2022-11-15T19:05:41-06:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 475 REGENCY PARK SUITE 175 OFALLON IL 62269 990 2021-01-01 455475166 CHRISTIAN LIVING COMMUNITIES CHRI 7209743555 9570 S KINGSTON CT 300 ENGLEWOOD CO 80112 BRYON CHILDS CFO 7209743555 2022-11-15 1 BRYON CHILDS 999009999 JEFF PARKER P00970069 6182331200 2022-11-15 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JILL VITALE-AUSSEM 9570 S KINGSTON CT 300 ENGLEWOOD CO 80112 19001314 0 X WWW.CHRISTIANLIVINGCOMMUNITIES.ORG X 2014 CO CONTINUUM OF SERVICES AND CARE THAT REFLECTS CHRISTIAN LOVE, RESPECT AND COMPASSION, AND THAT ENRICHES THE QUALITY AND DIGNITY OF LIFE FOR EACH INDIVIDUAL. 13 12 372 18 -13369 0 748193 445050 18394046 17547224 118917 -648139 433882 475522 19695038 17819657 46471 39478 0 0 12214620 10455947 0 0 0 8781550 9647382 21042641 20142807 -1347603 -2323150 43892365 42962159 32634612 36707184 11257753 6254975 X CHRISTIAN LIVING COMMUNITIES ENRICHES THE QUALITY AND DIGNITY OF LIFE FOR OLDER ADULTS THROUGH SERVICES AND CARE THAT REFLECT CHRISTIAN LOVE, RESPECT, AND COMPASSION TOWARD EACH INDIVIDUAL. 0 0 8016532 39478 8371517 CHRISTIAN LIVING COMMUNITIES (CLC) PROVIDES ADMINISTRATIVE SERVICES FOR RELATED ENTITIES. 4159564 4050667 CAPELLA GRAND JUNCTION, LLC PROVIDES ASSISTED LIVING SERVICES TO SENIOR ADULTSTHE SPIRIT OF MESA COUNTY RESOUNDS AT CAPPELLA OF GRAND JUNCTION, THE AREA'S MOST INNOVATIVE MEMORY CARE AND ASSISTED LIVING COMMUNITY IN GRAND JUNCTION, CO. THIS IS A COMMUNITY WHERE AGE AND CAPABILITIES HAVE NO BOUNDARIES, FRIENDSHIPS FLOURISH AND LIVES ARE ENRICHED THROUGH SOCIAL, INTELLECTUAL, INSPIRATIONAL, AND PHYSICAL ACTIVITIES. 3069257 3089816 RHYTHMS HOME CARE, LLC PROVIDES HOMECARE SERVICES TO SENIOR ADULTSRHYTHMS HOME CARE PROVIDES THE EXTRA HELP THAT YOU OR YOUR LOVED ONE NEEDS IN THE COMFORT OF THEIR OWN HOME. EACH COMPANION IS CAREFULLY MATCHED WITH THE INTENT OF BECOMING AN EXTENSION OF YOUR FAMILY. EVERYONE ON OUR HOME CARE TEAM IS BONDED AND INSURED AND CAN PROVIDE PERSONAL CARE, TRANSPORTATION, LIGHT HOUSEKEEPING, MEAL PREPARATION, SHOPPING AND ERRAND ASSISTANCE. ADDITIONALLY, SOME MEDICAL SERVICES SUCH AS MEDICATION MANAGEMENT AND CATHETER CARE MAY BE PROVIDED. 277278 CLC EAGLE POINTE HOLDING, LLC OWNS AND LEASES THE HOME OFFICE OF CHRISTIAN LIVING COMMUNITIES 2026846 2035224 CLC DAYSPRING VILLA, LLC PROVIDES ASSISTED LIVING SERVICES TO SENIOR ADULTS.EVERY RESIDENT ENJOYS CONVENIENT AMENITIES TO HELP LIVE AS INDEPENDENTLY AS POSSIBLE, PLUS AFFORDABLE SENIOR CARE WHEN THEY NEED IT. OUR RESIDENTS ARE ALSO HEAVILY INVOLVED IN COMMUNITY LIFE AND LIFE ENRICHMENT PROGRAMMING, WHICH HELPS KEEP OUR COMMUNITY ACTIVE AND WARM. WE ARE AN INCLUSIVE, FAITH-BASED SENIOR LIVING COMMUNITY COMMITTED TO PROVIDING EXCELLENT CARE AND SERVICES TO EACH AND EVERY PERSON WE 2304124 2035224 17549477 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 257 0 372 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X