FURP.ORG / PUBLIC DATA EXPLORER

CHURCH OF BRETHREN HOME: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CHURCH OF BRETHREN HOME (EIN 25-0983062)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-10
IRS object ID
201311309349300211
Schema version
2011v1.5
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)
Timestamp2013-05-10T06:19:22-07:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Wilkinson and DeterBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1322 Nadona AvenueAddressLine1
CityJohnstownCity
StatePAState
ZIP Code15904ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN250983062EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Church of the Brethren HomeBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHURNameControl
Phone8144675505Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1277 Hoffman AvenueAddressLine1
CityWindberCity
StatePAState
ZIP Code15963ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameThomas J RecknerName
TitleCEOTitle
Date Signed2013-05-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameP Richard WilkinsonName
Phone8142693975Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts12510038GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1921YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionNursing care for the elderly.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees279TotalNbrEmployees
Total Nbr Volunteers100TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year176464ContributionsGrantsPriorYear
Contributions Grants Current Year201407ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11869694ProgramServiceRevenuePriorYear
Program Service Revenue CY12296263ProgramServiceRevenueCY
Investment Income Prior Year21837InvestmentIncomePriorYear
Investment Income Current Year12368InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year12067995TotalRevenuePriorYear
Total Revenue Current Year12510038TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8186696SalariesEtcPriorYear
Salaries Etc Current Year8414321SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4030896OtherExpensePriorYear
Other Expenses Current Year4228182OtherExpensesCurrentYear
Total Expenses Prior Year12217592TotalExpensesPriorYear
Total Expenses Current Year12642503TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-149597RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-132465RevenuesLessExpensesCY
Total Assets BOY9302541TotalAssetsBOY
Total Assets EOY8913005TotalAssetsEOY
Total Liabilities BOY5514854TotalLiabilitiesBOY
Total Liabilities EOY5257783TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3787687NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3655222NetAssetsOrFundBalancesEOY
Mission DescriptionNursing care for the elderly.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense11693432Expense
DescriptionThe Church of the Brethren Home provides skilled and intermediate nursing care and residential living quarters to approx. 350 elderly residents.Description
Total Program Service Expense11693432TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109633NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees279NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMr Thomas R RecknerNamePerson
Telephone Number8144675505TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1277 Hoffman AvenueAddressLine1
CityWindberCity
StatePAState
ZIP Code15963ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
Donna Kodis
Chair0.00XX000
Marie Camut
Trustee0.00X000
Donald R Garman
Trustee0.00X000
Doris Gindlesberger
Trustee0.00X000
Charles B Statler
Trustee0.00X000
P James Hayes
Trustee0.00X000
Janis Gomola
Trustee0.00X000
Marsha Smith
Trustee0.00X000
Gary Green
Trustee0.00X000
Wayne Blue
Secretary0.00XX000
Dr Robert W Hartnett
Treasurer0.00XX000
Donna Ramer
Vice Chair0.00XX000
Charles E Allison
Trustee0.00X000
Edith Scaletta
Nursing home administrator40.007724100X
Thomas J Reckner
CEO40.009899100X
Robert Thompson
Assistant administrator40.005081200X
Celia Adams
Director of nursing40.006089700X
FieldValueIRS element (for citing)
Total Reportable Comp From Org287941TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Select RehabilitationBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 809056AddressLine1
CityChicagoCity
StateILState
ZIP Code606809056ZIPCode
FieldValueIRS element (for citing)
Compensation477731Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions201407AllOtherContributions
Total Contributions201407TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRoom & board,and var. chgDescription
Business Code623000BusinessCode
Total Revenue Column12296263TotalRevenueColumn
Related Or Exempt Function Income12296263RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12296263TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12368TotalRevenueColumn
Exclusion$12,368ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12510038TotalRevenueColumn
Related Or Exempt Function Income12296263RelatedOrExemptFunctionIncome
Exclusion$12,368ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total287941Total
Program Services60897ProgramServices
Management And General227044ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5657700Total
Program Services5448959ProgramServices
Management And General208741ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total140447Total
Program Services121525ProgramServices
Management And General18922ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1799654Total
Program Services1703014ProgramServices
Management And General96640ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total528579Total
Program Services495236ProgramServices
Management And General33343ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total26745Total
Management And General26745ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total21347Total
Management And General21347ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total19466Total
Management And General19466ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total49685Total
Management And General49685ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total378432Total
Program Services378432ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total2199Total
Program Services2199ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total21138Total
Program Services21138ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total169388Total
Management And General169388ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total455114Total
Program Services452902ProgramServices
Management And General2212ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total118089Total
Program Services118089ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Pa. nursing facility assessmen312229312229
Laundry services400425400425
Therapies477731477731
Food costs843505843505

