FURP.ORG / PUBLIC DATA EXPLORER

AMERICAN BAPTIST HOMES OF THE MIDWEST: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
AMERICAN BAPTIST HOMES OF THE MIDWEST (EIN 41-0706155)
Tax period
2011-09-01 to 2012-08-31
Filed
2013-06-11
IRS object ID
201321629349300517
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)
Timestamp2013-06-11T10:20:18-05:00Timestamp
Tax Period End Date2012-08-31TaxPeriodEndDate

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 Date2011-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN410706155EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AMERICAN BAPTIST HOMES OF THE MIDWEST INCBusinessNameLine1
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 Signed2013-05-20DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFF VRIEZEName
PTINP01273590PTIN
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts52092764GrossReceipts
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 Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees1526TotalNbrEmployees
Total Nbr Volunteers631TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year274467ContributionsGrantsPriorYear
Contributions Grants Current Year341093ContributionsGrantsCurrentYear
Program Service Revenue Prior Year47035739ProgramServiceRevenuePriorYear
Program Service Revenue CY50391603ProgramServiceRevenueCY
Investment Income Prior Year185354InvestmentIncomePriorYear
Investment Income Current Year162806InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year216757OtherRevenueCurrentYear
Total Revenue Prior Year47495560TotalRevenuePriorYear
Total Revenue Current Year51112259TotalRevenueCurrentYear
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 Year31423758SalariesEtcPriorYear
Salaries Etc Current Year32572952SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year19277049OtherExpensePriorYear
Other Expenses Current Year21281332OtherExpensesCurrentYear
Total Expenses Prior Year50700807TotalExpensesPriorYear
Total Expenses Current Year53854284TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3205247RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2742025RevenuesLessExpensesCY
Total Assets BOY75385944TotalAssetsBOY
Total Assets EOY77160495TotalAssetsEOY
Total Liabilities BOY82694639TotalLiabilitiesBOY
Total Liabilities EOY87203038TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-7308695NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-10042543NetAssetsOrFundBalancesEOY
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 ENVRIONMENTS WHICH NURTHER SELF-WORTH, HOPE AND DIGNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense47027340Expense
Grants0Grants
Revenue50443739Revenue
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, WEALSO UNDERSTAND THAT MISSION CALLS US TO CONTRIBUTE TO THE GREATERCOMMUNITIES IN WHICH WE LIVE AND WORK. THIS DUAL COMMITMENT BOTHDESCRIBES OUR PAST AND DEFINES OUR FUTURE BY REINFORCING THE COREPRINCIPLES AND FAITH THAT GUIDE OUR WORK.THE INFORMATION THAT FOLLOWS IS A DETAILED DESCRIPTION AND ESTIMATEDVALUE OF ALL CHARITABLE CONTRIBUTIONS GIVEN IN FISCAL YEAR 2012 BYABHM, ITS CONTINUING CARE RETIREMENT COMMUNITIES, NURSING HOMES ANDAFFORDABLE HOUSING RETIREMENT COMMUNITIES.DIRECT BENEVOLENCE TO CONTINUING CARE RESIDENTS BY ABHM DURING FISCAL YEAR2012 WAS $14,000. ADJUSTMENTS OF $620,000 WERE MADE TO ABHM RESIDENTSDURING FISCAL YEAR 2012 REPRESENTING MEDICAID CONTRACTS THAT DID NOTPAY THE FULL AMOUNT FOR THEIR CARE.COMMUNITY BENEFITS TO RESIDENTS, EMPLOYEES AND COMMUNITY:THORNE CREST: PROVIDED RELIGIOUS SERVICES TO RESIDENTS, A CAREGIVERGROUP, BREAD TASTING, RSVP TAX SERVICES, VETERAN'S BIRTHDAYS,JOHN ULLAND MUSIC GATHERING, 6TH ANNUAL CAR SHOW, HAWTHORNE SCHOOL SINGING GROUP, ESTATE PLANNING SEMINARE, TRACTOR PARADE, SPONSORED PRESENTATIONS ON SENIOR SCAM AND IDENTITY THEFT.ELM CREST: PROVIDED A HOSPITALITY ROOM FOR FAMILY MEMBERS OF RESIDENTSAND 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, FRIDAY NIGHT DINNERS TO RESIDENTS AND FAMILY, ESTATE PLANNING SEMINAR, CHRISTMAS PROJECT FUNDRAISER AND HOLIDAY GIFT BASKETS.TRAIL RIDGE: PROVIDED MEMORIAL SERVICES, PRESENTATIONS ON ESTATE PLANNING, WELLNESS CLASSES FOR STAFF, 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, HOSTED EDUCATIONAL EVENTS ON MUSIC THERAPY, DOWNSIZING, QUICK HOME SALES, DRIVER SAFETY AND DEFENSE AGAINST SCAMSUSE OF THE COMMUNITY FACILITIES - THORNE CREST, ELM CREST, KENMARE, TUDOR OAKS AND TRAIL RIDGE HOSTED EVENTS AND PROVIDED SPACE FOR VARIOUS GROUPS INCLUDING THE FOLLOWING: THE DOLL CLUB, CHESS CLUB, CHURCH MEETINGS, MINISTERIAL ASSOCIATION, OSHER LIFE LONG LEARNING, PIANO RECITALS, GIRLS SCOUTS, BOOK CLUBS, BIBLE STUDIES, AMERICAN LEGION, BENSON BOARD MEETING, OMAHA WOMEN'S MINISTRIES AND BESSY'S HOPE.OTHER BENEFITS TO THE BROADER COMMUNITY VOLUNTEER AND OTHER SERVICES TO COMMUNITY ORGANIZATIONS BY RESIDENTSAND STAFF OF ABHM AND ITS COMMUNITIES: STAFF SERVICE ON AN ADVISORYBOARD FOR NURSING, VOLUNTEERED ON A HOME HEALTH ADVISOR GROUP AT ALOCAL HOSPITAL, PARTICIPATED IN GROUP RESOURCE MEETING, COALITIONS ON AGING, OSHER LIFELONG LEARNING, HOSTED MINNESOTA TWINS CARAVAN, PRESENTED VARIOUS SEMINARS AND PROVIDED ACCOUNTING SERVICES FOR MURROW INDIAN CHILDREN'S HOME.Description
Total Program Service Expense47027340TotalProgramServiceExpense
