CHRISTIAN CARE NURSING CENTER INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- CHRISTIAN CARE NURSING CENTER INC (EIN 86-0318085)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-08-26
- IRS object ID
- 202442399349301389
- Schema version
- 2023v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-08-26T17:46:46-05:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2355 E CAMELBACK RD STE 900 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 850169065 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860318085 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTIAN CARE NURSING CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHRI | BusinessNameControlTxt |
| Phone | 6023851592 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 W DUNLAP AVE STE 250 250 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85021 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHLEEN CONDON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6023851592 | PhoneNum |
| Signature | 2024-08-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRENDA ANN BLUNT CPA | PreparerPersonNm |
| PTIN | P00075126 | PTIN |
| Phone | 4803151040 | PhoneNum |
| Preparation | 2024-07-31 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALAN HIEB | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 W DUNLAP AVE STE 250 250 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85021 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,679,955 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | FELLOWSHIPSQUARESENIORLIVING.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | PROVIDING LONG TERM CARE AND SKILLED NURSING TO VERY LOW INCOME SENIORS | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $133,142 | PYContributionsGrantsAmt |
| CY Contributions Grants | $77,807 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,953,967 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,601,544 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,633 | PYInvestmentIncomeAmt |
| CY Investment Income | -$18,686 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,137 | PYOtherRevenueAmt |
| CY Other Revenue | $219 | CYOtherRevenueAmt |
| PY Total Revenue | $4,091,879 | PYTotalRevenueAmt |
| CY Total Revenue | $2,660,884 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,541,128 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,212,573 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,813,075 | PYOtherExpensesAmt |
| CY Other Expenses | $1,487,634 | CYOtherExpensesAmt |
| PY Total Expenses | $5,354,203 | PYTotalExpensesAmt |
| CY Total Expenses | $3,700,207 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,262,324 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,039,323 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,540,564 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,418,071 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,745,801 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,662,631 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$2,205,237 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$3,244,560 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THROUGH CHRISTIAN LOVE AND EXCELLENCE, WE ARE DEDICATED TO PROVIDING A FULFILLING LIFESTYLE AND PROMOTING INDEPENDENCE TO THOSE WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,916,301 | ExpenseAmt |
| Revenue | $2,601,544 | RevenueAmt |
| Desc | THE ORGANIZATION IS A 68-BED SKILLED & LONG-TERM CARE CENTER WHICH PROVIDES 24-HOUR NURSING CARE & SPECIALIZED REHABILITATION SERVICES TO THE ELDERLY. THE CENTER OFFERS COMFORTABLE ROOMS, NUTRITIOUS MEALS, SOCIAL SERVICES INCLUDING A CAMPUS CHAPLAIN & INDIVIDUALIZED ACTIVITY PROGRAMS GIVING RESIDENTS A SENSE OF PURPOSE AS THEY NEAR THE END OF LIFE. THE CENTER IS LICENSED BY THE STATE OF ARIZONA AND CERTIFIED BY MEDICARE. THE CENTER IS AN ACTIVE PARTICIPANT IN ADVANCING EXCELLENCE IN AMERICA'S NURSING HOMES, A COALITION OF CONSUMERS/HEALTH CARE PROVIDERS & NURSING HOME PROFESSIONALS. FOUNDED IN 1979, THE CHRISTIAN CARE COMPANIES BEGAN WITH 96 UNITS OF SUBSIDIZED HOUSING AND A 60-BED NURSING CENTER ON (CONTINUED ON SCH. O) THE