FURP.ORG / PUBLIC DATA EXPLORER

AMERICAN BAPTIST HOMES OF THE MIDWEST: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
AMERICAN BAPTIST HOMES OF THE MIDWEST (EIN 41-0706155)
Tax period
2012-09-01 to 2013-08-31
Filed
2014-07-08
IRS object ID
201401899349300110
Schema version
2012v2.1
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)
Timestamp2014-07-08T09:53:21-05:00Timestamp
Tax Period End Date2013-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN410706155EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AMERICAN BAPTIST HOMES OF THE MIDWESTBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAMERNameControl
Phone9529413175Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line114850 SCENIC HEIGHTS ROAD NO 125AddressLine1
CityEDEN PRAIRIECity
StateMNState
ZIP Code55344ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEFF HONGSLOName
TitleCHIEF FINANCIAL OFFICERTitle
Phone9529413175Phone
Date Signed2014-05-22DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFF VRIEZEName
PTINP01273590PTIN
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID ZWICKEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line114850 SCENIC HEIGHTS ROAD NO 125AddressLine1
CityEDEN PRAIRIECity
StateMNState
ZIP Code55344ZIPCode
FieldValueIRS element (for citing)
Gross Receipts54465534GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ABHOMES.NETWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1930YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE NURSING HOME CARE AND HOUSING TO LOW INCOME, ELDERLY, AND DISABLED PERSONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees1575TotalNbrEmployees
Total Nbr Volunteers675TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year341093ContributionsGrantsPriorYear
Contributions Grants Current Year752624ContributionsGrantsCurrentYear
Program Service Revenue Prior Year50391603ProgramServiceRevenuePriorYear
Program Service Revenue CY53423635ProgramServiceRevenueCY
Investment Income Prior Year162806InvestmentIncomePriorYear
Investment Income Current Year101925InvestmentIncomeCurrentYear
Other Revenue Prior Year216757OtherRevenuePriorYear
Other Revenue Current Year-23839OtherRevenueCurrentYear
Total Revenue Prior Year51112259TotalRevenuePriorYear
Total Revenue Current Year54254345TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year32572952SalariesEtcPriorYear
Salaries Etc Current Year32901399SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year21281332OtherExpensePriorYear
Other Expenses Current Year21977354OtherExpensesCurrentYear
Total Expenses Prior Year53854284TotalExpensesPriorYear
Total Expenses Current Year54878753TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2742025RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-624408RevenuesLessExpensesCY
Total Assets BOY77160495TotalAssetsBOY
Total Assets EOY78154456TotalAssetsEOY
Total Liabilities BOY87203038TotalLiabilitiesBOY
Total Liabilities EOY88816506TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-10042543NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-10662050NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAMERICAN BAPTIST HOMES OF THE MIDWEST, EMBRACING OUR CHRISTIAN HERITAGE AND MISSION, SEEKS TO CREATE AND ENCOURAGE CARING COMMUNITIES OFFERING HEALTH CARE, HOUSING, AND SUPPORTIVE SERVICES TO PEOPLE OF MANY AGES, CULTURES AND CONDITIONS. WE ENDEAVOR TO PROVIDE ENVIRONMENTS WHICH NURTHER SELF-WORTH, HOPE AND DIGNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense47821546Expense
Grants0Grants
Revenue53423635Revenue
