LEWIS MEMORIAL CHRISTIAN VILLAGE: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- LEWIS MEMORIAL CHRISTIAN VILLAGE (EIN 51-0173104)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-02-23
- IRS object ID
- 201820549349300027
- Schema version
- 2016v3.0
- 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 | 2018-02-23T13:54:02-06:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 S Riverside Plaza 9th Floor | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510173104 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEWIS MEMORIAL CHRISTIAN VILLAGE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LEWI | BusinessNameControlTxt |
| Phone | 3145877903 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 622 EMERSON ROAD No 310 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63141 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHUCK SCHMITZ | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3145877903 | PhoneNum |
| Signature | 2018-02-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | David Lowenthal | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 3122071040 | PhoneNum |
| Preparation | 2018-02-19 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.59.56.30 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-02-19 | IPDt |
| IP Tm | 18:05:53 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 75C7EC6AC54A61BA087900A4F9B91D17BA572CD0 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHUCK SCHMITZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 622 EMERSON ROAD No 310 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63141 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,419,030 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://christianhorizonsliving.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | We exist to honor God by providing a continuum of excellent care and support services, primarily for older adults. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 384 | TotalEmployeeCnt |
| Total Volunteers | 106 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $242,814 | PYContributionsGrantsAmt |
| CY Contributions Grants | $86,899 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,375,877 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,696,935 | CYProgramServiceRevenueAmt |
| PY Investment Income | $414,566 | PYInvestmentIncomeAmt |
| CY Investment Income | $553,608 | CYInvestmentIncomeAmt |
| PY Other Revenue | $27,667 | PYOtherRevenueAmt |
| CY Other Revenue | $81,588 | CYOtherRevenueAmt |
| PY Total Revenue | $15,060,924 | PYTotalRevenueAmt |
| CY Total Revenue | $17,419,030 | 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 | $7,793,746 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,292,556 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,946,783 | PYOtherExpensesAmt |
| CY Other Expenses | $8,158,992 | CYOtherExpensesAmt |
| PY Total Expenses | $14,740,529 | PYTotalExpensesAmt |
| CY Total Expenses | $16,451,548 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $320,395 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $967,482 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $41,440,619 | TotalAssetsBOYAmt |
| Total Assets EOY | $41,978,010 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $17,355,922 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $16,870,863 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,084,697 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $25,107,147 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF LEWIS MEMORIAL CHRISTIAN VILLAGE IS TO CREATE AN EXCITING LIFESTYLE AND TO PROVIDE HIGH QUALITY CARE FOR SENIORS ON A CONTINUUM OF CARE. CAMPUS PROVIDING CARE IN A CHRISTIAN ENVIRONMENT PROVIDES A UNIQUE OPPORTUNITY TO MEET THE NEEDS OF SENIORS PHYSICALLY, MENTALLY, AND SPIRITUALLY. OUR COMMITMENT TO EXCELLENCE IS MOTIVATED BY OUR CHRISTIAN BELIEF THAT ALL ARE PRECIOUS IN THE SIGHT OF GOD. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,892,367 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $16,696,935 | RevenueAmt |
| Desc | LEWIS MEMORIAL CHRISTIAN VILLAGE PROVIDES QUALITY CARE TO SENIORS IN A CHRISTIAN ENVIRONMENT. THE OPERATIONS INCLUDE SKILLED NURSING CARE, INDEPENDENT LIVING APARTMENTS, AND ASSISTED LIVING SHARED HOMES. THE SKILLED NURSING CARE FACILITY PROVIDED 56,065 PATIENT DAYS OF SERVICE, THE INDEPENDENT LIVING APARTMENTS SERVED APPROXIMATELY 41 RESIDENTS AND THE SHARED HOME AVERAGED 19 RESIDENTS. THE WELLNESS CENTER AT LEWIS MEMORIAL CHRISTIAN VILLAGE IS AN EXERCISE FACILITY AND POOL FOR THE INDEPENDENT LIVING RESIDENTS ON THE CAMPUS, AS WELL AS OTHER RETIREMENT AGE PEOPLE IN THE COMMUNITY. | Desc |
| Total Program Service Expenses | $13,892,367 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 | 0 | 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 | 0 | 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 |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 384 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | 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 | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHUCK SCHMITZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3145877903 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 622 EMERSON ROAD SUITE 310 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63141 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| RON SEWELL | |||||||||
| BOARD MEMBER - CHAIRMAN | 0.30 | 2.00 | Yes (X) | Yes (X) | $0 | $1,000 | $0 | ||
| NICK FILING | |||||||||
| BOARD MEMBER - VICE CHAIRMAN | 0.30 | 2.00 | Yes (X) | Yes (X) | $0 | $750 | $0 | ||
| BILLY CARTER | |||||||||
| BOARD MEMBER - TREASURER | 0.30 | 2.00 | Yes (X) | Yes (X) | $0 | $1,000 | $0 | ||
| TERRY GOODNER | |||||||||
| BOARD MEMBER - SECRETARY | 0.30 | 2.00 | Yes (X) | Yes (X) | $0 | $1,000 | $0 | ||
| Bill Lash | |||||||||
| board member (part year) | 0.30 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Debra vincent | |||||||||
| board member (part year) | 0.30 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DON FITZGERALD | |||||||||
| BOARD MEMBER | 0.30 | 2.00 | Yes (X) | $0 | $750 | $0 | |||
| DOUG WILEY | |||||||||
| BOARD MEMBER | 0.30 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JIM FRASURE | |||||||||
| BOARD MEMBER | 0.30 | 2.00 | Yes (X) | $0 | $1,000 | $0 | |||
| MARK BEHRENDS | |||||||||
| BOARD MEMBER | 0.30 | 2.00 | Yes (X) | $0 | $1,000 | $0 | |||
| MIKE DUNAWAY | |||||||||
| BOARD MEMBER | 0.30 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| RANDY CLARK | |||||||||
| BOARD MEMBER | 0.30 | 2.00 | Yes (X) | $0 | $750 | $0 | |||
| ROBERT CROSBY | |||||||||
| BOARD MEMBER | 0.30 | 2.00 | Yes (X) | $0 | $750 | $0 | |||
| SCOTT WILLIAMS | |||||||||
| BOARD MEMBER | 0.30 | 2.00 | Yes (X) | $0 | $1,000 | $0 | |||
| STEVE GNUSE | |||||||||
| BOARD MEMBER | 0.30 | 2.00 | Yes (X) | $0 | $1,000 | $0 | |||
| THOMAS KERINS | |||||||||
| BOARD MEMBER | 0.30 | 2.00 | Yes (X) | $0 | $1,000 | $0 | |||
| TIMOTHY BURRELL | |||||||||
| BOARD MEMBER | 0.30 | 2.00 | Yes (X) | $0 | $750 | $0 | |||
| TIMOTHY PHILLIPPE | |||||||||
| CEO | 2.00 | 38.00 | Yes (X) | $0 | $424,467 | $36,780 | |||
| CHUCK SCHMITZ | |||||||||
| CFO (Beg. Oct. 2016) | 2.00 | 38.00 | Yes (X) | $0 | $47,137 | $1,180 | |||
| SUSAN MCGHEE | |||||||||
| CFO (through Mar. 2017) | 2.00 | 38.00 | Yes (X) | $0 | $277,088 | $14,080 | |||
| DONALD BELL | |||||||||
| COO | 2.00 | 38.00 | Yes (X) | $0 | $46,938 | $5,055 | |||
| JENELLE BERTOLINO-ISHMAEL | |||||||||
| COO OF HCBS | 2.00 | 38.00 | $0 | $263,828 | $14,080 | Yes (X) | |||
| SHERRY GUTERMUTH | |||||||||
| VICE PRESIDENT OF OPERATION | 2.00 | 38.00 | $0 | $251,154 | $11,720 | Yes (X) | |||
| John P Rupkey | |||||||||
| Pharmacy Manager | 0.40 | 39.60 | $0 | $203,057 | $5,500 | Yes (X) | |||
| Kathryn J Abel | |||||||||
| Regional VP of Operation | 2.00 | 38.00 | $0 | $177,983 | $13,080 | Yes (X) | |||
| Elizabeth A Huck | |||||||||
| VP of Sales | 2.00 | 38.00 | $0 | $169,744 | $10,080 | Yes (X) | |||
| Michael W Smar | |||||||||
| Pharmacist | 0.40 | 39.60 | $0 | $154,458 | $0 | Yes (X) | |||
| Cynthia A Schaaf | |||||||||
| Executive Director | 2.00 | 38.00 | $154,050 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $154,050 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,027,604 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $111,555 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $86,899 | AllOtherContributionsAmt |
| Total Contributions | $86,899 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NURSING HOME OPERATIONS | 623000 | $15,327,499 | $15,327,499 |
| senior living units | 623990 | $1,369,436 | $1,369,436 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,696,935 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $553,608 | TotalRevenueColumnAmt |
| Exclusion | $553,608 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| BEAUTY shop | 900099 | $38,329 | $38,329 |
| membership fees | 900099 | $23,728 | $23,728 |
| meal revenue | 900099 | $8,454 | $8,454 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,077 | TotalRevenueColumnAmt |
| Exclusion | $11,077 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $81,588 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,419,030 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,696,935 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $635,196 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,106,420 | TotalAmt |
| Program Services | $6,417,886 | ProgramServicesAmt |
| Management And General | $688,534 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,501 | TotalAmt |
| Program Services | $9,484 | ProgramServicesAmt |
| Management And General | $1,017 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $672,837 | TotalAmt |
| Program Services | $607,646 | ProgramServicesAmt |
| Management And General | $65,191 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $502,798 | TotalAmt |
| Program Services | $454,082 | ProgramServicesAmt |
| Management And General | $48,716 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $976,530 | TotalAmt |
| Management And General | $976,530 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,927 | TotalAmt |
| Management And General | $43,927 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,505,839 | TotalAmt |
| Program Services | $2,505,510 | ProgramServicesAmt |
| Management And General | $329 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,140 | TotalAmt |
| Program Services | $5,281 | ProgramServicesAmt |
| Management And General | $45,859 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,283 | TotalAmt |
| Program Services | $27,867 | ProgramServicesAmt |
| Management And General | $19,416 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,936 | TotalAmt |
| Management And General | $47,936 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $926,098 | TotalAmt |
| Program Services | $762,321 | ProgramServicesAmt |
| Management And General | $163,777 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,834 | TotalAmt |
| Program Services | $20,030 | ProgramServicesAmt |
| Management And General | $7,804 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,445 | TotalAmt |
| Program Services | $2,227 | ProgramServicesAmt |
| Management And General | $218 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $704,382 | TotalAmt |
| Program Services | $695,876 | ProgramServicesAmt |
| Management And General | $8,506 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,355,084 | TotalAmt |
| Program Services | $1,355,084 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,075 | TotalAmt |
| Program Services | $179,075 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| RAW FOOD (DIETARY) | $487,160 | $487,160 | |
| medicare participation | $383,861 | $383,861 | |
| BAD DEBT | $362,834 | $362,834 | |
| LICENSES, DUES, AND SUB | $49,292 | $49,292 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,272 | TotalAmt |
| Program Services | $4 | ProgramServicesAmt |
| Management And General | $8,268 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,451,548 | TotalAmt |
| Program Services | $13,892,367 | ProgramServicesAmt |
| Management And General | $2,559,181 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,631 | BOYAmt |
| EOY | $500 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,385 | BOYAmt |
| EOY | $89,213 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,032,626 | BOYAmt |
| EOY | $2,873,185 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,554 | BOYAmt |
| EOY | $13,576 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,680 | BOYAmt |
| EOY | $41,037 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $29,128,537 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,022,455 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,989,431 | BOYAmt |
| EOY | $16,106,082 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,790,995 | BOYAmt |
| EOY | $11,405,717 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,175 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,292,142 | BOYAmt |
| EOY | $11,448,700 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,440,619 | BOYAmt |
| EOY | $41,978,010 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $848,792 | BOYAmt |
| EOY | $616,554 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,380,462 | BOYAmt |
| EOY | $1,248,433 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,093,597 | BOYAmt |
| EOY | $13,970,918 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,000 | BOYAmt |
| EOY | $38,898 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,049 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,732,022 | BOYAmt |
| EOY | $996,060 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,355,922 | BOYAmt |
| EOY | $16,870,863 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,069,121 | BOYAmt |
| EOY | $25,085,833 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,576 | BOYAmt |
| EOY | $21,314 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,084,697 | BOYAmt |
| EOY | $25,107,147 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,440,619 | BOYAmt |
| EOY | $41,978,010 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $967,482 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $54,968 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $295,456 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $81,949 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $150,996 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $242,814 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $86,899 | CurrentTaxYearAmt |
| Total | $858,114 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,275,750 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,694,535 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,702,138 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,379,477 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,696,935 | CurrentTaxYearAmt |
| Total | $74,748,835 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,571,206 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,776,484 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,853,134 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,622,291 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,783,834 | CurrentTaxYearAmt |
| Total | $75,606,949 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $75,606,949 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $282,669 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $354,571 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $293,824 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $258,011 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $553,608 | CurrentTaxYearAmt |
| Total | $1,742,683 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $282,669 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $354,571 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $293,824 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $258,011 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $553,608 | CurrentTaxYearAmt |
| Total | $1,742,683 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $39,642 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $400,833 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $104,452 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,667 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $81,588 | CurrentTaxYearAmt |
| Total | $654,182 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,893,517 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,531,888 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,251,410 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,907,969 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,419,030 | CurrentTaxYearAmt |
| Total | $78,003,814 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96930 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97220 | PublicSupportPY509Pct |
| Investment Income CY | 0.02230 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01970 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12, Explanation of Other Income: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS - 2012 Amount: $ 3,169. 2013 Amount: $ 12,800. 2014 Amount: $ 2,532. 2015 Amount: $ 8,040. 2016 Amount: $ 1,886. beautyshop - 2012 Amount: $ 35,857. 2013 Amount: $ 39,939. 2014 Amount: $ 33,278. 2015 Amount: $ 25,385. 2016 Amount: $ 38,329. meal revenue - 2012 Amount: $ 616. 2013 Amount: $ 15,887. 2014 Amount: $ 10,736. 2015 Amount: $ 11,104. 2016 Amount: $ 8,454. DISCOUNTS - 2012 Amount: $ 0. 2013 Amount: $ 0. 2014 Amount: $ 0. 2015 Amount: $ 0. 2016 Amount: $ 4,877. INSURANCE GAIN - 2013 Amount: $ 332,207. 2014 Amount: $ 57,906. 2015 Amount: $ 26,400. 2016 Amount: $ 4,314. DEBT EXTINGUISHMENT - 2012 Amount: $ 0. 2013 Amount: $ 0. 2014 Amount: $ 0. 2015 Amount: $ -46,862. 2016 Amount: $ 0. SITTER FEES - 2012 Amount: $ 0. 2013 Amount: $ 0. 2014 Amount: $ 0. 2015 Amount: $ 3,600. 2016 Amount: $ 0. membership fees - 2012 Amount: $ 0. 2013 Amount: $ 0. 2014 Amount: $ 0. 2015 Amount: $ 0. 2016 Amount: $ 23,728. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $911,742 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $48,364 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $960,106 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $872,461 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $39,281 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $911,742 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $796,029 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $76,432 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $872,461 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $742,223 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $53,806 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $796,029 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $705,292 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $36,931 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $742,223 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $308,762 | OtherCostOrOtherBasisAmt |
| Book Value | $308,762 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,118,433 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,938,428 | DepreciationAmt |
| Book Value | $13,180,005 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,004,196 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,243,760 | DepreciationAmt |
| Book Value | $1,760,436 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,692,724 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,840,267 | DepreciationAmt |
| Book Value | $852,457 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,422 | OtherCostOrOtherBasisAmt |
| Book Value | $4,422 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $16,106,082 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ACCRUED INTEREST | $30,502 |
| bond funds | $820,079 |
| INTERCOMPANY RECEIVABLE | $10,598,119 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $11,448,700 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AUXILIARY | $11,611 |
| REFUNDABLE ENTRANCE FEES | $984,449 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $996,060 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, Line 2b: | RESIDENT FUNDS ARE AGENCY FUNDS HELD LOCALLY AT THE COMMUNITIES FOR INDIVIDUAL RESIDENTS' PERSONAL USE, RESIDENT SECURITY DEPOSITS, AND OTHER MISCELLANEOUS DEPOSITS. |
| Part V, Line 4: | ORGANIZATION HOLDS FUNDS IN ENDOWMENT DESIGNATED BY THE BOARD OF DIRECTORS TO BE USED FOR RESIDENT CARE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TIMOTHY PHILLIPPE | ||||||||||||||
| CEO | $0 | $342,688 | $0 | $78,106 | $0 | $3,673 | $0 | $15,500 | $0 | $21,280 | $0 | $461,247 | $0 | $0 |
| SUSAN MCGHEE | ||||||||||||||
| CFO (through Mar. 2017) | $0 | $239,088 | $0 | $38,000 | $0 | $0 | $0 | $7,000 | $0 | $7,080 | $0 | $291,168 | $0 | $0 |
| JENELLE BERTOLINO-ISHMAEL | ||||||||||||||
| COO OF HCBS | $0 | $234,828 | $0 | $29,000 | $0 | $0 | $0 | $7,000 | $0 | $7,080 | $0 | $277,908 | $0 | $0 |
| SHERRY GUTERMUTH | ||||||||||||||
| VICE PRESIDENT OF OPERATION | $0 | $215,154 | $0 | $36,000 | $0 | $0 | $0 | $7,000 | $0 | $4,720 | $0 | $262,874 | $0 | $0 |
| John P Rupkey | ||||||||||||||
| Pharmacy Manager | $0 | $160,220 | $0 | $30,500 | $0 | $12,337 | $0 | $5,500 | $0 | $0 | $0 | $208,557 | $0 | $0 |
| Kathryn J Abel | ||||||||||||||
| Regional VP of Operation | $0 | $154,543 | $0 | $20,400 | $0 | $3,040 | $0 | $6,000 | $0 | $7,080 | $0 | $191,063 | $0 | $0 |
| Elizabeth A Huck | ||||||||||||||
| VP of Sales | $0 | $149,959 | $0 | $19,000 | $0 | $785 | $0 | $3,000 | $0 | $7,080 | $0 | $179,824 | $0 | $0 |
| Michael W Smar | ||||||||||||||
| Pharmacist | $0 | $154,458 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $154,458 | $0 | $0 |
| Cynthia A Schaaf | ||||||||||||||
| Executive Director | $154,050 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $154,050 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 3 | FormAndLineReferenceDesc |
| Explanation | COMPENSATION OF THE ORGANIZATION'S CEO IS ESTABLISHED BY A RELATED ORGANIZATION, CHRISTIAN HOMES, INC. CHRISTIAN HOMES, INC. USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 3 | THE ORGANIZATION DELEGATES MANAGEMENT DUTIES INCLUDING SUPERVISING PERSONNEL, OPERATIONS, AND BUDGETING TO MIDWEST CHRISTIAN VILLAGES, A MANAGEMENT COMPANY AND RELATED EXEMPT ORGANIZATION. |
| Form 990, Part VI, Section B, line 11b | THE BOARD IS PROVIDED A COPY OF FORM 990 PRIOR TO ITS FILING. |
| Form 990, Part VI, Section B, line 12c | THE CONFLICT OF INTEREST STATEMENT IS INCLUDED IN THE EMPLOYEE HANDBOOK, WHICH EVERY EMPLOYEE IS GIVEN A COPY OF AND SIGNS AN ACKNOWLEDGEMENT FOR ON THEIR FIRST DAY OF EMPLOYMENT. IF A VIOLATION OCCURS, EMPLOYEES CAN REPORT DIRECTLY TO THEIR SUPERVISOR OR USE THE 800 NUMBERS WHICH ARE POSTED AT EACH LOCATION. VIOLATIONS ARE INVESTIGATED BY INDIVIDUALS AT THE VICE PRESIDENT LEVEL AND AT LEAST TWO INDIVIDUALS WOULD MAKE THE FINAL DETERMINATION AS TO THE APPROPRIATE ACTION TO BE TAKEN. THE BOARD OF DIRECTORS HAS ADOPTED A CONFLICT OF INTEREST POLICY. ANNUALLY EVERY BOARD MEMBER COMPLETES A CONFLICT OF INTEREST DISCLOSURE FORM AND IDENTIFIES ANY POTENTIAL CONFLICTS. THEY ALSO CERTIFY THAT THEY HAVE REVIEWED AND AGREE TO ABIDE BY THE CURRENT POLICY IN PLACE. IF A POTENTIAL CONFLICT ARISES IT IS REVIEWED BY THE BOARD OF DIRECTORS AND DISCUSSED AND VOTED ON. |
| Form 990, Part VI, Section B, line 15 | COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, OFFICERS AND KEY EMPLOYEES IS DETERMINED BY A RELATED ORGANIZATION, CHRISTIAN HOMES, INC. OFFICERS ARE NOT PRESENT AT ANY MEETING DISCUSSING THEIR COMPENSATION. THE COMPENSATION COMMITTEE DOCUMENTS ITS FINDINGS IN WRITING. CHRISTIAN HOMES, INC. PARTICIPATES IN SEVERAL (MINIMUM OF 3) INDUSTRY SPECIFIC, EXECUTIVE SALARY SURVEYS EACH YEAR TO HELP DETERMINE COMPETITIVENESS OF THE ORGANIZATION'S EXECUTIVE AND SENIOR MANAGEMENT POSITIONS. THE SALARIES ARE DISCUSSED AND REVIEWED BY THE PRESIDENT AND VICE PRESIDENT OF HUMAN RESOURCES. IF A NEW HIRE IS BEING CONSIDERED FOR AN EXECUTIVE LEVEL POSITION, IT MAY ALSO BE DISCUSSED WITH THE BOARD. IN 2010, THE ORGANIZATION ESTABLISHED A COMPENSATION COMMITTEE OF THE BOARD HEADED BY A PERSON WHOSE ENTIRE CAREER WAS IN HUMAN RESOURCES AND INCLUDES THE ORGANIZATION'S VICE PRESIDENT OF HUMAN RESOURCES AS WELL AS A FEW OTHER BOARD MEMBERS. OTHER OFFICERS AND KEY EMPLOYEES SALARIES ARE DETERMINED BASED ON A REVIEW AND PARTICIPATION IN SEVERAL INDUSTRY SPECIFIC SALARY SURVEYS WHICH PROVIDE DATA ON OTHER EXECUTIVES. THE ORGANIZATION REVIEWS THE COMPENSATION REVIEW THROUGH A BOARD COMMITTEE. THE VP OF HR IS ALSO ON THIS COMMITTEE. THEY REVIEW THE EXECUTIVE TEAM COMPENSATION ON AN ANNUAL BASIS AND THEY USE SALARY SURVEYS FROM EXTERNAL SOURCES THAT RELATE TO THE ORGANIZATION'S INDUSTRY. AT THE MARCH 2017 BOARD MEETING THE CFO AND CEO SALARIES WERE REVIEWED. THE ITEMS THAT ARE DISCUSSED DURING THE COMPENSATION MEETING ARE SUMMARIZED IN THE FULL BOARD MEETING, WHERE MINUTES ARE TAKEN. |
| Form 990, Part VI, Section C, line 19 | THE ORGANIZATION POSTS ITS MONTHLY FINANCIAL STATEMENTS ON ITS WEBSITE. MONTHLY FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE ALSO AVAILABLE UPON REQUEST. |
| Form 990, Part IX, line 11g | PROFESSIONAL FEES/CONSULTANTS: Program service expenses 2,505,510. Management and general expenses 329. Fundraising expenses 0. Total expenses 2,505,839. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTIAN HOMES INC | ||||||||||
| 200 N POSTVILLE DRIVE | LINCOLN | IL | 62656 | 370841562 | SKILLED NURSING FACILITY & RETIREMENT APARTMENTS | IL | 501(c)(3) | Line 10 | N/A | 0 |
| FAIR HAVENS CHRISTIAN HOMES | ||||||||||
| 1790 S FAIRVIEW AVENUE | DECATUR | IL | 62521 | 370987659 | SKILLED NURSING FACILITY & RETIREMENT APARTMENTS | IL | 501(c)(3) | Line 10 | N/A | 0 |
| HOOSIER CHRISTIAN VILLAGE | ||||||||||
| 621 S SUGAR STREET | BROWNSTOWN | IN | 47220 | 237423749 | SKILLED NURSING FACILITY & RETIREMENT APARTMENTS | IN | 501(c)(3) | Line 10 | N/A | 0 |
| SPRING RIVER CHRISTIAN VILLAGE | ||||||||||
| 201 S NORTHPARK LANE | JOPLIN | MO | 64801 | 431341462 | SKILLED NURSING FACILITY & RETIREMENT APARTMENTS | MO | 501(c)(3) | Line 10 | N/A | 0 |
| CROWN POINT CHRISTIAN VILLAGE | ||||||||||
| 6685 E 117TH ST | CROWN POINT | IN | 46307 | 311114614 | SKILLED NURSING FACILITY & RETIREMENT APARTMENTS | IN | 501(c)(3) | Line 10 | N/A | 0 |
| RISEN SON CHRISTIAN VILLAGE | ||||||||||
| 3000 RISEN SON BLVD | COUNCIL BLUFFS | IA | 51503 | 421279738 | SKILLED NURSING FACILITY & RETIREMENT APARTMENTS | IA | 501(c)(3) | Line 10 | N/A | 0 |
| MIDWEST SENIOR MINISTRIES | ||||||||||
| 622 EMERSON ROAD | ST LOUIS | MO | 63141 | 201053401 | PHARMACY SERVICES | IL | 501(c)(3) | Line 10 | N/A | 0 |
| MIDWEST CHRISTIAN VILLAGES | ||||||||||
| 200 N POSTVILLE DRIVE | LINCOLN | IL | 62656 | 260275009 | MGMT NURSING AND RETIREMENT | IL | 501(c)(3) | Line 10 | N/A | 0 |
| 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 | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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