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total932689Total
Program Services857151ProgramServices
Management And General75538ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12642503Total
Program Services11693432ProgramServices
Management And General949071ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1800BOY
EOY1800EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1255241BOY
EOY768893EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY905022BOY
EOY1289591EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY16820BOY
EOY16820EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY109964BOY
EOY122789EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15321546LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8727399LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6903560BOY
EOY6594147EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY110134BOY
EOY118965EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9302541BOY
EOY8913005EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY897478BOY
EOY808954EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY648859BOY
EOY688215EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3573240BOY
EOY3428853EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY10875BOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY234959BOY
EOY191329EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY149443BOY
EOY140432EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5514854BOY
EOY5257783EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3787687BOY
EOY3348241EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY306981EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3787687BOY
EOY3655222EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9302541BOY
EOY8913005EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-132465ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years145808CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years130144CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years115802CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year176464CurrentTaxYearMinus1Year
Current Tax Year201407CurrentTaxYear
Total769625Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11125711CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11212472CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11476855CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11869694CurrentTaxYearMinus1Year
Current Tax Year12296263CurrentTaxYear
Total57980995Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11271519CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11342616CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11592657CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12046158CurrentTaxYearMinus1Year
Current Tax Year12497670CurrentTaxYear
Total58750620Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50958750620PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20430CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years474CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21032CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21837CurrentTaxYearMinus1Year
Current Tax Year12368CurrentTaxYear
Total76141Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20430CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years474CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21032CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21837CurrentTaxYearMinus1Year
Current Tax Year12368CurrentTaxYear
Total76141Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11291949CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11343090CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11613689CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12067995CurrentTaxYearMinus1Year
Current Tax Year12510038CurrentTaxYear
Total58826761Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99870PublicSupportPercentage509
Prior Year Support Percentage0.99840PriorYearSupportPercentage
Investment Income Percentage0.00130InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00160PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis287104OtherCostOrOtherBasis
Book Value287104BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11392177OtherCostOrOtherBasis
Depreciation6068088Depreciation
Book Value5324089BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis881473OtherCostOrOtherBasis
Depreciation498901Depreciation
Book Value382572BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2760792OtherCostOrOtherBasis
Depreciation2160410Depreciation
Book Value600382BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6594147TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Security deposits$67,682
Resident deposits$72,750
FieldValueIRS element (for citing)
Total Of Amounts140432TotalOfAmounts
Total Revenue12510038TotalRevenue
Total Expenses12642503TotalExpenses
Excess Or Deficit For Year-132465ExcessOrDeficitForYear
Excess Or Deficit Per FS-132465ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt12472914TotRevenueEtcAuditedFinclStmt
Revenue Subtotal12472914RevenueSubtotal
Other Revenues Not Included37124OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt37124RevenueNotRptdOnFinStmt
Total Revenue Per Form99012510038TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12605379TotExpensesEtcAuditedFinclStmt
Expenses Subtotal12605379ExpensesSubtotal
Other Expenses Not Included37124OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt37124ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012642503TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XIII, Line 4bPart XIII, Line 4b: Other revenue amounts included on 990 but not included in F/SReclassify bad debt $37124
Part XII, Line 4bPart XII, Line 4b: Other revenue amounts included on 990 but not included in F/SReclassify bad debts $37124

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNew residents receive a package that includes the resident's agreement, financial information, and the Home's rules and regulations. Existing resident's are informed that this information is available upon request and thay may obtain a copy from the business office.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsNew board members are required to sign off on a conflict of interest statement when they become a member. All board members are asked to resign the statement every two years. Employees are notified of policy when hired and periodically with a notice in their paychecks.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessReview with CEO