained By Contractor | $52,200 | RetainedByContractorAmt |
| Net To Organization | -$52,200 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | $52,200 | TotalRetainedByContractorsAmt |
| Total Net To Organization | -$52,200 | TotalNetToOrganizationAmt |
| Licensed States | IL | LicensedStatesCd |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFF REIERSON | ||||||||||||||
| EXECUTIVE DIRECTOR | $178,605 | $0 | $0 | $0 | $774 | $0 | $0 | $0 | $4,907 | $0 | $184,286 | $0 | $0 | $0 |
| HELEN HANDSCHUH | ||||||||||||||
| NURSE | $150,743 | $0 | $0 | $0 | $90 | $0 | $0 | $0 | $1,903 | $0 | $152,736 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | PLANE FLIGHT FOR SPOUSE TO ATTEND CONFERENCE WITH THE EXECUTIVE DIRECTOR. THIS HAS BEEN COMPANY PRACTICE FOR MANY YEARS. NOT INCLUDED IN TAXABLE COMPENSATION. |
| PART I, LINE 1B | THERE IS NO WRITTEN POLICY. HOWEVER, THIS ITEM IS SPECIFICALLY APPROVED BY THE BOARD OF DIRECTORS EACH YEAR. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF ROCKFORD WINNEBAGO COUNTY ILLINOIS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 366006082 | BondIssuerEIN |
| Bond Issued | 2009-06-17 | BondIssuedDt |
| Issue Price | $8,000,000 | IssuePriceAmt |
| Purpose | REPAY LINE OF CREDIT, BUILDING IMPROVEMENTS | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $3,541,863 | RetiredAmt |
| Total Proceeds | $8,000,000 | TotalProceedsAmt |
| Refunding Escrow | $880,666 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $140,108 | IssuanceCostsFromProceedsAmt |
| Working Capital Expenditures | $4,130,749 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $2,848,477 | CapitalExpendituresAmt |
| Substantial Completion | 2010 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERS OF THE ORGANIZATION SHALL BE THOSE PERSONS WHO FROM TIME TO TIME ARE ELECTED DIRECTORS OF THE GREAT LAKES DISTRICT CONFERENCE OF THE EVANGELICAL FREE CHURCH OF AMERICA OR ITS SUCCESSOR DISTRICT IN WHICH FAIRHAVEN CHRISTIAN RETIREMENT CENTER IS LOCATED. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS OF THE ORGANIZATION SHALL ELECT THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BY-LAWS MAY BE ALTERED, AMENDED OR REPEALED AND NEW BY-LAWS MAY BE ADOPTED BY RESOLUTION, ADOPTED BY A TWO-THIRDS VOTE OF THE BOARD OF DIRECTORS AND APPROVED BY MAJORITY OF THE MEMBERS OF THIS CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE COMPANY'S BOARD MEMBERS ARE REQUIRED TO COMPLETE THE CONFLICT OF INTEREST STATEMENT. THE POLICY IS REVIEWED BY THE BOARD ANNUALLY AND GIVEN TO EACH NEW BOARD MEMBER FOR SIGNATURE DURING ORIENTATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE EXECUTIVE DIRECTOR OF THE ORGANIZATION IS REVIEWED AND INCREASED DIRECTLY BY A COMMITTEE ON THE BOARD. THEY DO A PEER, SELF, AND BOARD EVALUATION TO DETERMINE PERFORMANCE AND PROVIDE A BASE FOR ADJUSTMENTS IN COMPENSATION. THE COMMITTEE ALSO LOOKS AT THE LEADING AGE (NATIONAL LONG-TERM CARE ORGANIZATION) COMPENSATION TO VERIFY THAT HE IS PAID COMPARABLY TO OTHER EXECUTIVE DIRECTORS WHO ARE EMPLOYED AT FACILITIES SIMILAR IN SIZE AND GEOGRAPHICAL LOCATION. MANAGERS' COMPENSATION IS EVALUATED BY THE EXECUTIVE DIRECTOR OR HIS MANAGEMENT TEAM. THEY USE PEER, SELF, AND MANAGER EVALUATIONS TO DETERMINE PERFORMANCE AND PROVIDE A BASE FOR ADJUSTMENTS IN COMPENSATION. THEIR COMPENSATION IS ALSO BASED ON COMPARISONS BETWEEN LEADING AGE AND AN INTERNAL HUMAN RESOURCES WAGE RANGE ANALYSIS CALCULATED EACH YEAR BY JOB CLASS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. INDIVIDUALS ARE ALLOWED TO REVIEW THE FINANCIAL STATEMENTS AND FORM 990 IN THE ORGANIZATION'S OFFICE. |
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