DescriptionSKILLED NURSING FACILITIES: THE SKILLED NURSING FACILITIES OF THE OBLIGATED GROUP (INCLUDING BOARD & CARE AND BASIC CARE UNITS) PROVIDE HEALTH CARE AND CONVALESCENT TREATMENT PRIMARILY FOR IN-PATIENT ELDERLY PERSONS, INCLUDING THOSE ADMITTED AS AN INTERMEDIATE STEP AFTER HOSPITALIZATION AND BEFORE RETURNING TO THEIR HOMES, AS WELL AS THOSE ADMITTED FOR LONG-TERM RESIDENCY. THE SKILLED NURSING FACILITIES ARE LICENSED UNDER THE REGULATIONS OF THE STATE IN WHICH THEY OPERATE, AND ARE CERTIFIED AS NURSING FACILITIES UNDER BOTH THE STATE MEDICAID AND FEDERAL MEDICARE PROGRAMS. CERTIFICATION REQUIRES THAT THE FACILITIES PROVIDE CONTINUOUS REGISTERED NURSE SUPERVISION AND SPECIFIC RATIOS OF NURSING PERSONNEL PER RESIDENT.THE SKILLED NURSING FACILITY RESIDENTS RECEIVE 24-HOUR NURSING CARE, ALL MEALS (AND SPECIAL DIETS AS REQUIRED) AND SUCH DRUGS AND THERAPY AS MAY BE PRESCRIBED BY THE RESIDENT'S PHYSICIAN. THREE BALANCED MEALS ARE PROVIDED TO EACH RESIDENT DAILY, IN THE RESIDENT'S ROOM OR AT A CENTRAL DINING LOCATION. LIGHT SNACKS ARE PROVIDED DURING THE DAY AND AT BEDTIME. EACH SKILLED NURSING FACILITY IS ADMINISTERED ON LOCATION BY A FULL-TIME ADMINISTRATOR LICENSED BY THE STATE. A DIRECTOR OF NURSING SERVICES, WHO IS A CERTIFIED NURSE, IS RESPONSIBLE FOR SUPERVISING THE REGISTERED NURSES, LICENSED PRACTICAL NURSES AND REGISTERED NURSING ASSISTANTS WORKING AT THE SKILLED NURSING FACILITIES. SOCIAL SERVICE PROGRAMS ARE PROVIDED BY SOCIAL WORKERS UNDER THE SUPERVISION OF A LICENSED STAFF MEMBER OR GUIDED BY A CONSULTING SOCIAL WORKER AND ASSISTED BY VOLUNTEER AUXILIARY GROUPS. EACH OF THE SKILLED NURSING FACILITIES HAS A CONSULTING PHYSICIAN ON CALL WHO IS AVAILABLE TO THE RESIDENTS AT THE FACILITY. IN ADDITION, THE SKILLED NURSING FACILITIES ARRANGE WITH HOSPITALS FOR TRANSFER OF RESIDENTS BETWEEN THE FACILITIES AND HOSPITALS WHEN NECESSARY.THE SKILLED NURSING FACILITIES PROVIDE RESIDENT ROOMS DESIGNED PRINCIPALLY FOR TWO BEDS, BUT ALSO INCLUDE SOME ONE-BED ROOMS. EACH SKILLED NURSING FACILITY CONTAINS ONE OR MORE DINING ROOMS, ONE OR MORE RECREATION AREAS, DAY ROOMS, THERAPY AREA, FULLY-EQUIPPED KITCHEN AND LAUNDRY FACILITIES. ALL SKILLED NURSING FACILITIES HAVE APPROVED FIRE DETECTION AND ALARM SYSTEMS. EACH SKILLED NURSING FACILITY PROVIDES A BEAUTY AND BARBER SHOP ON LOCATION.ASSISTED LIVING FACILITIES: THE ASSISTED LIVING FACILITIES ARE DESIGNED AND OPERATED TO ALLOW SENIOR ADULTS TO LIVE AND ENJOY AN INDEPENDENT LIFESTYLE IN A SECURE AND CONVENIENT COMMUNITY ATMOSPHERE. FULL-TIME PROFESSIONAL MANAGERS PROVIDE ASSISTANCE TO RESIDENTS. A NURSE CALL SYSTEM MONITORED 24 HOURS DAILY PUTS THE RESIDENTS IN CONTACT WITH NURSING SERVICE STAFF. DAILY HOUSEKEEPING, INCLUDED IN THE COST OF RENT, HELPS THE RESIDENTS WITH CLEANING CHORES AND PROVIDES AN OPPORTUNITY FOR FACILITY STAFF TO MONITOR THE WELL-BEING OF THE RESIDENTS. SOCIAL AND ACTIVITY PROGRAMS PROVIDE RESIDENTS WITH THE OPPORTUNITY TO FULLY ENJOY THE FACILITIES AND ARE DESIGNED TO MEET THE SOCIAL AND EMOTIONAL NEEDS OF THE RESIDENTS. ADDITIONAL SERVICES PROVIDED INCLUDE: PHYSICAL THERAPY, TRANSPORTATION, LAUNDRY SERVICES AND BLOOD PRESSURE CHECKS. MEAL SERVICE IS INCLUDED IN THE MONTHLY FEE FOR THE ASSISTED LIVING FACILITIES. INDEPENDENT LIVING COMMUNITIES: THE INDEPENDENT LIVING COMMUNITIES OFFER A CONTINUUM OF SERVICES ON A CAMPUS SETTING. THESE INDEPENDENT LIVING FACILITIES ARE DESIGNED AND OPERATED TO ALLOW SENIOR ADULTS TO LIVE AND ENJOY AN INDEPENDENT LIFESTYLE IN A SECURE AND CONVENIENT COMMUNITY ATMOSPHERE. FULL-TIME PROFESSIONAL MANAGERS PROVIDE ASSISTANCE TO RESIDENTS. THE OBLIGATED GROUP'S INDEPENDENT LIVING