SUNNY VISTA LIVING CENTER: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- SUNNY VISTA LIVING CENTER (EIN 84-0438016)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-15
- IRS object ID
- 202303199349310735
- Schema version
- 2022v5.0
- 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 | 2023-11-15T11:49:57-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 170 N RADNOR-CHESTER RD SUITE 200 | AddressLine1Txt |
| City | RADNOR | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19087 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840438016 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUNNY VISTA LIVING CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SUNN | BusinessNameControlTxt |
| Phone | 7194718700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2445 E CACHE LA POUDRE | AddressLine1Txt |
| City | COLORADO SPRINGS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80909 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFF TROUT | PersonNm |
| Person Title | VP FINANCE | PersonTitleTxt |
| Phone | 7209743507 | PhoneNum |
| Signature | 2023-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JEFF | PersonFirstNm |
| Person Last | TROUT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SOLOMON MARDAKHAEV | PreparerPersonNm |
| PTIN | P01806552 | PTIN |
| Phone | 6105653930 | PhoneNum |
| Preparation | 2023-11-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEFF TROUT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2445 E CACHE LA POUDRE | AddressLine1Txt |
| City | COLORADO SPRINGS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80909 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,447,504 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SUNNYVISTA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1911 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES A HOMELIKE ENVIRONMENT THROUGH A CONTINUUM OF CARE THAT ALLOWS PEOPLE TO AGE WITH DIGNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 293 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,769,967 | PYContributionsGrantsAmt |
| CY Contributions Grants | $66,531 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,774,439 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,007,470 | CYProgramServiceRevenueAmt |
| PY Investment Income | $167,418 | PYInvestmentIncomeAmt |
| CY Investment Income | $257,514 | CYInvestmentIncomeAmt |
| PY Other Revenue | $31,950 | PYOtherRevenueAmt |
| CY Other Revenue | $115,989 | CYOtherRevenueAmt |
| PY Total Revenue | $18,743,774 | PYTotalRevenueAmt |
| CY Total Revenue | $17,447,504 | 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 | $9,093,835 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,343,152 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,497,697 | PYOtherExpensesAmt |
| CY Other Expenses | $13,341,016 | CYOtherExpensesAmt |
| PY Total Expenses | $19,591,532 | PYTotalExpensesAmt |
| CY Total Expenses | $20,684,168 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$847,758 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,236,664 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $41,304,394 | TotalAssetsBOYAmt |
| Total Assets EOY | $37,457,928 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $43,202,295 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $43,107,226 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,897,901 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$5,649,298 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WE EXIST TO ENSURE THE ELDERLY OF OUR COMMUNITY, REGARDLESS OF THEIR ECONOMIC STATUS, HAVE DIGNIFIED ACCESS TO AFFORDABLE LONG TERM CARE AS WELL AS THE SHORT TERM REHABILITATIVE HEALTH CARE SERVICES IN A COMFORTABLE AND SAFE ENVIRONMENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,686,517 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $13,186,550 | RevenueAmt |
| Desc | SUNNY VISTA LIVING CENTER PROVIDES SKILLED NURSING CARE FOR ELDERS; BOTH FOR LONG TERM AND SHORT TERM REHABILIATION. WE PROVIDE CARE TO MEDICAID RESIDENTS (A PROGRAM THAT SUPPORTS PEOPLE WHO ARE NOT ABLE TO PAY FOR SKILLED NURSING). THESE NEEDS OF ALL RESIDENTS ARE PROVIDED FOR; HEALTHCARE, ACTIVITIES, SOCIAL SERVICES, AND DINING SERVICES. THIS GROUP GENERALLY STAYS IN OUR COMMUNITY UNTIL THEIR DEATH. WE ALSO PROVIDE MEDICARE REHABILITATION. THESE RESIDENTS WORK WITH OUR THERAPOSTS FOR A SHORT TIME TO ALLOW THEM TO RETURN HOME WLL AND STRONG. WE ALSO PROVIDE HOSPICE CARE THAT PROVIDES COMFORT SERVICES TO THOSE NEEDING END OF LIFE CARE. FINALLY, WE PROVIDE CARE FOR PRIVATE PAY RESIDENTS WHO ARE GENERALLY HERE FOR REGULAR SKILLED NURSING CARE AND HAVE THE ABILITY TO PAY FOR THAT CARE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,724,565 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $3,299,115 | RevenueAmt |
| Desc | THE RETREAT AT SUNNY VISTA PROVIDES AN ASSISTED LIVING OPTION FOR ELDERS WHO NEED SOME ASSISTANCE WITH ACTIVITIES OF DAILY LIVING AND MEDICATION ADMINISTRATION. SERVICES INCLUDE MEAL PREPARATION, HOUSEKEEPING, TRANSPORTATION, AND A LIFE ENRICHMENT PROGRAM FOR SOCIALIZATION. THE RETREAT ALSO PROVIDES MEMORY SUPPORT FOR THOSE SUFFERING FROM ALZHEIMER'S DISEASE AND DIMENTIA. SPECIAL PROGRAMMING IS PROVIDED TO ENGAGE RESIDENTS TO OPTIMIZE THEIR QUALITY OF LIFE, DESPITE THE DISEASE PROCESS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $302,412 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $521,805 | RevenueAmt |
