2023-07-17T13:44:19-05:00 2022-08-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2021-09-01 351947580 PROVIDENCE SELF SUFFICIENCY MINISTRIES PROV 8129511878 8037 UNRUH DR GEORGETOWN IN 47122 JOEL HENDERSON PRESIDENT/CEO 8129511878 2023-07-17 1 JOEL HENDERSON 999009999 EMILIE M KNIERIEM CPA P01330194 3176334705 2023-07-17 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z JOEL HENDERSON 8037 UNRUH DR GEORGETOWN IN 47122 5536171 0 X WWW.GUERININC.ORG X 1994 IN PROVIDENCE 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. 10 10 216 10 0 0 1013655 2060944 7372700 3463454 1180 237 14274 11536 8401809 5536171 0 0 0 0 5266928 2290193 0 0 0 4044137 1923549 9311065 4213742 -909256 1322429 1706729 884076 2367356 222274 -660627 661802 TO PROVIDE PROGRAM AND FACILITIES MANAGEMENT, ADMINISTRATION, AND STAFFING FOR THE ORGANIZATION'S AFFORDABLE SENIOR HOUSING, THE COMMUNITY SENIOR CENTER, AND PROVIDENCE HOUSE. 0 0 3939389 3474990 PROVIDING 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. PROVIDING RESIDENTIAL FACILITIES AND VARIOUS CLINICAL, SOCIAL, AND LIFE SKILLS SERVICES TO DCS-INVOLVED FAMILIES AT RISK OF SEPARATION BECAUSE OF CHILD NEGLECT OR ABUSE. 3939389 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 216 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IN X THE ORGANIZATION 8129511878 8037 UNRUH DR GEORGETOWN IN 47122 BRYAN WICKENS CHAIRPERSON 1.00 2.00 X X 0 0 0 JEFF MCCAFFREY TREASURER 1.00 2.00 X X 0 0 0 SISTER NANCY REYNOLDS SECRETARY 1.00 0.00 X X 0 0 0 GEORGE GESENHUES DIRECTOR 1.00 3.00 X 0 0 0 ALLYSON BRADOW DIRECTOR 1.00 0.00 X 0 0 0 DR CARLA HERMAN DIRECTOR 1.00 0.00 X 0 0 0 ANN CARRUTHERS DIRECTOR 1.00 1.00 X 0 0 0 JAN HEFFERNAN DIRECTOR 1.00 1.00 X 0 0 0 SISTER NANCY BODNER DIRECTOR 1.00 0.00 X 0 0 0 SISTER LAURA PARKER DIRECTOR 1.00 1.00 X 0 0 0 SISTER LISA STALLINGS CHAIRPERSON TERM ENDED 1.00 2.00 X X 0 0 0 DIANE MURPHY TREASURER/SECRETARY TERM ENDED 1.00 2.00 X X 0 0 0 JEANNIE UNRUH DIRECTOR TERM ENDED 1.00 2.00 X 0 0 0 JO RUSSELL DIRECTOR TERM ENDED 1.00 0.00 X 0 0 0 NEIL BYRNE DIRECTOR TERM ENDED 1.00 0.00 X 0 0 0 SUSAN GERNERT PRESIDENT/CEO 35.00 5.00 X 135562 0 23919 JOEL HENDERSON PRESIDENT/CEO 35.00 5.00 X 0 0 0 LYNDA ALEXANDER CFO TERM ENDED 40.00 0.00 X 99883 0 0 235445 0 23919 1 0 1 0 ACCURATE HEALTHCARE PROFESSIONALS 2221 BUECHEL AVE BLDG 1 LOUISVILLE KY 40218 CONTRACT NURSES/CNAS 352763 1 1050000 983300 27644 2060944 CLIENT SERVICE REVENUE 623110 1495339 1495339 MANAGEMENT SERVICE REV 900099 1481051 1481051 SERVICE REVENUE - IGT 900099 487064 487064 3463454 237 237 4000 4000 MISCELLANEOUS 900099 7536 7536 7536 5536171 3474990 0 237 235445 218964 16481 1858039 1727976 130063 196709 182939 13770 340692 316844 23848 356285 331345 24940 86891 80809 6082 19524 18157 1367 368043 342280 25763 12782 11887 895 30241 28124 2117 27045 25152 1893 29169 27127 2042 IGT EXPENSES 286438 286438 MEDICAL EXPENSES 182644 169859 12785 LICENSES/DUES 57373 53357 4016 PROGRAM EXPENSES 7977 7977 118445 110154 8291 4213742 3939389 274353 0 942989 519356 22659 575919 267161 20674 0 356531 281631 125423 74900 41724 1706729 884076 193788 21488 0 195142 0 983300 36464 995126 164322 2367356 222274 X -1660627 -338198 1000000 1000000 -660627 661802 1706729 884076 1322429 0 X X 0 0 0 X 35253 120663 37515 1013655 2060944 3268030 6717458 7321162 7941553 7372700 3463454 32816327 6752711 7441825 7979068 8386355 5524398 36084357 0 0 0 36084357 259 390 15172 1180 4237 21238 259 390 15172 1180 4237 21238 53618 352677 60675 14274 7536 488780 6806588 7794892 8054915 8401809 5536171 36594375 0.98610 0.98190 0.00060 0.00110 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 335903 261003 74900 20628 20628 0 74900 PAYABLE TO RELATED PARTY 164322 164322 X X 0 0 0 0 0 0 0 0 0 SUSAN GERNERT PRESIDENT/CEO 135562 0 0 0 0 0 0 0 23919 0 159481 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT 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 12C DIRECTORS 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 15A COMPENSATION 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 19 THE 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. THE MEADOWS OF GUERIN INC 8037 UNRUH DRIVE GEORGETOWN IN 47122 261642548 OPERATES AN AFFORDABLE APARTMENT RENTAL COMMUNITY FOR SENIORS IN 501(C)(3) LINE 10 GUERIN INC 0 GUERIN INC 8037 UNRUH DRIVE GEORGETOWN IN 47122 352061759 PROVIDE RESIDENTIAL FACILITIES TO SERVE PERSONS IN NEED IN 501(C)(3) LINE 10 N/A 0 0 0 1 0 1 0 0 0 0 0 1 1 0 0 1 0 0 0 0