BRETHREN HOME OF GIRARD: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- BRETHREN HOME OF GIRARD (EIN 37-0330985)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2020-06-30
- IRS object ID
- 202031829349302053
- Schema version
- 2017v2.2
- 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 | 2020-06-30T13:09:06-07:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 274368649 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALDWELL COREN & SCEGGEL | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7900 S CASS AVENUE SUITE 170 | AddressLine1Txt |
| City | DARIEN | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 605615073 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370330985 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRETHREN HOME OF GIRARD ILLINOIS | BusinessNameLine1Txt |
| Business Name Line2 | DBA PLEASANT HILL VILLAGE | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BRET | BusinessNameControlTxt |
| Phone | 2176279502 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1010 W NORTH ST | AddressLine1Txt |
| City | GIRARD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62640 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAWN SMITH | PersonNm |
| Person Title | Executive Director | PersonTitleTxt |
| Signature | 2020-06-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jonathan S Sceggel CPA MBA | PreparerPersonNm |
| PTIN | P00226545 | PTIN |
| Phone | 6309602135 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAULETTE MILLER | PrincipalOfficerNm |
| Gross Receipts | $5,148,537 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | PLEASANTHILLVILLAGE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | PLEASANT HILL VILLAGE WAS ESTABLISHED BY THE CHURCH OF THE BRETHREN AND OPERATES UNDER THE AUSPICES OF THE CHURCH. THE ORGANIZATION IS A HURSING HOME AND AN INDEPENDENT LIVING/ASSISTED LIVING CENTER WHOSE PURPOSE IS TO PROVIDE EXTENDED CARE. THE NURSING HOME IS A SKILLED CARE FACILITY. TAX EXEMPT STATUS - GROUP EXEMPTION - CHURCH OF THE BRETHERN GENERAL BOARD ELGIN, IL 60120 EXEMPT # 1542 | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 204 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $47,157 | PYContributionsGrantsAmt |
| CY Contributions Grants | $31,937 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,196,282 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,995,405 | CYProgramServiceRevenueAmt |
| PY Investment Income | $18,556 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,425 | CYInvestmentIncomeAmt |
| PY Other Revenue | $161,497 | PYOtherRevenueAmt |
| CY Other Revenue | $105,941 | CYOtherRevenueAmt |
| PY Total Revenue | $5,423,492 | PYTotalRevenueAmt |
| CY Total Revenue | $5,135,708 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,327,752 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $358,147 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,080,697 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,886,007 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $95,402 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,106,370 | PYOtherExpensesAmt |
| CY Other Expenses | $1,979,514 | CYOtherExpensesAmt |
| PY Total Expenses | $5,514,819 | PYTotalExpensesAmt |
| CY Total Expenses | $5,223,668 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$91,327 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$87,960 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,950,271 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,208,563 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,404,146 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,748,307 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,546,125 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,460,256 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PLEASANT HILL VILLAGE WAS ESTABLISHED BY THE CHURCH OF THE BRETHREN AND OPERATES UNDER THE AUSPICES OF THE CHURCH. THE ORGANIZATION IS A HURSING HOME AND AN INDEPENDENT LIVING/ASSISTED LIVING CENTER WHOSE PURPOSE IS TO PROVIDE EXTENDED CARE. THE NURSING HOME IS A SKILLED CARE FACILITY. TAX EXEMPT STATUS - GROUP EXEMPTION - CHURCH OF THE BRETHERN GENERAL BOARD ELGIN, IL 60120 EXEMPT # 1542 | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,170,484 | ExpenseAmt |
| Grant | $87,831 | GrantAmt |
| Revenue | $1,270,881 | RevenueAmt |
| Desc | PRIVATE PAY PROGRAM -- PRIVATE PAY SERVICES ARE NURSING HOME CARE SERVICES PROVIDED FOR PRIVATE PAY RESIDENTS. 9,000 DAYS OF CARE (13,500 DAYS OF CARE LESS 1/3 ALLOCATED TO SPECIAL CARE WING 4,500) WERE PROVIDED FOR F/Y ENDED 6/30/2018. THE ALLOCATION OF EXPENSES IS 32.61% (9,000/27,600). | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,118,438 | ExpenseAmt |
| Grant | $85,842 | GrantAmt |
| Revenue | $1,263,607 | RevenueAmt |
| Desc | SPECIAL CARE WING -- NURSING HOME AND SPECIAL CARE WAS PROVIDED FOR 8,600 DAYS OF CARE. THE SPECIAL CARE UNIT PROVIDES SPECIAL CARE FOR RESIDENTS WITH DEMENTIA. APPROXIMATELY 4,100 DAYS OF CARE WERE PROVIDED FOR LOW INCOME RESIDENTS. TOTAL DAYS OF SERVICE FOR PRIVATE PAY RESIDENTS WAS 13,500. APPROXIMATELY 1/3 OF THESE DAYS (4,500)WERE FOR RESIDENTS ON THE SPECIAL CARE WING. TOTAL SPECIAL CARE DAYS OF SERVICE PROVIDED FOR 4,100 FOR MEDICAID RESIDENTS AND 4,500 FOR PRIVATE RESIDENTS (4,100+4,500 = 8,700). (8,600/27,600) 31.16% OF EXPENSES WER ALLOCATED TO THIS PROGRAM. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,079,314 | ExpenseAmt |
| Grant | $81,893 | GrantAmt |
| Revenue | $1,205,477 | RevenueAmt |
| Desc | MEDICAID -- NURSING HOME CARE WAS PROVIDED FOR 8,300 DAYS OF CARE FOR LOW INCOME RESIDENTS. SINCE MOST PROGRAMS EXPENSES CANNOT BE ALLOCATED TO SPECIFIC PROGRAMS, THESE EXPENSES WERE ALLOCATED BASED ON THE TOTAL DAYS OF CARE PROVIDED BY THE NURSING HOME TOTAL DAYS OF CARE WAS 27,600. TOTAL MEDICAID DAYS OF SERVICE PROVIDED WAS 12,500. HOWEVER APPORXIMATELY 1/3 OF THESE DAYS WERE FOR SPECIAL CARE WING RESIDENTS. THE BALANCE OF 8,300 DAYS WAS ALLOCATED TO MEDICAID (8,300 / 27,600) 30.07% OF EXPENSES WERE ALLOCATED TO THIS PROGRAM. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $954,869 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $102,581 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $1,255,440 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $4,323,105 | 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 |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 204 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| 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 |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | Yes (true) | 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 | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAWN SMITH | PersonNm |
| Phone | 2176279502 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1010 W NORTH ST | AddressLine1Txt |
| City | GIRARD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62640 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| MARK REICHERT | |||||||
| President | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DR ALLEN KRALL | |||||||
| Vice President | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| FRANK BRANNOCK | |||||||
| Secretary | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PATTY BROCKMEYER | |||||||
| Secretary | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| WILLIAM BUSKE | |||||||
| Director | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| NANCY HERIFORD | |||||||
| Director | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOAN SUTTON | |||||||
| Director | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| LINDA THEBEAU | |||||||
| Director | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DAN NICHOLS | |||||||
| Director | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DAN BITNER | |||||||
| Director | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| RUSSELL BOEHL | |||||||
| Director | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| RUTH SIBURT | |||||||
| Director | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| PAULETTE MILLER | |||||||
| Executive Dir. | 40.00 | 0.00 | Yes (X) | $86,265 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $86,265 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHAB CARE GROUP INC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 503534 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | THERAPY | ServicesDesc |
| Compensation | $360,566 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $20,598 | FundraisingAmt |
| All Other Contributions | $11,339 | AllOtherContributionsAmt |
| Total Contributions | $31,937 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INDEPENDENT LIVING FACILI | 623990 | $986,501 | $986,501 |
| MEDICAID REVENUE | 623000 | $1,735,137 | $1,735,137 |
| MEDICARE REVENUE | 623000 | $882,146 | $882,146 |
| PRIVATE REVENUE | 623000 | $1,391,621 | $1,391,621 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,995,405 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,425 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,425 | RelatedOrExemptFuncIncomeAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,860 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,860 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,860 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,860 | RelatedOrExemptFuncIncomeAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $67,825 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $9,290 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $12,829 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $54,996 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| FARM INCOME | 110000 | $3,534 | $3,534 |
| MANAGEMENT FEES | 561000 | $1,275 | $1,275 |
| RESIDENT SERVICES | 621990 | $43,276 | $43,276 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $48,085 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,135,708 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,048,775 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,147 | TotalAmt |
| Program Services | $358,147 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,265 | TotalAmt |
| Management And General | $86,265 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,585,887 | TotalAmt |
| Program Services | $2,284,561 | ProgramServicesAmt |
| Management And General | $226,301 | ManagementAndGeneralAmt |
| Fundraising | $75,025 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,824 | TotalAmt |
| Management And General | $11,824 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,031 | TotalAmt |
| Program Services | $174,198 | ProgramServicesAmt |
| Management And General | $22,678 | ManagementAndGeneralAmt |
| Fundraising | $5,155 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,720 | TotalAmt |
| Management And General | $4,720 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,205 | TotalAmt |
| Management And General | $59,205 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,992 | TotalAmt |
| Management And General | $7,992 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,001 | TotalAmt |
| Fundraising | $14,001 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,297 | TotalAmt |
| Program Services | $49,731 | ProgramServicesAmt |
| Management And General | $13,375 | ManagementAndGeneralAmt |
| Fundraising | $1,191 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,114 | TotalAmt |
| Management And General | $3,114 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,107 | TotalAmt |
| Management And General | $122,107 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,920 | TotalAmt |
| Program Services | $204,444 | ProgramServicesAmt |
| Management And General | $7,476 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $258,673 | TotalAmt |
| Program Services | $138,898 | ProgramServicesAmt |
| Management And General | $119,775 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OUTSIDE SERVICES | $418,177 | $416,778 | $1,399 |
| SUPPLIES | $417,943 | $408,215 | $9,728 |
| UTILITIES | $201,562 | $191,733 | $9,829 |
| PROPERTY TAX | $47,299 | $47,299 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,504 | TotalAmt |
| Program Services | $96,400 | ProgramServicesAmt |
| Management And General | $52,074 | ManagementAndGeneralAmt |
| Fundraising | $30 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,223,668 | TotalAmt |
| Program Services | $4,323,105 | ProgramServicesAmt |
| Management And General | $805,161 | ManagementAndGeneralAmt |
| Fundraising | $95,402 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $805,264 | BOYAmt |
| EOY | $827,978 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,947 | BOYAmt |
| EOY | $136,246 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,205,992 | BOYAmt |
| EOY | $2,661,447 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,407 | BOYAmt |
| EOY | $5,407 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,482 | BOYAmt |
| EOY | $25,180 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,152,107 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,015,947 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,284,495 | BOYAmt |
| EOY | $4,136,160 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $478,684 | BOYAmt |
| EOY | $416,145 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,950,271 | BOYAmt |
| EOY | $8,208,563 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,035,046 | BOYAmt |
| EOY | $1,008,308 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,369,100 | BOYAmt |
| EOY | $2,741,698 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $998,300 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,404,146 | BOYAmt |
| EOY | $4,748,307 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,477,413 | BOYAmt |
| EOY | $3,255,298 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $136,246 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,712 | BOYAmt |
| EOY | $68,712 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,546,125 | BOYAmt |
| EOY | $3,460,256 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,950,271 | BOYAmt |
| EOY | $8,208,563 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$87,960 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $2,091 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | false | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Church | Yes (X) | ChurchInd |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $68,712 | BeginningYearBalanceAmt |
| End Year Balance | $68,712 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $68,712 | BeginningYearBalanceAmt |
| End Year Balance | $68,712 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $68,712 | BeginningYearBalanceAmt |
| End Year Balance | $68,712 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $68,712 | BeginningYearBalanceAmt |
| End Year Balance | $68,712 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $68,712 | BeginningYearBalanceAmt |
| End Year Balance | $68,712 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | false | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $88,500 | OtherCostOrOtherBasisAmt |
| Book Value | $88,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,794,884 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,146,414 | DepreciationAmt |
| Book Value | $3,648,470 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $321,003 | OtherCostOrOtherBasisAmt |
| Depreciation | $222,946 | DepreciationAmt |
| Book Value | $98,057 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,499,464 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,351,943 | DepreciationAmt |
| Book Value | $147,521 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $448,256 | OtherCostOrOtherBasisAmt |
| Depreciation | $294,644 | DepreciationAmt |
| Book Value | $153,612 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,136,160 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BRETHREN FOUNDATION | $125,224 |
| CAPITAL CONTRIBUTION PCWP | $75,384 |
| CAPITAL CONTRIBUTION PEACE CHURCH RISK | $215,537 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $416,145 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Rounding | Desc |
| Amt | $1 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | DINNER FUNDRAISER | Event1Nm |
| Gross Receipts Event1 | $77,115 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $9,290 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $67,825 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $614 | NonCashPrizesEvent1Amt |
| Other Direct Expenses Event1 | $12,215 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $77,115 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $9,290 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $67,825 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $614 | NonCashPrizesTotalEventsAmt |
| Oth Direct Expnss Total Events | $12,215 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $12,829 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $54,996 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
| Total501c3 Org | 0 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| HICKORY POINT BANK | ||||||||
| A | 371052394 | 123456789 | 2003-10-21 | $3,050,000 | REFINANCE FACILITY CONSTRUCTIO | false | false | false |
| HICKORY POINT BANK | ||||||||
| B | 371052394 | 123456789 | 2003-10-21 | $1,900,000 | FACILITY CONSTRUCTION | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|
| A | $3,050,000 | 2003 | false | false | Yes (true) | Yes (true) |
| B | $1,900,000 | 2003 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | false | false | Yes (true) |
| B | false | false | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | false | false | false |
| B | false | false | false | false | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: PRIVATE PAY PROGRAM -- PRIVATE PAY SERVICES ARE NURSING HOME CARE SERVICES PROVIDED FOR PRIVATE PAY RESIDENTS. 9,000 DAYS OF CARE (13,500 DAYS OF CARE LESS 1/3 ALLOCATED TO SPECIAL CARE WING 4,500) WERE PROVIDED FOR F/Y ENDED 6/30/2018. THE ALLOCATION OF EXPENSES IS 32.61% (9,000/27,600). OTHER PROGRAM SERVICES 5: INDEPENDENT LIVING & ASSISTED LIVING CENTER PROGRAM PROVIDES HOUSING FOR SENIOR LIVING. PROGRAM EXPENSES FOR THE INDEPENDENT LIVING AND ASSISTED LIVING CENTER ARE SPECIFIC TO THE PROGRAM THIS PROGRAM ALSO OFFERS VARIOUS SERVICES TO RESIDENTS SUCH AS MEALS, MEDICATION REMINDRS, HOUSEKEEPING, LAUNDRY SERVICES, HAIR CARE, AND DINING ASSISTANCE. OTHER PROGRAM SERVICES 6: CHARITABLE CARE IS PROVIDED FOR BOTH NURSING HOME CARE AND INDEPENDENT LIVING CENTER BY PROVIDING CARE FOR SENIOR LIVING AT A REDUCED COST. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | COPIES OF FORM 990 WERE E-MAILED TO EACH OFFICER AND DIRECTOR. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | BOARD MEETINGS ARE HELD MONTHLY AND ANY PROBLEMS ARE DEAL WITH AT THE MEETINGS. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | EXECUTIVE DIRECTOR SALARY IS REVIEWED ON AN ANNUAL BASIS AT BUDGET PLANNING MEETING. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ONLY BY INDIVIDUAL REQUEST. |
| Other Changes In Net Assets Or Fund Balances - Other Increases | CONSOLIDATION ADJUSTMENT = $2091 |