2013-02-11T13:55:01-06:00 2012-09-30 611064249 DEMING MALONE LIVESAY & OSTROFF PSC 9300 SHELBYVILLE ROAD SUITE 1100 LOUISVILLE KY 402225187 990 2011-10-01 610937079 SAYRE CHRISTIAN VILLAGE NURSING HOME INC SAYR 8592719000 3840 CAMELOT DRIVE LEXINGTON KY 40517 WILLIAM ENGLISH 8592719000 2013-02-01 1 JENNIFER R HUGHES CPA P00350026 5024269660 2011 2016-02-25 16:41:14Z WILLIAM ENGLISH 3840 CAMELOT DRIVE LEXINGTON KY 40517 9057835 0 X WWW.SAYRECHRISTIANVILLAGE.COM X 1978 KY A NON-PROFIT SENIOR LIVING COMMUNITY DEDICATED TO PROVIDING QUALITY HOUSING, REHABILIATIVE SERVICES AND LONG-TERM NURSING CARE REFLECTING CHRISTIAN COMPASSION FOR EVERYONE. 14 13 247 65 0 0 7227 155525 8874622 8854861 605 711 2248 46738 8884702 9057835 0 0 0 0 4879126 5352880 0 0 0 3697586 3615526 8576712 8968406 307990 89429 7534193 14971087 6333057 13680522 1201136 1290565 A NON-PROFIT SENIOR LIVING COMMUNITY DEDICATED TO PROVIDING QUALITY HOUSING, REHABILIATIVE SERVICES AND LONG-TERM NURSING CARE REFLECTING CHRISTIAN COMPASSION FOR EVERYONE. 0 0 7890542 8854861 PROVIDED NURSING CARE SERVICES FOR 38,947 PATIENT DAYS OF NURSING FACILITY CARE 7890542 1 1 0 0 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 0 1 31 0 1 247 1 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X 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 FRANK E CLOUD JR 2.00 X 0 0 0 HT HARDY III 2.00 X X 0 0 0 JERRY HERNDON 2.00 X 0 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 STARTED 81511 40.00 X 42052 0 1482 42052 0 1482 0 0 0 0 AEGIS THERAPIES PO BOX 8103 FORT SMITH AR 72902 REHABILITATION SERVICES 653351 THE HAYDEN COMAPNY 208 SOUTH MAIN STREET NICHOLASVILLE KY 40356 CONSTRUCTION 376422 MARION STEEL FABRICATION INC 333 W 4TH STEEET MARION IN 46952 CONSTRUCTION 310092 THE COMPETITIVE EDGE II 3716 WILLOW RIDGE ROAD LEXINGTON KY 40514 NURSING SERVICES 242127 JERRY HERNDON ARCHITECT 2437 FORTUNE DRIVE SUITE 175 LEXINGTON KY 40509 ARCHETICT 175450 6 155525 155525 PATIENT SERVICE REVENU 623000 8854861 8854861 8854861 711 711 MISCELLANEOUS INCOME 900099 43074 43074 MEAL SALES 900099 3664 3664 46738 9057835 8854861 0 47449 128870 128870 4467668 4348845 118823 18858 17470 1388 395835 364625 31210 341649 323717 17932 8903 8903 21500 21500 538382 415887 122495 1085 34 1051 5384 5384 264915 250768 14147 ANCILLARIES 966968 966968 CONTRACT SERVICES 401015 148644 252371 SUPPLIES 395007 376526 18481 LICENSES & TAXES 360096 357962 2134 652271 313712 338559 8968406 7890542 1077864 0 632120 516340 904241 1078217 37246 30665 17313 17683 16939245 3690043 5844066 13249202 99207 78980 7534193 14971087 1003647 1156465 4506937 11701584 822473 822473 6333057 13680522 X 1201136 1290565 1201136 1290565 7534193 14971087 89429 0 X X 0 1 1 X 0 X 13415 9710 7248 7227 155525 193125 7808457 8113787 8300334 8874622 8854862 41952062 7821872 8123497 8307582 8881849 9010387 42145187 0 0 0 42145187 10663 2559 1086 605 711 15624 10663 2559 1086 605 711 15624 4948 4564 7799 2248 46738 66297 7837483 8130620 8316467 8884702 9057836 42227108 0.99810 0.99860 0.00040 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 140000 140000 15396420 2654707 12741713 1402825 1035336 367489 13249202 9057835 8968406 89429 89429 9057835 0 9057835 0 9057835 8968406 0 8968406 0 8968406 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2012 AND 2011, 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 STILL OPEN UNDER FEDERAL AND STATE STATUTE OF LIMITATIONS REMAIN SUBJECT TO REVIEW AND CHANGE. JERRY HERNDON BOARD DIRECTOR 84000 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.; 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 580 GREENFIELD 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 1 0 1 0 0 CHRISTIAN BENEVLOENT OUTREACH INC N 290040 CASH CHRISTIAN BENEVLOENT OUTREACH INC N 191954 CASH CHRISTIAN BENEVLOENT OUTREACH INC E 822472 CASH CHRISTIAN BENEVLOENT OUTREACH INC N 11256 CASH CHRISTIAN BENEVLOENT OUTREACH INC N 22800 CASH CHRISTIAN BENEVLOENT OUTREACH INC C 152117 CASH