2017-08-28T13:54:59-05:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 5001 SPRING VALLEY ROAD SUITE 600W DALLAS TX 75244 990 2016-01-01 750859664 CHRISTIAN CARE CENTERS INC CHRI 9726863100 900 WIGGINS PARKWAY MESQUITE TX 75150 DOUGLAS C HARRISON CFO 9726863100 2017-08-21 1 MICHAEL SIEGEL P01587323 9723835700 67.137.57.251 2017-08-21 13:08:33 CD P B6B6F2B8D30A14866FB848EA848D3547AA51FF29 A37B929B3C4A007685C3DE6C1AE4373EFC622F4E 2016 2021-01-29 14:40:06Z DOUGLAS C HARRISON 900 WIGGINS PARKWAY MESQUITE TX 75150 40055560 0 X WWW.CHRISTIANCARECENTERS.ORG X 1991 TX TO PROVIDED HOUSING AND HEALTH CARE FOR THE AGED. 10 10 838 40 0 0 1374382 1432221 30189678 36116495 89778 793408 1442787 1133520 33096625 39475644 0 0 0 0 18146032 21257560 0 0 620635 16019210 18770305 34165242 40027865 -1068617 -552221 34952741 31129853 14438589 16102686 20514152 15027167 X CHRISTIAN CARE CENTERS, INC., A MINISTRY OF THE CHURCHES OF CHRIST, IS COMMITTED TO PROVIDING HOUSING AND HEALTH CARE SERVICES FOR SENIOR ADULTS AND OTHERS WITH SPECIAL NEEDS IN A LOVING AND COMPASSIONATE ENVIRONMENT WHICH ENCOURAGES RELATIONSHIPS, INDEPENDENCE AND DIGNITY THROUGH SPIRITUAL, PHYSICAL, SOCIAL AND RECREATIONAL PROGRAMS. 0 0 28314503 36116495 PROVIDED RETIREMENT HOUSING AND HEALTH CARE SERVICE FOR THE ELDERLY AND OTHERS WITH SPECIAL NEEDS AT FACILITIES IN DALLAS COUNTY, GRAYSON COUNTY AND TARRANT COUNTY. 28314503 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 62 0 838 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DOUGLAS C HARRISON 9726863100 900 WIGGINS PARKWAY MESQUITE TX 75150 HAROLD TIDWELL CHAIRMAN 5.00 5.00 X X 0 0 0 GERALD TAYLOR VICE CHAIRMAN 5.00 5.00 X X 0 0 0 MALCOM VAN HENLEY EXEC MEMBER 5.00 5.00 X X 0 0 0 GEORGE ASHMORE BOARD MEMBER 5.00 5.00 X 0 0 0 JOE ED FURR BOARD MEMBER 5.00 5.00 X 0 0 0 PATRICIA LAWSON BOARD MEMBER 5.00 5.00 X 0 0 0 GREGORY PATTON BOARD MEMBER 5.00 5.00 X 0 0 0 MAURICE PERRY BOARD MEMBER 5.00 5.00 X 0 0 0 GAYLA PLUNKETT BOARD MEMBER 5.00 5.00 X 0 0 0 PATSY SCOTT BOARD MEMBER 5.00 5.00 X 0 0 0 PHIL ELMORE PRESIDENT/CEO 38.00 2.00 X 269423 0 54272 KEN CARPENTER SR VP/COO 38.00 2.00 X 184205 0 61814 TERESA SCOTT SR VP/ADVANCEMENT 38.00 2.00 X 151340 0 53902 JONATHAN M SPENCER CHIEF INFORMATION OFFICER 38.00 2.00 X 131255 0 44382 DOUGLAS C HARRISON CHIEF FINANCIAL OFFICER 38.00 2.00 X 162394 0 55107 KAREN JOHNSON CORPORATE DIRECTOR, CLINICAL SERVICES 40.00 X 142410 0 12864 MARTHA FIDDES POST-ACUTE MANAGEMENT & THERAPY SERVICES 40.00 X 128205 0 17970 KENNETH SHUSTER ADMINISTRATOR, MESQUITE HCC 40.00 X 113946 0 31107 KARI EKBERG CORPORATE DIRECTOR, HR 40.00 X 103285 0 31887 SUSANNE ISRAEL EXECUTIVE DIRECTOR, HCBS 40.00 X 100811 0 31107 1487274 0 394412 15 0 1 0 ADOLFSON & PETERSON CONSTRUCTION 1600 N COLLINS BLVD SUITE 2000 RICHARDSON TX 75080 CONSTRUCTION COMPANY 7179043 OLICON INC 4226 MAIN ST DALLAS TX 75226 CONSTRUCTION COMPANY 2091176 ATLANTIS SERVICES 14311 WELCH ROAD SUITE 500 FARMERS BRANCH TX 75244 BUILDING REPAIR COMPANY 533997 M GROUP 13890 BISHOPS DRIVE SUITE 205 BROOKFIELD WI 53005 CONSTRUCTION COMPANY 507295 CT FINISHES 1829 JAMES ST IRVING TX 75061 INTERIOR DESIGN COMPANY 369068 15 1432221 1432221 NURSING REVENUE 531110 17908038 17908038 RESIDENTIAL REVENUE 531110 15298155 15298155 RENTAL SUPPORT 531110 2723813 2723813 ENTRANCE FEE AMORTIZATION 531110 186489 186489 36116495 334057 334057 26741 1012526 68652 511264 -41911 501262 459351 459351 WELLNESS CENTER REVENUE 900099 312756 312756 BEAUTY SHOP AND MEALS 900099 247963 247963 MEDICAL SUPPLIES REVENUE 900099 167547 167547 405254 405254 1133520 39475644 36116495 0 1926928 898617 898617 16748212 11853017 4592177 303018 2308561 1633811 632982 41768 1302170 921569 357041 23560 426684 426684 123369 123369 177901 177901 686724 486008 188291 12425 835781 591498 229162 15121 992888 702685 272239 17964 7134765 5049404 1956275 129086 63881 45210 17515 1156 216940 156361 60579 2199807 1556844 603163 39800 470180 332755 128918 8507 NURSING 2076754 2076754 FOOD 1546866 1546866 OTHER EXPENSES 798179 564885 218853 14441 SUPPLIES 566521 400937 155334 10250 453065 395899 53627 3539 40027865 28314503 11092727 620635 4744487 3927645 3098588 8225237 345468 327086 2073849 1819207 546258 865782 182086 187374 406001 422702 36388714 22549952 11520758 13838762 12035246 1516058 34952741 31129853 4574510 4507709 194190 293593 174763 204354 9495126 11097030 14438589 16102686 X 20514152 15027167 20514152 15027167 34952741 31129853 X -552221 327792 -5262556 X X 0 1 X 1 0 X 1075811 1388283 3336076 1374382 1432221 8606773 42868438 37885090 36195613 37171525 36116495 190237161 43944249 39273373 39531689 38545907 37548716 198843934 25550 25550 0 25550 25550 198818384 1240654 752855 464039 89778 334057 2881383 1240654 752855 464039 89778 334057 2881383 1133520 1133520 45184903 40026228 39995728 38635685 39016293 202858837 0.98010 0.98500 0.01420 0.01500 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: BEAUTY SHOP - 2016 AMOUNT: $ 167,941. MEAL REVENUE - 2016 AMOUNT: $ 80,022. ROYALTIES - 2016 AMOUNT: $ 8,800. OTHER REVENUE - 2016 AMOUNT: $ 876,757. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 23154050 14348479 8805571 12159047 7534917 4624130 1075617 666556 409061 13838762 RESIDENT DEPOSITS 482200 DEFERRED COMPENSATION 1398229 CIP PAYABLE 1069229 REFUNDABLE ENTRANCE FEE PAYABLE 8147372 11097030 X PART X, LINE 2: THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR OTHER TAX EXCEPT FOR THOSE THAT ARE ALREADY REPORTED ANNUALLY. X X X 0 1 0 0 0 0 0 0 0 PHIL ELMORE PRESIDENT/CEO 269423 0 0 0 0 0 29885 0 24387 0 323695 0 0 0 KEN CARPENTER SR VP/COO 184205 0 0 0 0 0 29510 0 32304 0 246019 0 0 0 TERESA SCOTT SR VP/ADVANCEMENT 151340 0 0 0 0 0 29515 0 24387 0 205242 0 0 0 JONATHAN M SPENCER CHIEF INFORMATION OFFICER 131255 0 0 0 0 0 13275 0 31107 0 175637 0 0 0 DOUGLAS C HARRISON CHIEF FINANCIAL OFFICER 162394 0 0 0 0 0 24000 0 31107 0 217501 0 0 0 KAREN JOHNSON CORPORATE DIRECTOR, CLINICAL SERVICE 142410 0 0 0 0 0 2025 0 10839 0 155274 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: PHIL ELMORE ($29,885), KEN CARPENTER ($29,510), TERESA SCOTT ($29,515), JONATHAN M SPENCER ($13,275), DOUGLAS C HARRISON ($24,000), AND KAREN JOHNSON ($2,025). A MESQUITE HEALTH FACILITIES DEVELOPMENT CORPORATION 521290754 590743CC2 2014-09-18 31071109 ACQUIRING, CONSTRUCTING, AND EQUIPPING A NEW RETIREMENT FACILITY 0 0 0 B MESQUITE HEALTH FACILITIES DEVELOPMENT CORPORATION 521290754 590743CR9 2016-03-03 28774422 TO REFINANCE THE OUTSTANDING PRINCIPAL AMOUNT OF PREVIOUS BONDS 0 0 0 A 405000 31071109 3597674 621422 26852013 1 0 0 1 B 28774422 2808407 574997 25391018 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 PAGE 1, PART II, COLUMN B, LINE 11 THESE PROCEEDS REPRESENT THE 2016 BOND PROCEEDS USED TO REFUND THE BONDS ISSUED ON 12/8/2005 WHICH WERE REMOVED FROM THIS YEAR'S SCHEDULE K PRESENTATION SINCE THEY NO LONGER HAVE AN OUTSTANDING BALANCE. FORM 990, PART VI, SECTION B, LINE 11B APPROPRIATE OFFICERS, DIRECTORS TRUSTEES, BOARD MEMBERS AND MANAGEMENT WILL REVIEW FORM 990 BEFORE IT IS FILED TO VERIFY THAT THE INFORMATION REPRESENTED THEREIN CONFORMS WITH THE AUDITED FINANCIAL STATEMENTS, AND, TO TEH BEST OF THEIR KNOWLEDGE, IS COMPLETE AND ACCURATE. ANY QUESTIONS OR CLARIFICATION NEEDED WILL BE DISCUSSED DIRECTLY WITH THE ACCOUNTANT WHO PREPARED THE RETURN. THE RETURN IS PREPARED BASED ON AUDITED FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION B, LINE 12C EACH EMPLOYEE IS REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE CEO PAY IS DETERMINED STRICTLY BY THE BOARD MEMBERS. CFO AND COO PAY IS DETERMINED BY THE BOARD MEMBERS WITH CEO INPUT. ALL OTHER OFFICER AND KEY EMPLOYEE COMPENSATION IS APPROVED BY THEIR DIRECT SUPERVISOR. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MAINTAINED AT OUR OFFICE AND ARE AVAILABLE UPON WRITTEN REQUEST. EACH EMPLOYEE IS REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. THIS POLICY IS AVAILABLE FOR REVIEW. THE FINANCIAL STATEMENTS ARE SENT TO WWW.EMMA.MSRB.ORG AND ALL BONDHOLDERS QUARTERLY. FORM 990, PART XI, LINE 9: AFFILIATED COMPANY INTERCOMPANY ACCOUNT -5,262,556. FORM 990, PART XII, LINE 2C: NO CHANGES WERE MADE TO THE OVERSIGHT OR SELECTION PROCESS IN THE LAST YEAR. FORM 990, SCHEDULE K CHRISTIAN CARE CENTERS, INC. IS THE ENTITY WHICH THE TAX-EXEMPT BONDS WERE ISSUED UNDER. HOWEVER, THE BONDS ARE RECORDED ON THE BOOKS OF THE RELATED PARTY ENTITY, CHARITABLE PROPERTIES, INC. AS SUCH, THERE ARE NO BONDS PAYABLE REPORTED ON FORM 990, PART X OF THIS RETURN; ALL BOND INFORMATION IS REPORTED ON SCHEDULE K. CHRISTIAN CARE CENTERS FOUNDATION 900 WIGGINS PARKWAY MESQUITE TX 75150 752403572 TO SUPPORT CHRISTIAN CARE CENTERS INC TX 501(C)(3) LINE 12A, I CHRISTIAN CARE CENTERS INC 1 CHARITABLE PROPERTIES INC 900 WIGGINS PARKWAY MESQUITE TX 75150 134240753 TO HOLD PROPERTIES OF CHRISTIAN CARE CENTERS INC TX 501(C)(3) LINE 12A, I CHRISTIAN CARE CENTERS INC 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 1 CHRISTIAN CARE CENTERS FOUNDATION S 6243510 FMV OF EQUITY TRANSFER CHARITABLE PROPERTIES INC R 11506065 FMV OF EQUITY TRANSFER