STRATEGY STUDIO / PUBLIC DATA EXPLORER

PROVIDENCE SELF SUFFICIENCY MINISTRIES INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
PROVIDENCE SELF SUFFICIENCY MINISTRIES INC (EIN 35-1947580)
Tax period
2021-09-01 to 2022-08-31
Filed
2023-07-17
IRS object ID
202331989349301958
Schema version
2021v4.2
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)
Return2023-07-17T13:44:19-05:00ReturnTs
Tax Period End2022-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 N MERIDIAN ST SUITE 200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351947580EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE SELF SUFFICIENCY MINISTRIESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPROVBusinessNameControlTxt
Phone8129511878PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18037 UNRUH DRAddressLine1Txt
CityGEORGETOWNCityNm
State AbbreviationINStateAbbreviationCd
ZIP47122ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOEL HENDERSONPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone8129511878PhoneNum
Signature2023-07-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOELPersonFirstNm
Person LastHENDERSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEMILIE M KNIERIEM CPAPreparerPersonNm
PTINP01330194PTIN
Phone3176334705PhoneNum
Preparation2023-07-17PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOEL HENDERSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18037 UNRUH DRAddressLine1Txt
CityGEORGETOWNCityNm
State AbbreviationINStateAbbreviationCd
ZIP47122ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,536,171GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GUERININC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionPROVIDENCE SELF SUFFICIENCY MINISTRIES, INC. OPERATES VARIOUS RESIDENTIAL PROGRAMS, INCLUDING (1) AFFORDABLE RENTAL HOUSING FOR LOW- AND VERY-LOW-INCOME SENIORS, (2) A COMMUNITY SENIOR CENTER, (3) AND PROVIDENCE HOUSE, A RESIDENTIAL TREATMENT PROGRAM THAT PROVIDES CLINICAL AND SOCIAL SERVICES, SELF-SUFFICIENCY PROGRAMMING, AND CASE MANAGEMENT FOR DCS-INVOLVED FAMILIES AT RISK OF SEPARATION BECAUSE OF CHILD NEGLECT OR ABUSE.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee216TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,013,655PYContributionsGrantsAmt
CY Contributions Grants$2,060,944CYContributionsGrantsAmt
PY Program Service Revenue$7,372,700PYProgramServiceRevenueAmt
CY Program Service Revenue$3,463,454CYProgramServiceRevenueAmt
PY Investment Income$1,180PYInvestmentIncomeAmt
CY Investment Income$237CYInvestmentIncomeAmt
PY Other Revenue$14,274PYOtherRevenueAmt
CY Other Revenue$11,536CYOtherRevenueAmt
PY Total Revenue$8,401,809PYTotalRevenueAmt
CY Total Revenue$5,536,171CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,266,928PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,290,193CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,044,137PYOtherExpensesAmt
CY Other Expenses$1,923,549CYOtherExpensesAmt
PY Total Expenses$9,311,065PYTotalExpensesAmt
CY Total Expenses$4,213,742CYTotalExpensesAmt
PY Revenues Less Expenses-$909,256PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,322,429CYRevenuesLessExpensesAmt
Total Assets BOY$1,706,729TotalAssetsBOYAmt
Total Assets EOY$884,076TotalAssetsEOYAmt
Total Liabilities BOY$2,367,356TotalLiabilitiesBOYAmt
Total Liabilities EOY$222,274TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$660,627NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$661,802NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE PROGRAM AND FACILITIES MANAGEMENT, ADMINISTRATION, AND STAFFING FOR THE ORGANIZATION'S AFFORDABLE SENIOR HOUSING, THE COMMUNITY SENIOR CENTER, AND PROVIDENCE HOUSE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,939,389ExpenseAmt
Revenue$3,474,990RevenueAmt
DescPROVIDING SENIORS WITH LIMITED ECONOMIC RESOURCES ACCESS TO QUALITY HOUSING IN A STABLE, VIBRANT, NON-DISCRIMINATORY, HEALTHY NEIGHBORHOOD AND A SENIOR COMMUNITY CENTER WHERE SENIORS ENGAGE IN LIFE-ENRICHMENT ACTIVITIES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescPROVIDING RESIDENTIAL FACILITIES AND VARIOUS CLINICAL, SOCIAL, AND LIFE SKILLS SERVICES TO DCS-INVOLVED FAMILIES AT RISK OF SEPARATION BECAUSE OF CHILD NEGLECT OR ABUSE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$3,939,389TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee216EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8129511878PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18037 UNRUH DRAddressLine1Txt
CityGEORGETOWNCityNm
State AbbreviationINStateAbbreviationCd
ZIP47122ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BRYAN WICKENS
CHAIRPERSON1.002.00Yes (X)Yes (X)$0$0$0
JEFF MCCAFFREY
TREASURER1.002.00Yes (X)Yes (X)$0$0$0
SISTER NANCY REYNOLDS
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
GEORGE GESENHUES
DIRECTOR1.003.00Yes (X)$0$0$0
ALLYSON BRADOW
DIRECTOR1.000.00Yes (X)$0$0$0
DR CARLA HERMAN
DIRECTOR1.000.00Yes (X)$0$0$0
ANN CARRUTHERS
DIRECTOR1.001.00Yes (X)$0$0$0
JAN HEFFERNAN
DIRECTOR1.001.00Yes (X)$0$0$0
SISTER NANCY BODNER
DIRECTOR1.000.00Yes (X)$0$0$0
SISTER LAURA PARKER
DIRECTOR1.001.00Yes (X)$0$0$0
SISTER LISA STALLINGS
CHAIRPERSON TERM ENDED1.002.00Yes (X)Yes (X)$0$0$0
DIANE MURPHY
TREASURER/SECRETARY TERM ENDED1.002.00Yes (X)Yes (X)$0$0$0
JEANNIE UNRUH
DIRECTOR TERM ENDED1.002.00Yes (X)$0$0$0
JO RUSSELL
DIRECTOR TERM ENDED1.000.00Yes (X)$0$0$0
NEIL BYRNE
DIRECTOR TERM ENDED1.000.00Yes (X)$0$0$0
SUSAN GERNERT
PRESIDENT/CEO35.005.00Yes (X)$135,562$0$23,919
JOEL HENDERSON
PRESIDENT/CEO35.005.00Yes (X)$0$0$0
LYNDA ALEXANDER
CFO TERM ENDED40.000.00Yes (X)$99,883$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$235,445TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$23,919TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ACCURATE HEALTHCARE PROFESSIONALSBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line12221 BUECHEL AVE BLDG 1AddressLine1Txt
CityLOUISVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP40218ZIPCd
FieldValueIRS element (for citing)
ServicesCONTRACT NURSES/CNASServicesDesc
Compensation$352,763CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Related Organizations$1,050,000RelatedOrganizationsAmt
Government Grants$983,300GovernmentGrantsAmt
All Other Contributions$27,644AllOtherContributionsAmt
Total Contributions$2,060,944TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CLIENT SERVICE REVENUE623110$1,495,339$1,495,339
MANAGEMENT SERVICE REV900099$1,481,051$1,481,051
SERVICE REVENUE - IGT900099$487,064$487,064
FieldValueIRS element (for citing)
Total Program Service Revenue$3,463,454TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$237TotalRevenueColumnAmt
Exclusion$237ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,000TotalRevenueColumnAmt
Related Or Exempt Func Income$4,000RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$7,536TotalRevenueColumnAmt
Related Or Exempt Func Income$7,536RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,536OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,536,171TotalRevenueColumnAmt
Related Or Exempt Func Income$3,474,990RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$237ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$235,445TotalAmt
Program Services$218,964ProgramServicesAmt
Management And General$16,481ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,858,039TotalAmt
Program Services$1,727,976ProgramServicesAmt
Management And General$130,063ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$196,709TotalAmt
Program Services$182,939ProgramServicesAmt
Management And General$13,770ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$340,692TotalAmt
Program Services$316,844ProgramServicesAmt
Management And General$23,848ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$356,285TotalAmt
Program Services$331,345ProgramServicesAmt
Management And General$24,940ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$86,891TotalAmt
Program Services$80,809ProgramServicesAmt
Management And General$6,082ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$19,524TotalAmt
Program Services$18,157ProgramServicesAmt
Management And General$1,367ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$368,043TotalAmt
Program Services$342,280ProgramServicesAmt
Management And General$25,763ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,782TotalAmt
Program Services$11,887ProgramServicesAmt
Management And General$895ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$30,241TotalAmt
Program Services$28,124ProgramServicesAmt
Management And General$2,117ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$27,045TotalAmt
Program Services$25,152ProgramServicesAmt
Management And General$1,893ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$29,169TotalAmt
Program Services$27,127ProgramServicesAmt
Management And General$2,042ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
IGT EXPENSES$286,438$286,438
MEDICAL EXPENSES$182,644$169,859$12,785
LICENSES/DUES$57,373$53,357$4,016
PROGRAM EXPENSES$7,977$7,977

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$118,445TotalAmt
Program Services$110,154ProgramServicesAmt
Management And General$8,291ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,213,742TotalAmt
Program Services$3,939,389ProgramServicesAmt
Management And General$274,353ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$942,989BOYAmt
EOY$519,356EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$22,659EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$575,919BOYAmt
EOY$267,161EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$20,674BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$356,531LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$281,631LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$125,423BOYAmt
EOY$74,900EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$41,724BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,706,729BOYAmt
EOY$884,076EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$193,788BOYAmt
EOY$21,488EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$195,142BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$983,300BOYAmt
EOY$36,464EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$995,126BOYAmt
EOY$164,322EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,367,356BOYAmt
EOY$222,274EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,660,627BOYAmt
EOY-$338,198EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,000,000BOYAmt
EOY$1,000,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$660,627BOYAmt
EOY$661,802EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,706,729BOYAmt
EOY$884,076EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,322,429ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$35,253CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$120,663CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$37,515CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,013,655CurrentTaxYearMinus1YearAmt
Current Tax Year$2,060,944CurrentTaxYearAmt
Total$3,268,030TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,717,458CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,321,162CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,941,553CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,372,700CurrentTaxYearMinus1YearAmt
Current Tax Year$3,463,454CurrentTaxYearAmt
Total$32,816,327TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,752,711CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,441,825CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,979,068CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,386,355CurrentTaxYearMinus1YearAmt
Current Tax Year$5,524,398CurrentTaxYearAmt
Total$36,084,357TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$36,084,357PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$259CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$390CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,172CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,180CurrentTaxYearMinus1YearAmt
Current Tax Year$4,237CurrentTaxYearAmt
Total$21,238TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$259CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$390CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,172CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,180CurrentTaxYearMinus1YearAmt
Current Tax Year$4,237CurrentTaxYearAmt