COMMUNITIES PROVIDE OR ASSIST IN ARRANGEMENTS FOR ADDITIONAL SERVICES SUCH AS VISITING NURSES, CHORE SERVICES, OR OTHER PERSONAL NEED SERVICES. ALL INDEPENDENT LIVING SETTINGS HAVE A PLANNED ACTIVITY PROGRAM, A VARIETY OF MEAL PLANS AVAILABLE, WEEKLY HOUSEKEEPING AND TRANSPORTATION SERVICES PROVIDED. SPECIALIZED PROGRAMS FOR HEALTH AND WELLNESS ARE ALSO AVAILABLE FOR A NOMINAL FEE OR WILL BE AVAILABLE SOON. VISITOR QUARTERS ARE AVAILABLE FOR FAMILY MEMBERS AND MEALS MAY BE PURCHASED FOR VISITORS AS NEEDED. AN EMERGENCY CALL SYSTEM MONITORED 24 HOURS DAILY PUTS THE RESIDENTS IN CONTACT WITH EMERGENCY MEDICAL SERVICES. GROUP HOMES FOR DEVELOPMENTALLY DISABLED (CREST SERVICES): CREST SERVICES, A DIVISION OF ABHM, PROVIDES RESIDENTIAL SERVICES TO PERSONS WITH DISABILITIES IN IOWA AND MINNESOTA. THE MAJORITY OF THE INDIVIDUALS SERVED ARE THOSE WITH A PRIMARY DIAGNOSIS OF MENTAL RETARDATION, OTHERS MAY HAVE SOME TYPE OF BRAIN INJURY OR OTHER TYPE OF DEVELOPMENTAL DISABILITY. SERVICES ARE PROVIDED IN A VARIETY OF SETTINGS INCLUDING THE INDIVIDUAL'S OWN APARTMENT UNDER THE HOME AND COMMUNITY BASED SERVICES (HCBS) PROGRAM OR A SMALL GROUP HOME SETTING WITH TWO TO FOUR INDIVIDUALS (TYPICALLY, A MODESTLY SIZED HOME LOCATED IN A RESIDENTIAL NEIGHBORHOOD). CREST SERVICES DOES MAINTAIN ONE LARGER GROUP HOME SERVING FIFTEEN INDIVIDUALS IN OTTUMWA, IOWA. THE CREST SERVICES STAFF WORKS IN CONJUNCTION WITH THE PRIMARY CONSUMER, THEIR FAMILY, THE MEDICAL TEAM, COUNTY AND STATE SOCIAL SERVICE STAFF TO PROVIDE TAILORED SERVICES FOR THE INDIVIDUAL. SERVICES PROVIDED INCLUDE HEALTH CARE AND ASSISTANCE WITH ACTIVITIES OF DAILY LIVING (BATHING, GROOMING, DRESSING, ETC), DEVELOPMENT OF JOB OR SOCIAL SKILLS, RECREATIONAL ACTIVITIES, BUDGETING AND BASIC FINANCIAL PLANNING. RESPITE SERVICES ARE ALSO PROVIDED AS NEEDED. THE PRIMARY FUNDING SOURCE IS THROUGH CERTIFICATION IN THE HCBS WAIVER PROGRAMS, WHICH WAIVES THE COST OF CERTAIN HEALTHCARE SERVICES, ALTHOUGH THERE ARE SEVERAL WAIVER PROGRAMS FUNDED WITH FEDERAL DOLLARS, I.E., MENTAL RETARDATION, BRAIN INJURY, ELDERLY. PERSONS WITH A DEVELOPMENTAL DISABILITY (DD), OTHER THAN MENTAL RETARDATION (EXCLUDING MENTAL ILLNESS) ARE SERVED UNDER THE COUNTY PAID CHAPTER 24 CERTIFIED PROGRAMS IN BOTH IOWA AND MINNESOTA. MINNESOTA PROVIDES A PARENTING PROGRAM FOR FAMILIES IN NEED OF TRAINING AND SUPPORT IN ORDER TO KEEP FAMILIES INTACT USING COUNTY FUNDING.JUST AS ABHM SEEKS TO FULFILL OUR MISSION THROUGH THOSE WE SERVE, WE ALSO UNDERSTAND THAT MISSION CALLS US TO CONTRIBUTE TO THE GREATER COMMUNITIES IN WHICH WE LIVE AND WORK. THIS DUAL COMMITMENT BOTH DESCRIBES OUR PAST AND DEFINES OUR FUTURE BY REINFORCING THE CORE PRINCIPLES AND FAITH THAT GUIDE OUR WORK.THE INFORMATION THAT FOLLOWS IS A DETAILED DESCRIPTION AND ESTIMATED VALUE OF ALL CHARITABLE CONTRIBUTIONS GIVEN IN FISCAL YEAR 2013 BY ABHM, ITS CONTINUING CARE RETIREMENT COMMUNITIES, NURSING HOMES AND AFFORDABLE HOUSING RETIREMENT COMMUNITIES.DIRECT BENEVOLENCE TO CONTINUING CARE RESIDENTS BY ABHM DURING FISCAL YEAR 2013 WAS $600. ADJUSTMENTS OF $495,000 WERE MADE TO ABHM RESIDENTS DURING FISCAL YEAR 2013 REPRESENTING MEDICAID CONTRACTS THAT DID NOT PAY THE FULL AMOUNT FOR THEIR CARE.COMMUNITY BENEFITS TO RESIDENTS, EMPLOYEES AND COMMUNITY:THORNE CREST: PROVIDED RELIGIOUS SERVICES TO RESIDENTS, A CAREGIVER GROUP, RSVP TAX SERVICES, VETERAN'S BIRTHDAYS,JOHN ULLAND MUSIC GATHERING, TTH ANNUAL CAR SHOW, HAWTHORNE SCHOOL SINGING GROUP, ESTATE PLANNING SEMINARE, TRACTOR PARADE, SPONSORED PRESENTATIONS ON SENIOR SCAM.ELM CREST: PROVIDED A HOSPITALITY ROOM FOR FAMILY