COMMUNITY LTC INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY LTC INC (EIN 35-1877441)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202213199349304986
- Schema version
- 2021v4.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T07:25:15-08:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351834873 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GORDON & GORDON PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9850 N 950 E | AddressLine1Txt |
| City | BROWNSBURG | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351877441 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community LTC Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 7652032681 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1030 South Scatterfield Rd | AddressLine1Txt |
| City | Anderson | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46012 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Diana Smith | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Phone | 7652032681 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Diana | PersonFirstNm |
| Person Last | Smith | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DON GATLIN | PreparerPersonNm |
| PTIN | P00019229 | PTIN |
| Phone | 3178867422 | PhoneNum |
| Preparation | 2022-11-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Elizabeth Harpe | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1030 South Scatterfield Rd | AddressLine1Txt |
| City | Anderson | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46012 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,582,725 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | To 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 Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 386 | TotalEmployeeCnt |
| Total Volunteers | 22 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| CY Contributions Grants | $1,695,653 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,270,007 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,870,617 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,846 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,236 | PYOtherRevenueAmt |
| CY Other Revenue | $16,455 | CYOtherRevenueAmt |
| PY Total Revenue | $14,281,089 | PYTotalRevenueAmt |
| CY Total Revenue | $14,582,725 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,531,121 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,445,314 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $637,854 | PYOtherExpensesAmt |
| CY Other Expenses | $680,295 | CYOtherExpensesAmt |
| PY Total Expenses | $13,168,975 | PYTotalExpensesAmt |
| CY Total Expenses | $12,125,609 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,112,114 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,457,116 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,374,536 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,409,813 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,756,226 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $334,387 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,618,310 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $18,075,426 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $11,197,086 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $12,870,617 | RevenueAmt |
| Desc | Community 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 | $11,197,086 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 386 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (true) | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Diana Smith | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7652032681 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1030 South Scatterfield Rd | AddressLine1Txt |
| City | Anderson | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46012 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| Jay Ricker | ||||||
| Member-Board of Directors | 0.50 | Yes (X) | $0 | $0 | $0 | |
| John Longnaker | ||||||
| Member-Board of Directors | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Amie Neiling | ||||||
| Member-Board of Directors | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Elizabeth Harpe | ||||||
| Director of Senior Services | 40.00 | $172,314 | $0 | $4,971 | Yes (X) | |
| Diana Smith | ||||||
| CFO | 40.00 | $176,915 | $0 | $7,395 | Yes (X) | |
| John Harris | ||||||
| Chairman | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Mary Jo Lee | ||||||
| Secretary/Treasurer | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Dr Kelly Chambers | ||||||
| Member-Board of Directors | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Elizabeth Tharp | ||||||
| Member-Board of Directors | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $349,229 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $12,366 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BW Construction LLC | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 Russell Ave | AddressLine1Txt |
| City | Indianapolis | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46225 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Construction Work | ServicesDesc |
| Compensation | $902,139 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,695,653 | GovernmentGrantsAmt |
| Total Contributions | $1,695,653 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Program Service Revenue | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $12,870,617 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,870,617 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Misc. Income | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $16,455 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,455 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $16,455 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,582,725 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,870,617 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,455 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $349,229 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $349,229 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,508,083 | TotalAmt |
| Program Services | $8,207,761 | ProgramServicesAmt |
| Management And General | $300,322 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,948,185 | TotalAmt |
| Program Services | $1,811,812 | ProgramServicesAmt |
| Management And General | $136,373 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $639,817 | TotalAmt |
| Program Services | $595,030 | ProgramServicesAmt |
| Management And General | $44,787 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $601,120 | TotalAmt |
| Program Services | $509,438 | ProgramServicesAmt |
| Management And General | $91,682 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,175 | TotalAmt |
| Program Services | $73,045 | ProgramServicesAmt |
| Management And General | $6,130 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,125,609 | TotalAmt |
| Program Services | $11,197,086 | ProgramServicesAmt |
| Management And General | $928,523 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,409,703 | BOYAmt |
| EOY | $2,254,527 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,993,809 | BOYAmt |
| EOY | $8,968,911 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,219 | BOYAmt |
| EOY | $123,430 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,882,994 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,820,049 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,947,805 | BOYAmt |
| EOY | $7,062,945 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,374,536 | BOYAmt |
| EOY | $18,409,813 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,785 | BOYAmt |
| EOY | $101,370 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,695,653 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $229,681 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,788 | BOYAmt |
| EOY | $3,336 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,756,226 | BOYAmt |
| EOY | $334,387 | 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 | $15,618,310 | BOYAmt |
