SAYRE CHRISTIAN VILLAGE NURSING HOME INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
SAYRE CHRISTIAN VILLAGE NURSING HOME INC (EIN 61-0937079)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-01-20
IRS object ID
201510209349300426
Schema version
2013v4.0
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)
Return2015-01-20T10:28:30-06:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN611064249PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DEMING MALONE LIVESAY & OSTROFF PSCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19300 SHELBYVILLE ROAD SUITE 1100AddressLine1
CityLOUISVILLECity
StateKYState
ZIP Code402225187ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN610937079EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAYRE CHRISTIAN VILLAGE NURSING HOME INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSAYRBusinessNameControlTxt
Phone8592719000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13775 BELLEAU WOOD DRIVEAddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code40517ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM ENGLISHPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8592719000PhoneNum
Signature2015-01-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENNIFER R HUGHES CPAPreparerPersonNm
PTINP00350026PTIN
Phone5024269660PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWILLIAM ENGLISHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13775 BELLEAU WOOD DRIVEAddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code40517ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$12,448,249GrossReceiptsAmt
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 Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee305TotalEmployeeCnt
Total Volunteers80TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$269,584PYContributionsGrantsAmt
CY Contributions Grants$118,338CYContributionsGrantsAmt
PY Program Service Revenue$10,626,237PYProgramServiceRevenueAmt
CY Program Service Revenue$12,242,859CYProgramServiceRevenueAmt
PY Investment Income$381PYInvestmentIncomeAmt
CY Investment Income$882CYInvestmentIncomeAmt
PY Other Revenue$41,950PYOtherRevenueAmt
CY Other Revenue$86,170CYOtherRevenueAmt
PY Total Revenue$10,938,152PYTotalRevenueAmt
CY Total Revenue$12,448,249CYTotalRevenueAmt
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$6,237,200PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,600,965CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,405,321PYOtherExpensesAmt
CY Other Expenses$6,224,042CYOtherExpensesAmt
PY Total Expenses$11,642,521PYTotalExpensesAmt
CY Total Expenses$12,825,007CYTotalExpensesAmt
PY Revenues Less Expenses-$704,369PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$376,758CYRevenuesLessExpensesAmt
Total Assets BOY$18,767,329TotalAssetsBOYAmt
Total Assets EOY$18,147,997TotalAssetsEOYAmt
Total Liabilities BOY$18,181,133TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,938,559TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$586,196NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$209,438NetAssetsOrFundBalancesEOYAmt
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$11,455,468ExpenseAmt
Revenue$12,242,859RevenueAmt
DescPROVIDED NURSING CARE SERVICES FOR 45,133 PATIENT DAYS OF NURSING FACILITY CAREDesc
Total Program Service Expenses$11,455,468TotalProgramServiceExpensesAmt
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 Required0ScheduleJRequiredInd
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 MemYes (1)BusinessRlnWithOrgMemInd
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 Document46IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee305EmployeeCnt
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 Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
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 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 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 HOMBusinessNameLine1
FieldValueIRS element (for citing)
Phone8592719000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13775 BELLEAU WOOD DRIVEAddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code40517ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JL LYNN
DIRECTOR2.00Yes (X)$0$0$0
RON RING
DIRECTOR2.00Yes (X)$0$0$0
GUY COLSON
TREASURER2.00Yes (X)$0$0$0Yes (X)
DOTTIE CARTER
DIRECTOR2.00Yes (X)$0$0$0
PHIL LING
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)$27,975$0$0
WILLIAM A MOSSBARGER JR
VICE PRESIDENT2.00Yes (X)$0$0$0Yes (X)
GARY R COLEMAN
DIRECTOR2.00Yes (X)$0$0$0
CHERYL WIPF
SECRETARY2.00Yes (X)$0$0$0Yes (X)
RON FEY
IMMEDIATE PAST PRESIDENT2.00Yes (X)$0$0$0Yes (X)
JOE C LEWIS
PRESIDENT2.00Yes (X)$0$0$0Yes (X)
ED HALL
DIRECTOR2.00Yes (X)$0$0$0
NANCY SKIBA
DIRECTOR2.00Yes (X)$0$0$0
DAREN TURNER
DIRECTOR2.00Yes (X)$0$0$0
ALMA YEARY
DIRECTOR2.00Yes (X)$0$0$0
ANN PHILLIPS SCOGGINS
ADMINISTRATOR40.00$133,372$0$4,981Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$161,347TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$4,981TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
AEGIS THERAPIES
PO BOX 8103FORT SMITHAR72902REHABILITATION SERVICES$1,656,485
THE HAYDEN COMPANY
208 SOUTH MAIN STREETNICHOLASVILLEKY40356CONSTRUCTION$268,500
AMTECK OF KENTUCKY INC
2421 FORTUNE DRIVE SUITE 150LEXINGTONKY40509ELECTRICAL$163,461
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$118,338AllOtherContributionsAmt
Total Contributions$118,338TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$12,242,859TotalRevenueColumnAmt
Related Or Exempt Func Income$12,242,859RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$12,242,859TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$882TotalRevenueColumnAmt
Exclusion$882ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLANEOUS INCOME900099$59,418$59,418
CABLE TV INCOME900099$24,040$24,040
MEAL SALES900099$2,712$2,712
FieldValueIRS element (for citing)
Other Revenue Total$86,170OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,448,249TotalRevenueColumnAmt
Related Or Exempt Func Income$12,242,859RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$87,052ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$154,717TotalAmt
Management And General$154,717ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,572,827TotalAmt
Program Services$5,377,691ProgramServicesAmt
Management And General$195,136ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$28,332TotalAmt
Program Services$26,188ProgramServicesAmt
Management And General$2,144ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$426,683TotalAmt
Program Services$404,386ProgramServicesAmt
Management And General$22,297ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$418,406TotalAmt
Program Services$394,798ProgramServicesAmt
Management And General$23,608ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$14,351TotalAmt
Management And General$14,351ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,500TotalAmt
Management And General$22,500ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,175,354TotalAmt
Program Services$1,019,490ProgramServicesAmt
Management And General$155,864ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,185TotalAmt
Management And General$1,185ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,624TotalAmt
Program Services$5,624ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$749,036TotalAmt
Program Services$704,319ProgramServicesAmt
Management And General$44,717ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
ANCILLARIES$2,133,434$2,133,434
LICENSES & TAXES$478,265$475,476$2,789
SUPPLIES$471,794$450,609$21,185
CONTRACT SERVICES$414,185$86,538$327,647

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$758,314TotalAmt
Program Services$376,915ProgramServicesAmt
Management And General$381,399ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,825,007TotalAmt
Program Services$11,455,468ProgramServicesAmt
Management And General$1,369,539ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$192,218BOYAmt
EOY$65,866EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,140,933BOYAmt
EOY$1,295,405EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$28,539BOYAmt
EOY$36,480EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$18,115BOYAmt
EOY$17,801EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$21,626,388LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,034,410LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$17,328,771BOYAmt
EOY$16,591,978EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$58,753BOYAmt
EOY$140,467EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,767,329BOYAmt
EOY$18,147,997EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$811,019BOYAmt
EOY$825,098EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$15,503,842EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$15,817,137BOYAmt
EOY$56,642EOYAmt

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$18,181,133BOYAmt
EOY$17,938,559EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$586,196BOYAmt
EOY$209,438EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$586,196BOYAmt
EOY$209,438EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,767,329BOYAmt
EOY$18,147,997EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$376,758ReconcilationRevenueExpnssAmt
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$7,248CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,227CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$155,525CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$269,584CurrentTaxYearMinus1YearAmt
Current Tax Year$118,338CurrentTaxYearAmt
Total$557,922TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,300,334CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,874,622CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,854,862CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,626,237CurrentTaxYearMinus1YearAmt
Current Tax Year$12,242,859CurrentTaxYearAmt
Total$48,898,914TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,307,582CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,881,849CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,010,387CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,895,821CurrentTaxYearMinus1YearAmt
Current Tax Year$12,361,197CurrentTaxYearAmt
Total$49,456,836TotalAmt

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$49,456,836PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,086CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$605CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$711CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$381CurrentTaxYearMinus1YearAmt
Current Tax Year$882CurrentTaxYearAmt
Total$3,665TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,086CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$605CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$711CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$381CurrentTaxYearMinus1YearAmt
Current Tax Year$882CurrentTaxYearAmt
Total$3,665TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,799CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,248CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$46,738CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$41,950CurrentTaxYearMinus1YearAmt
Current Tax Year$86,169CurrentTaxYearAmt
Total$184,904TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,316,467CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,884,702CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,057,836CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,938,152CurrentTaxYearMinus1YearAmt
Current Tax Year$12,448,248CurrentTaxYearAmt
Total$49,645,405TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99620PublicSupportCY509Pct
Public Support PY5090.99760PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
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$319GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$319TotalLobbyingExpendituresAmt
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 $319 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$18,327,939OtherCostOrOtherBasisAmt
Depreciation$3,762,252DepreciationAmt
Book Value$14,565,687BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,984,074OtherCostOrOtherBasisAmt
Depreciation$1,272,158DepreciationAmt
Book Value$711,916BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,591,978TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$12,478,249TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$12,478,249RevenueSubtotalAmt
Other Revenues Not Included-$30,000OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$30,000RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$12,448,249TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,855,007TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$30,000OtherExpensesIncludedAmt
Expenses Not Reported$30,000ExpensesNotReportedAmt
Expenses Subtotal$12,825,007ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$12,825,007TotalExpensesPerForm990Amt

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, 2014 AND 2013. AS OF SEPTEMBER 30, 2014 AND 2013, 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. TAX YEARS ENDING OR AFTER SEPTEMBER 30, 2011 REMAIN SUBJECT TO IRS REVEIW AND CHANGE. TAX YEARS STILL OPEN UNDER STATE AND LOCAL STATUE OF LIMITATIONS REMAIN SUBJECT TO REVIEW AND CHANGE.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE -30,000.
PART XII, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 30,000.

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 & BBusinessNameLine1
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$246,158RetiredAmt
Bond Defeased$15,503,842BondDefeasedAmt
Total Proceeds$15,570,000TotalProceedsAmt
Capital Expenditures$15,570,000CapitalExpendituresAmt
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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJERRY HERNDONPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionBOARD DIRECTORRelationshipDescriptionTxt
Transaction$27,975TransactionAmt
TransactionARCHITECT FEES PAIDTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 APPROVEL.; 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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary 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 Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHRISTIAN BENEVLOENT OUTREACH INC
O$300,000CASH
CHRISTIAN BENEVLOENT OUTREACH INC
O$204,000CASH
CHRISTIAN BENEVLOENT OUTREACH INC
E$1,552,977CASH
CHRISTIAN BENEVLOENT OUTREACH INC
O$11,472CASH
CHRISTIAN BENEVLOENT OUTREACH INC
O$33,684CASH
CHRISTIAN BENEVLOENT OUTREACH INC
C$118,338CASH
CHRISTIAN BENEVLOENT OUTREACH INC
Q$14,400CASH

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