MEMBERS OF RESIDENTS AND PROVIDED THE MCKEE COMMUNITY ROOM FOR VARIOUS EVENTS.MAPLE CREST: PROVIDED RELIGIOUS SERVICES FOR THE COMMUNITY AND EDUCATIONAL ACTIVITIES FOR RESIDENTS AND COMMUNITY OUTREACH SUPPORT, VOLUNTEER APPRECIATION TEA, ESTATE PLANNING SEMINAR, PHILANTHROPIC PROJECTS, PASTOR APPRECIATION DAY AND HOLIDAY GIFT BASKETS.TRAIL RIDGE: PROVIDED MEMORIAL SERVICES, PRESENTATIONS ON RETIREMENT LIVING, HEALTH FAIR AND SHOPPING EXTRAVAGANZA, SALUTE TO VETERANS, SENIOR RESOURCE FAIR AND 'LISTEN AND LEARN' LUNCHES.TUDOR OAKS: PROVIDED WELLNESS CENTER ACCESS TO GUESTS AND STAFF, SWIM CALSS TO ARTHRITIS ASSOCIATION, LUNCH AND LEARN FOR SOCIAL WORKERS, PRESENTATION TO MUSKEGO WOMAN'S GROUP AND YOUNG AT HEART GROUP USE OF THE COMMUNITY FACILITIES - THORNE CREST, ELM CREST, TUDOR OAKS AND TRAIL RIDGE HOSTED EVENTS AND PROVIDED SPACE FOR VARIOUS GROUPS INCLUDING THE FOLLOWING: THE DOLL CLUB, FIRE DEPARTMENT, CHURCH MEETINGS, MINISTERIAL ASSOCIATION, OSHER LIFE LONG LEARNING, ART CART PROJECT, PARKINSON'S ASSOCIATION ANNUAL MEETING, PIANO RECITALS, POLLING PLACE, BOOK CLUBS, BIBLE STUDIES, AMERICAN LEGION, BENSON BOARD MEETING, OMAHA WOMEN'S MINISTRIES AND BESSY'S HOPE.OTHER BENEFITS TO THE BROADER COMMUNITYVOLUNTEER AND OTHER SERVICES TO COMMUNITY ORGANIZATIONS BY RESIDENTS AND STAFF OF ABHM AND ITS COMMUNITIES: STAFF SERVICE ON AN ADVISORY BOARD FOR NURSING, VOLUNTEERED ON A HOME HEALTH ADVISOR GROUP AT A LOCAL HOSPITAL, RELAY FOR LIFE, COALITIONS ON AGING, OSHER LIFELONG LEARNING, HOSTED MINNESOTA TWINS CARAVAN, AMERICAN LEGION FLAG CEREMONY, PRESENTED VARIOUS SEMINARS AND PROVIDED ACCOUNTING SERVICES FOR MURROW INDIAN CHILDREN'S HOME.Description
Total Program Service Expense47821546TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096236NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1575NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEFF BREDTNamePerson
Telephone Number9522531459TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line114850 SCENIC HEIGHTS ROAD NO 125AddressLine1
CityEDEN PRAIRIECity
StateMNState
ZIP Code55344ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DAVID ZWICKEY
PRESIDENT & CEO29.0011.00XX266306027018
BOB SLECHTA
VICE CHAIR (FORMER) & CHAIR1.000.00XX000
JERE MADDUX
VICE CHAIR1.001.00XX000
TED HERTEL JR
CHAIR (FORMER)1.000.00XX000
EUGENE ALLEN
BOARD MEMBER1.000.00X000
RYAN ALLEN
BOARD MEMBER1.000.00X000
BOB CASELLI
BOARD MEMBER1.001.00X000
ROGER DAVIDSON
BOARD MEMBER1.000.00X000
ASHLEY FORD
BOARD MEMBER1.000.00X000
BILL GOLSON
BOARD MEMBER1.001.00X000
GARY GROGAN
BOARD MEMBER1.000.00X000
PHILIP HANSON
BOARD MEMBER1.000.00X000
JIM JOHNSON
BOARD MEMBER1.000.00X000
WALTER LANIER
BOARD MEMBER1.000.00X000
REV KEVIN LOWE
BOARD MEMBER1.003.00X000
JIM O'DELL
BOARD MEMBER1.004.00X000
MARSHALL PETERS
BOARD MEMBER1.000.00X000
STEVEN VAN OSTRAN
BOARD MEMBER1.001.00X000
BRUCE WHITAKER
BOARD MEMBER1.000.00X000
BARBARA WOODS
BOARD MEMBER1.000.00X000
JUDY ZEA
BOARD MEMBER1.000.00X000
JEFF HONGSLO
TREASURER & CFO17.0023.00X154161030470
TIM O'BRIEN
SECRETARY & VP OF PROGRAM10.0030.00X107566011103
DEBORAH CLARK
DIRECTOR OF OPERATIONS40.000.0010397108376X
ROGER HENNEN
DIRECTOR IT25.0015.00118147012579X
ANDREA BLATNIK
VP HUMAN RESOURCES25.0015.0010046802660X
DONNA WLASCHIN
DIRECTOR CLINICAL SERVICES25.0015.0010002409517X
FieldValueIRS element (for citing)
Total Reportable Comp From Org950643TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation101723TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHAB CARE GROUP INC
PO BOX 503534ST LOUISMO63150THERAPY1103896
INTEGRITY LANDSCAPE SERVICES LLC