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 Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096206NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1526NumberOfEmployees
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 Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
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 Chapters0LocalChapters
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 (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DAVE ZWICKEY
PRESIDENT &CEO40.00XX252774028742
TED HERTEL JR
CHAIR1.00XX000
BOB SLECHTA
VICE-CHAIR1.00XX000
EUGENE ALLEN
BOARD MEMBER1.00X000
RYAN ALLEN
BOARD MEMBER1.00X000
BOB CASELLI
BOARD MEMBER1.00X000
ROGER DAVIDSON
BOARD MEMBER1.00X000
BILL GOLSON
BOARD MEMBER1.00X000
GARY GROGAN
BOARD MEMBER1.00X000
PHILIP HANSON
BOARD MEMBER1.00X000
KEVIN LOWE
BOARD MEMBER1.00X000
JERE MADDUX
BOARD MEMBER1.00X000
JIM O'DELL
BOARD MEMBER1.00X000
MARSHALL PETERS
BOARD MEMBER1.00X000
ARLO REICHTER
BOARD MEMBER1.00X000
STEVEN VAN OSTRAN
BOARD MEMBER1.00X000
BARBARA WOODS
BOARD MEMBER1.00X000
JUDY ZEA
BOARD MEMBER1.00X000
JEFF HONGSLO
TREASURER & CFO40.00X142923029864
TIM O'BRIEN
SECRETARY & VP OF PROGRAM40.00X10333509974
JEFF AMANN
VP OF OPERATIONS40.00152535030292X
ROGER HENNEN
DIRECTOR IT40.00116710011687X
DAVID CHARRON
DIRECTOR CREST SERVICES40.0013737206089X
DIANE BAUMGARTNER
DIRECTOR MARKETING40.0011713302037X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1022782TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation118685TotalOtherCompensation
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
JOHN MAREK INC
PO BOX 270463MILWAUKEEWI53227CONTRACTOR3249368
REHAB CARE GROUP INC
PO BOX 503534ST LOUISMO63150THERAPY PROVIDER912139
WAGNER CONSTRUCTION CO
PO BOX 698AUSTINMN55912CONTRACTOR376202
MEDWELL RX
13831 CHALCO VALLEY PKWYOMAHANE68138THERAPY336041
INTEGRITY LANDSCAPE SERVICES LLCINT
11217 W FOREST HOME AVEFRANKLINWI53132CONTRACTOR289811
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
All Other Contributions341093AllOtherContributions
Total Contributions341093TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT REVENUE6230004346033643460336
MANAGEMENT FEES62399045908854590885
ACCOMODATION FEES62399016066571606657
OTHER RESIDENT SERVICE623990508213508213
INSURANCE PROCEEDS623990225512225512
FieldValueIRS element (for citing)
Total Program Service Revenue50391603TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column100382TotalRevenueColumn
Exclusion$100,382ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1024944Securities
Other17985Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities980505Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities44439Securities
Other17985Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column62424TotalRevenueColumn
Exclusion$62,424ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS REVENUE900099234173$234,173
LOSS FROM DISCONTINUED900099-17416-$17,416
FieldValueIRS element (for citing)
Total Other Revenue216757TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column51112259TotalRevenueColumn
Related Or Exempt Function Income50391603RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$379,563ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total599164Total
Program Services599164ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total26405470Total
Program Services26359779ProgramServices
Management And General45691ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total181328Total
Program Services181010ProgramServices
Management And General318ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3534250Total
Program Services3527981ProgramServices
Management And General6269ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1852740Total
Program Services1849509ProgramServices
Management And General3231ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2554113Total
Management And General2554113ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total82200Total
Management And General82200ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total21138Total
Management And General21138ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total764906Total
Program Services710440ProgramServices
Management And General54466ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total515647Total
Management And General515647ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1765065Total
Program Services702446ProgramServices
Management And General1062619ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2474026Total
Program Services2018207ProgramServices
Management And General455819ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total253173Total
Management And General253173ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3572915Total
Program Services3467054ProgramServices
Management And General105861ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3351484Total
Program Services3252184ProgramServices
Management And General99300ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total434438Total
Program Services421566ProgramServices
Management And General12872ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MISCELLANEOUS24371458927061544439
FOOD15788401578840
PHARMACY588649588649
MEDICAL SUPPLIES524577524577

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total363016Total
Program Services353228ProgramServices
Management And General9788ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total53854284Total
Program Services47027340ProgramServices
Management And General6826944ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1128968BOY
EOY1296481EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4625627BOY
EOY6155401EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY266861BOY
EOY256642EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY233611BOY
EOY222049EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis89908668LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec35933652LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY51901593BOY
EOY53975016EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3225454BOY
EOY1940910EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5000BOY
EOY5000EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY2321327BOY
EOY2208199EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11677503BOY
EOY11100797EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY75385944BOY
EOY77160495EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9535538BOY
EOY8773485EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY16675013BOY
EOY23339793EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY47728251BOY
EOY47254055EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY245405BOY
EOY191378EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3151410BOY
EOY3108039EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5359022BOY
EOY4536288EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY82694639BOY
EOY87203038EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-7341179BOY
EOY-10062540EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY32484BOY
EOY19997EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-7308695BOY
EOY-10042543EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY75385944BOY
EOY77160495EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2742025ReconcilationRevenueExpenses
Reconcilation Other Changes8177ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years179391CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years133239CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years108518CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year274467CurrentTaxYearMinus1Year
Current Tax Year341093CurrentTaxYear
Total1036708Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years45074963CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44886288CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45868768CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47035739CurrentTaxYearMinus1Year
Current Tax Year50391603CurrentTaxYear
Total233257361Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years45254354CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45019527CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45977286CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47310206CurrentTaxYearMinus1Year
Current Tax Year50732696CurrentTaxYear
Total234294069Total

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 Total509234294069PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years321141CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years182568CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years162960CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year87945CurrentTaxYearMinus1Year
Current Tax Year100382CurrentTaxYear
Total854996Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years321141CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years182568CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years162960CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year87945CurrentTaxYearMinus1Year
Current Tax Year100382CurrentTaxYear
Total854996Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year216757CurrentTaxYear
Total216757Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years45575495CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45202095CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years46140246CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47398151CurrentTaxYearMinus1Year
Current Tax Year51049835CurrentTaxYear
Total235365822Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99540PublicSupportPercentage509
Prior Year Support Percentage0.99540PriorYearSupportPercentage
Investment Income Percentage0.00360InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00460PriorYrInvestIncomePercentage
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1313972OtherCostOrOtherBasis
Book Value1313972BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis70635664OtherCostOrOtherBasis
Depreciation24294541Depreciation
Book Value46341123BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1986939OtherCostOrOtherBasis
Depreciation754591Depreciation
Book Value1232348BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis15234685OtherCostOrOtherBasis
Depreciation10699879Depreciation
Book Value4534806BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis737408OtherCostOrOtherBasis
Depreciation184641Depreciation
Book Value552767BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings53975016TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
CASH SURRENDER VALUE LIFE INS134578
SECURITY DEPOSITS191378
BOND FUNDS10774841
FieldValueIRS element (for citing)
Total Book Value Other Assets11100797TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE ACCOMMODATION FEES$3,030,077
RESERVE FOR GIFT ANNUITIES$70,981
LOANS AGAINST CSV OF LIFE INSURANCE$40,921
ASSET RETIREMENT OBLIGATION$1,178,932
DUE TO RELATED PARTIES$215,377
FieldValueIRS element (for citing)
Total Of Amounts4536288TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:THE ORGANIZATION IS THE TRUSTEE OF VARIOUS TRUST FUNDS ON BEHALF OF THE RESIDENTS.
PART X: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 2009 TO 2011 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 (3 entries)

Base 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
DAVE ZWICKEY
2459070006867026390261030281516000
JEFF HONGSLO
14289600027028210270430172787000
JEFF AMANN
1501600002375032490270430182827000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
COLORADO HEALTH FACILITIES AUTHORITY
84075293219648AEX92007-08-0119135698REFINANCE EXISTING DEBT, CAPITAL EXPENDITURES AND OPERATIONAL RESERVE FUND000
COLORADO HEALTH FACILITIES AUTHORITY
84075293219648ASD82009-12-2327136159CONSTRUCT NEW INDEPENDENT LIVING UNITS000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapitalized InterestCapitalizedInterestCapital ExpendituresCapitalExpenditures
1913569813680773827141738490720101111
27136159245475054272320110011307955021059136

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
01000.007600.000000.007601
01000.007600.000000.007601

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line2NameOfGICProvider/BusinessNameLine2Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
ROYAL BANK OF
1001CANADA8.000000000000100
CALYON
10012.000000000000100

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE K, PART VIdentifier
Return ReferencePROCEDURES TO UNDERTAKE CORRECTIVE ACTIONReturnReference
ExplanationTHE ORGANIZATION DOES NOT HAVE A POLICY CURRENTLY IN PLACE, HOWEVER, THEY ARE CURRENTLY WORKING TO CREATE A POLICY AND PUT IT INTO EFFECT BY FISCAL YEAR END 2013.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 POSITION IS 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 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 2012.
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.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -41,458. NET ASSETS RELEASED FROM RESTRICTION 49,635. TOTAL TO FORM 990, PART XI, LINE 5: 8,177.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART VII, SECTION AIN ADDITION TO BEING OFFICERS OF ABHM, JEFF HONGSLO & TIM O'BRIEN ALSO SERVE AS OFFICERS FOR ALL RELATED ORGANIZATIONS WORKING AN AVERAGE OF 40 HOURS PER WEEK. IN ADDITION TO BEING DIRECTOR AND OFFICER FOR ABHM, DAVID ZWICKEY ALSO SERVES AS A DIRECTOR AND OFFICER FOR BAPTIST ASSOCIATION OF THE ROCKY MOUNTAINS-AFFILIATES, BAPTIST ASSOCIATION OF THE ROCKY MOUNTAINS & RESIDENCE AT FRANKLIN PARK, INC. HE ALSO SERVES AS AN OFFICER FOR ABHM FOUNDATION. IN ADDITION TO BEING DIRECTOR IN ABHM, JIM O'DELL ALSO SERVES AS A DIRECTOR FOR ALL ABHM'S RELATED ORGANIZATIONS FOR AN AVERAGE OF 1 HOUR PER WEEK. IN ADDITION TO BEING DIRECTOR IN ABHM, BOB CASELLI, STEVE VAN OSTRAN, ARLO REICHTER, AND JERE MADDUX ALSO SERVE AS DIRECTORS FOR THE ABHM FOUNDATION.AVERAGE WEEKLY HOURS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAINS
4800 TABOR STWHEAT RIDGECO80033840528764PROVIDE HOUSING AND CARE FOR THE ELDERLYCO501(C)(3)9N/A1
RESIDENCE AT FRANKLIN PARK INC
1535 FRANKLIN STDENVERCO80218840630940HOUSING FOR LOW-INCOME SENIORSCO501(C)(4)N/A1ABHM BHARM
AMERICAN BAPTIST HOMES OF THE MIDWEST FOUNDATION
14850 SCENIC HEIGHTS RD 125EDEN PRAIRIEMN55344411803304PHILANTHROPYMN501(C)(3)11 TYPE 1N/A1
BAPTIST HOME ASSOC OF THE ROCKY MOUNTAINS - AFFILIATES
14850 SCENIC HEIGHTS RD 125EDEN PRAIRIEMN55344742755828HOUSING AND CARE FOR THE ELDERLYCO501(C)(3)91ABHM BHARM
THE CROSSING AT TUDOR OAKS
14850 SCENIC HEIGHTS RD 125EDEN PRAIRIEMN55344203346875INACTIVEMN501(C)(3)9N/A1
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
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
P12401645ACTUAL COST
AMERICAN BAPTIST HOMES OF THE MIDWEST - FOUNDATION
P111446ACTUAL COST