Total$21,238TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$53,618CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$352,677CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$60,675CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,274CurrentTaxYearMinus1YearAmt
Current Tax Year$7,536CurrentTaxYearAmt
Total$488,780TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,806,588CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,794,892CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,054,915CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,401,809CurrentTaxYearMinus1YearAmt
Current Tax Year$5,536,171CurrentTaxYearAmt
Total$36,594,375TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98610PublicSupportCY509Pct
Public Support PY5090.98190PublicSupportPY509Pct
Investment Income CY0.00060InvestmentIncomeCYPct
Investment Income PY0.00110InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME - 2017 AMOUNT: $ 53,618. 2018 AMOUNT: $ 352,677. 2019 AMOUNT: $ 117. 2020 AMOUNT: $ 14,274. 2021 AMOUNT: $ 7,536. INSURANCE PROCEEDS - 2019 AMOUNT: $ 60,558.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$335,903OtherCostOrOtherBasisAmt
Depreciation$261,003DepreciationAmt
Book Value$74,900BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,628OtherCostOrOtherBasisAmt
Depreciation$20,628DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$74,900TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPAYABLE TO RELATED PARTYDesc
Amt$164,322Amt
FieldValueIRS element (for citing)
Total Liability$164,322TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonSUSAN GERNERTPersonNm
TitlePRESIDENT/CEOTitleTxt
Base Compensation Filing Org$135,562BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$23,919NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$159,481TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BMANAGEMENT REVIEWS THE 990. THE FINANCE COMMITTEE THEN REVIEWS AND APPROVES FOR FILING. THE 990 IS MADE AVAILABLE TO BOARD MEMBERS VIA EMAIL PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CDIRECTORS ARE REQUIRED TO SIGN AND COMPLY WITH A CONFLICT OF INTEREST STATEMENT, WHICH READS IN RELEVANT PART: "NO BOARD MEMBER OR BOARD COMMITTEE MEMBER, OR ANY MEMBER OF HIS OR HER FAMILY (COLLECTIVELY "DIRECTOR") SHOULD ACCEPT ANY GIFT, ENTERTAINMENT, SERVICE, LOAN, OR PROMISE OF FUTURE BENEFITS FROM ANY PERSON WHO EITHER PERSONALLY OR WHOSE EMPLOYEES MIGHT BENEFIT OR APPEAR TO BENEFIT FROM SUCH DIRECTOR'S CONNECTION WITH [THE ORGANIZATION], UNLESS THE FACTS OF SUCH BENEFIT, GIFT, SERVICE, OR LOAN ARE DISCLOSED IN GOOD FAITH AND ARE AUTHORIZED BY THE BOARD. DIRECTORS SHOULD NOT PROVIDE, FOR ANY PERSONAL GAIN, SERVICES TO ANY SUPPLIER OF GOODS OR SERVICES, AS EMPLOYEE, CONSULTANT, OR IN ANY OTHER CAPACITY WHICH PROMISES COMPENSATION OF ANY KIND, UNLESS THE FACT OF SUCH TRANSACTION OR CONTRACTS ARE DISCLOSED IN GOOD FAITH, AND THE BOARD OR COMMITTEE AUTHORIZES SUCH A TRANSACTION. NO DIRECTOR SHOULD HAVE ANY BENEFICIAL INTEREST IN, OR SUBSTANTIAL OBLIGATION TO ANY [ORGANIZATION] SUPPLIER OF GOODS OR SERVICES OR ANY OTHER ORGANIZATION THAT IS ENGAGED IN DOING BUSINESS WITH OR SERVING [THE ORGANIZATION] UNLESS IT HAS BEEN DETERMINED BY THE BOARD, ON THE BASIS OF FULL DISCLOSURE OF FACTS, THAT SUCH INTEREST DOES NOT GIVE RISE TO A CONFLICT OF INTEREST." IN ADDITION, IF A DIRECTOR WERE TO ABSTAIN FROM VOTING DUE TO A CONFLICT OF INTEREST, IT WOULD BE REFLECTED IN THE BOARD MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 15ACOMPENSATION FOR THE PRESIDENT IS DETERMINED BY AN INDEPENDENT COMPENSATION CONSULTANT AND A COMPENSATION SURVEY OF OTHER NOT-FOR-PROFIT ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ALSO, THE ORGANIZATION'S 990 IS AVAILABLE AT WWW.GUIDESTAR.ORG.
FORM 990, PART XII, LINE 2C:THE FULL GOVERNING BOARD OF DIRECTORS IS RESPONSIBLE FOR SELECTING THE AUDITOR AND OVERSEEING THE AUDIT PROCESS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
THE MEADOWS OF GUERIN INC
8037 UNRUH DRIVEGEORGETOWNIN47122261642548OPERATES AN AFFORDABLE APARTMENT RENTAL COMMUNITY FOR SENIORSIN501(C)(3)LINE 10GUERIN INC0
GUERIN INC
8037 UNRUH DRIVEGEORGETOWNIN47122352061759PROVIDE RESIDENTIAL FACILITIES TO SERVE PERSONS IN NEEDIN501(C)(3)LINE 100N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd