PHOENIX JEWISH COMMUNITY KIVEL NURSING HOME: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: PHOENIX JEWISH COMMUNITY KIVEL NURSING HOME (EIN 86-0136129)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-03-11
IRS object ID: 201130709349300903
Schema version: 2009v1.7
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
Form 990
Schedule A
Schedule D
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-03-11T11:58:55-06:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GRASS COFFEY & SCHARLAU CPA'S	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	6520 N 7TH ST STE 100	AddressLine1
City	PHOENIX	City
State	AZ	State
ZIP Code	85014	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	860136129	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PHOENIX JEWISH COMMUNITY	BusinessNameLine1
Business Name Line2	KIVEL NURSING HOME	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	PHOE	NameControl
Phone	6029563110	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3040 NORTH 36TH STREET	AddressLine1
City	PHOENIX	City
State	AZ	State
ZIP Code	850186998	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	IRA SHULMAN	Name
Title	CEO	Title
Phone	6029563110	Phone
Date Signed	2011-02-04	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	TIMOTHY R COFFEY	Name
Phone	6022667505	Phone
Date Prepared	2011-03-11	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	IRA SHULMAN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	3040 NORTH 36TH STREET	AddressLine1
City	PHOENIX	City
State	AZ	State
ZIP Code	85018	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	6673504	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	KIVELCARE.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1955	YearFormation
State Legal Domicile	AZ	StateLegalDomicile
Activity Or Mission Description	OPERATION OF AN ASSISTED LIVING FACILITY	ActivityOrMissionDescription
Nbr Voting Members Governing Body	6	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	25	TotalNbrEmployees
Total Nbr Volunteers	20	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	389754	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	871690	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1002682	ProgramServiceRevenueCY
Investment Income Prior Year	-81490	InvestmentIncomePriorYear
Investment Income Current Year	2946912	InvestmentIncomeCurrentYear
Other Revenue Prior Year	264804	OtherRevenuePriorYear
Other Revenue Current Year	59765	OtherRevenueCurrentYear
Total Revenue Prior Year	1444758	TotalRevenuePriorYear
Total Revenue Current Year	4009359	TotalRevenueCurrentYear
Grants And Similar Amnts CY	117157	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	510973	SalariesEtcPriorYear
Salaries Etc Current Year	832017	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	138716	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1505878	OtherExpensePriorYear
Other Expenses Current Year	628718	OtherExpensesCurrentYear
Total Expenses Prior Year	2016851	TotalExpensesPriorYear
Total Expenses Current Year	1577892	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-572093	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	2431467	RevenuesLessExpensesCY
Total Assets BOY	3129669	TotalAssetsBOY
Total Assets EOY	5303200	TotalAssetsEOY
Total Liabilities BOY	835431	TotalLiabilitiesBOY
Total Liabilities EOY	577495	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2294238	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	4725705	NetAssetsOrFundBalancesEOY
Mission Description	OPERATION OF AN ASSISTED LIVING FACILITY	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	1211231	Expense
Grants	117157	Grants
Description	OPERATION OF ASSISTED LIVING FACILITY FOR THE ELDERLY AND DISABLED.	Description
Total Program Service Expense	1211231	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	1	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	25	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Nbr Voting Governing Body Members	6	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	false	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	AZ	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	PHOENIX JEWISH COMM KIVEL NURSING	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6029563110	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3040 NORTH 36TH STREET	AddressLine1
City	PHOENIX	City
State	AZ	State
ZIP Code	85018	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
IRA SHULMAN
PRESIDENT/CE	40.00	X	X	59061	178304	27291
MARK SEARLE
TREASURER	1.00	X	X	0	0	0
DEBBIE WAITKUS
DIRECTOR	1.00	X		0	0	0
GAIL CHASE
DIRECTOR	1.00	X		0	0	0
RICHARD MARMOR
SECRETARY	1.00	X	X	0	0	0
JUDY LAUFER
DIRECTOR	1.00	X		0	0	0
SW PETERSEN
DIRECTOR/ PA	1.00	X		0	0	0
VICKIE MCDERMOTT
DIRECTOR	1.00	X		0	0	0
MARK SPECTOR
DIRECTOR	1.00	X		0	0	0
LAURA LELAKOWSKI
COO	40.00		X	39432	100238	1977

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	98493	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	278542	TotalReportableCompFrmRltdOrgs
Total Other Compensation	29268	TotalOtherCompensation
Number Individuals GT100 K	2	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MORRISON MANAGEMENT SPECIALISTS	BusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4721 MORRISON DR	AddressLine1
City	MOBILE	City
State	AL	State
ZIP Code	36625	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	DIETARY CONRAC	DescriptionOfServices
Compensation	113798	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE	623000	910882	910882
MANAGEMENT FEES	561000	91800	91800

Field	Value	IRS element (for citing)
Total Program Service Revenue	1002682	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	111057	TotalRevenueColumn
Exclusion	$111,057	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	5500000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	2664145	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	2835855	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2835855	TotalRevenueColumn
Related Or Exempt Function Income	2835855	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
MEAL TICKETS	58432	$58,432
OTHER MISCELLANEOUS INCOME	1333	$1,333

Field	Value	IRS element (for citing)
Total Other Revenue	59765	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4009359	TotalRevenueColumn
Related Or Exempt Function Income	3838537	RelatedOrExemptFunctionIncome
Exclusion	$170,822	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	117157	Total
Program Services	117157	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	386873	Total
Program Services	148918	ProgramServices
Management And General	104138	ManagementAndGeneral
Fundraising	133817	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	361652	Total
Program Services	361652	ProgramServices

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	9417	Total
Program Services	9417	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	14280	Total
Program Services	14280	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	59795	Total
Program Services	50308	ProgramServices
Management And General	4588	ManagementAndGeneral
Fundraising	4899	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	3320	Total
Management And General	3320	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	8001	Total
Management And General	8001	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	33455	Total
Program Services	33455	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3148	Total
Program Services	3148	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
DIETARY EXPENSE	134544	134544
OUTSIDE SERVICES	129558	129558
PHYSICAL THERAPY SERVICES	119860	119860
REPAIRS	43520	43520
OFFICE EXPENSE	28646		28646

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	124666	Total
Program Services	45414	ProgramServices
Management And General	79252	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1577892	Total
Program Services	1211231	ProgramServices
Management And General	227945	ManagementAndGeneral
Fundraising	138716	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	263299	BOY
EOY	927455	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	7671	BOY
EOY	4261	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	81804	BOY
EOY	66916	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	4200000	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	14750	BOY
EOY	25821	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	45000	BOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	61390	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	13242	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2648557	BOY
EOY	48148	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	68588	BOY
EOY	30599	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	3129669	BOY
EOY	5303200	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	140732	BOY
EOY	187920	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	372471	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	635618	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	59081	BOY
EOY	17104	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	835431	BOY
EOY	577495	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2280253	BOY
EOY	4711720	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	13985	BOY
EOY	13985	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2294238	BOY
EOY	4725705	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3129669	BOY
EOY	5303200	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	false	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1086179	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1061358	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1404143	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	389754	CurrentTaxYearMinus1Year
Total	3941434	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9868119	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	9736356	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7947694	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	871690	CurrentTaxYearMinus1Year
Current Tax Year	1002682	CurrentTaxYear
Total	29426541	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	230852	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	362739	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	289525	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	264804	CurrentTaxYearMinus1Year
Current Tax Year	59765	CurrentTaxYear
Total	1207685	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	11185150	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	11160453	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9641362	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1526248	CurrentTaxYearMinus1Year
Current Tax Year	1062447	CurrentTaxYear
Total	34575660	Total

Field	Value	IRS element (for citing)
Public Support Total509	34575660	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	32048	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	41	CurrentTaxYearMinus1Year
Current Tax Year	111057	CurrentTaxYear
Total	143146	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	32048	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	41	CurrentTaxYearMinus1Year
Current Tax Year	111057	CurrentTaxYear
Total	143146	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	11185150	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	11160453	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9673410	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1526289	CurrentTaxYearMinus1Year
Current Tax Year	1173504	CurrentTaxYear
Total	34718806	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99590	PublicSupportPercentage509
Prior Year Support Percentage	0.97000	PriorYearSupportPercentage
Investment Income Percentage	0.00000	InvestmentIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	48872	OtherCostOrOtherBasis
Depreciation	12264	Depreciation
Book Value	36608	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12518	OtherCostOrOtherBasis
Depreciation	978	Depreciation
Book Value	11540	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	48148	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
LEASE DEPOSIT	$9,834
DUE TO RELATED ENTITES	$7,253
PATIENT TRUST DEPOSITS	$17

