SAYRE CHRISTIAN VILLAGE NURSING HOME INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SAYRE CHRISTIAN VILLAGE NURSING HOME INC (EIN 61-0937079)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-02-03
IRS object ID
201720349349301352
Schema version
2015v3.0
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)
Return2017-02-03T16:18:52-06:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN611064249PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DEMING MALONE LIVESAY & OSTROFF PSCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19300 SHELBYVILLE ROAD SUITE 1100AddressLine1Txt
CityLOUISVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP402225187ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN610937079EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAYRE CHRISTIAN VILLAGE NURSING HOMEBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSAYRBusinessNameControlTxt
Phone8592719000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13775 BELLEAU WOOD DRIVEAddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40517ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM ENGLISHPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8592719000PhoneNum
Signature2017-01-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENNIFER R HUGHES CPAPreparerPersonNm
PTINP00350026PTIN
Phone5024269660PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWILLIAM ENGLISHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13775 BELLEAU WOOD DRIVEAddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40517ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$12,362,508GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SAYRECHRISTIANVILLAGE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateKYLegalDomicileStateCd
Activity Or MissionA NON-PROFIT SENIOR LIVING COMMUNITY DEDICATED TO PROVIDING QUALITY HOUSING, REHABILITATIVE SERVICES AND LONG-TERM NURSING CARE REFLECTING CHRISTIAN COMPASSION FOR EVERYONE.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee318TotalEmployeeCnt
Total Volunteers70TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$109,589PYContributionsGrantsAmt
CY Contributions Grants$59,168CYContributionsGrantsAmt
PY Program Service Revenue$11,853,313PYProgramServiceRevenueAmt
CY Program Service Revenue$12,223,729CYProgramServiceRevenueAmt
PY Investment Income$246PYInvestmentIncomeAmt
CY Investment Income$459CYInvestmentIncomeAmt
PY Other Revenue$74,867PYOtherRevenueAmt
CY Other Revenue$79,152CYOtherRevenueAmt
PY Total Revenue$12,038,015PYTotalRevenueAmt
CY Total Revenue$12,362,508CYTotalRevenueAmt
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$6,536,746PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,923,235CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,818,294PYOtherExpensesAmt
CY Other Expenses$5,270,076CYOtherExpensesAmt
PY Total Expenses$12,355,040PYTotalExpensesAmt
CY Total Expenses$12,193,311CYTotalExpensesAmt
PY Revenues Less Expenses-$317,025PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$169,197CYRevenuesLessExpensesAmt
Total Assets BOY$17,639,495TotalAssetsBOYAmt
Total Assets EOY$17,428,892TotalAssetsEOYAmt
Total Liabilities BOY$17,747,082TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,367,282TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$107,587NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$61,610NetAssetsOrFundBalancesEOYAmt
MissionA NON-PROFIT SENIOR LIVING COMMUNITY DEDICATED TO PROVIDING QUALITY HOUSING, REHABILITATIVE SERVICES AND LONG-TERM NURSING CARE REFLECTING CHRISTIAN COMPASSION FOR EVERYONE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,785,766ExpenseAmt
Revenue$12,223,729RevenueAmt
DescPROVIDED NURSING CARE SERVICES FOR 46,300 PATIENT DAYS OF NURSING FACILITY CAREDesc
Total Program Service Expenses$10,785,766TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
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 Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
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 BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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 Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee318EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
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 CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldKYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAYRE CHRISTIAN VILLAGE NURSING HOMEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8592719000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13775 BELLEAU WOOD DRIVEAddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40517ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JL LYNN
DIRECTOR2.00Yes (X)$0$0$0
RON RING
DIRECTOR2.00Yes (X)$0$0$0
GUY COLSON
VICE PRESIDENT2.00Yes (X)$0$0$0Yes (X)
DOTTIE CARTER
DIRECTOR2.00Yes (X)$0$0$0
JERRY L KELLY
DIRECTOR2.00Yes (X)$0$0$0
HT HARDY III
DIRECTOR2.00Yes (X)$0$0$0
JERRY HERNDON
DIRECTOR2.00Yes (X)$0$0$0
WILLIAM A MOSSBARGER JR
PRESIDENT2.00Yes (X)$0$0$0Yes (X)
GARY R COLEMAN
DIRECTOR2.00Yes (X)$0$0$0
CHERYL WIPF
DIRECTOR2.00Yes (X)$0$0$0
RON FEY
DIRECTOR2.00Yes (X)$0$0$0
JOE C LEWIS
IMMEDIATE PAST PRESIDENT2.00Yes (X)$0$0$0Yes (X)
ED HALL
DIRECTOR2.00Yes (X)$0$0$0
NANCY SKIBA
SECRETARY2.00Yes (X)$0$0$0Yes (X)
TOM HURTZ
DIRECTOR2.00Yes (X)$0$0$0
ALMA YEARY