11217 W FOREST HOME AVEFRANKLINWI53132CONTRACTOR639386
JOHN MAREK INC
PO BOX 270463MILWAUKEEWI53227CONTRACTOR450682
WAGNER CONSTRUCTION CO
PO BOX 698AUSTINMN55912CONTRACTOR368794
REHABVISIONS
11623 ARBOR STRETT SUITE 201OMAHANE68144THERAPY347071
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
All Other Contributions752624AllOtherContributions
Total Contributions752624TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT REVENUE6230004610335746103357
MANAGEMENT FEES62399046571094657109
ACCOMODATION FEES62399018888801888880
OTHER RESIDENT SERVICES623990774622774622
INSURANCE PROCEEDS623990-333-333
FieldValueIRS element (for citing)
Total Program Service Revenue53423635TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column113523TotalRevenueColumn
Exclusion$113,523ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities199591Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities186239Securities
Other24950Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities13352Securities
Other-24950Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-11598TotalRevenueColumn
Exclusion-$11,598ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionLOSS FROM DISCONTINUED OPERATIONDescription
Business Code900099BusinessCode
Total Revenue Column-23839TotalRevenueColumn
Exclusion-$23,839ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue-23839TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column54254345TotalRevenueColumn
Related Or Exempt Function Income53423635RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$78,086ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total603982Total
Program Services603982ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total27698940Total
Program Services27652958ProgramServices
Management And General45982ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total158096Total
Program Services157831ProgramServices
Management And General265ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2504029Total
Program Services2499724ProgramServices
Management And General4305ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1936352Total
Program Services1933106ProgramServices
Management And General3246ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2659440Total
Management And General2659440ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total731984Total
Management And General731984ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19478Total
Management And General19478ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total919345Total
Program Services842307ProgramServices
Management And General77038ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total443375Total
Management And General443375ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2284164Total
Program Services1217972ProgramServices
Management And General1066192ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2377307Total
Program Services1966626ProgramServices
Management And General410681ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total208386Total
Management And General208386ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3496781Total
Program Services3393176ProgramServices
Management And General103605ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3579154Total
Program Services3473108ProgramServices
Management And General106046ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total715427Total
Program Services694230ProgramServices
Management And General21197ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MISCELLANEOUS19911758452191145956
FOOD16207181620718
PHARMACY564527564527
REPAIRS3368913269099982

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total29202Total
Program Services29153ProgramServices
Management And General49ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total54878753Total
Program Services47821546ProgramServices
Management And General7057207ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1296481BOY
EOY3038913EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6155401BOY
EOY4807511EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY256642BOY
EOY245659EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY222049BOY
EOY260465EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis93304315LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec38645424LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY53975016BOY
EOY54658891EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1940910BOY
EOY2005540EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5000BOY
EOY5000EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY2208199BOY
EOY2064822EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11100797BOY
EOY11067655EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY77160495BOY
EOY78154456EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8773485BOY
EOY8438025EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY23339793BOY
EOY25568438EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY47254055BOY
EOY46632016EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY191378BOY
EOY104188EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3108039BOY
EOY4026953EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4536288BOY
EOY4046886EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY87203038BOY
EOY88816506EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-10062540BOY
EOY-10676898EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY19997BOY
EOY14848EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-10042543BOY
EOY-10662050EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY77160495BOY
EOY78154456EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-624408ReconcilationRevenueExpenses
Reconciliation Unrealized Invest4901ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years133239CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years108518CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years274467CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year341093CurrentTaxYearMinus1Year
Current Tax Year752624CurrentTaxYear
Total1609941Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44886288CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45868768CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47035739CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50391603CurrentTaxYearMinus1Year
Current Tax Year53423635CurrentTaxYear
Total241606033Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years45019527CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45977286CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47310206CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50732696CurrentTaxYearMinus1Year
Current Tax Year54176259CurrentTaxYear
Total243215974Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509243215974PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years182568CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years162960CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years87945CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year100382CurrentTaxYearMinus1Year
Current Tax Year113523CurrentTaxYear
