2021-11-15T16:32:40-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 475 REGENCY PARK SUITE 175 OFALLON IL 62269 990 2020-01-01 455475166 CHRISTIAN LIVING COMMUNITIES CHRI 7209743555 9570 S KINGSTON CT NO 300 ENGLEWOOD CO 80112 BRYON CHILDS CFO 7209743555 2021-11-15 1 BRYON CHILDS 999009999 JEFF PARKER P00970069 6182331200 2021-11-15 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JILL VITALE-AUSSEM 9570 S KINGSTON CT NO 300 ENGLEWOOD CO 80112 20067938 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. 14 13 453 18 -28126 0 345927 748193 12411186 18394046 69264 118917 565882 433882 13392259 19695038 73470 46471 0 0 10058335 12214620 0 0 0 5852000 8781550 15983805 21042641 -2591546 -1347603 43403482 43892365 33310520 32634612 10092962 11257753 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 8386610 46471 8304805 CHRISTIAN LIVING COMMUNITIES (CLC) PROVIDES ADMINISTRATIVE SERVICES FOR RELATED ENTITIES. 4297348 0 4399300 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. 3519804 0 3697864 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. 299592 0 0 CLC EAGLE POINTE HOLDING, LLC OWNS AND LEASES THE HOME OFFICE OF CHRISTIAN LIVING COMMUNITIES 1851778 0 1992077 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 2151370 0 1992077 18355132 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 1 0 0 0 1 1 1 1 0 0 1 207 0 453 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 14 13 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 GREG TERRY TRUSTEE - BOARD CHAIR 1.00 1.00 X X 0 0 0 ERIN COOK TRUSTEE 1.00 0.00 X 0 0 0 JOE VANDE GRIEND TRUSTEE 1.00 0.00 X 0 0 0 ERIC KEESEN TRUSTEE 1.00 0.00 X 0 0 0 SANDY CLARK TRUSTEE 1.00 0.00 X 0 0 0 AMY DORE TRUSTEE - VICE CHAIR 1.00 0.00 X X 0 0 0 TERENCE ROGERS CEO THRU 4/2020 20.00 20.00 X X 239149 0 10398 BARB HOGAN TRUSTEE 1.00 0.00 X 0 0 0 BRIAN WHITE TRUSTEE 1.00 0.00 X 0 0 0 DAVE DOOKEERAM TRUSTEE 1.00 0.00 X 0 0 0 CHRISTINE POWERS TRUSTEE 1.00 0.00 X 0 0 0 TOM ROGERS TRUSTEE 1.00 0.00 X 0 0 0 LARRY STRUTTON TRUSTEE 1.00 0.00 X 0 0 0 CHRISTI STYER TRUSTEE 1.00 0.00 X 0 0 0 JILL VITALE-AUSSEM CURRENT CEO 20.00 20.00 X X 33474 0 18858 BRYON CHILDS CFO 20.00 20.00 X 331192 0 17845 CAMILLE BURKE INTERIM CEO - COO 20.00 20.00 X 358165 0 10457 JAYNE KELLER VP OF SENIOR LIVING OPERATIONS 20.00 20.00 X 246597 0 11662 JEFFREY TROUT VP OF FINANCE CLS 40.00 0.00 X 205744 0 17706 KEVIN STOMBERG VP OF INFORMATION TECHNOLOGY 40.00 0.00 X 210274 0 2494 PAMELA SULLIVAN VP OF ENGAGEMENT 40.00 0.00 X 198959 0 4876 DEBRA WESTEEN VP OF HUMAN RESOURCES 40.00 0.00 X 220900 0 9608 ANGELA GREEN URBACZEWSKI VP OF SALES AND MARKETING 40.00 0.00 X 195038 0 3065 2239492 0 106969 15 0 1 0 BATEMAN COMMUNITY LIVING PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES 9081535 SOHA BUILDERS 12744 N 3RD ST PARKER CO 80134 CONSTRUCTION 1447913 PREMIERE REHAB PO BOX 5700 PORTLAND OR 97228 HEALTHCARE SERVICES 1276994 PINKARD CONSTRUCTION 9195 S 6TH AVE LAKEWOOD CO 80125 CONSTRUCTION 1160017 LATNZ-BOGGIO 5650 DTC PARKWAY STE 200 ENGLEWOOD CO 80111 ARCHITECT 459349 31 143458 170536 434199 177989 748193 RESIDENT AND CLIENT SERVICES REVE 623000 10089241 10089241 MANAGEMENT FEES 541610 6686658 6686658 REIMBURSED EXPENSES CLN 623000 1618147 1618147 18394046 112806 112806 6111 6111 742602 346100 396502 396502 -28126 424628 100 143458 26800 -26700 -26700 MISC INCOME 623000 55595 55595 GUEST & EMPLOYEE MEALS 623000 8485 8485 64080 19695038 18394046 -28126 580925 25008 25008 21463 21463 1277797 1114239 163558 8731616 7613969 1117647 271517 236763 34754 1173995 1023724 150271 759695 662454 97241 836370 729315 107055 55082 48032 7050 140746 122731 18015 4965 4329 636 1819410 1586526 232884 288135 251254 36881 84590 73762 10828 905082 789232 115850 115347 100583 14764 11547 10069 1478 1211242 1056203 155039 1051973 917320 134653 199240 173737 25503 DIETARY 795779 693919 101860 COVID EXPENSES 364192 317575 46617 MISC ADMIN EXPENSES 232728 202939 29789 DUES 