TREASURER2.00Yes (X)$0$0$0Yes (X)
BIFF BUCKLEY
DIRECTOR2.00Yes (X)$0$0$0
KENNETHA KEINATH
DIRECTOR2.00Yes (X)$0$0$0
ANN PHILLIPS
ADMINISTRATOR40.00$151,011$0$922Yes (X)
LORRELL PAYNE
DIRECTOR OF NURSING40.00$100,362$0$6,891Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$251,373TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$7,813TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
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 Line1AEGIS THERAPIESBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8103AddressLine1Txt
CityFORT SMITHCityNm
State AbbreviationARStateAbbreviationCd
ZIP72902ZIPCd
FieldValueIRS element (for citing)
ServicesREHABILITATION SERVICESServicesDesc
Compensation$900,008CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$59,168AllOtherContributionsAmt
Total Contributions$59,168TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$12,223,729TotalRevenueColumnAmt
Related Or Exempt Func Income$12,223,729RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$12,223,729TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$459TotalRevenueColumnAmt
Exclusion$459ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLANEOUS INCOME900099$59,774$59,774
CABLE TV INCOME900099$17,824$17,824
MEAL SALES900099$1,554$1,554
FieldValueIRS element (for citing)
Other Revenue Total$79,152OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,362,508TotalRevenueColumnAmt
Related Or Exempt Func Income$12,223,729RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$79,611ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$157,816TotalAmt
Management And General$157,816ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,790,838TotalAmt
Program Services$5,596,811ProgramServicesAmt
Management And General$194,027ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$27,830TotalAmt
Program Services$27,046ProgramServicesAmt
Management And General$784ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$511,070TotalAmt
Program Services$483,883ProgramServicesAmt
Management And General$27,187ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$435,681TotalAmt
Program Services$412,115ProgramServicesAmt
Management And General$23,566ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$17,074TotalAmt
Management And General$17,074ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$23,400TotalAmt
Management And General$23,400ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,101,233TotalAmt
Program Services$954,785ProgramServicesAmt
Management And General$146,448ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,316TotalAmt
Management And General$6,316ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$11,620TotalAmt
Program Services$11,620ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$725,705TotalAmt
Program Services$683,179ProgramServicesAmt
Management And General$42,526ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
ANCILLARIES$1,180,066$1,180,066
LICENSES & TAXES$559,570$551,124$8,446
SUPPLIES$469,349$441,469$27,880
CONTRACT SERVICES$448,507$73,395$375,112

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$727,236TotalAmt
Program Services$370,273ProgramServicesAmt
Management And General$356,963ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,193,311TotalAmt
Program Services$10,785,766ProgramServicesAmt
Management And General$1,407,545ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$226,684BOYAmt
EOY$776,059EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,319,733BOYAmt
EOY$865,838EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$26,915BOYAmt
EOY$25,100EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$17,826BOYAmt
EOY$21,492EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$22,112,941LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,493,923LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$15,917,535BOYAmt
EOY$15,619,018EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$130,802BOYAmt
EOY$121,385EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,639,495BOYAmt
EOY$17,428,892EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$674,160BOYAmt
EOY$773,252EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,101,778BOYAmt
EOY$14,684,374EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$418,167BOYAmt
EOY$356,679EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$1,552,977BOYAmt
EOY$1,552,977EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,747,082BOYAmt
EOY$17,367,282EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$107,587BOYAmt
EOY$61,610EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$107,587BOYAmt
EOY$61,610EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,639,495BOYAmt
EOY$17,428,892EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$169,197ReconcilationRevenueExpnssAmt
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 Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$155,525CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$269,584CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$118,338CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$109,589CurrentTaxYearMinus1YearAmt
Current Tax Year$59,168CurrentTaxYearAmt
Total$712,204TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,854,862CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,626,237CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,242,859CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,894,808CurrentTaxYearMinus1YearAmt
