FURP.ORG / PUBLIC DATA EXPLORER

AMERICAN BAPTIST HOMES OF THE MIDWEST: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
AMERICAN BAPTIST HOMES OF THE MIDWEST (EIN 41-0706155)
Tax period
2010-09-01 to 2011-08-31
Filed
2012-07-02
IRS object ID
201211849349300036
Schema version
2010v3.4
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)
Timestamp2012-07-02T13:41:48-05:00Timestamp
Tax Period End Date2011-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-09-01TaxPeriodBeginDate

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 Signed2012-06-19DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts47495560GrossReceipts
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 Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees1495TotalNbrEmployees
Total Nbr Volunteers550TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year108518ContributionsGrantsPriorYear
Contributions Grants Current Year274467ContributionsGrantsCurrentYear
Program Service Revenue Prior Year45868768ProgramServiceRevenuePriorYear
Program Service Revenue CY47035739ProgramServiceRevenueCY
Investment Income Prior Year296399InvestmentIncomePriorYear
Investment Income Current Year185354InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year46273685TotalRevenuePriorYear
Total Revenue Current Year47495560TotalRevenueCurrentYear
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 Year30681720SalariesEtcPriorYear
Salaries Etc Current Year31423758SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year16378400OtherExpensePriorYear
Other Expenses Current Year19277049OtherExpensesCurrentYear
Total Expenses Prior Year47060120TotalExpensesPriorYear
Total Expenses Current Year50700807TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-786435RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3205247RevenuesLessExpensesCY
Total Assets BOY74244818TotalAssetsBOY
Total Assets EOY75385944TotalAssetsEOY
Total Liabilities BOY78368597TotalLiabilitiesBOY
Total Liabilities EOY82694639TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-4123779NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-7308695NetAssetsOrFundBalancesEOY
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
Expense44276012Expense
Grants0Grants
Revenue47035739Revenue
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. CREST SERVICES ALSO PROVIDES PSYCHOLOGICAL COUNSELING SERVICE TO CHILDREN USING PRIVATE INSURANCE COVERAGE AND MEDICAID FUNDING.JUST AS ABHM SEEKS TO FULFILL OUR MISSION THROUGH THOSE WE SERVE, WE ALSO UNDERSTAND THAT MISSION CALLS US TO CONTRIBUTE TO THE GREATER COMMUNITIES IN WHICH WE LIVE AND WORK. THIS DUAL COMMITMENT BOTH DESCRIBES OUR PAST AND DEFINES OUR FUTURE BY REINFORCING THE CORE PRINCIPLES AND FAITH THAT GUIDE OUR WORK.THE INFORMATION THAT FOLLOWS IS A DETAILED DESCRIPTION AND ESTIMATED VALUE OF ALL CHARITABLE CONTRIBUTIONS GIVEN IN FISCAL YEAR 2011 BY ABHM, ITS CONTINUING CARE RETIREMENT COMMUNITIES, NURSING HOMES AND AFFORDABLE HOUSING RETIREMENT COMMUNITIES.DIRECT BENEVOLENCE TO CONTINUING CARE RESIDENTS BY ABHM DURING FISCAL YEAR 2011 WAS $24,000. ADJUSTMENTS OF $1,039,000 WERE MADE TO ABHM RESIDENTS DURING FISCAL YEAR 2011 REPRESENTING MEDICAID CONTRACTS THAT DID NOT PAY THE FULL AMOUNT FOR THEIR CARE.COMMUNITY BENEFITS TO RESIDENTS, EMPLOYEES AND COMMUNITY:THORNE CREST: PROVIDED RELIGIOUS SERVICES TO RESIDENTS, A CAREGIVER GROUP, A SENIOR SHOP FOR RESIDENTS, RSVP TAX SERVICES, VETERAN'S BIRTHDAYS,JOHN ULLAND MUSIC GATHERING, A WELLNESS FAIR, 7TH ANNUAL CAR SHOW, TRACTOR PARADE, WHISTLE STOP MUSIC GATHERING, SPONSORED PRESENTATIONS ON SENIOR SCAM AND IDENTITY THEFT.ELM CREST: PROVIDED A HOSPITALITY ROOM FOR FAMILY MEMBERS OF RESIDENTS AND PROVIDED THE MCKEE COMMUNITY ROOM FOR VARIOUS EVENTSMAPLE CREST: PROVIDED RELIGIOUS SERVICES FOR THE COMMUNITY AND EDUCATIONAL ACTIVITIES FOR RESIDENTS AND COMMUNITY OUTREACH SUPPORTTRAIL RIDGE: PROVIDED MEMORIAL SERVICES, PRESENTATIONS ON ESTATE PLANNING, WELLNESS CLASSES FOR STAFF AND A HEALTH FAIRTUDOR OAKS: PROVIDED WELLNESS CENTER ACCESS TO GUESTS AND STAFF, HOSTED EDUCATIONAL EVENTS ON DOWNSIZING, DRIVER SAFETY AND SENIOR HEALTH FAIRUSE 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, LUNCH AND LEARN SESSIONS, BOOK CLUBS, BIBLE STUDIES, WEIGHT WATCHERS, HOMEMAKERS CLUB, KIWANIS CLUB, BESSY'S HOPE AND 4H CLUB.OTHER BENEFITS TO THE BROADER COMMUNITY:VOLUNTEER AND OTHER SERVICES TO COMMUNITY ORGANIZATIONS BY RESIDENTS AND STAFF OF ABHM AND ITS COMMUNITIES: STAFF SERVICE ON AN ADVISORY BOARD FOR NURSING, VOLUNTEERED ON A HOME HEALTH ADVISOR GROUP AT A LOCAL HOSPITAL, PARTICIPATED IN GROUP RESOURCE MEETING, HOSTED MINNESOTA TWINS CARAVAN, PARKINSON'S ASSOCIATION ANNUAL MEETING, PRESENTED VARIOUS SEMINARS AND PROVIDED ACCOUNTING SERVICES FOR MURROW INDIAN CHILDREN'S HOME.Description
Total Program Service Expense44276012TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 With1096189NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1495NumberOfEmployees
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 Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
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 (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
DAVE ZWICKEY
PRESIDENT &CEO40.00XX26189308543
TED HERTEL JR
CHAIR1.00XX000
BOB SLECHTA
VICE-CHAIR1.00XX000
JUDY ZEA
BOARD MEMBER1.00X000
EUGENE ALLEN
BOARD MEMBER1.00X000
JAN DEWITT
BOARD MEMBER1.00X000
ONNIE DRAIN
BOARD MEMBER1.00X000
GARY L GROGAN
BOARD MEMBER1.00X000
PHILIP HANSON
BOARD MEMBER1.00X000
MERLE JOHNSON
BOARD MEMBER1.00X000
KEVIN LOWE
BOARD MEMBER1.00X000
JERE MADDUX
BOARD MEMBER1.00X000
BILL MILLS
BOARD MEMBER1.00X000
MARSHALL PETERS
BOARD MEMBER1.00X000
ARLO REICHTER
BOARD MEMBER1.00X000
STEVEN VAN OSTRAN
BOARD MEMBER1.00X000
BARBARA WOODS
BOARD MEMBER1.00X000
JEFF HONGSLO
TREASURER & CFO40.00X152590016260
TIM O'BRIEN
SECRETARY & VP OF PROGRAM DEVELOPMENT40.00X10000006796
JEFF AMANN
VP OF OPERATIONS40.00162584016696X
ROGER HENNEN
DIRECTOR IT40.0011943007685X
DAVID CHARRON
DIRECTOR CREST SERVICES40.0011227001576X
CHARLES LAMSON
ADMINISTRATOR40.0011008309466X
MIKE JARRELL
ADMINISTRATOR40.009998209523X
DIANE BAUMGARTNER
DIRECTOR MARKETING40.0010927902327X
CLAUDIA RARDIN
VP HR40.0013770006717X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1265829TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation76066TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
Formers Listed1FormersListed
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
REHAB CARE GROUP INC
PO BOX 503534ST LOUISMO63150THERAPY PROVIDER763468
REHABVISIONS
11623 ARBOR STREETOMAHANE68144THERAPY PROVIDER246509
PHARMERICA
PO BOX 409251ATLANTAGA30384PHARMACY203936
CARMEN PORCO
7 N PICKNEY ST 344MADISONWI53703MANAGEMENT182976
JOHN MAREK
PO BOX 270463MILWAUKEEWI53227CONTRACTOR156325
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
All Other Contributions274467AllOtherContributions
Total Contributions274467TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT REVENUE6230004053848440538484
MANAGEMENT FEES62399044586914458691
ACCOMODATION FEES62399013687881368788
OTHER REVENUE623990679776679776
INSURANCE PROCEEDS623990-10000-10000
FieldValueIRS element (for citing)
Total Program Service Revenue47035739TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column87945TotalRevenueColumn
Exclusion$87,945ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities18376Securities
Other79033Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities18376Securities
Other79033Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column97409TotalRevenueColumn
Exclusion$97,409ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column47495560TotalRevenueColumn
Related Or Exempt Function Income47035739RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$185,354ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total563705Total
Program Services563705ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total25781193Total
Program Services25738276ProgramServices
Management And General42917ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total175426Total
Program Services175121ProgramServices
Management And General305ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3113176Total
Program Services3107908ProgramServices
Management And General5268ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1790258Total
Program Services1787263ProgramServices
Management And General2995ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2481878Total
Management And General2481878ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total314993Total
Management And General314993ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total22448Total
Management And General22448ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total793434Total
Program Services735583ProgramServices
Management And General57851ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total475388Total
Management And General475388ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2225655Total
Program Services1190764ProgramServices
Management And General1034891ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2166195Total
Program Services1767231ProgramServices
Management And General398964ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total182439Total
Management And General182439ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2742183Total
Program Services2660936ProgramServices
Management And General81247ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2846530Total
Program Services2762191ProgramServices
Management And General84339ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total609555Total
Program Services591495ProgramServices
Management And General18060ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MISCELLANEOUS20008007887921212008
FOOD154831615483160
PHARMACY5425165425160
REPAIRS2954772867228755
LICENSES292422919349

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total50700807Total
Program Services44276012ProgramServices
Management And General6424795ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1323881BOY
EOY1128968EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4329182BOY
EOY4625627EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY276365BOY
EOY266861EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY758769BOY
EOY233611EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis85853990LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec33952397LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY45545438BOY
EOY51901593EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1869948BOY
EOY3225454EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5000BOY
EOY5000EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1722312BOY
EOY2321327EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY18413923BOY
EOY11677503EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY74244818BOY
EOY75385944EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12165886BOY
EOY9535538EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY9740516BOY
EOY16675013EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY47953537BOY
EOY47728251EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY1219013BOY
EOY245405EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3056409BOY
EOY3151410EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4233236BOY
EOY5359022EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY78368597BOY
EOY82694639EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-4205789BOY
EOY-7341179EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY82010BOY
EOY32484EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-4123779BOY
EOY-7308695EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY74244818BOY
EOY75385944EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3205247ReconcilationRevenueExpenses
Reconcilation Other Changes20331ReconcilationOtherChanges
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 Years235707CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years179391CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years133239CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year108518CurrentTaxYearMinus1Year
Current Tax Year274467CurrentTaxYear
Total931322Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years40204022CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45074963CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years44886288CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year45868768CurrentTaxYearMinus1Year
Current Tax Year47035739CurrentTaxYear
Total223069780Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years40439729CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45254354CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45019527CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year45977286CurrentTaxYearMinus1Year
Current Tax Year47310206CurrentTaxYear
Total224001102Total

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 Total509224001102PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years269547CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years321141CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years182568CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year162960CurrentTaxYearMinus1Year
Current Tax Year87945CurrentTaxYear
Total1024161Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years269547CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years321141CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years182568CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year162960CurrentTaxYearMinus1Year
Current Tax Year87945CurrentTaxYear
Total1024161Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years40709276CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45575495CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45202095CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46140246CurrentTaxYearMinus1Year
Current Tax Year47398151CurrentTaxYear
Total225025263Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99540PublicSupportPercentage509
Prior Year Support Percentage0.99500PriorYearSupportPercentage
Investment Income Percentage0.00460InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00500PriorYrInvestIncomePercentage
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

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1394448OtherCostOrOtherBasis
Book Value1394448BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis67675183OtherCostOrOtherBasis
Depreciation22978785Depreciation
Book Value44696398BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1701633OtherCostOrOtherBasis
Depreciation646010Depreciation
Book Value1055623BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis14253357OtherCostOrOtherBasis
Depreciation10159292Depreciation
Book Value4094065BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis829369OtherCostOrOtherBasis
Depreciation168310Depreciation
Book Value661059BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings51901593TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
CASH SURRENDER VALUE LIFE INS378289
DUE FROM RELATED ORGANIZATIONS202916
SECURITY DEPOSITS245405
BOND FUNDS10850893
FieldValueIRS element (for citing)
Total Book Value Other Assets11677503TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE ACCOMMODATION FEES$4,819,872
RESERVE FOR GIFT ANNUITIES$77,464
LOANS AGAINST CSV OF LIFE INSURANCE$272,931
ASSET RETIREMENT OBLIGATION$188,755
FieldValueIRS element (for citing)
Total Of Amounts5359022TotalOfAmounts

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 2008 TO 2010 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)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
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 (4 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
254616000727703402051410270436000
JEFF HONGSLO
15256300027028160134440168850000
JEFF AMANN
1598740002710032520134440179280000
CLAUDIA RARDIN
137700000001514052030144417000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4AReturnReference
ExplanationCLAUDIA RARDIN - $61,983 (SEVERANCE)Explanation

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
84075293219648AEX92007-08-0121085000REFINANCE EXISTING DEBT, CAPITAL EXPENDITURES AND OPERATIONAL RESERVE FUND000
COLORADO HEALTH FACILITIES AUTHORITY
84075293219648ASD82009-12-2328115000CONSTRUCT NEW INDEPENDENT LIVING UNITS000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
10050002108500077626562612113140601836855420101111
28115000315721214537322350405620110011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
10001
10001

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 1AN EXECUTIVE COMMITTEE, COMPOSED OF THE CHAIR, VICE CHAIR, PRESIDENT/CEO AND THREE ADDITIONAL DIRECTORS, EXERCISES ALL OF THE POWERS OF THE BOARD OF DIRECTORS, BUT ONLY DURING THE INTERVAL BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. ANY ACTIONS OF THE EXECUTIVE COMMITTEE ARE REPORTED TO THE BOARD OF DIRECTORS.
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.
A 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 12C
THE 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, EXECUTIVE DIRECTORS AND OTHER TOP MANAGEMENT POSITIONS ARE COMPARED TO THE MOST RECENT CHIEF EXECUTIVES OF MULTI-FACILITY ORGANIZATIONS (CEMO) STUDY TO DETERMINE HOW THEIR COMPENSATION COMPARES TO PEER ORGANIZATIONS. THE INFORMATION IS THEN REVIEWED BY THE SENIOR LEADERSHIP TEAM. THIS PROCESS LAST INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2011.FORM 990, PART VI, SECTION B, LINE 15A
THE 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 VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 20,331.FORM 990, PART XI, LINE 5:
AVERAGE WEEKLY HOURSTHE INDIVIDUALS COMPENSATED BY AMERICAN BAPTIST HOMES OF THE MIDWEST ("ABHM") ALSO SERVE ABHM'S RELATED ORGANIZATIONS. EACH INDIVIDUAL SPENDS 40+ HOURS EACH WEEK SERVING ABHM AND ITS RELATED ORGANIZATIONS.FORM 990, PART VII, SECTION A

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

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAINSBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypePTransactionType
Amount Involved9885000AmountInvolved
Method Of Amt DeterminationCASHMethodOfAmtDetermination