X BRYON CHILDS 7209743555 9570 S KINGSTON CT SUITE 300 ENGLEWOOD CO 80112 JILL VITALE-AUSSEM CEO 20.00 20.00 X X 282704 0 21701 DAVE DOOKEERAM TRUSTEE 1.00 0.00 X 0 0 0 LARRY STRUTTON TRUSTEE 1.00 0.00 X 0 0 0 JOE VANDE GRIEND TRUSTEE 1.00 0.00 X 0 0 0 ERIN COOK TRUSTEE 1.00 0.00 X 0 0 0 SANDY CLARK TRUSTEE - VICE CHAIR 1.00 0.00 X X 0 0 0 CHRISTI STYER TRUSTEE 1.00 0.00 X 0 0 0 CHRISTINE POWERS TRUSTEE 1.00 0.00 X 0 0 0 ERIC KEESEN TRUSTEE 1.00 0.00 X 0 0 0 BRIAN WHITE TRUSTEE 1.00 0.00 X 0 0 0 BARB HOGAN TRUSTEE 1.00 0.00 X 0 0 0 TOM ROGERS TRUSTEE 1.00 0.00 X 0 0 0 AMY DORE TRUSTEE - BOARD CHAIR 1.00 1.00 X X 0 0 0 BRYON CHILDS CFO 20.00 20.00 X 223094 0 16920 JAYNE KELLER CHIEF OPERATING OFFICER 20.00 20.00 X 203302 0 19616 PAMELA SULLIVAN VP OF COMM & STRATEGY 40.00 0.00 X 173666 0 1558 KEVIN STROMBERG VP OF INFORMATION TECHNOLO 40.00 0.00 X 171553 0 8276 DEBRA WESTEEN VP OF HUMAN RESOURCES 40.00 0.00 X 170855 0 9983 BRADLEE BOATRIGHT EXECUTIVE DIRECTOR 40.00 0.00 X 182869 0 17730 ANGELA GREEN URBACZEWSKI VP OF SALES AND MARKETING 40.00 0.00 X 162139 0 8277 JEFFREY TROUT VP OF FINANCE CLS 40.00 0.00 X 154804 0 30328 1724986 0 134389 17 0 1 0 BATEMAN COMMUNITY LIVING PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES 9902790 PINKARD CONSTRUCTION 9195 S 6TH AVE LAKEWOOD CO 80125 CONSTRUCTION 8206793 SOHA BUILDERS 12744 N 3RD ST PARKER CO 80134 CONSTRUCTION 1667252 PREMIERE REHAB PO BOX 5700 PORTLAND OR 97228 HEALTHCARE SERVICES 1322486 DAIKEN APPLIED 13600 INDUSTRIAL PARK BLVD MINNEAPOLIS MN 55441 CONSTRUCTION 923871 28 148544 2697 293809 445050 RESIDENT AND CLIENT SERVICES REVE 623000 9175707 9175707 MANAGEMENT FEES 541610 7073130 7073130 REIMBURSED EXPENSES CLN 623000 1298387 1298387 17547224 73050 73050 534 534 764120 363303 400817 400817 -13369 414186 71937 793660 0 -793660 71937 -721723 -721723 0 148544 24694 -24694 -24694 MISC INCOME 623000 88218 88218 GUEST & EMPLOYEE MEALS 623000 11181 11181 99399 17819657 17547224 -13369 -159248 X 7016 7016 32462 32462 767337 668351 98986 7656925 6669182 987743 311455 271277 40178 1076289 937448 138841 643941 560873 83068 799278 696171 103107 207633 180848 26785 141089 122889 18200 5929 5164 765 2205594 1921072 284522 382105 332813 49292 358623 312361 46262 812417 707615 104802 147227 128235 18992 15144 13190 1954 1175736 1024066 151670 1073014 934595 138419 212631 185202 27429 DIETARY 874830 761977 112853 MISC ADMIN EXPENSES 500247 435715 64532 OTHER EXPENSES 145346 126596 18750 BAD DEBT 137584 119836 17748 452955 394523 58432 20142807 17549477 2593330 0 2800999 3021489 3609666 3558992 2224028 2385091 726979 543493 451178 476134 28786422 2751055 26905908 26035367 283908 408260 2953424 2406332 3593518 3502454 342757 624547 43892365 42962159 3127697 6818302 234033 201753 21535990 21280988 6919966 6810827 816926 1595314 32634612 36707184 X 10320741 5183523 937012 1071452 11257753 6254975 43892365 42962159 X -2323150 81888 -2761516 X X 0 1 X 1 0 X 770429 639330 345927 748193 445050 2948929 6472116 10092105 12411186 18394046 17547224 64916677 700 100 800 7242545 10731435 12757813 19142339 17992274 67866406 8000 5500 10660 25877 50037 0 8000 5500 10660 25877 50037 67816369 50820 537645 491786 557389 474401 2112041 50820 537645 491786 557389 474401 2112041 152422 136141 196857 64080 99398 648898 7445787 11405221 13446456 19763808 18566073 70627345 0.96020 0.95830 0.02990 0.02970 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC INCOME - 2017 AMOUNT: $ 68,858. 2018 AMOUNT: $ 66,921. 2019 AMOUNT: $ 120,444. 2020 AMOUNT: $ 55,595. 2021 AMOUNT: $ 88,217. GUEST MEALS - 2017 AMOUNT: $ 14,725. 2018 AMOUNT: $ 7,002. 2019 AMOUNT: $ 10,803. 2020 AMOUNT: $ 8,485. 2021 AMOUNT: $ 11,181. PHONE INCOME - 2017 AMOUNT: $ 68,839. 2018 AMOUNT: $ 62,218. 2019 AMOUNT: $ 65,610. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1539928 1539928 22096086 1544814 20551272 3066562 3066562 1956199 1206241 749958 127647 127647 26035367 INVESTMENT IN AFFILIATES 199226 C INVESTMENTS - OTHER 2207106 C 2406332 SECURITY DEPOSITS 17671 INTERCOMPANY PAYABLES 1155081 LEASE LIABILITY 422562 1595314 X PART X, LINE 2: CHRISTIAN LIVING COMMUNITIES AND CHRISTIAN LIVING NEIGHBORHOODS ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION FOR STATE LAW. HOWEVER, THE CHRISTIAN LIVING COMMUNITIES AND CHRISTIAN LIVING NEIGHBORHOODS ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THESE ORGANIZATIONS ARE NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. AGED TO PERFECTION 148544 148544 24694 148544 148544 24694 24694 -24694 1 SCHOLARSHIPS 9 32462 PART I, LINE 2: CLC EMPLOYEES ARE INTERVIEWED BY THE CLC CULTURE AND MISSION COMMITTEE OF THE BOARD AND ARE AWARDED SCHOLARSHIPS TO FURTHER THEIR EDUCATION. X X X X 0 1 0 0 0 0 0 0 0 JILL VITALE-AUSSEM CEO 282704 0 0 0 0 0 0 0 21701 0 304405 0 0 0 BRYON CHILDS CFO 223094 0 0 0 0 0 0 0 16920 0 240014 0 0 0 JAYNE KELLER CHIEF OPERATING OFFICER 203302 0 0 0 0 0 0 0 19616 0 222918 0 0 0 BRADLEE BOATRIGHT EXECUTIVE DIRECTOR 167514 0 15355 0 0 0 0 0 17730 0 200599 0 0 0 JEFFREY TROUT VP OF FINANCE CLS 154804 0 0 0 0 0 0 0 30328 0 185132 0 0 0 DEBRA WESTEEN VP OF HUMAN RESOURCES 170855 0 0 0 0 0 0 0 9983 0 180838 0 0 0 KEVIN STROMBERG VP OF INFORMATION TECHNOLO 171249 0 304 0 0 0 0 0 8276 0 179829 0 0 0 PAMELA SULLIVAN VP OF COMM & STRATEGY 173666 0 0 0 0 0 0 0 1558 0 175224 0 0 0 ANGELA GREEN URBACZEWSKI VP OF SALES AND MARKETING 162139 0 0 0 0 0 0 0 8277 0 170416 0 0 0 PART I, LINE 4B BRYON CHILDS - $5,029 JAYNE KELLER - $5,882 ANGELA GREEN URBACZEWSKI - $4,065 ATIKA BONFACE - $1,582 DON BACKSTROM - $3,090 BRENDA JOHNSON - $1,914 JAMES KOK - $3,299 ERIC LEGLEITER - $3,932 PATRICIA MCBRIDE - $4,681 A COLORADO HEALTH FACILITIES AUTHORITY 840752932 00019648F 2019-11-07 22607024 TO PAY COSTS OF ACQUIRING, CONSTRUCTING, AND EQUIPPING 74 INDEPENDENT LIVING 0 0 0 A 22607024 1332018 452141 20821623 1243 2019 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 GOES THROUGH AN INTERNAL REVIEW BY THE CFO. A COPY OF THE RETURN WILL BE PROVIDED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS FOR COMMENTS AND CLARIFICATION. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, EACH DIRECTOR AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS REVIEWS AND SIGNS A STATEMENTS WHICH AFFIRMS THAT THEY A) HAVE RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, B) HAVE READ AND UNDERSTAND THE POLICY, C) HAVE AGREED TO COMPLY WITH THE POLICY, AND D) UNDERSTAND THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT INORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S CEO'S COMPENSATION WAS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IN 2019 DERIVED FROM COMPARABILITY DATA PUT TOGETHER FROM VARIOUS THIRD-PARTY SOURCES PURCHASED BY THE ORGANIZATION. FOR COMPENSATION OF OTHER EXECUTIVE POSITIONS, HR MAKES RECOMMENDATIONS BASED ON VARIOUS SURVEYS AND PRESENTS TO THE CEO, COO AND CFO FOR REVIEW AND APPROVAL. THIS PROCESS WAS LAST COMPLETED IN 2019. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS AND FORM 990 RETURNS ARE MADE AVAILABLE ONLINE AND UPON REQUEST. THE ORGANIZATION HAS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES AVAILABLE TO THE PUBLIC AT ITS EXECUTIVE OFFICE. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,921,072. MANAGEMENT AND GENERAL EXPENSES 284,522. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,205,594. FORM 990, PART XI, LINE 9: EQUITY TRANSFER -2,761,516. FORM 990, PART XII, LINE 2C THE PROCESS IS CONSISTENT WITH PRIOR YEARS. CLC DAYSPRING VILLA LLC 3777 W 26 AVENUE DENVER CO 80211 384008133 ASSISTED LIVING CO 2041109 520618 CHRISTIAN LIVING COMMUNITIES RHYTHMS HOME CARE LLC 6413 S WILLOW DRIVE STE 102 GREENWOOD VILLAGE CO 80111 320550302 HOME CARE SERVICES CO 3089816 2088275 CHRISTIAN LIVING COMMUNITIES CLC EAGLE POINTE HOLDING LLC 9570 S KINGSTON CT STE 300 ENGLEWOOD CO 80112 455475166 CORPORATE OFFICE CO 764120 5568065 CHRISTIAN LIVING COMMUNITIES CAPPELLA GRAND JUNCTION LLC 628 26 1/2 RD GRAND JUNCTION CO 81506 843213557 ASSISTED LIVING CO 4063735 22972184 CHRISTIAN LIVING COMMUNITIES CHRISTIAN LIVING NEIGHBORHOODS 9570 S KINGSTON CT SUITE 300 ENGLEWOOD CO 80112 841176989 RETIRMENT COMMUNITY CO 501(C)(3) LINE 10 CHRISTIAN LIVING COMMUNITIES 1 CHRISTIAN LIVING SERVICES 9570 S KINGSTON CT SUITE 300 ENGLEWOOD CO 80112 371753293 CONSULTING FOR SENIOR LIVING CO CHRISTIAN LIVING COMMUNITIES C 5204210 1196533 1.00000 1 CLC POPULATION HEALTH INC 9570 S KINGSTON CT SUITE 300 ENGLEWOOD CO 80112 371921045 POPULATION HEALTH HOLDING COMPANY CO CHRISTIAN LIVING COMMUNITIES C -4728 476405 1.00000 1 0 0 1 1 1 0 0 0 0 0 0 1 0 1 1 0 1 1 1 CHRISTIAN LIVING NEIGHBORHOODS L 1068207 DONATION RECEIVED AT PARENT LEVEL CHRISTIAN LIVING NEIGHBORHOODS S 48568323 EQUITY TRANSFER AMOUNT CHRISTIAN LIVING SERVICES Q 1972339 A/P TRANSFER LEDGER CHRISTIAN LIVING SERVICES S 2152873 MANAGEMENT FEE