| Desc | SENIOR LOW INCOME INDEPENDENT HOUSING - THE VILLA PROVIDES COORDINATION OF PROGRAMS, SUCH AS GOLDEN CIRCLE MEAL SERVICE, ANNUAL FLU VACCINES, AND OUTPATIENT THERAPY SERVICES WITH THE SKILLED NURSING FACILITY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $17,713,494 | 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 | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | 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 | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | 0 | 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 |
| IRP Document | 100 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 293 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | 0 | 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 | JEFF TROUT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7209743507 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9570 SOUTH KINGSTON COURT SUITE 300 | AddressLine1Txt |
| City | ENGLEWOOD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80112 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| STEPHEN DOWNS | |||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $102,435 | $0 | $23,914 | ||
| CHRISTINA SKINNER SOMMER | |||||||
| ADMISSIONS DIRECTOR | 40.00 | $118,508 | $0 | $3,403 | Yes (X) | ||
| CHANTELLE RENEE DINA | |||||||
| DIRECTOR OF NURSING | 40.00 | $118,376 | $0 | $1,047 | Yes (X) | ||
| CRAIG THOMAS ROBERTS | |||||||
| REGISTERED NURSE | 40.00 | $104,246 | $0 | $1,047 | Yes (X) | ||
| TOM CONE | |||||||
| PRESIDENT | 0.80 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JANET BURNS | |||||||
| SECRETARY | 0.80 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| VAL ANDERS | |||||||
| TRUSTEE | 0.80 | $0 | $0 | $0 | Yes (X) | ||
| MARTHA BARTON | |||||||
| TRUSTEE (TERMED) | 0.80 | $0 | $0 | $0 | Yes (X) | ||
| VIXEN DEINES | |||||||
| TRUSTEE | 0.80 | $0 | $0 | $0 | Yes (X) | ||
| COURTNEY DEUSER | |||||||
| TRUSTEE | 0.80 | $0 | $0 | $0 | Yes (X) | ||
| BILL GUMAN | |||||||
| TRUSTEE | 0.80 | $0 | $0 | $0 | Yes (X) | ||
| GENE HALLOWAY | |||||||
| TRUSTEE | 0.80 | $0 | $0 | $0 | Yes (X) | ||
| WAYNE JENNINGS | |||||||
| TRUSTEE | 0.80 | $0 | $0 | $0 | Yes (X) | ||
| DANA OLSON | |||||||
| TRUSTEE | 0.80 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $443,565 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $29,411 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| KARE TECHNOLOGIES | |||||
| PO BOX 4738 | HOUSTON | TX | 77210 | TEMPORARY STAFFING | $2,945,510 |
| NEW HORIZON FOODS | |||||
| 2670 106TH STREET SUITE 140 | DES MOINES | IA | 50322 | FOOD SERVICE | $990,056 |
| CAPPELLA LIVING SOLUTIONS | |||||
| 9570 S KINGSTON COURT SUITE 300 | ENGLEWOOD | CO | 80112 | MANAGEMENT COMPANY | $920,719 |
| PREMERE REHAB DBA INFINITY REHAB | |||||
| 8100 SW NYBERG ST STE 200 | TUALATIN | OR | 97062 | THERAPY VENDOR | $644,272 |
| MAXIM HEALTHCARE STAFFING SERVICES INC | |||||
| 12558 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | TEMPORARY STAFFING | $453,601 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $64,230 | GovernmentGrantsAmt |
| All Other Contributions | $2,301 | AllOtherContributionsAmt |
| Total Contributions | $66,531 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| LIVING CENTER PATIENT REVENUE | 623000 | $13,186,550 | $13,186,550 |
| RETREAT ASSISTED LIVING AND MEMOR | 623000 | $3,299,115 | $3,299,115 |
| INDEPENDENT HOUSING RENTAL INCOME | 531110 | $519,807 | $519,807 |
| LAUNDRY & VENDING | 812300 | $1,998 | $1,998 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,007,470 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $117,323 | TotalRevenueColumnAmt |
| Exclusion | $117,323 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $140,191 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $140,191 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $140,191 | TotalRevenueColumnAmt |
| Exclusion | $140,191 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $115,989 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $115,989 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $115,989 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,447,504 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,123,459 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $257,514 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,349 | TotalAmt |
| Program Services | $117,504 | ProgramServicesAmt |
| Management And General | $8,845 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,182,429 | TotalAmt |
| Program Services | $5,792,159 | ProgramServicesAmt |
| Management And General | $390,270 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $581,087 | TotalAmt |
| Program Services | $548,699 | ProgramServicesAmt |
| Management And General | $32,388 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $453,287 | TotalAmt |
| Program Services | $427,340 | ProgramServicesAmt |
| Management And General | $25,947 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $742,386 | TotalAmt |
| Program Services | $57,047 | ProgramServicesAmt |
| Management And General | $685,339 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,005 | TotalAmt |
| Management And General | $48,005 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,491 | TotalAmt |
| Management And General | $234,491 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,186 | TotalAmt |
| Management And General | $93,186 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,599,947 | TotalAmt |
| Program Services | $5,593,462 | ProgramServicesAmt |
| Management And General | $6,485 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,475 | TotalAmt |
