2014-12-22T15:03:15-07:00 2014-06-30 990 2013-07-01 720537029 EVERGREEN PRESBYTERIAN MINISTRIES INC EVER 3189495500 2101 Hwy 80 Haughton LA 71037 Kent Craft Executive Vice President / CFO 3189495500 2014-12-22 2013 2015-11-30 17:44:51Z Evergreen Life Services Susan M Buchholtz - President 2101 Hwy 80 Haughton LA 71037 73046998 0 X www.evergreenls.org X 1959 LA Evergreen's mission is to serve, provide for and champion individuals with disabilities. 15 15 3303 0 0 0 369480 639828 66415092 71948336 104821 75615 285053 343686 67174446 73007465 0 0 0 0 47030785 51204833 0 0 0 19354599 21303226 66385384 72508059 789062 499406 28382942 28604337 6565863 7314168 21817079 21290169 Evergreen's mission is to serve, provide for and champion individuals with disabilities. 0 0 62272646 0 73007465 Evergreen provides group home settings for people with developmental disabilities with an emphasis on active treatment designed to help the individual become more independent. In addition, support is also provided for those who live in their own apartment or home according to the needs of each individual. Licensed and certified as a Title XIX provider. 0 0 0 62272646 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 332 0 1 3303 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X Kent Craft 3189495500 2101 Hwy 80 Haughton LA 71037 James Ellis Chairman 3 X 0 0 0 Claire Brooks Chairman Elect 3 X 0 0 0 Grady Morrison Secretary/Treasurer 3 X 0 0 0 Jerald Adams Board Member 3 X 0 0 0 Trisha Bernard Board member 3 X 0 0 0 John Bradford Board Member 3 X 0 0 0 Danny Gray Board Member 3 X 0 0 0 John Hampton Board Member 3 X 0 0 0 Joseph Henrick Board Member 3 X 0 0 0 Ernest Higginbotham Synod Liaison 3 X 0 0 0 Robert Malsbary Board Member 3 X 0 0 0 Franco Marcantonio Board Member 3 X 0 0 0 Bill Marohn Board Member 3 X 0 0 0 Clinton McAlister Board Member 3 X 0 0 0 Elton Williams Jr Board Member 3 X 0 0 0 Susan M Buchholtz President 40 X 227448 0 9189 Kent Craft Exec Vice-President CFO 40 X 118897 0 7571 Elizabeth Holmes Vice-President of Administration 40 X 119655 0 6862 Sharon Gomez Vice-President of Central Operations 40 X 95049 0 6612 Tonya Copeland Vice-President of Western Operations 40 X 106819 0 5688 Sousan Kayhani Vice-President of Eastern Operations 40 X 99959 0 5205 767827 0 41127 4 0 1 0 Nursing Care Connections 10849 Perkins Rd Baton Rouge LA 70810 Nursing Services 232386 Faw Services LLC 223 Bellingrath Place Madisonville LA 70447 Medical Services 204625 Medex Clinical Consult LLC 1410 Gause Blvd Slidell LA 70458 Medical Services 146154 IMAS LLC PO Box 991 Cleveland TN 37364 Software services 144000 Nursing PRN 8755 Sullivan Road Ste D Baton Rouge LA 70818 Nursing services 133460 6 0 0 0 0 0 639828 0 639828 State Medicaid Program Fees 623990 71948336 71948336 0 0 0 0 0 0 71948336 8520 8520 0 0 0 0 0 0 0 0 0 0 70118 0 0 0 70118 0 70118 70118 0 0 0 106628 0 39533 0 67095 67095 67095 0 0 0 Room & Board 623990 78991 78991 0 0 HUD Reimbursements & Mgmt Fees 623990 119670 119670 0 0 74907 74907 0 0 273568 73007465 72367637 0 0 687538 687538 41048885 37969109 3079776 6340599 5609857 730742 3127811 2624660 503151 21705 21705 89573 89573 5708383 4752005 956378 318857 318857 4142151 1556566 2585585 2360729 1735239 625490 107400 11557 95843 1745 1745 0 1304069 853954 450115 Consultants & Contracts for Outside Serv 3806940 3806940 0 Day Program Services 2583353 2583353 0 Association Membership Dues 29411 1944 27467 828910 765717 63193 72508059 62272646 10235413 0 6581424 7448714 2743096 1362273 7246847 6250314 27571367 14140503 11713888 13430864 97687 112172 28382942 28604337 3479395 2667136 3086468 4647032 6565863 7314168 X 21817079 21290169 0 0 0 0 21817079 21290169 28382942 28604337 X 499406 375 0 0 0 -1026691 X 0 1 X 1 0 X 291234 78896 328117 369480 639828 1707555 43795957 46810061 48326320 66415092 71948336 277295766 44087191 46888957 48654437 66784572 72588164 279003321 279003321 48291 26732 17275 15207 8520 116025 0 0 0 0 0 0 48291 26732 17275 15207 8520 116025 0 0 0 0 0 0 290390 273616 278013 285053 343686 1470758 44425872 47189305 48949725 67084832 72940370 280590104 0.99434 0.99384 0.00041 0.00068 X Schedule A, Part III, Line 12 Lease income, Room & Board, HUD fees 1 1 0 1 75 0 0 1 10863 0 0 10938 0 Schedule C, Part II-B, Line 1 All lobbying activities involve the advocacy for adequate funding and other pertinent issues regarding the program services offered to individuals with intellectual and developmental disabilities. 823833 787235 1611068 0 13972739 6598851 7373888 0 89205 90960 -1755 0 11898355 7450692 4447663 0 0 0 0 13430864 71810179 373 0 0 -1197659 -1197286 73007465 0 0 0 73007465 71353501 0 0 0 0 0 71353501 0 1154558 1154558 72508059 Schedule D, Part XI, Line 2d Internal program fees $(1,899,442), EPMOT operational allocation $340,071, expenses netted against revenue in audit $361,712 Schedule D, Part XII, Line 4b Internal program fees $1,899,443, EPMOT operational allocation $(340,071), expenses netted against revenue in audit $(361,712), transfer to EPMOT $(43,102). X 0 0 0 0 0 0 0 0 0 Susan M Buchholtz President 202448 0 25000 0 0 0 0 0 9189 0 236637 0 0 0 Form 990, Part VI, Section A, Line 6 The board of directors are members of the organization. Form 990, Part VI, Section A, Line 7a Evergreen Presbyterian Ministries is a service agency (mission) of the Synod of the Sun, Presbyterian Church, (U.S.A.). The Synod of the Sun appoints a liaison (non-voting member) to Evergreen's Board of Directors. Form 990, Part VI, Section B, Line 11b The 990 is prepared internally by staff and is reviewed by the executive vice president - CFO. Then the final draft of the completed return is provided to each board member via email. The board members are given the opportunity to review the 990 and pose questions which are answered by the executive vice president - CFO before the final filing of the return. Form 990, Part VI, Section B, Line 12c Each member of the board of directors fills out a yearly questionnaire designed to disclose possible conflicts of interest. The questionnaire is turned into the CEO for review then submitted to the chairman of the board for final reviews. Officers and other employees are required by policy to request approval from the CEO is there are any relationships or activities that could give rise to potential conflicts. Form 990, Part VI, Section B, Line 15 The board operations committee, which is made up of board members, meets once per year to evaluate the job performance of the CEO. Comparability data concerning compensation is assessed. A three-year fixed compensation contract is established for the CEO by the board operations committee. Form 990, Part VI, Section C, Line 19 Documents are available to interested parties by request. Form 990, Part XI, Line 9 Transfer to EPMOT $(43,102), Transfer to Evergreen Foundation $(983,589) Evergreen Presbyterian Ministries of Texas Inc 2101 Hwy 80 Haughton LA 71037 721079693 Services for individuals with disabilities LA 501(c)(3) 9 Evergreen Presbyterian Ministries Inc Evergreen Foundation 2101 Hwy 80 Haughton LA 71037 237089068 Supporting organization LA 501(c)(3) Type 1 Evergreen Presbyterian Ministries Inc Louisiana Finance Corp for Handicapped Citizens 2101 Hwy 80 Haughton LA 71037 720979553 Housing for individuals with disabilities LA 501(c)(3) Type 1 Evergreen Presbyterian Ministries Inc Central Louisiana Independent Living Center 2101 Hwy 80 Haughton LA 71037 721216969 Housing for individuals with disabilities LA 501(c)(3) Type 1 Evergreen Presbyterian Ministries Inc Shreveport Independent Living Inc 2101 Hwy 80 Haughton LA 71037 721245386 Housing for individuals with disabilities LA 501(c)(3) Type 1 Evergreen Presbyterian Ministries Inc Baton Rouge New Community Homes 2101 Hwy 80 Haughton LA 71037 721217049 Housing for individuals with disabilities LA 501(c)(3) Type 1 Evergreen Presbyterian Ministries Inc Baton Rouge Rehab Community Homes 2101 Hwy 80 Haughton LA 71037 721217051 Housing for individuals with disabilities LA 501(c)(3) Type 1 Evergreen Presbyterian Ministries Inc 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Evergreen Foundation c 639828 FMV Evergreen Foundation r 983589 FMV