CHRISTIAN COMMUNITY HOMES AND SERVICES INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- CHRISTIAN COMMUNITY HOMES AND SERVICES INC (EIN 91-2052713)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-14
- IRS object ID
- 201833189349306518
- Schema version
- 2017v2.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-14T13:36:37-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3703 OAKWOOD HILLS PKWY/PO BOX 690 | AddressLine1Txt |
| City | EAU CLAIRE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 547020690 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 912052713 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTIAN COMMUNITY HOMES AND SERVICES | BusinessNameLine1Txt |
| Business Name Line2 | INC GROUP RETURN | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHRI | BusinessNameControlTxt |
| Phone | 7153869303 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WISCONSIN STREET | AddressLine1Txt |
| City | HUDSON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54016 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAN GOODIER | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 7153869303 | PhoneNum |
| Signature | 2018-09-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | HOLLY POKRANDT CPA | PreparerPersonNm |
| PTIN | P00449155 | PTIN |
| Phone | 7158323407 | PhoneNum |
| Preparation | 2018-09-17 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 137.26.200.211 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-09-17 | IPDt |
| IP Tm | 16:48:27 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | CA47341B643BFB20393A7A8BF617559D54ADFF32 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAN GOODIER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WISCONSIN STREET | AddressLine1Txt |
| City | HUDSON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,585,443 | GrossReceiptsAmt |
| Group Return For Affiliates | Yes (1) | GroupReturnForAffiliatesInd |
| All Affiliates Included | Yes (1) | AllAffiliatesIncludedInd |
| Group Exemption | 3557 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CCHHUDSON.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF CHRISTIAN COMMUNITY HOMES AND SERVICES, A CHURCH-SPONSORED ORGANIZATION, IS TO SERVE THE RESIDENTS OF THE CAMPUS, AND EXTENDED COMMUNITY, IN A LOVING AND CARING ENVIRONMENT. WE ARE DEDICATED TO HELPING TO MEET THEIR PHYSICAL, SOCIAL, EMOTIONAL, AND SPIRITUAL NEEDS, AND TO ENCOURAGE A SENSE OF DIGNITY AND INDIVIDUALITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 412 | TotalEmployeeCnt |
| Total Volunteers | 230 | TotalVolunteersCnt |
| Total Gross UBI | $271,104 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $54,223 | PYContributionsGrantsAmt |
| CY Contributions Grants | $52,560 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,342,631 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,502,839 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,830 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,408 | CYInvestmentIncomeAmt |
| PY Other Revenue | $21,151 | PYOtherRevenueAmt |
| CY Other Revenue | $6,578 | CYOtherRevenueAmt |
| PY Total Revenue | $15,425,835 | PYTotalRevenueAmt |
| CY Total Revenue | $15,574,385 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,284,325 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,183,812 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,058,749 | PYOtherExpensesAmt |
| CY Other Expenses | $7,422,955 | CYOtherExpensesAmt |
| PY Total Expenses | $15,343,074 | PYTotalExpensesAmt |
| CY Total Expenses | $15,606,767 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $82,761 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$32,382 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,886,977 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,949,484 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,991,729 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,065,919 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,895,248 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,883,565 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF CHRISTIAN COMMUNITY HOMES AND SERVICES, A CHURCH-SPONSORED ORGANIZATION, IS TO SERVE THE RESIDENTS OF THE CAMPUS, AND EXTENDED COMMUNITY, IN A LOVING AND CARING ENVIRONMENT. WE ARE DEDICATED TO HELPING TO MEET THEIR PHYSICAL, SOCIAL, EMOTIONAL, AND SPIRITUAL NEEDS, AND TO ENCOURAGE A SENSE OF DIGNITY AND INDIVIDUALITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,538,872 | ExpenseAmt |
| Revenue | $15,201,699 | RevenueAmt |