| Program Services | $219,137 | ProgramServicesAmt |
| Management And General | $48,338 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $366,606 | TotalAmt |
| Program Services | $28,265 | ProgramServicesAmt |
| Management And General | $338,341 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $451,063 | TotalAmt |
| Program Services | $393,719 | ProgramServicesAmt |
| Management And General | $57,344 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,329 | TotalAmt |
| Program Services | $16,852 | ProgramServicesAmt |
| Management And General | $12,477 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,521,698 | TotalAmt |
| Program Services | $2,269,528 | ProgramServicesAmt |
| Management And General | $252,170 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,166,680 | TotalAmt |
| Program Services | $1,050,012 | ProgramServicesAmt |
| Management And General | $116,668 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,006 | TotalAmt |
| Program Services | $189,183 | ProgramServicesAmt |
| Management And General | $32,823 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEALS | $729,421 | $652,369 | $77,052 |
| BAD DEBT | $266,061 | $266,061 | |
| MEDICAL SUPPLIES | $194,178 | $194,178 | |
| REPAIRS AND MAINTENANCE | $79,111 | $41,858 | $37,253 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $329,373 | TotalAmt |
| Program Services | $122,182 | ProgramServicesAmt |
| Management And General | $207,191 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,684,168 | TotalAmt |
| Program Services | $17,713,494 | ProgramServicesAmt |
| Management And General | $2,970,674 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $552,023 | BOYAmt |
| EOY | $892,408 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,823,803 | BOYAmt |
| EOY | $1,676,466 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,209 | BOYAmt |
| EOY | $149,920 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $41,138,677 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,615,770 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,536,291 | BOYAmt |
| EOY | $29,522,907 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,365,863 | BOYAmt |
| EOY | $901,960 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,924,205 | BOYAmt |
| EOY | $4,314,267 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,304,394 | BOYAmt |
| EOY | $37,457,928 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,666,542 | BOYAmt |
| EOY | $2,678,589 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,816,945 | BOYAmt |
| EOY | $40,372,510 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $718,808 | BOYAmt |
| EOY | $56,127 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,202,295 | BOYAmt |
| EOY | $43,107,226 | 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 | -$2,260,694 | BOYAmt |
| EOY | -$6,012,091 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $362,793 | BOYAmt |
| EOY | $362,793 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,897,901 | BOYAmt |
| EOY | -$5,649,298 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,304,394 | BOYAmt |
| EOY | $37,457,928 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$3,236,664 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$514,733 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $28,638 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $43,446 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,450,163 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,769,967 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $66,531 | CurrentTaxYearAmt |
| Total | $5,358,745 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,583,330 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,249,746 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,660,632 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,774,439 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,007,470 | CurrentTaxYearAmt |
| Total | $83,275,617 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,115 | CurrentTaxYearMinus4YearsAmt |
| Total | $6,115 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,618,083 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,293,192 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,110,795 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,544,406 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,074,001 | CurrentTaxYearAmt |
| Total | $88,640,477 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $88,640,477 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $101,563 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $166,473 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $225,473 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $144,057 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $117,323 | CurrentTaxYearAmt |
| Total | $754,889 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $101,563 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $166,473 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $225,473 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $144,057 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $117,323 | CurrentTaxYearAmt |
| Total | $754,889 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $23,543 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $35,264 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,950 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $115,989 | CurrentTaxYearAmt |
| Total | $206,746 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,719,646 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,483,208 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,371,532 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,720,413 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,307,313 | CurrentTaxYearAmt |
| Total | $89,602,112 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98930 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98950 | PublicSupportPY509Pct |
| Investment Income CY | 0.00840 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00870 | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $362,793 | BeginningYearBalanceAmt |
| End Year Balance | $362,793 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $322,266 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $40,528 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $362,793 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $294,343 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $27,923 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $322,266 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $250,397 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $43,946 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $294,343 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $273,154 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$22,757 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $250,397 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.01000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.99000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,000 | OtherCostOrOtherBasisAmt |
| Book Value | $75,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,063,132 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,020,606 | DepreciationAmt |
| Book Value | $28,042,526 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,783,244 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,564,892 | DepreciationAmt |
| Book Value | $1,218,352 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $217,301 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,272 | DepreciationAmt |
| Book Value | $187,029 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $29,522,907 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RESTRICTED FUNDS | $3,420,549 |
| TRUST FUNDS | $25,099 |
| SVLC OTHER RESTRICTED FUNDS | $35,522 |
| RESERVE FOR REPLACEMENT | $106,453 |
| VSV OTHER RESTRICTED FUNDS | $79,235 |
| EMPLOYEE RETENTION TAX CREDIT | $647,409 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,314,267 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FUNDS HELD FOR OTHERS | Desc |
| Amt | $56,127 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $56,127 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE TO PROVIDE GENERAL SUPPORT TO THE ORGANIZATION AS NEEDED FROM THE EARNINGS. THE ENDOWMENT FUNDS ARE COMPRISED OF DONOR-RESTRICTED FUNDS. $290,000 IS RESTRICTED IN PERPETUITY. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLORADO HEALTH FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 840752932 | BondIssuerEIN |
| CUSIP | 19648A5H4 | CUSIPNum |
| Bond Issued | 2015-12-03 | BondIssuedDt |
| Issue Price | $42,260,000 | IssuePriceAmt |
| Purpose | CONSTRUCTION;REFUND PRIOR ISSUE | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $42,260,000 | TotalProceedsAmt |
| In Reserve Fund | $3,500,440 | InReserveFundAmt |
| Capitalized Interest | $1,510 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $1,432,676 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $37,325,374 | OtherSpentProceedsAmt |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION IS UNDER A MANAGEMENT CONTRACT WITH CHRISTIAN LIVING SERVICES, INC DBA CAPPELLA LIVING SOLUTIONS. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE FORM 990 IS PREPARED BY A THIRD PARTY AND PROVIDED TO THE BOARD BEFORE IT IS FILED. THE VP OF FINANCE FOR CHRISTIAN LIVING SERVICES, INC DBA CAPPELLA LIVING SOLUTIONS EXAMINES THE FORM 990 FOR ACCURACY OF THE FINANCIAL AND INFORMATIONAL DATA AND DISCUSSES ANY ISSUES WITH THE PREPARER. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE REMINDED AT MEETINGS TO DISCLOSE ANY CONFLICT OF INTEREST THEY MAY HAVE. NO DIRECTOR OR OFFICER OF THE CORPORATION SHALL ENGAGE IN ANY COURSE OF CONDUCT WHICH MAY RESULT IN A CONFLICT OF INTEREST OR HAVE ANY FINANCIAL INTEREST IN ANY CONTRACTUAL ARRANGEMENT ENTERED INTO BY THE CORPORATION IN CONNECTION WITH THE RENDITION OF SERVICES, THE PROVISIONS OF GOODS OR SUPPLIES, MANAGEMENT OF THE FACILITY, PROCUREMENT OF FURNISHINGS OR EQUIPMENT OR OTHER MATTERS WHATSOVER. WHEN DECISIONS ARE MADE BY THE BOARD, THE PRESIDENT OF THE BOARD WILL ASK IF ANYONE HAS A CONFLICT OF INTEREST ON THAT PARTICULAR ISSUE. IF THAT PERSON DOES, THEY ARE RECUSED FROM VOTING ON THE ISSUE. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE ORGANIZATION DOES A ROUTINE COMPETITIVE ANALYSIS OF SALARIES IN THE MARKET TO ENSURE THAT SALARIES PAID TO TOP MANAGEMENT OFFICIALS ARE CONSISTENT WITH THE MARKET. THIS ANALYSIS IS USED FOR ESTABLISHING SALARY GRIDS FOR EACH POSITION. ALL MANAGEMENT OFFICIALS HIRED ARE APPROVED BY SENIOR MANAGEMENT AND HIRED CONSISTENT WITH ESTABLISHED SALARY GRIDS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST, INTERESTED PARTIES MAY USE THE CONTACT INFORMATION LISTED ON PART VI OF FORM 990 TO REQUEST REVIEW OF THESE RECORDS. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,593,462. MANAGEMENT AND GENERAL EXPENSES 6,485. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,599,947. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |