CHRISTIAN HEALTH CARE CENTER FOUNDATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CHRISTIAN HEALTH CARE CENTER FOUNDATION INC (EIN 22-3718702)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201133189349306538
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)
Timestamp2011-11-14T16:56:41-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN223718702EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Christian Health Care Center FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHRINameControl
Phone2018485200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 Sicomac AvenueAddressLine1
CityWyckoffCity
StateNJState
ZIP Code07481ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMr Kevin StaggName
TitleEVP/CFOTitle
Date Signed2011-11-10DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDouglas StruykNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1301 Sicomac AvenueAddressLine1
CityWyckoffCity
StateNJState
ZIP Code07481ZIPCode
FieldValueIRS element (for citing)
Gross Receipts556816GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteCHCCNJ.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionADVANCEMENT OF CHARITABLE HEALTH CARE ISSUES AND CARE AS WELL AS OTHER CHARITABLE, RELIGIOUS, EDUCATIONAL, AND SCIENTIFIC PURPOSES.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year628213ContributionsGrantsPriorYear
Contributions Grants Current Year455608ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-48991InvestmentIncomePriorYear
Investment Income Current Year4831InvestmentIncomeCurrentYear
Other Revenue Prior Year22081OtherRevenuePriorYear
Other Revenue Current Year29239OtherRevenueCurrentYear
Total Revenue Prior Year601303TotalRevenuePriorYear
Total Revenue Current Year489678TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1585513GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year300134SalariesEtcPriorYear
Salaries Etc Current Year312483SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year335875TotalFundrsngExpCurrentYear
Other Expense Prior Year61727OtherExpensePriorYear
Other Expenses Current Year70232OtherExpensesCurrentYear
Total Expenses Prior Year1947374TotalExpensesPriorYear
Total Expenses Current Year382715TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1346071RevenuesLessExpensesPriorYear
Revenues Less Expenses CY106963RevenuesLessExpensesCY
Total Assets BOY457447TotalAssetsBOY
Total Assets EOY560805TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY457447NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY560805NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe Mission of the Foundation is to support the ministry of the center through financial gifts, volunteer efforts, and prayer through means that are consistent with the Christian principals on which the center was founded. The fulfillment of this mission will strengthen the center's mission to provide care to those in need of long-term care, mental health care and residential living in a compassionate and loving environment.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense0Expense
Grants0Grants
Revenue0Revenue
DescriptionTHE FOUNDATION PROVIDES THE CENTER WITH A SOURCE OF FUNDS THAT CAN BE USED TO CARRY OUT THE STRATEGIC VISION AND TO HELP MEET THE NEEDS OF THE EVER-CHANGING ENVIRONMENT. THE BOARD IS COMPOSED OF BUSINESS AND COMMUNITY LEADERS WHO HELP DEVELOP PROGRAMS AND EVENTS TO BRING CHRISTIAN HEALTH CARE CENTER (CHCC) TO POTENTIAL BENEFACTORS. THROUGH ITS ADVOCACY AND LEADERSHIP, THE FOUNDATION WILL HELP FINANCIALLY SUPPORT AND EXPAND THE MINISTRY OF THE CENTER AND BROADEN THE KNOWLEDGE OF CHCC THROUGHOUT THE COMMUNITY.Description
Total Program Service Expense0TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKevin A StaggNamePerson
Telephone Number2018485200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1301 Sicomac AvenueAddressLine1
CityWyckoffCity
StateNJState
ZIP Code07481ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
Gary Dykhouse
Chair1.0XX000
Sandra DeYoung
Trustee1.0X000
David Becker
Trustee1.0X000
Douglas Dittrick
Trustee1.0X000
Thomas G Dykhouse
Vice Chair1.0XX000
Herman Jeffer Esq
Chairman Emeritus1.0X000
Douglas Struyk
Trustee1.0X039987427751
Gordon Stanley
Secretary1.0XX000
Rena Tolsma
Trustee1.0X000
Ellsworth Whiteman
Trustee1.0X000
Richard Van Hassel
Trustee1.0X000
David Krental
Foundation Executive Director40.0139164010842X
FieldValueIRS element (for citing)
Total Reportable Comp From Org139164TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs399874TotalReportableCompFrmRltdOrgs
Total Other Compensation38593TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events126250FundraisingEvents
All Other Contributions329358AllOtherContributions
Noncash Contributions35187NoncashContributions
Total Contributions455608TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4831TotalRevenueColumn
Exclusion$4,831ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Gross Income Fundraising Events96377GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events126250CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses67138FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column29239TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

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

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column489678TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,831ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total139164Total
Fundraising139164Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total121720Total
Management And General30430ManagementAndGeneral
Fundraising91290Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9737Total
Management And General2434ManagementAndGeneral
Fundraising7303Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total19157Total
Management And General4789ManagementAndGeneral
Fundraising14368Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total22705Total
Management And General5676ManagementAndGeneral
Fundraising17029Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total40984Total
Management And General2049ManagementAndGeneral
Fundraising38935Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total19025Total
Management And General951ManagementAndGeneral
Fundraising18074Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8313Total
Management And General416ManagementAndGeneral
Fundraising7897Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total1281Total
Management And General64ManagementAndGeneral
Fundraising1217Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total629Total
Management And General31ManagementAndGeneral
Fundraising598Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total382715Total
Program Services0ProgramServices
Management And General46840ManagementAndGeneral
Fundraising335875Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY260342BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY103605BOY
EOY517305EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY93500BOY
EOY43500EOY
FieldValueIRS element (for citing)
Accounts ReceivableAccountsReceivable