Current Tax Year$12,272,604CurrentTaxYearAmt
Total$55,891,370TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,010,387CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,895,821CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,361,197CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,004,397CurrentTaxYearMinus1YearAmt
Current Tax Year$12,331,772CurrentTaxYearAmt
Total$56,603,574TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$56,603,574PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$711CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$381CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$882CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$246CurrentTaxYearMinus1YearAmt
Current Tax Year$459CurrentTaxYearAmt
Total$2,679TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$711CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$381CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$882CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$246CurrentTaxYearMinus1YearAmt
Current Tax Year$459CurrentTaxYearAmt
Total$2,679TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$46,738CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$41,950CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$86,169CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$74,867CurrentTaxYearMinus1YearAmt
Current Tax Year$79,152CurrentTaxYearAmt
Total$328,876TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,057,836CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,938,152CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,448,248CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,079,510CurrentTaxYearMinus1YearAmt
Current Tax Year$12,411,383CurrentTaxYearAmt
Total$56,935,129TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99420PublicSupportCY509Pct
Public Support PY5090.99520PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$172GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$172TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAYS DUES TO LEADINGAGE KENTUCKY OF WHICH $172 IS RELATED TO LOBBYING PURPOSES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,314,375OtherCostOrOtherBasisAmt
Book Value$1,314,375BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,752,312OtherCostOrOtherBasisAmt
Depreciation$5,020,179DepreciationAmt
Book Value$13,732,133BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,046,254OtherCostOrOtherBasisAmt
Depreciation$1,473,744DepreciationAmt
Book Value$572,510BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$15,619,018TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$12,411,383TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$12,411,383RevenueSubtotalAmt
Other Revenues Not Included-$48,875OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$48,875RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$12,362,508TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,242,186TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$48,875OtherExpensesIncludedAmt
Expenses Not Reported$48,875ExpensesNotReportedAmt
Expenses Subtotal$12,193,311ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$12,193,311TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE CORPORATION IS EXEMPT FROM FEDERAL, STATE AND LOCAL INCOME TAXES AS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE CORPORATION FILES AN INFORMATIONAL TAX RETURN WITH THE U.S. FEDERAL JURISDICTION AND WITH THE KENTUCKY OFFICE OF THE ATTORNEY GENERAL. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE CORPORATION'S TAX-EXEMPT PURPOSE MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. MANAGEMENT DOES NOT BELIEVE THAT THE CORPORATION HAS UNREALTED BUSINESS INCOME FOR THE YEARS ENDED SEPTEMBER 30, 2016 AND 2015. AS OF SEPTEMBER 30, 2016 AND 2015, THE CORPORATION DID NOT HAVE ANY ACCRUED INTEREST OR PENALTIES RELATED TO INCOME TAX LIABILITIES, AND NO INTEREST OR PENALTIES HAVE BEEN CHARGED TO OPERATIONS FOR THE YEARS THEN ENDED.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE -48,875.
PART XII, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 48,875.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
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

FieldValueIRS element (for citing)
PersonANN PHILLIPSPersonNm
TitleADMINISTRATORTitleTxt
Base Compensation Filing Org$151,011BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$169DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$753NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$151,933TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF CLARK COUNTY KY HEALTH FACILITIES REVENUE BONDS SERIES A & BBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN616000993BondIssuerEIN
Bond Issued2013-12-18BondIssuedDt
Issue Price$15,750,000IssuePriceAmt
PurposeHEATLH CARE FACILITY EXPANSIONPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,065,626RetiredAmt
Bond Defeased$14,684,374BondDefeasedAmt
Total Proceeds$15,750,000TotalProceedsAmt
Capital Expenditures$15,750,000CapitalExpendituresAmt
Substantial Completion2013SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BMINUTES OF THE COMMITTEES ARE NOT MAINTAINED, BUT ALL COMMITTEES REPORT AT THE BOARD MEETINGS AND ACTION IS REFLECTED IN BOARD MINUTES.
FORM 990, PART VI, SECTION B, LINE 11AFTER THE 990S ARE PREPARED BY THE DESIGNATED ACCOUNTING FIRM, THE 990S ARE SUBMITTED TO MEMBERS OF THE BOARD FOR COMMENTS. ALSO, YEAR-END FINANCIALS AND DATA PREPARED FOR 990S ARE PRESENTED BY THE AUDITOR TO THE BOARD-APPOINTED FINANCE COMMITTEE. THE 990S ARE DESIGNATED FOR APPROVAL TO THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 12CTHE ADMINISTRATOR IS RESPONSIBLE TO MAKE DETERMINATIONS ON CONFLICTS OF INTEREST IN REGARDS TO EMPLOYEES. THE BOARD REVIEWS ALL MAJOR CONTRACTS BEFORE THEY ARE ENTERED INTO TO DETERMINE IF A POTENTIAL CONFLICT OF INTEREST MAY EXIST. IF A CONTRACT IS ENTERED INTO WITH A BOARD MEMBER OR HIS/HER FIRM THE BOARD MEMBER IS REQUIRED TO SUBMIT HIS/HER RESIGNATION TO THE BOARD. HOWEVER, THE BOARD MAY VOTE TO REJECT THE RESIGNATION IF THEY DO NOT FEEL A CONFLICT EXISTS.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION USES THE FOLLOWING PROCESS TO DETERMINE COMPENSATION FOR ITS TOP MANAGEMENT: A. REVIEW AND APPROVAL BY GOVERNING BODY, PROVIDED THAT A PERSON WHO HAS A CONFLICT OF INTEREST WITH RESPECTS TO COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN THE REVIEW AND APPROVAL.; B. USE COMPARABLE COMPENSATION DATA; AND C. DOCUMENTATION OF THE WHOLE PROCESS. THE BOARD'S COMPENSATION COMMITTEE RECEIVES COMPENSATION DATA EACH YEAR FROM VARIOUS SOURCES FOR OTHER TOP MANAGEMENT POSITIONS, INCLUDING ASSOCIATIONS TO WHICH WE BELONG. THIS DATA PROVIDES INDUSTRY SPECIFIC INFORMATION FROM COMPARABLE ORGANIZATIONS IN ORDER FOR US TO REMAIN COMPETITIVE AND ASSURE THAT OUR COMPENSATION IS IN LINE. THE PERFORMANCE OF THE INDIVIDUAL IS A MAJOR FACTOR IN THE DECISIONS MADE BY THE COMPENSATION COMMITTEE. THE DOCUMENTATION REVIEWED BY THE COMMITTEE IS RETAINED.
FORM 990, PART VI, SECTION C, LINE 19PUBLIC INSPECTION IS MADE AVAILABLE BY (A) CONTACTING THE OFFICE OF THE EXECUTIVE DIRECTOR DURING NORMAL BUSINESS HOURS, (B) SUBMISSION OF WRITTEN REQUEST TO THE OFFICE OF THE EXECUTIVE DIRECTOR OR (C) MAY BE PUBLISHED AND MADE AVAILABLE ONLINE AT WWW.GUIDESTAR.COM.
FORM 990, SECTION XI, LINE 2CTHE FINANCIAL AUDIT REPORT IS APPROVED BY MANAGEMENT AND PRESENTED TO THE FINANCE COMMITTEE BY THE AUDITORS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
CHRISTIAN BENEVOLENT OUTREACH INC
3775 BELLEAU WOOD DRIVELEXINGTONKY40517510178917HOUSING FOR THE ELDERLY AND MANAGEMENT & ADMINISTRATIVE OVERSIGHTKY501(C)(3)509(A)(2)0
SAYRE VILLAGE PHASE III INC
580 GREENFIELD DRIVELEXINGTONKY40517611088950HOUSING FOR THE ELDERLYKY501(C)(3)170(B)(I)(A)(VI)0
SAYRE CHRISTIAN VILLAGE APTS II INC
580 GREENFIELD DRIVELEXINGTONKY40517208030673HOUSING FOR THE ELDERLYKY501(C)(3)170(B)(I)(A)(VI)0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
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 Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHRISTIAN BENEVLOENT OUTREACH INC
O$300,000CASH
CHRISTIAN BENEVLOENT OUTREACH INC
O$239,990CASH
CHRISTIAN BENEVLOENT OUTREACH INC
E$1,552,977CASH
CHRISTIAN BENEVLOENT OUTREACH INC
O$11,472CASH
CHRISTIAN BENEVLOENT OUTREACH INC
C$39,679CASH
CHRISTIAN BENEVLOENT OUTREACH INC
Q$28,800CASH

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