Total647378Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years182568CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years162960CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years87945CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year100382CurrentTaxYearMinus1Year
Current Tax Year113523CurrentTaxYear
Total647378Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year216757CurrentTaxYearMinus1Year
Current Tax Year-23839CurrentTaxYear
Total192918Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years45202095CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years46140246CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47398151CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year51049835CurrentTaxYearMinus1Year
Current Tax Year54265943CurrentTaxYear
Total244056270Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99660PublicSupportPercentage509
Prior Year Support Percentage0.99540PriorYearSupportPercentage
Investment Income Percentage0.00270InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00360PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: LOSS ON DISCONTINUED OPERATION OTHER INCOMEGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1324210OtherCostOrOtherBasis
Book Value1324210BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis71944740OtherCostOrOtherBasis
Depreciation26546913Depreciation
Book Value45397827BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2655308OtherCostOrOtherBasis
Depreciation918955Depreciation
Book Value1736353BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis15640933OtherCostOrOtherBasis
Depreciation10992883Depreciation
Book Value4648050BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1739124OtherCostOrOtherBasis
Depreciation186673Depreciation
Book Value1552451BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings54658891TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
CASH SURRENDER VALUE LIFE INS145095
SECURITY DEPOSITS104188
BOND FUNDS10818372
FieldValueIRS element (for citing)
Total Book Value Other Assets11067655TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE ACCOMMODATION FEES$2,217,147
RESERVE FOR GIFT ANNUITIES$70,673
ASSET RETIREMENT OBLIGATION$2,060,423
DUE TO RELATED PARTIES-$301,357
FieldValueIRS element (for citing)
Total Of Amounts4046886TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:THE ORGANIZATION IS THE TRUSTEE OF VARIOUS TRUST FUNDS ON BEHALF OF THE RESIDENTS.
PART X, LINE 2:THE ORGANIZATION FOLLOWS THE STANDARD FOR CONTINGENCIES IN EVALUATING THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL 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 EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE FISCAL YEARS 2010 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL AND STATE AUTHORITIES.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID ZWICKEY
PRESIDENT & CEO2600500006256050000220180293324000
JEFF HONGSLO
TREASURER & CFO15413400027032820271880184631000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
COLORADO HEALTH FACILITIES AUTHORITY
A84075293219648AEX92007-08-0119135698REFINANCE EXISTING DEBT, CAPITAL EXPENDITURES AND OPERATIONAL RESERVE FUND000
COLORADO HEALTH FACILITIES AUTHORITY
B84075293219648ASD82009-12-2327136159CONSTRUCT NEW INDEPENDENT LIVING UNITS000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetiredCapitalized InterestCapitalizedInterestCapital ExpendituresCapitalExpenditures
A1913569813680773827141738490720101111
B2713615924547505427232011001115000307955021059136

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A01000.007600.00760001