Field	Value	IRS element (for citing)
Total Of Amounts	17104	TotalOfAmounts
Total Revenue	4009359	TotalRevenue
Total Expenses	1577892	TotalExpenses
Excess Or Deficit For Year	2431467	ExcessOrDeficitForYear
Excess Or Deficit Per FS	2431467	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	4009359	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	4009359	RevenueSubtotal
Total Revenue Per Form990	4009359	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1577892	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	1577892	ExpensesSubtotal
Total Expenses Per Form990	1577892	TotalExpensesPerForm990

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	false	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Purpose Of GrantPurposeOfGrant
KIVEL CAMPUS OF CARE
3040 N 36TH ST	PHOENIX	AZ	85018	237157268	3	96276	3287	FURN/COMPUTERS	OPERATING ASSISTANCE
KIVEL MANOR
3040 N 36TH ST	PHOENIX	AZ	85018	860207274	3		8089	FURN/COMPUTERS
KIVEL MANOR EAST
3040 N 36TH ST	PHOENIX	AZ	85018	860431775	3		5329	FURN/COMPUTERS

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

Field	Value	IRS element (for citing)
Name Person	IRA SHULMAN	NamePerson
Base Compensation Filing Org	59061	BaseCompensationFilingOrg
Comp Based On Related Orgs	178304	CompBasedOnRelatedOrgs
Deferred Comp Filing Org	4652	DeferredCompFilingOrg
Deferred Comp Related Orgs	16191	DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org	1669	NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs	4779	NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org	65382	TotalCompensationFilingOrg
Total Compensation Related Orgs	199274	TotalCompensationRelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS	FORM 990, PAGE 1, PART I, LINE 6	VOLUNTEERS DONATE TIME TO PROVIDE ACTIVITIES FOR THE RESIDENTS, ASSIST WITH SOCIAL GATHERINGS, HELP RESIDENTS WITH SHOPPING, PUT TOGETHER MONTHLY CALENDARS OF EVENTS, AND PROVIDE ENTERTAINMENT.
DOCUMENTATION BY COMMITTEE	FORM 990, PAGE 6, PART VI, LINE 8B	THERE ARE NOT ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY SO DOCUMENTING THE COMMITTEE MEETINGS IS NOT APPLICABLE.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11	THE 990 IS PROVIDED BY THE PRESIDENT/CEO TO THE BOARD FOR REVIEW PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	ALL POTENTIAL CONFLICTS OF INTEREST MUST BE MENTIONED AND DISCUSSED WITH THE OFFICERS AND/OR DIRECTORS.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	CEO AND TOP MANAGEMENT SALARIES ARE DETERMINED BY A REVIEW OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS REVIEW BUSINESS OPERATIONS AND REVIEW PERFORMANCE TO BUDGET OBJECTIVES AS A PART OF THE PROCESS.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	TOP EMPLOYEE SALARIES ARE DETERMINED BY A REVIEW OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS REVIEW BUSINESS OPERATIONS AND REVIEW PERFORMANCE TO BUDGET OBJECTIVES AS A PART OF THE PROCESS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	COPIES CAN BE OBTAINED UPON REQUEST AT THE ORGANIZATION'S OFFICE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Direct Controlling Entity NADirectControllingEntityNA
KIVEL CAMPUS OF CARE
3040 NORTH 36TH STREET	PHOENIX	AZ	85018	237157268	FUND	AZ	501	9	NA
(no name)
					RAISING					N/A
KIVEL MANOR
3040 NORTH 36TH STREET	PHOENIX	AZ	85018	860207274	ELDERLY	AZ	501	9	NA
(no name)
					HOUSING					N/A
KIVEL MANOR EAST
3040 NORTH 36TH STREET	PHOENIX	AZ	85018	860431775	ELDERLY	AZ	501	9	NA
(no name)
					HOUSING					N/A
KIVEL MANOR WEST
3040 NORTH 36TH STREET	PHOENIX	AZ	85018	237163834	ELDERLY	AZ	501	9	NA
(no name)
					HOUSING					N/A

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	KIVEL CAMPUS OF CARE	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	B	TransactionType
Amount Involved	99563	AmountInvolved