| EOY | $18,075,426 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,618,310 | BOYAmt |
| EOY | $18,075,426 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,374,536 | BOYAmt |
| EOY | $18,409,813 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,457,116 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Other Support Sum | $0 | OtherSupportSumAmt |
| Public Support CY170 | 0 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,217 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,695,653 | CurrentTaxYearAmt |
| Total | $1,703,870 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,352,143 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,603,404 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,386,119 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,270,007 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,870,617 | CurrentTaxYearAmt |
| Total | $59,482,290 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,360,360 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,603,404 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,386,119 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,270,007 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,566,270 | CurrentTaxYearAmt |
| Total | $61,186,160 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | 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) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $61,186,160 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,118 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,754 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,620 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,846 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $12,338 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,118 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,754 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,620 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,846 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $12,338 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $36,967 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,666 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,246 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,236 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,455 | CurrentTaxYearAmt |
| Total | $112,570 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,311,068 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99800 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99810 | PublicSupportPY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00020 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt III Ln 12 | FormAndLineReferenceDesc |
| Explanation | Other Income Part III, Line 12 Description: Other Income 2017: 36967. 2018: 8666. 2019: 41246. 2020: 9236. 2021: 16455. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $207,200 | OtherCostOrOtherBasisAmt |
| Book Value | $207,200 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $8,299,403 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,816,508 | DepreciationAmt |
| Book Value | $3,482,895 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,737,403 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,003,541 | DepreciationAmt |
| Book Value | $733,862 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $2,638,988 | OtherCostOrOtherBasisAmt |
| Book Value | $2,638,988 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,062,945 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Resident Funds | $1,253 |
| Due to Other | $2,083 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,336 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Elizabeth Harpe | |||||||||||||
| $172,314 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,971 | $0 | $177,285 | $0 | $0 | $0 |
| Diana Smith | |||||||||||||
| $176,915 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,395 | $0 | $184,310 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (53 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | The Form 990 is prepared by an outside Accountant. |
| Pt VI, Line 11b | A complete copy of Form 990 was provided to the CFO prior |
| Pt VI, Line 11b | to filing. The CFO will forward the Form 990 to each member |
| Pt VI, Line 11b | of the Board of Directors who will discuss it with each |
| Pt VI, Line 11b | member and answer any questions. |
| Pt VI, Line 12c | The conflict of interest policy is discussed with new |
| Pt VI, Line 12c | board members at the start of their term. |
| Pt VI, Line 12c | The board of directors and key employees are required to |
| Pt VI, Line 12c | sign the conflict of interest policy and disclose any |
| Pt VI, Line 12c | conflicts at the beginning of every Board Meeting and |
| Pt VI, Line 12c | on an annual basis. Board members are prohibited from |
| Pt VI, Line 12c | voting or exerting personal influence related to any issue |
| Pt VI, Line 12c | that presents a conflict of interest. |
| Pt VI, Line 15a | Top management compensation of Community LTC, Inc. is |
| Pt VI, Line 15a | determined by the Board of Directors. The Board of |
| Pt VI, Line 15a | Directors evaluates the performance of the CEO and CFO and |
| Pt VI, Line 15a | determines compensation based on average compensation |
| Pt VI, Line 15a | increases in the industry in general and compensation at |
| Pt VI, Line 15a | similar facilities. |
| Pt VI, Line 15a | Community LTC, Inc. participates in a state and national |
| Pt VI, Line 15a | industry trade association which conducts an annual wage |
| Pt VI, Line 15a | survey - this survey is utilized for evaluation of |
| Pt VI, Line 15a | salaries and wages. |
| Pt VI, Line 15b | Other officers and key employees compensation is proposed |
| Pt VI, Line 15b | by the CEO for Board of Directors' approval as part of |
| Pt VI, Line 15b | the annual budget process. The CEO and CFO together review |
| Pt VI, Line 15b | the performance of department heads and other regular |
| Pt VI, Line 15b | employees determining compensation adjustments based on |
| Pt VI, Line 15b | industry adjustments and compensation levels at other |
| Pt VI, Line 15b | facilities. Community, LTC, Inc. participates in a state |
| Pt VI, Line 15b | and national industry trade association which conducts an |
| Pt VI, Line 15b | annual wage survey - this survey is utilized for |
| Pt VI, Line 15b | evaluation of salaries and wages. |
| Pt VI, Line 19 | A) The articles of incorporation and certificate of |
| Pt VI, Line 19 | existence are on file with the Indiana Secretary of State |
| Pt VI, Line 19 | and are available to the public upon request to the |
| Pt VI, Line 19 | Indiana Secretary of State. |
| Pt VI, Line 19 | B) Community LTC, Inc. conflict of interest policy is |
| Pt VI, Line 19 | available to the public upon request. |
| Pt VI, Line 19 | Community LTC, Inc. does file the Form 990 tax return, |
| Pt VI, Line 19 | Medicaid and Medicare Cost Reports with the appropriate |
| Pt VI, Line 19 | agencies on an annual basis. The Form 990 tax return is |
| Pt VI, Line 19 | available upon request and/or available on a delayed |
| Pt VI, Line 19 | basis on GuideStar.com. The Medicaid and Medicare |
| Pt VI, Line 19 | Cost Reports are available via Freedom of Information |
| Pt VI, Line 19 | Request filed with the applicable agencies. |
| Form 990, Part VI, Line 9 | Jay Ricker 6320 West Foster Branch Dr. Pendleton IN 46064 |
| Form 990, Part VI, Line 9 | John Longnaker 940 Meridian Street Anderson IN 46016 |
| Form 990, Part VI, Line 9 | Amie Neiling 1329 Dahlgren Lane Cicero IN 46034 |
| Form 990, Part VI, Line 9 | John Harris 217 Somerville Rd. Anderson IN XXX-XX-XXXX |
| Form 990, Part VI, Line 9 | Mary Jo Lee P.O. Box 1302 Anderson IN 46015 |
| Form 990, Part VI, Line 9 | Dr. Kelly Chambers 9739 W. 400 N. Noblesville IN 46060 |
| Form 990, Part VI, Line 9 | Elizabeth Tharp 1515 N. Madison Ave. Anderson IN 46011 |
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