PHOENIX CAMPUS. THE NURSING CENTER CORNERSTONE QUOTES PSALM 71:9, CAST ME NOT OFF IN THE TIME OF OLD AGE; FORSAKE ME NOT WHEN MY STRENGTH FAILETH. THE ORGANIZATION IS ONE OF 16 RELATED TAX-EXEMPT CHRISTIAN CARE COMPANIES (THE NAMES OF THE OTHER 15 ARE LISTED ON SCHEDULE R) WHO PROVIDE HOUSING, HOSPITALITY AND HEALTHCARE SERVICES FOR VERY-LOW-TO-MIDDLE INCOME ARIZONA SENIORS. THE CHRISTIAN CARE COMPANIES WERE FOUNDED BY THE NONDENOMINATIONAL CHRISTIAN CHURCHES OF ARIZONA AND ARE GOVERNED BY CORPORATE BOARDS OF DIRECTORS. AT DECEMBER 31, 2023, THE CHRISTIAN CARE COMPANIES OWN AND OPERATE 1,990 UNITS OF MIDDLE-INCOME, MARKET-RATE INDEPENDENT, ASSISTED, AND MEMORY CARE UNITS FOR SENIORS ON SIX CAMPUSES, 338 UNITS OF SUBSIDIZED HOUSING, AND A 68-BED HEALTH CENTER. IN ADDITION, WE PROVIDE ASSISTED LIVING SERVICES TO UP TO 107 RESIDENTS OF OUR SUBSIDIZED HOUSING.BENEFITS OF BEING PART OF A CHRISTIAN CARE COMMUNITY TYPICALLY INCLUDE SHARED HOUSEKEEPING; MAINTENANCE AND SECURITY SERVICES, INCLUDING CALL BUTTON MONITORING; ACCESS TO PRIVATE SCHEDULED TRANSPORTATION; AND COMPUTER LABS WITH HIGH-SPEED INTERNET. RESIDENTS TYPICALLY HAVE ENTREE TO ON-CAMPUS FOOD SERVICE VENUES, ENTERTAINING ACTIVITY PROGRAMS, HEALTH & WELLNESS OPPORTUNITIES, AND CHAPLAINCY SERVICES. | Desc |
| Total Program Service Expenses | $2,916,301 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KATHLEEN CONDON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6024435487 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 W DUNLAP AVE SUITE 250 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85021 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ED FRENCH | ||||||||
| CHAIRMAN / V. CHAIRMAN (FROM 5/1/23) | 0.10 | 0.90 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROGER BLUMENTHAL | ||||||||
| V. CHAIRMAN / CHAIRMAN (FROM 5/1/23) | 0.10 | 0.90 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN NORRIS | ||||||||
| SECRETARY | 0.10 | 0.90 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DENNIS RUTHERFORD | ||||||||
| TREASURER | 0.10 | 0.90 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LARRY DAILY | ||||||||
| DIRECTOR (THRU 5/1/23) | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| JAY MIHALEK | ||||||||
| DIRECTOR | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| FRANK SUNG | ||||||||
| DIRECTOR | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| RHONDA ANDERSON | ||||||||
| DIRECTOR | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| TOM GREER | ||||||||
| DIRECTOR | 0.10 | 0.90 | Yes (X) | $0 | $0 | $0 | ||
| BILL DODSON | ||||||||
| DIRECTOR (FROM 8/5/23) | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| ROB FAULK | ||||||||
| DIRECTOR (FROM 8/5/23) | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| ALAN HIEB | ||||||||
| PRESIDENT/CEO | 2.00 | 38.00 | Yes (X) | Yes (X) | $0 | $479,667 | $46,082 | |
| KATHLEEN CONDON | ||||||||
| CFO | 3.00 | 47.00 | Yes (X) | $0 | $199,581 | $35,484 | ||
| EDWARD JOHNSON - CHF HUMAN | ||||||||
| RESOURCE OFF./CHF COMPLIANCE OFF. | 3.00 | 47.00 | Yes (X) | $0 | $228,831 | $49,085 | ||
| KRISTIE LARSEN | ||||||||
| EXECUTIVE DIRECTOR | 15.00 | 25.00 | $0 | $189,740 | $28,667 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,097,819 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $159,318 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| STAFFU LLC | |||||
| PO BOX 440242 | NASHVILLE | TN | 37244 | NURSING SERVICES | $496,352 |
| MTV GENERAL CONTRACTORS | |||||
| 2840 N NORWALK STREET | MESA | AZ | 85215 | CONSTRUCTION | $339,843 |
| SYMBRIA REHAB BILLING | |||||
| 28100 TORCH PARKWAY SUITE 600 | WARRENVILLE | IL | 60555 | PATIENT THERAPIES | $120,509 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $77,807 | AllOtherContributionsAmt |
| Noncash Contributions | $3,000 | NoncashContributionsAmt |
| Total Contributions | $77,807 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| RESIDENT SERVICE INCOM | 623000 | $2,599,164 | $2,599,164 |
| HOME HEALTH SERVICES | 623000 | $2,380 | $2,380 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,601,544 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $385 | TotalRevenueColumnAmt |
| Exclusion | $385 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $19,071 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$19,071 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$19,071 | TotalRevenueColumnAmt |
| Exclusion | -$19,071 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $219 | TotalRevenueColumnAmt |
| Exclusion | $219 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $219 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,660,884 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,601,544 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$18,467 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,967,887 | TotalAmt |
| Program Services | $1,777,293 | ProgramServicesAmt |
| Management And General | $190,594 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,671 | TotalAmt |
| Program Services | $7,962 | ProgramServicesAmt |
| Management And General | $709 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,081 | TotalAmt |
| Program Services | $101,942 | ProgramServicesAmt |
| Management And General | $24,139 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,934 | TotalAmt |
| Program Services | $95,765 | ProgramServicesAmt |
| Management And General | $14,169 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,016 | TotalAmt |
| Management And General | $87,016 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,665 | TotalAmt |
| Management And General | $23,665 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,926 | TotalAmt |
| Program Services | $113,524 | ProgramServicesAmt |
| Management And General | $2,402 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,551 | TotalAmt |
| Management And General | $2,551 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,122 | TotalAmt |
| Management And General | $41,122 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,255 | TotalAmt |
| Management And General | $107,255 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $265,974 | TotalAmt |
| Program Services | $253,390 | ProgramServicesAmt |
| Management And General | $12,584 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,147 | TotalAmt |
| Program Services | $540 | ProgramServicesAmt |
| Management And General | $1,607 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,430 | TotalAmt |
| Program Services | $15,430 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,627 | TotalAmt |
| Program Services | $102,246 | ProgramServicesAmt |
| Management And General | $5,381 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,066 | TotalAmt |
| Program Services | $111,213 | ProgramServicesAmt |
| Management And General | $5,853 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| BAD DEBT | $251,162 | $251,162 | |
| MISCELLANEOUS | $140,104 | $7,161 | $132,943 |
| SUPPLIES | $105,707 | $347 | $105,360 |
| FOOD LAUNDRY DIETARY | $98,393 | $98,393 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,489 | TotalAmt |
| Program Services | $300 | ProgramServicesAmt |
| Management And General | $6,189 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,700,207 | TotalAmt |
| Program Services | $2,916,301 | ProgramServicesAmt |
| Management And General | $783,906 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,278 | BOYAmt |
| EOY | $99,328 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $334,578 | BOYAmt |
| EOY | $41,461 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $976,389 | BOYAmt |
| EOY | $398,930 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,222 | BOYAmt |
| EOY | $7,941 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,770 | BOYAmt |
| EOY | $16,016 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,026,496 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,406,300 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $953,417 | BOYAmt |
| EOY | $1,620,196 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $215,910 | BOYAmt |
| EOY | $234,199 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,540,564 | BOYAmt |
| EOY | $2,418,071 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $349,476 | BOYAmt |
| EOY | $514,259 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,620 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $801,210 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,580,495 | BOYAmt |
| EOY | $5,148,372 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,745,801 | BOYAmt |
| EOY | $5,662,631 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,221,607 | BOYAmt |
| EOY | -$3,260,930 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,370 | BOYAmt |
| EOY | $16,370 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,205,237 | BOYAmt |
| EOY | -$3,244,560 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,540,564 | BOYAmt |
| EOY | $2,418,071 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,039,323 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $133,795 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $565,299 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,218,227 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $133,142 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $77,807 | CurrentTaxYearAmt |
| Total | $2,128,270 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,689,375 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,086,080 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,281,545 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,953,967 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,601,544 | CurrentTaxYearAmt |
| Total | $20,612,511 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,823,170 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,651,379 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,499,772 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,087,109 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,679,351 | CurrentTaxYearAmt |
| Total | $22,740,781 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,060 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,136 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,639 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,734 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,188 | CurrentTaxYearAmt |
| Total | $45,757 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $339,790 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $813,189 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $353,003 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $690,468 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $860,381 | CurrentTaxYearAmt |
| Total | $3,056,831 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $352,850 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $822,325 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $361,642 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $698,202 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $867,569 | CurrentTaxYearAmt |
| Total | $3,102,588 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $19,638,193 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,622 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,079 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,320 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,827 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $385 | CurrentTaxYearAmt |
| Total | $17,233 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,622 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,079 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,320 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,827 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $385 | CurrentTaxYearAmt |
| Total | $17,233 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $324 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $4,464 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,137 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $219 | CurrentTaxYearAmt |
| Total | $6,144 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,832,116 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,652,458 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,505,556 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,094,073 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,679,955 | CurrentTaxYearAmt |
| Total | $22,764,158 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.86270 | PublicSupportCY509Pct |
| Public Support PY509 | 0.90760 | PublicSupportPY509Pct |
| Investment Income CY | 0.00080 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00080 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $4,130 | BeginningBalanceAmt |
| Additions During Year | $0 | AdditionsDuringYearAmt |
| Distributions During Year | $3,944 | DistributionsDuringYearAmt |
| Ending Balance | $186 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,076 | OtherCostOrOtherBasisAmt |
| Book Value | $28,076 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,130,110 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,518,435 | DepreciationAmt |
| Book Value | $611,675 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $715,766 | OtherCostOrOtherBasisAmt |
| Depreciation | $568,235 | DepreciationAmt |
| Book Value | $147,531 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,152,544 | OtherCostOrOtherBasisAmt |
| Depreciation | $319,630 | DepreciationAmt |
| Book Value | $832,914 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,620,196 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED ENTITIES | $225,423 |
| OPERATING RIGHT OF USE ASSET | $8,776 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $234,199 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTIES | $5,119,596 |
| OPERATING LEASES PAYABLE | $8,776 |
| PROVIDER RELIEF FUND PAYABLE | $20,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,148,372 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,679,955 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,679,955 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$19,071 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$19,071 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,660,884 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,719,278 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $19,071 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $19,071 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,700,207 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,700,207 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 1B: | THE ORGANIZATION HOLDS DEPOSITS IN TRUST FOR ITS RESIDENTS. |
| PART X, LINE 2: | MANAGEMENT BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | LOSS ON REFINANCE -19,071. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON REFINANCE 19,071. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALAN HIEB | ||||||||||||||
| PRESIDENT/CEO | $0 | $449,886 | $0 | $22,581 | $0 | $7,200 | $0 | $11,400 | $0 | $37,986 | $0 | $529,053 | $0 | $0 |
| EDWARD JOHNSON - CHF HUMAN | ||||||||||||||
| RESOURCE OFF./CHF COMPLIANCE OFF. | $0 | $217,316 | $0 | $11,515 | $0 | $0 | $0 | $9,673 | $0 | $43,580 | $0 | $282,084 | $0 | $0 |
| KATHLEEN CONDON | ||||||||||||||
| CFO | $0 | $189,953 | $0 | $9,628 | $0 | $0 | $0 | $8,087 | $0 | $29,967 | $0 | $237,635 | $0 | $0 |
| KRISTIE LARSEN | ||||||||||||||
| EXECUTIVE DIRECTOR | $0 | $180,367 | $0 | $9,373 | $0 | $0 | $0 | $7,874 | $0 | $22,875 | $0 | $220,489 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 | THE ORGANIZATION'S MANAGEMENT COMPANY, CHRISTIAN CARE MANAGEMENT, INC., AWARDED CERTAIN MERIT-BASED, DISCRETIONARY BONUSES BASED ON PERFORMANCE REVIEWS. |
| SCHEDULE J, PART I, QUESTION 3 | THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, CHRISTIAN CARE MANAGEMENT, INC., THAT USED THE FOLLOWING METHODS DESCRIBED IN QUESTION 3 TO ESTABLISH THE PRESIDENT/CEO'S COMPENSATION: COMPENSATION COMMITTEE (A.K.A. PERSONNEL COMMITTEE), FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, WRITTEN EMPLOYMENT CONTRACT, AND APPROVAL BY THE INDEPENDENT GOVERNING BOARD. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 2A | EMPLOYEES ARE EMPLOYEES OF CHRISTIAN CARE MANAGEMENT, INC. NO FEDERAL OR STATE PAYROLL REPORTING IS DONE BY CHRISTIAN CARE NURSING CENTER, INC. |
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE, CONSISTING OF THE OFFICERS OF THE CORPORATION AND THE PAST CHAIRMAN OR PRESIDENT, ARE AUTHORIZED TO REPRESENT THE BOARD OF DIRECTORS IN NEGOTIATIONS WITH ANY AND ALL AGENTS REPRESENTING INTERESTED OR RELATED PARTIES. HOWEVER, THE COMMITTEE MAY NOT ENCUMBER OR OBLIGATE THE CORPORATION WITHOUT SPECIFIC CONFIRMATION FROM THE BOARD OF DIRECTORS. THE PRESIDENT/CEO IS A VOTING MEMBER OF THE BOARD BUT IS AN EX OFFICIO MEMBER TO THE CHRISTIAN CARE COMMITTEES WITH NO VOTING PRIVILEGES ON THE COMMITTEES. |
| FORM 990, PART VI, SECTION A, LINE 3 | THE PRESIDENT/CEO, CFO, CHIEF HUMAN RESOURCE OFFICER/CHIEF COMPLIANCE OFFICER, AND EXECUTIVE DIRECTOR ARE COMPENSATED BY CHRISTIAN CARE MANAGEMENT, INC. FOR PROVIDING OVERSIGHT OF THE DAILY MANAGEMENT OF THE ORGANIZATION. THE CORPORATION AND MANAGEMENT ENTERED INTO A MANAGEMENT AGREEMENT ON A MONTH-TO-MONTH BASIS UNDER WHICH THE CORPORATION IS TO PAY MANAGEMENT AND BOOKKEEPING FEES IN AN AMOUNT SPECIFIED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERSHIP OF THE CORPORATION IS COMPOSED OF AND LIMITED TO THE INDEPENDENT CHRISTIAN CHURCHES OF ARIZONA. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FEDERAL HOUSING COMMISSIONER INSURES THE DEED OF TRUST AND MUST APPROVE ANY CHANGES TO THE ARTICLES OF INCORPORATION THROUGH JULY 2023, WHEN THE NOTE WAS PAID OFF. AS OF JULY 2023, THE FEDERAL HOUSING COMMISSIONER'S APPROVAL IS NO LONGER NEEDED. THE ORGANIZATION MAY NOT SELL OR OTHERWISE DISPOSE OF MORE THAN $200,000 OF REAL PROPERTY OVER THE OBJECTION OF 51% OR MORE OF THE MEMBERS EXCEPT IN THE ORDINARY COURSE OF BUSINESS AND ON SUCH TERMS AND CONDITIONS AS ARE CONSISTENT WITH THE BEST INTEREST AND PURPOSES OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE PRESIDENT/CEO AND CFO WILL REVIEW COMPLETED FORM 990 AND PROVIDE A FINAL DRAFT TO THE GOVERNING BOARD ALLOWING FOR A COMMENT PERIOD BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND ANY OTHER PERSON WITH SUBSTANTIAL INFLUENCE ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. PART OF THIS STATEMENT REQUIRES THEM TO SIGN AND CONFIRM THAT THEY HAVE READ AND UNDERSTOOD THE COMPANY'S CONFLICT OF INTEREST POLICY. THEY ALSO AGREE TO NOTIFY THE CHAIR OF THE BOARD OR PRESIDENT/CEO IMMEDIATELY IF THEY BECOME AWARE OF ANY POTENTIAL CONFLICTS. IF AN INDIVIDUAL HAS A CONFLICT, THEY ARE REQUIRED TO LEAVE THE ROOM PRIOR TO PRESENTATION OF THE PROPOSED RESOLUTION(S) AND RECUSE THEMSELVES FROM DISCUSSION OF THE ISSUE AND THE VOTING PROCESS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PRESIDENT/CEO IS NOT COMPENSATED BY CHRISTIAN CARE NURSING CENTER, INC. THE PRESIDENT/CEO IS COMPENSATED BY CHRISTIAN CARE MANAGEMENT, INC. FOR THE SERVICES PROVIDED TO ALL CHRISTIAN CARE COMPANIES. THE PRESIDENT/CEO'S COMPENSATION IS DETERMINED BY LOOKING AT COMPARABILITY DATA THROUGH REVIEW OF FORM 990 OF OTHER ORGANIZATIONS AND COMPENSATION SURVEYS AND STUDIES. THE PRESIDENT/CEO'S COMPENSATION IS REVIEWED BY THE PERSONNEL COMMITTEE AND RATIFIED BY THE INDEPENDENT GOVERNING BOARD. THE PRESIDENT/CEO'S COMPENSATION ARRANGEMENT IS DOCUMENTED IN WRITTEN EMPLOYMENT CONTRACTS. THIS DOCUMENTATION IS PREPARED EACH YEAR AT THE REQUEST OF THE PERSONNEL COMMITTEE. THE CFO, EXECUTIVE DIRECTOR AND CHIEF HUMAN RESOURCE OFFICER/CHIEF COMPLIANCE OFFICER ARE NOT COMPENSATED BY CHRISTIAN CARE NURSING CENTER, INC.. THE CFO, EXECUTIVE DIRECTOR AND CHIEF HUMAN RESOURCE OFFICER/CHIEF COMPLIANCE OFFICER ARE COMPENSATED BY CHRISTIAN CARE MANAGEMENT, INC. FOR THEIR SERVICES PROVIDED TO MULTIPLE CHRISTIAN CARE RELATED ENTITIES. THEIR COMPENSATION IS DETERMINED BY LOOKING AT COMPARABILITY DATA THROUGH REVIEW OF COMPENSATION SURVEYS AND STUDIES. THEY DO NOT HAVE WRITTEN EMPLOYMENT CONTRACTS. THEIR COMPENSATION IS ALSO REVIEWED ANNUALLY AT THE BEGINNING OF EACH YEAR. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTIAN CARE MANAGEMENT INC | |||||||||||
| 2400 W DUNLAP AVE SUITE 250 | PHOENIX | AZ | 85021 | 942756711 | MANAGEMENT SERVICES AND SUPPORT FOR CHRISTIAN CARE COMPANIES | AZ | 501(C)(3) | LINE 12B, II | N/A | 0 | |
| CHRISTIAN CARE HOLDING COMPANY INC | |||||||||||
| 2400 W DUNLAP AVE SUITE 250 | PHOENIX | AZ | 85021 | 860892946 | ENHANCING LIQUIDITY FOR CHRISTIAN CARE COMPANIES | AZ | 501(C)(3) | LINE 12B, II | N/A | 0 | |
| CHRISTIAN CARE ASSISTED LIVING (PHOENIX) INC | |||||||||||
| 2400 W DUNLAP AVE SUITE 250 | PHOENIX | AZ | 85021 | 860828877 | MIDDLE MARKET ASSISTED LIVING FOR SENIORS | AZ | 501(C)(3) | LINE 10 | N/A | 0 | |
| CHRISTIAN CARE RETIREMENT APARTMENTS INC | |||||||||||
| 2400 W DUNLAP AVE SUITE 250 | PHOENIX | AZ | 85021 | 742455683 | MIDDLE MARKET RESIDENTIAL LIVING FOR SENIORS | AZ | 501(C)(3) | LINE 10 | N/A | 0 | |
| CHRISTIAN CARE MESA INC | |||||||||||
| 2400 W DUNLAP AVE SUITE 250 | PHOENIX | AZ | 85021 | 860828879 | MIDDLE MARKET RESIDENTIAL & ASSISTED LIVING FOR SENIORS | AZ | 501(C)(3) | LINE 10 | N/A | 0 | |
| CHRISTIAN CARE TUCSON INC | |||||||||||
| 2400 W DUNLAP AVE SUITE 250 | PHOENIX | AZ | 85021 | 860962052 | MIDDLE MARKET RESIDENTIAL AND ASSISTED LIVING FOR SENIORS | AZ | 501(C)(3) | LINE 10 | N/A | 0 | |
| CHRISTIAN CARE MESA II INC | |||||||||||
| 2400 W DUNLAP AVE SUITE 250 | PHOENIX | AZ | 85021 | 900067112 | MIDDLE MARKET RESIDENTIAL LIVING FOR SENIORS | AZ | 501(C)(3) | LINE 10 | N/A | 0 | |
| CHRISTIAN CARE MANOR II INC | |||||||||||
| 2400 W DUNLAP AVE SUITE 250 | PHOENIX | AZ | 85021 | 860433280 | SUBSIDIZED HOUSING WITH ASSISTED LIVING FOR VERY-LOW INCOME SENIORS | AZ | 501(C)(3) | LINE 10 | N/A | 0 | |
| CHRISTIAN HOUSING MESA INC | |||||||||||
| 2400 W DUNLAP AVE SUITE 250 | PHOENIX | AZ | 85021 | 953471692 | SUBSIDIZED HOUSING WITH ASSISTED LIVING FOR VERY-LOW INCOME SENIORS | AZ | 501(C)(3) | LINE 10 | N/A | 0 | |
| CHRISTIAN CARE MANOR III INC | |||||||||||
| 2400 W DUNLAP AVE SUITE 250 | PHOENIX | AZ | 85021 | 742437015 | SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS | AZ | 501(C)(3) | LINE 10 | N/A | 0 | |
| CHRISTIAN HOUSING-COTTONWOOD INC | |||||||||||
| 2400 W DUNLAP AVE SUITE 250 | PHOENIX | AZ | 85021 | 860775063 | SUBSIDIZED HOUSING WITH ASSISTED LIVING FOR VERY-LOW INCOME SENIORS | AZ | 501(C)(3) | LINE 10 | N/A | 0 | |
| CHRISTIAN CARE CALIFORNIA | |||||||||||
| 2400 W DUNLAP AVE SUITE 250 | PHOENIX | AZ | 85021 | 330264173 | AFFORDABLE SENIOR HOUSING AND HEALTHCARE | CA | 501(C)(3) | PF | 0 | CHRISTIAN CARE HOLDING COMPANY INC | |
| CHRISTIAN CARE MANAGEMENT II INC | |||||||||||
| 2400 W DUNLAP AVE SUITE 250 | PHOENIX | AZ | 85021 | 264242355 | ASSISTED LIVING SERVICES FOR VERY-LOW TO MIDDLE INCOME SENIORS | AZ | 501(C)(3) | LINE 12B, II | N/A | 0 | |
| CHRISTIAN CARE MESA III INC | |||||||||||
| 2400 W DUNLAP AVE SUITE 250 | PHOENIX | AZ | 85021 | 203253081 | AFFORDABLE ASSISTED LIVING FOR SENIORS | AZ | 501(C)(3) | LINE 12B, II | N/A | 0 | |
| CHRISTIAN CARE SURPRISE INC | |||||||||||
| 2400 W DUNLAP AVE SUITE 250 | PHOENIX | AZ | 85021 | 270919033 | MIDDLE MARKET RESIDENTIAL & ASSISTED LIVING FOR SENIORS | AZ | 501(C)(3) | LINE 10 | N/A | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COVENANT HOME HEALTH LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 W DUNLAP AVE SUITE 250 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85021 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 834353828 | EIN |
| Primary Activities | PROVIDING HOME HEALTH SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| CHRISTIAN CARE MANAGEMENT IV INC | |||||||||
| 2400 W DUNLAP AVE SUITE 250 | PHOENIX | AZ | 85021 | 471154405 | CHARITABLE HEALTH AND/OR EDUCATIONAL ORGANIZATION | AZ | N/A | C | 0 |
| HOME HEALTH CARE INC DBA COVENANT HOME HEALTH | |||||||||
| 2400 W DUNLAP AVE SUITE 250 | PHOENIX | AZ | 85021 | 841387500 | PROVIDING HOME HEALTH SERVICES | AZ | N/A | C | 0 |
| CFS PROTECTED CELL OF MEDTRANS | |||||||||
| 2400 W DUNLAP AVE SUITE 250 | PHOENIX | AZ | 85021 | 881491766 | PROVIDING EMPLOYER HEALTH INSURANCE SERVICES | NV | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART II | FormAndLineReferenceDesc |
| Explanation | CHRISTIAN CARE MANAGEMENT II, INC IS IN ITS 60-MONTH PERIOD TO TERMINATE ITS PRIVATE FOUNDATION STATUS AS IT QUALIFIES AS A PUBLIC CHARITY DESCRIBED IN IRC SECTION 509(A)(3), TYPE II. WHILE CHRISTIAN CARE MANAGEMENT II CONTINUES TO FILE A 990-PF RETURN, AS REQUIRED, IT CONTINUES TO MEET THE REQUIREMENTS AS A TYPE II SUPPORTING ORGANIZATION, SO IT IS REPORTED AS SUCH ON PART II. | ExplanationTxt |