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY457447BOY
EOY560805EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY457447BOY
EOY560805EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY457447BOY
EOY560805EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY457447BOY
EOY560805EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses106963ReconcilationRevenueExpenses
Reconcilation Other Changes-3605ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHRISTIAN HEALTH CARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
EIN221546163EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

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 G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf OutingNameOfEvent1
Gross Receipts Event1129080GrossReceiptsEvent1
Charitable Contributions Event170000CharitableContributionsEvent1
Gross Revenue Event159080GrossRevenueEvent1
Rent Facility Costs Event124298RentFacilityCostsEvent1
Other Direct Expenses Event15067OtherDirectExpensesEvent1
Name Of Event2Harvest festNameOfEvent2
Gross Receipts Event293547GrossReceiptsEvent2
Charitable Contributions Event256250CharitableContributionsEvent2
Gross Revenue Event237297GrossRevenueEvent2
Rent Facility Costs Event222305RentFacilityCostsEvent2
Entertainment Event23650EntertainmentEvent2
Other Direct Expenses Event211818OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total222627GrossReceiptsTotal
Charitable Contributions Total126250CharitableContributionsTotal
Gross Revenue Total Events96377GrossRevenueTotalEvents
Rent Facility Costs Total Events46603RentFacilityCostsTotalEvents
Entertainment Total Events3650EntertainmentTotalEvents
Other Direct Expenses Total Events16885OtherDirectExpensesTotalEvents
Direct Expense Summary Events67138DirectExpenseSummaryEvents
Net Income Summary29239NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 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
Douglas Struyk
03422050576690007350020401042762500
David Krental
131969071950003869069730150006000

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99035187NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Classes of Members or StockholdersForm 990, Part VI, Question 6Christian Health Care Center is the sole member of Christian Health Care Center Foundation.
Describe the Process used by Management &/or Governing Body to Review 990Form 990, Part VI, Question 11BA DRAFT COPY OF THE ORGANIZATION'S FORM 990 (INCLUDING REQUIRED SCHEDULES), IS SENT TO THE BOARD OF TRUSTEES BEFORE FILING WITH THE IRS FOR THEIR REVIEW AND OVERSIGHT. ANY COMMENT AND CHANGES RECOMMENDED BY THE BOARD ARE REVIEWED BY THE FINANCE DEPARTMENT AND, IF THE CHANGES ARE DEEMED PROPER, INCORPORATED INTO THE FINAL 990 THAT IS FILED WITH THE IRS.
Description of Process to Monitor Transactions for Conflicts of InterestForm 990, Part VI, Question 12c All Officers, Directors, Trustees and Key Employees are required to read and sign the organization's written conflict of interest policy annually. During their disclosure they are required to state their interests and those of their family members that could give rise to conflicts of interest. If a conflict of interest does arise the matter is reviewed by the Corporate Compliance Committee and reported to the Board if necessary for further action. The Board Chair, The Board Committee or the Board shall ask the Interested Person to leave the meeting, although he may make a statement or answer any questions on the matter before leaving. The Interested Person will not vote on the matter that gave rise to the potential conflict and the Board or Board Committee must approve the transaction or arrangement by a majority vote of the Board Members present at a meeting that has a quorum, not including the vote of the Interested Person.
Offices & Positions for Which Process was Used, & Year Process was BegunForm 990, Part VI, Question 15aThe Compensation determination for the Executive Director is based on area annual salary market rates and annual performance evaluations. The process is reviewed annually by the personnel committee and uses data of comparable compensation for similar qualified persons in functionally comparable positions at similar situated organizations. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public Form 990, Part VI, Question 19 Written requests for the organization's governing documents, conflict of interest policy, and financial statements are considered on a case-by-case basis. Average hours devoted to related organizations FORM 990, Part VII Douglas Struyk, 40.00 Hours, Christian Health Care Center.
OTHER CHANGES IN NET ASSETS OR FUND BALANCESPART XI LINE 5NET CHANGES IN UNREALIZED GAINS AND LOSSES $3,605

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CHRISTIAN HEALTH CARE CENTER
301 SICOMAC AVENUEWYCKOFFNJ07481221546163HEALTH CARENJ501(C)(3)3NA
HOLLAND MUTUAL CHARITABLE HEALTH CORP
301 SICOMAC AVENUEWYCKOFFNJ07481223408320SUPPORT OPSNJ501(C)(3)11-ANA
CHCC CCRC INC
301 SICOMAC AVENUEWYCKOFFNJ07481204072602INACTIVENJ501(C)(3)11-ACHCC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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