2014-02-10T16:57:12-06:00 2013-09-30 611064249 DEMING MALONE LIVESAY & OSTROFF PSC 9300 SHELBYVILLE ROAD SUITE 1100 LOUISVILLE KY 402225187 990 2012-10-01 610937079 SAYRE CHRISTIAN VILLAGE NURSING HOME INC SAYR 8592719000 3775 BELLEAU WOOD DR LEXINGTON KY 40517 WILLIAM ENGLISH 8592719000 2014-02-06 1 JENNIFER R HUGHES CPA P00350026 5024269660 2012 2015-11-30 17:44:51Z WILLIAM ENGLISH 3775 BELLEAU WOOD DR LEXINGTON KY 40517 10938152 0 X WWW.SAYRECHRISTIANVILLAGE.COM X 1978 KY A NON-PROFIT SENIOR LIVING COMMUNITY DEDICATED TO PROVIDING QUALITY HOUSING, REHABILITATIVE SERVICES AND LONG-TERM NURSING CARE REFLECTING CHRISTIAN COMPASSION FOR EVERYONE. 13 12 271 200 0 0 155525 269584 8854861 10626237 711 381 46738 41950 9057835 10938152 0 0 0 0 5352880 6237200 0 0 0 3615526 5405321 8968406 11642521 89429 -704369 14971087 18767329 13680522 18181133 1290565 586196 A NON-PROFIT SENIOR LIVING COMMUNITY DEDICATED TO PROVIDING QUALITY HOUSING, REHABILITATIVE SERVICES AND LONG-TERM NURSING CARE REFLECTING CHRISTIAN COMPASSION FOR EVERYONE. 0 0 10333210 10626237 PROVIDED NURSING CARE SERVICES FOR 41,885 PATIENT DAYS OF NURSING FACILITY CARE 10333210 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 60 0 1 271 1 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X SAYRE CHRISTIAN VILLAGE NURSING HOM 8592719000 3840 CAMELOT DRIVE LEXINGTON KY 40517 JL LYNN 2.00 X 0 0 0 RON RING 2.00 X X 0 0 0 GUY COLSON 2.00 X 0 0 0 DOTTIE CARTER 2.00 X X 0 0 0 PHIL LING 2.00 X 0 0 0 JERRY L KELLY 2.00 X X 0 0 0 HT HARDY III 2.00 X X 0 0 0 JERRY HERNDON 2.00 X 96000 0 0 WILLIAM A MOSSBARGER JR 2.00 X 0 0 0 GARY R COLEMAN 2.00 X 0 0 0 CHERYL WIPF 2.00 X 0 0 0 RON FEY 2.00 X X 0 0 0 JOE C LEWIS 2.00 X X 0 0 0 ANN PHILLIPS 40.00 X 129972 0 3787 225972 0 3787 1 0 0 0 AEGIS THERAPIES PO BOX 8103 FORT SMITH AR 72902 REHABILITATION SERVICES 1100244 THE HAYDEN COMPANY 208 SOUTH MAIN STREET NICHOLASVILLE KY 40356 CONSTRUCTION 1093845 AMTECK OF KENTUCKY INC 2421 FORTUNE DRIVE SUITE 150 LEXINGTON KY 40509 ELECTRICAL 616757 MARION STEEL FABRICATION INC 333 W 4TH STEET MARION IN 46952 CONSTRUCTION 182306 4 269584 269584 PATIENT SERVICE REVENUE 623000 10626237 10626237 10626237 381 381 MISCELLANEOUS INCOME 900099 23930 23930 CABLE TV INCOME 900099 14393 14393 MEAL SALES 900099 3627 3627 41950 10938152 10626237 0 42331 148461 148461 5271831 5098893 172938 21461 19877 1584 394571 378004 16567 400876 379490 21386 34953 34953 22150 22150 1094679 930949 163730 3239 99 3140 9967 9967 595330 560979 34351 ANCILLARIES 1639440 1639440 SUPPLIES 512498 495298 17200 CONTRACT SERVICES 396666 80824 315842 LICENSES & TAXES 392024 389694 2330 704375 349696 354679 11642521 10333210 1309311 0 516340 192218 1078217 1140933 30665 28539 17683 18115 21614144 4285373 13249202 17328771 78980 58753 14971087 18767329 1156465 811019 11701584 15817137 822473 1552977 13680522 18181133 X 1290565 586196 1290565 586196 14971087 18767329 -704369 0 X X 0 1 X 1 0 X 9710 7248 7227 155525 269584 449294 8113787 8300334 8874622 8854862 10626237 44769842 8123497 8307582 8881849 9010387 10895821 45219136 0 0 0 45219136 2559 1086 605 711 381 5342 2559 1086 605 711 381 5342 4564 7799 2248 46738 41950 103299 8130620 8316467 8884702 9057836 10938152 45327777 0.99760 0.99810 0.00010 0.00040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 318 0 0 0 318 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO LEADINGAGE KENTUCKY OF WHICH $318 IS RELATED TO LOBBYING PURPOSES. 1314375 1314375 18321971 3144831 15177140 1977798 1140542 837256 17328771 X 11119257 0 11119257 -181105 -181105 10938152 11823626 181105 181105 11642521 0 11642521 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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. AS OF SEPTEMBER 30, 2013 AND 2012, 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. THE CORPORATION'S INFORMATIONAL TAX RETURNS PRIOR TO 2010 ARE NO LONGER OPEN TO EXAMINATION. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -181,105. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 181,105. JERRY HERNDON BOARD DIRECTOR 57975 ARCHITECT FEES PAID 0 FORM 990, PART VI, SECTION B, LINE 11 AFTER 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 12C THE 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 15 THE 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 19 PUBLIC 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 2C THE FINANCIAL AUDIT REPORT IS APPROVED BY MANAGEMENT AND PRESENTED TO THE FINANCE COMMITTEE BY THE AUDITORS. CHRISTIAN BENEVOLENT OUTREACH INC 3775 BELLEAU WOOD DRIVE LEXINGTON KY 40517 510178917 HOUSING FOR THE ELDERLY AND MANAGEMENT & ADMINISTRATIVE OVERSIGHT KY 501(C)(3) 509(A)(2) 0 SAYRE VILLAGE PHASE III INC 580 GREENFIELD DRIVE LEXINGTON KY 40517 611088950 HOUSING FOR THE ELDERLY KY 501(C)(3) 170(B)(I)(A)(VI) 0 SAYRE CHRISTIAN VILLAGE APTS II INC 580 GREENFIELD DRIVE LEXINGTON KY 40517 208030673 HOUSING FOR THE ELDERLY KY 501(C)(3) 170(B)(I)(A)(VI) 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 CHRISTIAN BENEVLOENT OUTREACH INC O 290004 CASH CHRISTIAN BENEVLOENT OUTREACH INC O 200285 CASH CHRISTIAN BENEVLOENT OUTREACH INC E 1552977 CASH CHRISTIAN BENEVLOENT OUTREACH INC O 11472 CASH CHRISTIAN BENEVLOENT OUTREACH INC O 29508 CASH CHRISTIAN BENEVLOENT OUTREACH INC C 264536 CASH CHRISTIAN BENEVLOENT OUTREACH INC Q 10800 CASH