143630 125245 18385 521492 454741 66751 21042641 18355132 2687509 0 1751064 2800999 3625251 3609666 2981462 2224028 726979 457492 451178 28622904 1716996 27665985 26905908 175109 283908 1394563 2953424 3690018 3593518 1662538 342757 43403482 43892365 3172533 3127697 171224 234033 21718989 21535990 7009824 6919966 1237950 816926 33310520 32634612 X 9394436 10320741 698526 937012 10092962 11257753 43403482 43892365 X -1347603 120205 2392189 X X 0 1 X 1 0 X 770429 639330 345927 748193 2503879 4576124 6472116 10092105 12411186 18394046 51945577 700 100 800 4576124 7242545 10731435 12757813 19142339 54450256 8000 5500 10660 25877 50037 0 8000 5500 10660 25877 50037 54400219 46905 50820 537645 491786 557389 1684545 46905 50820 537645 491786 557389 1684545 82004 152422 136141 196857 64080 631504 4705033 7445787 11405221 13446456 19763808 56766305 0.95830 0.95360 0.02970 0.03050 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC INCOME - 2016 AMOUNT: $ 63,877. 2017 AMOUNT: $ 68,858. 2018 AMOUNT: $ 66,921. 2019 AMOUNT: $ 120,444. 2020 AMOUNT: $ 55,595. GUEST MEALS - 2016 AMOUNT: $ 18,127. 2017 AMOUNT: $ 14,725. 2018 AMOUNT: $ 7,002. 2019 AMOUNT: $ 10,803. 2020 AMOUNT: $ 8,485. PHONE INCOME - 2017 AMOUNT: $ 68,839. 2018 AMOUNT: $ 62,218. 2019 AMOUNT: $ 65,610. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1539928 1539928 22070072 940902 21129170 3050453 3050453 1783007 776094 1006913 179444 179444 26905908 INVESTMENT IN AFFILIATES 199226 C INVESTMENTS - OTHER 2754198 C 2953424 SECURITY DEPOSITS 36811 INTERCOMPANY PAYABLES 730295 LEASE LIABILITY 49820 816926 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 143558 143458 100 1000 22000 3800 143558 143458 100 1000 22000 3800 26800 -26700 1 SCHOLARSHIPS 9 21463 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 CAMILLE BURKE INTERIM CEO - COO 226394 0 69696 0 62075 0 6933 0 3524 0 368622 0 0 0 BRYON CHILDS CFO 206300 0 68992 0 55900 0 6413 0 11432 0 349037 0 0 0 JAYNE KELLER VP OF SENIOR LIVING OPERATIONS 200000 0 26812 0 19785 0 5676 0 5986 0 258259 0 0 0 TERENCE ROGERS CEO THRU 4/2020 149169 0 89980 0 0 0 7703 0 2695 0 249547 0 0 0 DEBRA WESTEEN VP OF HUMAN RESOURCES 180289 0 20393 0 20218 0 0 0 9608 0 230508 0 0 0 JEFFREY TROUT VP OF FINANCE CLS 158549 0 22985 0 24210 0 4902 0 12804 0 223450 0 0 0 KEVIN STOMBERG VP OF INFORMATION TECHNOLOGY 173582 0 22250 0 14442 0 0 0 2494 0 212768 0 0 0 PAMELA SULLIVAN VP OF ENGAGEMENT 164086 0 17937 0 16936 0 4876 0 0 0 203835 0 0 0 ANGELA GREEN URBACZEWSKI VP OF SALES AND MARKETING 163980 0 21498 0 9560 0 1801 0 1264 0 198103 0 0 0 PART I, LINE 4B TERENCE ROGERS - $7,703 PAMELA SULLIVAN - $4,876 BRYON CHILDS - $6,413 CAMILLE BURKE - $6,933 JEFFREY TROUT - $4,902 JAYNE KELLER - $5,676 ANGELA GREEN URBACZEWSKI - $1,801 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 1333260 452141 20821623 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 X 1 173239 FMV X AUCTION ITEMS 13 4750 FMV 0 0 1 0 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 XI, LINE 9: EQUITY TRANSFER 2,392,189. 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 2045595 198076 CHRISTIAN LIVING COMMUNITIES RHYTHMS HOME CARE LLC 6413 S WILLOW DRIVE STE 102 GREENWOOD VILLAGE CO 80111 320550302 HOME CARE SERVICES CO 3769755 2259315 CHRISTIAN LIVING COMMUNITIES CLC EAGLE POINTE HOLDING LLC 9570 S KINGSTON CT STE 300 ENGLEWOOD CO 80112 455475166 CORPORATE OFFICE CO 731352 5602786 CHRISTIAN LIVING COMMUNITIES CAPPELLA GRAND JUNCTION LLC 628 26 1/2 RD GRAND JUNCTION CO 81506 843213557 ASSISTED LIVING CO 4464930 23408295 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 5381807 1425825 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 -74671 1628785 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 68288 DONATION RECEIVED AT PARENT LEVEL CHRISTIAN LIVING NEIGHBORHOODS S 32485892 EQUITY TRANSFER AMOUNT CHRISTIAN LIVING SERVICES Q 1842541 A/P TRANSFER LEDGER CHRISTIAN LIVING SERVICES S 1602231 MANAGEMENT FEE