| Desc | CHRISTIAN COMMUNITY HOME OF HUDSON, INC. IS AN 81-(LICENSED) BED NURSING HOME (CCH-HUDSON), A 38-UNIT COMMUNITY BASED RESIDENTIAL FACILITY (PINE RIDGE), AND A 92-UNIT APARTMENT COMPLEX WHICH INCLUDES A 40-UNIT RESIDENTIAL CARE APARTMENT COMPLEX (WINTERGREEN). CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC. IS A 40-BED NURSING HOME (CCH-OSCEOLA) AND A 20-UNIT COMMUNITY BASED RESIDENTIAL FACILITY (HEARTHSIDE).HEALTH CARE SERVICES TO MEDICAID NURSING HOME RESIDENTS ARE CONSIDERED PART OF THE ORGANIZATION'S BENEFIT PROVIDED TO THE COMMUNITY SINCE A SUBSTANTIAL PORTION OF SUCH SERVICES ARE REIMBURSED AT AMOUNTS LESS THAN THE COSTS OF PROVIDING CARE. FOR 2017, CCH-HUDSON'S TOTAL NURSING HOME RESIDENT DAYS WERE 20,271 INCLUDED IN THIS TOTAL WAS 9,857 DAYS FOR RESIDENTS COVERED UNDER THE MEDICAID/HOSPICE MEDICAID PROGRAM. CCH-OSCEOLA'S TOTAL NURSING HOME RESIDENT DAYS WERE 13,038, AND INCLUDED IN THIS TOTAL WAS 6,103 COVERED UNDER THE MEDICAID/HOSPICE MEDICAID PROGRAM.THE NURSING HOME OFFERS SKILLED NURSING CARE IN BOTH SHORT-TERM REHABILITATION PROGRAMS AND LONG-TERM CARE RESIDENT PROGRAMS. SOME OF THE SPECIALIZED CARE SERVICES OFFERED INCLUDE WOUND CARE, PAIN MANAGEMENT, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY.PINE RIDGE OFFERS MONITORED CARE PLANS TO RESIDENTS GIVING THEM THE COMFORT OF KNOWING THAT ADDITIONAL CARE IS AVAILABLE AS THEY NEED IT. SERVICES OFFERED AT PINE RIDGE INCLUDE HOUSEKEEPING, LAUNDRY, NURSING ASSISTANCE WITH ACTIVITIES OF DAILY LIVING, DIETARY SERVICES, MEDICATION MANAGEMENT, AND OTHER NURSING SUPERVISION AND CARE SERVICES. TOTAL RESIDENT DAYS FOR 2017 WERE 13,425. ADDITIONALLY, HEARTHSIDE HAD 6,096 RESIDENT DAYS FOR 2017.WINTERGREEN PROVIDES ELDERLY AND HANDICAPPED PERSONS WITH HOUSING FACILITIES AND SERVICES AVAILABLE TO MEET THEIR NEEDS. AMONG THE MANY SERVICES PROVIDED ARE 24-HOUR ON-SITE STAFF, ASSISTANCE WITH MEDICATIONS, MONTHLY OR WEEKLY VITAL CHECKS, QUARTERLY AND ANNUAL NURSING ASSESSMENTS, TRANSPORTATION SERVICES, AND ASSISTANCE WITH DAILY CARES. TOTAL RENTAL DAYS AT WINTERGREEN APARTMENTS FOR 2017 WERE 32,898.WINTERGREEN APARTMENTS, INC. IS THE REAL ESTATE HOLDING COMPANY AND THE LESSOR FOR THE PROPERTY AND EQUIPMENT IN WHICH CHRISTIAN COMMUNITY HOME OF HUDSON, INC. PROVIDES ITS OPERATIONS. CHRISTIAN COMMUNITY HOME OF HUDSON, INC. PAYS WINTERGREEN APARTMENTS, INC. MONTHLY RENT TO LEASE THE PROPERTY AND EQUIPMENT.CHRISTIAN COMMUNITY CAMPUS FOUNDATION, INC. (FOUNDATION) IS A FUND DEVELOPMENT COMPANY FOR THE NONPROFIT FACILITIES. THE FOUNDATION ORGANIZES EVENTS AND PROJECTS WHICH RAISE FUNDS THAT ALLOW FOR EQUIPMENT UPGRADES, INVESTMENT IN FACILITY ENHANCEMENT PROJECTS, AND EXPANSION AND ENHANCEMENT OF SERVICES. IN 2017, CHRISTIAN COMMUNITY FOUNDATION, INC. RAISED ABOUT $47,000 IN FUNDS FOR THESE PURPOSES. | Desc |
| Total Program Service Expenses | $13,538,872 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 55 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 412 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | 0 | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAN GOODIER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7153869303 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WISCONSIN STREET | AddressLine1Txt |
| City | HUDSON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JEFF MAKI | ||||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RON LANGNESS | ||||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TOM REDDING | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KATHLEEN ANDERSON | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JUDY FREUND | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GERY CAMPBELL | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MEL HERMANSEN | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CARLA BEBAULT | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARIAN WEBBER | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RICK HAGAR | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RUTH KNAPP | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LORI BERNARD | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| REV DR DAWN JEFFERS RAMSTAD | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAN GOODIER | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | $241,947 | $0 | $21,799 | Yes (X) | |||
| MARY EELLS | ||||||||
| DIRECTOR OF OPERATIONS | 40.00 | $111,195 | $0 | $7,636 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $353,142 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $29,435 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| REHAB CARE GROUP INC | |||||
| PO BOX 50534 | ST LOUIS | MO | 63150 | THERAPY SERVICES | $1,256,701 |
| SPECIALIZED MEDICAL STAFFING | |||||
| 13797 210 STREET | BLOOMER | WI | 54724 | CNA TEMP HELP | $119,875 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $10,353 | FundraisingAmt |
| All Other Contributions | $42,207 | AllOtherContributionsAmt |
| Total Contributions | $52,560 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NURSING HOME | 623000 | $10,634,293 | $10,634,293 | ||
| ASSISTED LIVING | 623990 | $4,507,431 | $4,507,431 | ||
| CAFETERIA & VENDING | 623000 | $301,140 | $271,104 | $30,036 | |
| SENIOR NUTRITION PROGRAMS | 624210 | $59,975 | $59,975 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,502,839 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,408 | TotalRevenueColumnAmt |
| Exclusion | $12,408 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $200 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $200 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $200 | TotalRevenueColumnAmt |
| Exclusion | $200 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $17,436 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $10,353 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $11,058 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,378 | TotalRevenueColumnAmt |
| Exclusion | $6,378 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,574,385 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,201,699 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $271,104 | UnrelatedBusinessRevenueAmt |
| Exclusion | $49,022 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $570,486 | TotalAmt |
| Management And General | $570,486 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,493,324 | TotalAmt |
| Program Services | $5,947,865 | ProgramServicesAmt |
| Management And General | $545,459 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,957 | TotalAmt |
| Program Services | $93,392 | ProgramServicesAmt |
| Management And General | $8,565 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,768 | TotalAmt |
| Program Services | $466,946 | ProgramServicesAmt |
| Management And General | $42,822 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $508,277 | TotalAmt |
| Program Services | $431,189 | ProgramServicesAmt |
| Management And General | $77,088 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,584 | TotalAmt |
| Management And General | $45,584 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,026 | TotalAmt |
| Management And General | $62,026 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,013,466 | TotalAmt |
| Program Services | $1,964,692 | ProgramServicesAmt |
| Management And General | $48,774 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,472 | TotalAmt |
| Management And General | $106,472 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $448,569 | TotalAmt |
| Program Services | $217,394 | ProgramServicesAmt |
| Management And General | $231,175 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,633 | TotalAmt |
| Management And General | $78,633 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,231,014 | TotalAmt |
| Program Services | $1,231,014 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,632 | TotalAmt |
| Management And General | $43,632 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,160,936 | TotalAmt |
| Program Services | $1,160,936 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,236 | TotalAmt |
| Management And General | $181,236 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DIETARY SUPPLIES | $743,389 | $743,389 | |
| MEDICAL SUPPLIES | $583,763 | $583,763 | |
| REPAIRS/MAINT | $307,355 | $307,144 | $211 |
| ASSESSMENT | $269,305 | $269,305 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,575 | TotalAmt |
| Program Services | $121,843 | ProgramServicesAmt |
| Management And General | $25,732 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,606,767 | TotalAmt |
| Program Services | $13,538,872 | ProgramServicesAmt |
| Management And General | $2,067,895 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,451,019 | BOYAmt |
| EOY | $3,108,538 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,132 | BOYAmt |
| EOY | $125,768 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $944,661 | BOYAmt |
| EOY | $1,015,921 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,217 | BOYAmt |
| EOY | $113,886 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $32,249,662 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $18,142,397 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,043,560 | BOYAmt |
| EOY | $14,107,265 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,227,388 | BOYAmt |
| EOY | $2,478,106 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,886,977 | BOYAmt |
| EOY | $20,949,484 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $872,303 | BOYAmt |
| EOY | $925,323 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,578,818 | BOYAmt |
| EOY | $7,069,657 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,232,248 | BOYAmt |
| EOY | $10,699,132 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $308,360 | BOYAmt |
| EOY | $371,807 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,991,729 | BOYAmt |
| EOY | $19,065,919 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,895,248 | BOYAmt |
| EOY | $1,883,565 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,895,248 | BOYAmt |
| EOY | $1,883,565 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,886,977 | BOYAmt |
| EOY | $20,949,484 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$32,382 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $20,699 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART I, LINE 3: | FormAndLineReferenceDesc |
| Explanation | LINE 3 OF PART I OF SCHEDULE A HAS BEEN CHECKED, BECAUSE THIS LINE DESCRIBES THE REASON FOR PUBLIC CHARITY STATUS FOR TWO OF THE FOUR ORGANIZATIONS INCLUDED IN THIS GROUP RETURN. HOWEVER, PER THE IRS INSTRUCTIONS FOR GROUP RETURNS, LINES 11E-11G OF PART I OF SCHEDULE A SHOULD ALSO HAVE BEEN COMPLETED BECAUSE TWO OF THE ORGANIZATIONS INCLUDED IN THE GROUP RETURN, WINTERGREEN APARTMENTS, INC. AND CHRISTIAN COMMUNITY CAMPUS FOUNDATION, INC., ARE SUPPORTING ORGANIZATIONS. THESE ORGANIZATION'S PURPOSE IS TO PROVIDE MANAGEMENT, OVERSIGHT, FUNDRAISING, INVESTMENT, AND FUNDING SERVICES TO CHRISTIAN COMMUNITY HOMES AND SERVICES, INC., WHICH INCLUDES CHRISTIAN COMMUNITY HOME OF HUDSON, INC. AND CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC. WINTERGREEN APARTMENTS, INC. AND CHRISTIAN COMMUNITY CAMPUS FOUNDATION, INC. ARE TYPE II SUPPORTING ORGANIZATIONS THAT ARE NOT CONTROLLED DIRECTLY OR INDIRECTLY BY ONE OR MORE DISQUALIFIED PERSONS OTHER THAN THE MANAGERS AND OTHER THAN ONE OR MORE PUBLICLY SUPPORTED ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1) OR SECTION 509(A)(2). CHRISTIAN COMMUNITY CAMPUS FOUNDATION, INC. PROVIDED $59,911 OF SUPPORT TO CHRISTIAN COMMUNITY HOME OF HUDSON, INC. - EIN 39-1363520 AND $9,618 OF SUPPORT TO CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC. - EIN 80-0495631. THESE ORGANIZATIONS WERE LISTED IN THE ARTICLES OF INCORPORATION OF CHRISTIAN COMMUNITY CAMPUS FOUNDATION, INC., WERE ORGANIZED IN THE U.S., AND WERE NOTIFIED OF THE SUPPORT RECEIVED. WINTERGREEN APARTMENTS, INC. OWNS THE PROPERTY AND RELATED DEBT FINANCING FOR THE FACILITY USED BY CHRISTIAN COMMUNITY HOME OF HUDSON, INC. - EIN 39-1363520. SCHEDULE A, LINE 11E: WINTERGREEN APARTMENTS, INC. RECEIVED A LETTER STATING THAT IT IS A TYPE II SUPPORTING ORGANIZATION. SCHEDULE A, LINE 11F: WINTERGREEN APARTMENTS, INC. 93-0838759 SUPPORTS ONE ORGANIZATION AND CHRISTIAN COMMUNITY CAMPUS FOUNDATION SUPPORTS THREE ORGANIZATIONS. | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $491 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $491 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | CHRISTIAN COMMUNITY HOMES AND SERVICES PAYS ANNUAL ASSOCIATION DUES TO LEADING AGE WISCONSIN. THESE DUES ARE PRIMARILY FOR ACCESS TO EDUCATIONAL MATERIALS AND STAFF TRAINING AND DEVELOPMENT. A PORTION OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL INDUSTRY ENVIRONMENT. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $331,453 | OtherCostOrOtherBasisAmt |
| Book Value | $331,453 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,975,756 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,253,783 | DepreciationAmt |
| Book Value | $12,721,973 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,942,453 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,888,614 | DepreciationAmt |
| Book Value | $1,053,839 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,107,265 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (9 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| TENANT DEPOSIT FUNDS | $213,189 | F |
| CAPITAL IMPROVEMENT FUND | $380,146 | F |
| BOND RESERVE FUND | $605,253 | F |
| BOND REPAIR AND REPLACEMENT FUND | $521,363 | F |
| DEFERRED COMPENSATION PLAN ASSETS | $371,807 | F |
| CRITICAL REPAIRS FUND | $21,110 | F |
| HUD ESCROW ACCOUNTS | $272,269 | F |
| MORTGAGE INS ESCROW | $53,434 | F |
| TAX ESCROW ACCOUNT | $39,535 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $2,478,106 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED COMPENSATION PLAN LIABILITY | Desc |
| Amt | $371,807 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $371,807 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | RIVER CRUISE | Event1Nm |
| Gross Receipts Event1 | $22,941 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $8,579 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $14,362 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $450 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $300 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $6,917 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $450 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $454 | OtherDirectExpensesEvent1Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $4,848 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $1,774 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $3,074 | GrossRevenueOtherEventsAmt |
| Food And Beverage Other Events | $923 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $250 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $1,314 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $27,789 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $10,353 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $17,436 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $450 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $300 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $7,840 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $700 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,768 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $11,058 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $6,378 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAN GOODIER | PersonNm |
| Title | EXECUTIVE DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $241,947 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $21,799 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $263,746 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 3B | A FORM 990-T IS NOT REQUIRED FOR THE GROUP RETURN OF CHRISTIAN COMMUNITY HOMES AND SERVICES, INC. A FORM 990-T WAS FILED FOR CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC AT EIN 80-0495631 |
| FORM 990, PART VI, SECTION A, LINE 7A | CHRISTIAN COMMUNITY HOMES AND SERVICES, INC.'S ARTICLES OF INCORPORATION STATE THAT 60% OF THE BOARD OF DIRECTORS ARE MEMBERS OF AND ELECTED BY THE UNITED METHODIST CHURCH. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE RETURN IS MADE AVAILABLE TO THE BOARD OF DIRECTORS PRIOR TO FILING FOR THEIR REVIEW AND COMMENTS. THE DIRECTOR OF FINANCE OF CHRISTIAN COMMUNITY HOMES AND SERVICES, INC. REVIEWS AND APPROVES THE FORM 990 PRIOR TO SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE EXECUTIVE DIRECTOR AND DIRECTOR OF FINANCE MONITOR THE CONFLICT OF INTEREST POLICY FOR COMPLIANCE ON AN ON-GOING BASIS TO ENSURE THAT MEMBERS OF THE BOARD OF DIRECTORS HAVE IDENTIFIED AND DISCLOSED ALL POTENTIAL CONFLICTS THAT COULD INFLUENCE THEIR DECISION MAKING IN THEIR ROLES AS BOARD MEMBERS. EXAMPLES INCLUDED IN THE POLICY INCLUDE BOARD MEMBERS WHO HAVE BUSINESS DEALINGS WITH THE ORGANIZATION OR WHO HAVE RELATIVES WHO ARE RESIDENTS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | CHRISTIAN COMMUNITY HOMES AND SERVICES, INC.'S EXECUTIVE COMMITTEE APPROVES THE COMPENSATION AGREEMENT WITH THE EXECUTIVE DIRECTOR ON AN ANNUAL BASIS, AFTER OBTAINING AND CONSIDERING COMPARABILITY DATA. THE BASIS FOR THE COMPENSATION DETERMINATION IS ADEQUATELY DOCUMENTED IN THE MINUTES OF THE MEETING FOR WHICH THE DETERMINATION WAS MADE. |
| FORM 990, PART VI, SECTION C, LINE 19 | CHRISTIAN COMMUNITY HOMES AND SERVICES MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST DURING NORMAL BUSINESS HOURS AT THE OFFICES OF CHRISTIAN COMMUNITY HOMES AND SERVICES. |
| FORM 990, PART IX, LINE 11G | NURSING AND PHYSICIAN: PROGRAM SERVICE EXPENSES 295,897. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 295,897. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 637,838. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 637,838. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 451,263. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 451,263. SPEECH THERAPY: PROGRAM SERVICE EXPENSES 178,812. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 178,812. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 262,833. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 262,833. OTHER: PROGRAM SERVICE EXPENSES 138,049. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 138,049. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 48,774. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,774. |
| FORM 990, PART XI, LINE 2C: COMMITTEE RESPONSIBLE FOR OVERSIGHT OF AUDIT | THE CHRISTIAN COMMUNITY HOMES AND SERVICES, INC. BOARD OF DIRECTORS ASSUMES FINAL RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT THAT PERFORMS THE AUDIT. NO CHANGES HAVE BEEN MADE IN THE PAST YEAR REGARDING THIS OVERSIGHT FUNCTION OF THE GOVERNING BODY. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CCH OSCEOLA LAND LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2650 65TH AVENUE | AddressLine1Txt |
| City | OSCEOLA | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54620 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 814907444 | EIN |
| Primary Activities | TO HOLD PARCEL OF LAND FOR FUTURE DEVELOPMENT | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $26,600 | EndOfYearAssetsAmt |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTIAN COMMUNITY HOMES AND SERVICES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WISCONSIN ST | AddressLine1Txt |
| City | HUDSON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391801003 | EIN |
| Primary Activities | TO SERVE AS THE PARENT COMPANY FOR SEVERAL SENIOR CARE FACILITIES | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12C, III-FI | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |