MIZPAH ASSISTED LIVING SERVICES: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MIZPAH ASSISTED LIVING SERVICES (EIN 43-1744746)
Tax period
2016-06-01 to 2017-05-31
Filed
2018-04-14
IRS object ID
201821049349300702
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

FieldValueIRS element (for citing)
Return2018-04-14T08:50:59-05:00ReturnTs
Tax Period End2017-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1600 WASHINGTON AVENUE SUITE 1800AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN431744746EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MIZPAH ASSISTED LIVING SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMIZPBusinessNameControlTxt
Phone3147260111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11001 CRAIG ROAD NO 200AddressLine1Txt
CitySAINT LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63146ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGARY VENTOLAPersonNm
Person TitleCFOPersonTitleTxt
Phone3147260111PhoneNum
Signature2018-04-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFF PARKERPreparerPersonNm
PTINP00970069PTIN
Phone3149254300PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-04-04IPDt
IP Tm23:05:01IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id77C2A228156754EA0DD85EDC7B05B40639B2FE82AtSubmissionCreationDeviceId
At Submission Filing Device IdC64F2497C9F983EF2FA6B112E39EF676582BFA31AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1ST ANDREW'S ASSISTED LIVING OF BRIDGETONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerGARY VENTOLAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11001 CRAIG ROAD NO 200AddressLine1Txt
CitySAINT LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63146ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,345,730GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://ASSISTEDLIVINGBRIDGETON.COM/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionASSISTED LIVING FOR THE ELDERLYActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee61TotalEmployeeCnt
Total Volunteers3TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$508,207PYProgramServiceRevenueAmt
CY Program Service Revenue$1,337,247CYProgramServiceRevenueAmt
PY Investment Income$93PYInvestmentIncomeAmt
CY Investment Income$264CYInvestmentIncomeAmt
PY Other Revenue$2,603PYOtherRevenueAmt
CY Other Revenue$8,219CYOtherRevenueAmt
PY Total Revenue$510,903PYTotalRevenueAmt
CY Total Revenue$1,345,730CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$270,833PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$610,603CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$245,864PYOtherExpensesAmt
CY Other Expenses$667,924CYOtherExpensesAmt
PY Total Expenses$516,697PYTotalExpensesAmt
CY Total Expenses$1,278,527CYTotalExpensesAmt
PY Revenues Less Expenses-$5,794PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$67,203CYRevenuesLessExpensesAmt
Total Assets BOY$1,913,616TotalAssetsBOYAmt
Total Assets EOY$1,917,857TotalAssetsEOYAmt
Total Liabilities BOY$2,568,007TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,505,045TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$654,391NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$587,188NetAssetsOrFundBalancesEOYAmt
MissionASSISTED LIVING FOR THE ELDERLYMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,046,431ExpenseAmt
Revenue$1,337,247RevenueAmt
DescPROVIDING HOUSING, MEALS AND ASSISTED PERSONAL CARE TO SENIOR CITIZENS.Desc
Total Program Service Expenses$1,046,431TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee61EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGARY VENTOLAPersonNm
Phone3147260111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11001 CRAIG ROAD SUITE 200AddressLine1Txt
CitySAINT LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63146ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerInd
RICHARD MONEY
DIRECTOR1.00Yes (X)$0$0$0
KATY VERHAGEN
DIRECTOR1.00Yes (X)$0$0$0
MARY ALICE RYAN
PRESIDENT/CEO1.00Yes (X)$0$315,284$12,17139.00Yes (X)
MAUREEN DUNN
PAST PRESIDENT1.00Yes (X)$0$0$0
GARY VENTOLA
CFO1.00$0$102,116$9,47539.00Yes (X)
TYLER TROUTMAN
COO1.00$0$22,885$2,76539.00Yes (X)
KRISTIE NUNN
PAST EXECUTIVE DIRECTOR39.00$47,390$0$7,8551.00Yes (X)
DIANE MEATHEANY
PAST COO1.00$0$219,550$8,27139.00Yes (X)
LESLIE WALKER
EXECUTIVE DIRECTOR39.00$0$0$01.00Yes (X)
CARLA BROOKS
PAST CFO1.00$0$48,919$1,59939.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$47,390TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$708,754TotReportableCompRltdOrgAmt
Total Other Compensation$42,136TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST ANDREW'S MANGEMENT SERVICESBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11001 CRAIG ROADAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63146ZIPCd
FieldValueIRS element (for citing)
ServicesMANAGEMENT SERVICESServicesDesc
Compensation$243,385CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescASSISTED LIVING REVENUDesc
Business623000BusinessCd
Total Revenue Column$1,337,247TotalRevenueColumnAmt
Related Or Exempt Func Income$1,337,247RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,337,247TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$264TotalRevenueColumnAmt
Exclusion$264ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescBARBER & BEAUTY SHOPDesc
Business623000BusinessCd
Total Revenue Column$8,219TotalRevenueColumnAmt
Exclusion$8,219ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,219OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,345,730TotalRevenueColumnAmt
Related Or Exempt Func Income$1,337,247RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,483ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$23,176TotalAmt
Management And General$23,176ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$467,439TotalAmt
Program Services$467,439ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$76,513TotalAmt
Program Services$76,513ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$43,475TotalAmt
Program Services$43,475ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$95,065TotalAmt
Management And General$95,065ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,960TotalAmt
Management And General$2,960ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,849TotalAmt
Management And General$5,849ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$36,631TotalAmt
Program Services$36,631ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$37,880TotalAmt
Management And General$37,880ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$170,346TotalAmt
Program Services$139,665ProgramServicesAmt
Management And General$30,681ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$21,578TotalAmt
Management And General$21,578ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$55,782TotalAmt
Program Services$55,782ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,807TotalAmt
Program Services$2,807ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,008TotalAmt
Management And General$3,008ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$82,013TotalAmt
Program Services$82,013ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$86,775TotalAmt
Program Services$86,775ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$40,463TotalAmt
Program Services$40,463ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$14,868$14,868
EMPLOYEE SCREENING/RECU$7,550$7,550
DUES AND SUBSCRIPTIONS$2,442$2,442
MISCELLANEOUS$1,907$1,907

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,278,527TotalAmt
Program Services$1,046,431ProgramServicesAmt
Management And General$232,096ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$60,228BOYAmt
EOY$129,554EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$127,389BOYAmt
EOY$106,028EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$31,545BOYAmt
EOY$25,037EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$20,557BOYAmt
EOY$24,682EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,482,234LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,006,833LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,514,347BOYAmt
EOY$1,475,401EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$53,897BOYAmt
EOY$51,502EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$105,653BOYAmt
EOY$105,653EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,913,616BOYAmt
EOY$1,917,857EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$66,048BOYAmt
EOY$98,296EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$3,914EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,045,113BOYAmt
EOY$1,988,446EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$456,846BOYAmt
EOY$414,389EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,568,007BOYAmt
EOY$2,505,045EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$654,391BOYAmt
EOY-$587,188EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$654,391BOYAmt
EOY-$587,188EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,913,616BOYAmt
EOY$1,917,857EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$67,203ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,243,283CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,236,994CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,159,278CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$508,207CurrentTaxYearMinus1YearAmt
Current Tax Year$1,337,247CurrentTaxYearAmt
Total$5,485,009TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,243,283CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,236,994CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,159,278CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$508,207CurrentTaxYearMinus1YearAmt
Current Tax Year$1,337,247CurrentTaxYearAmt
Total$5,485,009TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$298,737CurrentTaxYearMinus1YearAmt
Current Tax Year$785,498CurrentTaxYearAmt
Total$1,084,235TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$298,737CurrentTaxYearMinus1YearAmt
Current Tax Year$785,498CurrentTaxYearAmt
Total$1,084,235TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$4,400,774PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$386CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$293CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$326CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93CurrentTaxYearMinus1YearAmt
Current Tax Year$264CurrentTaxYearAmt
Total$1,362TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$386CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$293CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$326CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93CurrentTaxYearMinus1YearAmt
Current Tax Year$264CurrentTaxYearAmt
Total$1,362TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$2,603CurrentTaxYearMinus1YearAmt
Current Tax Year$8,219CurrentTaxYearAmt
Total$10,822TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,243,669CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,237,287CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,159,604CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$510,903CurrentTaxYearMinus1YearAmt
Current Tax Year$1,345,730CurrentTaxYearAmt
Total$5,497,193TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.80050PublicSupportCY509Pct
Public Support PY5090.94310PublicSupportPY509Pct
Investment Income CY0.00020InvestmentIncomeCYPct
Investment Income PY0.00030InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationBARBER BEAUTY - 2015 AMOUNT: $ 2,603. 2016 AMOUNT: $ 8,219.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$200,000OtherCostOrOtherBasisAmt
Book Value$200,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,857,221OtherCostOrOtherBasisAmt
Depreciation$804,124DepreciationAmt
Book Value$1,053,097BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$425,013OtherCostOrOtherBasisAmt
Depreciation$202,709DepreciationAmt
Book Value$222,304BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,475,401TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescSECURITY DEPOSITSDesc
Book Value$105,653BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$105,653TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
SECURITY DEPOSITS$94,093
DUE TO RELATED PARTIES$320,296
FieldValueIRS element (for citing)
Total Liability$414,389TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,345,730TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,345,730RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,345,730TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,278,527TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,278,527ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,278,527TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARY ALICE RYAN
PRESIDENT/CEO$0$252,784$0$62,500$0$0$0$0$0$12,171$0$327,455$0$0
DIANE MEATHEANY
PAST COO$0$201,550$0$18,000$0$0$0$0$0$8,271$0$227,821$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE TOP MANAGEMENT OFFICIALS ARE COMPENSATED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION USES THE FOLLOWING FACTORS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT: OFFICIAL COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4BMARY ALICE RYAN PARTICIPATES IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN SPONSORED BY A RELATED TAXABLE ENTITY, STAMS. SEE NOTE FOR LINE 6.
PART I, LINE 6STAMS, A RELATED ENTITY, PROVIDES INCENTIVES BASED ON THE NET EARNINGS OF THE STAMS ORGANIZATION. THE CEO, MARY ALICE RYAN, ALSO RECEIVES DEFERRED COMPENSATION PER HER EMPLOYMENT CONTRACT. THERE IS A SHARED SERVICES CONTRACT WHICH SHARES STAMS EXPENSES WITH ALL RELATED ENTITIES BASED ON DIRECT AND INDIRECTLY ATTRIBUTED COSTS. THEREFORE, NO COMPENSATION TO ANY OFFICER OR DIRECTOR IS ATTRIBUTABLE TO THAT PORTION OF EARNINGS ASSOCIATED WITH RELATED ORGANIZATIONS SINCE THE NATURE OF THE SHARED SERVICE CONTRACT REIMBURSES STAMS FOR COSTS ONLY AND IS NOT DEPENDENT ON NET INCOME, REVENUE OR OTHER FACTORS OF RELATED ORGANIZATIONS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE PROJECT IS MANAGED BY ST. ANDREW'S MANAGEMENT SERVICES (STAMS), A WHOLLY-OWNED FOR-PROFIT SUBSIDIARY OF STARSS. MANAGEMENT AND CONSULTING FEES PAID TO STAMS WERE APPROXIMATELY $95,000 FOR THE YEAR ENDED ON MAY 31, 2017.
FORM 990, PART VI, SECTION A, LINE 6THE CORPORATION HAS ONE MEMBER, ST. ANDREW'S RESOURCES FOR SENIORS SYSTEM, A MISSOURI NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBER HAS THE POWER TO APPOINT AND FILL ANY VACANCIES ON THE BOARD OF DIRECTORS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7BTHE MEMBER MUST APPROVE CERTAIN TRANSACTIONS SET FORTH IN THE AMENDED AND RESTATED BYLAWS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE RETURN IS REVIEWED AND APPROVED BY THE CFO. THE RETURN IS ALSO PROVIDED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY EACH BOARD MEMBER SIGNS A CONFLICT OF INTEREST FORM DICLOSING WHAT, IF ANY, CONFLICTS OF INTEREST EXIST.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION DOES NOT COMPENSATE ANY TOP MANAGEMENT OFFICIALS OR KEY EMPLOYEES. A RELATED ORGANIZATION COMPENSATES THE CEO, COO, CFO AND OTHER KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE PROCESSES ARE CONSISTENT WITH THE PRIOR YEARS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ST ANDREW'S CHARITABLE FOUNDATION
1001 CRAIG ROAD SUITE 200ST LOUISMO63146260568165FUNDRAISINGMO501(C)(3)LINE 7ST ANDREW'S RESOURCES FOR SENIORS SYSTEM0
ST ANDREW'S RESOURCES FOR SENIORS SYSTEM
1001 CRAIG ROAD SUITE 200ST LOUISMO63146260568133HEALTH MANAGEMENTMO501(C)(3)LINE 100
GOOD SAMARITAN INDEPENDENT LIVING INC
1001 CRAIG ROAD SUITE 200ST LOUISMO63146431825029ASSISTED AND INDEPENDENT LIVINGMO501(C)(3)LINE 10ST ANDREW'S RESOURCES FOR SENIORS SYSTEM0
GOOD SAMARITAN INC
1001 CRAIG ROAD SUITE 200ST LOUISMO63146430666750SUPPORTING ORGANIZATIONMO501(C)(3)LINE 12B, IIST ANDREW'S RESOURCES FOR SENIORS SYSTEM0
ST ANDREW'S FRANCIS PLACE
1001 CRAIG ROAD SUITE 200ST LOUISMO63146430493215RETIREMENT HOMEMO501(C)(3)LINE 10ST ANDREW'S RESOURCES FOR SENIORS SYSTEM0
ST ANDREW'S RESOURCES FOR SENIORS
1001 CRAIG ROAD SUITE 200ST LOUISMO63146430784786RETIREMENT HOMEMO501(C)(3)LINE 10ST ANDREW'S RESOURCES FOR SENIORS SYSTEM0
ST ANDREW'S AT HOME SERVICES LLC
1001 CRAIG ROAD SUITE 200ST LOUISMO63146260314772AT HOME HEALTHCARE SERVICESMO501(C)(3)LINE 10ST ANDREW'S RESOURCES FOR SENIORS SYSTEM0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SASC LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11001 CRAIG ROAD SUITE 200AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63146ZIPCd
FieldValueIRS element (for citing)
EIN870806356EIN
Primary ActivitiesSENIOR CAREPrimaryActivitiesTxt
Legal Domicile StateMOLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
ST ANDREW'S MANAGMENT SERVICES INC
1001 CRAIG ROAD SUITE 200ST LOUISMO63146431250225MANAGEMENTMON/AC0
ST ANDREW'S REAL ESTATE TRUST
1001 CRAIG ROAD SUITE 200ST LOUISMO63146616580349REAL ESTATE TRUSTMOT0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ST ANDREW'S MANAGEMENT SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeMTransactionTypeTxt
Involved$95,000InvolvedAmt
Method Of Amount DeterminationMANAGEMENT AGREEMENTMethodOfAmountDeterminationTxt

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