B01000.003400.00340001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line2NameOfGICProvider/BusinessNameLine2Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
ROYAL BANK OF
A0001001CANADA8.000000000000101
CALYON
B01000012.000000000000101

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE K PART IV, ARBITRAGE, LINE 2CIdentifier
Return ReferenceDATE REBATE COMPUTATION PERFORMEDReturnReference
ExplanationISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/20/2012Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE IS COMPOSED OF THE CHAIR, THE VICE CHAIR, THE PRESIDENT/CEO OF THE CORPORATION AND THREE ADDITIONAL DIRECTORS. THE EXECUTIVE COMMITTEE SHALL EXERCISE ALL OF THE POWERS OF THE BOARD OF DIRECTORS, BUT ONLY DURING THE INTERVAL BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. ANY ACTIONS OF TEH EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 2EUGEN ALLEN AND RYAN ALLEN, BOARD MEMBERS, HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE REVIEWED THE FORM 990 AT THEIR QUARTERLY MEETING PRIOR TO FILING. THEY RECEIVED COPIES OF THE DRAFT AND THE DETAIL WAS REVIEWED AT THAT TIME. COPIES OF THE 990 WERE THEN PROVIDED TO BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 12CA CONFLICT OF INTEREST FORM IS SIGNED BY ALL BOARD DIRECTORS, ADMINISTRATORS, HOME OFFICE DIRECTORS, AND VICE PRESIDENTS. AT THAT TIME, ANY POTENTIAL CONFLICT OF INTEREST IS NOTED ON THE FORM. THE INFORMATION IS GIVEN TO THE CEO, BOARD PRESIDENT AND AUDIT COMMITTEE CHAIR. AT THAT TIME, ANY POTENTIAL CONFLICTS ARE REVIEWED. IF A CONFLICT EXISTS, THE CONFLICTED INDIVIDUAL EITHER HAS TO CORRECT THE CONFLICT OF INTEREST OR MUST ABSTAIN FROM PARTICIPATION REGARDING THE CONFLICT OF INTEREST TOPIC.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD OF DIRECTORS HAS A MANAGEMENT REVIEW COMMITTEE THAT REVIEWS THE CEO'S COMPENSATION. THE COMMITTEE DETERMINES ANY COMPENSATION ADJUSTMENTS TO THE CEO. THE CEO, EXECUTIVE DIRECTORS AND OTHER TOP MANAGEMENT POSITIONS ARE COMPARED TO THE MOST RECENT CEMO STUDY TO DETERMINE HOW THEIR COMPENSATION COMPARES TO PEER ORGANIZATIONS. THE CEO DETERMINES ANY COMPENSATION ADJUSTMENTS TO SENIOR MANAGEMENT. THE CEO, EXECUTIVE DIRECTORS AND OTHER TOP MANAGEMENT POSITIONS ARE COMPARED TO THE MOST RECENT CEMO STUDY TO DETERMINE HOW THEIR COMPENSATION COMPARES TO PEER ORGANIZATIONS. THIS PROCESS LAST INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2013.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAINS
14850 SCENIC HEIGHTS RD 125EDEN PRAIRIEMN55344840528764PROVIDE HOUSING AND CARE FOR THE ELDERLYCO501(C)(3)9ABHM1
THE RESIDENCES AT FRANKLIN PARK INC
14850 SCENIC HEIGHTS RD 125EDEN PRAIRIEMN55344840630940HOUSING FOR LOW-INCOME SENIORSCO501(C)(4)N/AABHM BHARM1
AMERICAN BAPTIST HOMES OF THE MIDWEST FOUNDATION
14850 SCENIC HEIGHTS RD 125EDEN PRAIRIEMN55344411803304PHILANTHROPYMN501(C)(3)11 TYPE 1ABHM1
BAPTIST HOME ASSOC OF THE ROCKY MOUNTAINS - AFFILIATES
14850 SCENIC HEIGHTS RD 125EDEN PRAIRIEMN55344742755828HOUSING AND CARE FOR THE ELDERLYCO501(C)(3)9ABHM BHARM1
THE CROSSING AT TUDOR OAKS
14850 SCENIC HEIGHTS RD 125EDEN PRAIRIEMN55344203346875INACTIVEMN501(C)(3)9ABHM1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1DENVER APARTMENTS PARTNERS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11535 FRANKLIN STREETAddressLine1
CityDENVERCity
StateCOState
ZIP Code80218ZIPCode
FieldValueIRS element (for citing)
EIN261776678EIN
Primary ActivityHOUSING FOR LOW-INCOME SENIORSPrimaryActivity
Legal Domicile StateNELegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAINS-AFFILIATES
Q17485321ACTUAL COST
AMERICAN BAPTIST HOMES OF THE MIDWEST - FOUNDATION
Q111543ACTUAL COST