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LIFESTREAM COMPLETE SENIOR LIVING INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
LIFESTREAM COMPLETE SENIOR LIVING INC (EIN 23-7458267)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-15
IRS object ID
202333199349327588
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

FieldValueIRS element (for citing)
Return2023-11-15T18:05:26-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line120 E THOMAS RD STE 2300AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85012ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237458267EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LIFESTREAM COMPLETE SENIOR LIVING INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLIFEBusinessNameControlTxt
Phone6239333333PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111555 WEST PEORIA AVENUEAddressLine1Txt
CityYOUNGTOWNCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85363ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNATHAN MERRILLPersonNm
Person TitleCFOPersonTitleTxt
Phone7194815481PhoneNum
Signature2023-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstNATHANPersonFirstNm
Person LastMERRILLPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHAD D KUNZE CPAPreparerPersonNm
PTINP00639380PTIN
Phone6022662248PhoneNum
Preparation2023-11-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerNATHAN MERRILLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line115475 GLENEAGLE DRIVEAddressLine1Txt
CityCOLORADO SPRINGSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80921ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,385,197GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWWW.LIFESTREAMLIVING.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionSERVING SENIORS BY ENRICHING THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL HEALTH IN A CLOSE-KNIT COMMUNITYActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee146TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,639,710PYContributionsGrantsAmt
CY Contributions Grants$1,593,267CYContributionsGrantsAmt
PY Program Service Revenue$11,603,079PYProgramServiceRevenueAmt
CY Program Service Revenue$9,081,851CYProgramServiceRevenueAmt
PY Investment Income$805,519PYInvestmentIncomeAmt
CY Investment Income$665,100CYInvestmentIncomeAmt
PY Other Revenue$22,178PYOtherRevenueAmt
CY Other Revenue$44,979CYOtherRevenueAmt
PY Total Revenue$16,070,486PYTotalRevenueAmt
CY Total Revenue$11,385,197CYTotalRevenueAmt
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$7,976,725PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,161,717CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,720,831PYOtherExpensesAmt
CY Other Expenses$6,326,498CYOtherExpensesAmt
PY Total Expenses$13,697,556PYTotalExpensesAmt
CY Total Expenses$13,488,215CYTotalExpensesAmt
PY Revenues Less Expenses$2,372,930PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,103,018CYRevenuesLessExpensesAmt
Total Assets BOY$29,507,597TotalAssetsBOYAmt
Total Assets EOY$26,335,164TotalAssetsEOYAmt
Total Liabilities BOY$21,048,170TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,224,354TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,459,427NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,110,810NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION IS TO SERVE SENIORS BY ENRICHING THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL HEALTH IN A CLOSE-KNIT COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,790,797ExpenseAmt
Grant$0GrantAmt
Revenue$3,471,634RevenueAmt
DescTHE ORGANIZATION PROVIDES HEALTH CARE SERVICES TO A MAXIMUM OF 102 SENIOR RESIDENTS AT A REASONABLE COST. NEARLY 83% OF OUR RESIDENTS WERE MEDICAID, 6% MEDICARE AND 11% PRIVATE PAY. ONE WING OF OUR SKILLED NURSING CENTER IS DEVOTED TO SENIORS WITH WANDERING DEMENTIA. OUR MISSION IS ACTED OUT BY NEARLY 141 ASSOCIATES. WE HAVE FULL-TIME CHAPLAINS THAT ATTEND TO THE SPIRITUAL AND EMOTIONAL NEEDS OF OUR RESIDENTS. THE CHALLENGES OUR CHAPLAINS FACE EXTEND FROM SENIOR'S FEARS AND FRUSTRATIONS TO ILLNESSES AND THE LOSS OF LOVED ONES. ON A DAILY BASIS OUR CHAPLAINS AND ASSOCIATES HELP RESIDENTS MAKE THE TRANSITION FROM DISCOMFORT TO CONTENTMENT AND FROM APPREHENSION TO ASSURANCE FROM UNCERTAINTY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,433,717ExpenseAmt
Grant$0GrantAmt
Revenue$5,610,217RevenueAmt
DescTHE ORGANIZATION PROVIDED QUALITY AFFORDABLE HOUSING AND SERVICES TO APPROXIMATELY 177 SENIOR RESIDENTS AT A REASONABLE COST. ON AVERAGE, 143 WERE IN INDEPENDENT LIVING AND 34 WERE IN ASSISTED LIVING. OUR MISSION IS ACTED OUT IN OUR SENIOR HOUSING PROGRAM THE SAME AS IT IS IN OUR NURSING CARE PROGRAM AS DESCRIBED ABOVE. LIFESTREAM AT YOUNGTOWN OPERATES A 47-ACRE RETIREMENT CAMPUS IN YOUNGTOWN, ARIZONA. THE CAMPUS INCLUDES COOK HEALTH CARE CENTER ("COOK"), A 102-BED SKILLED NURSING FACILITY, THREE GREEN HOUSE ASSISTED LIVING HOMES TOTALING 30 BEDS, JT'S PLACE- A 24 BED ASSISTED LIVING CENTER, AND 161 INDEPENDENT LIVING UNITS. THIRTY OF OUR ASSISTED LIVING ROOMS ARE IN THREE "GREEN HOUSES" WHICH IS A CONCEPT THAT MOVES ASSISTED LIVING FROM A HOSPITAL MODEL TO A HOME-LIKE SETTING. EACH HOUSE HAS A COMMON GREAT ROOM, DINING ROOM WHERE FAMILY-STYLE MEALS ARE SHARED BETWEEN SENIORS AND CAREGIVERS, AND A LOVELY PATIO WHERE RESIDENTS CAN ENJOY THE OUTDOORS AS WELL AS A VARIETY OF SOCIAL ACTIVITIES. SERVICES SUCH AS MEDICATION MANAGEMENT, WELL-BEING CHECKS, PET CARE, TRANSPORTATION TO MEALS, COMPANION SERVICE AND A HOST OF OTHER SERVICES ARE AVAILABLE TO OUR SENIOR HOUSING RESIDENTS. WE HAVE FULL-TIME CHAPLAINS THAT ATTEND TO THE SPIRITUAL AND EMOTIONAL NEEDS OF OUR RESIDENTS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$12,224,514TotalProgramServiceExpensesAmt
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 CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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 ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document43IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee146EmployeeCnt
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NATHAN MERRILLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7194815481PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line115475 GLENEAGLE DRIVEAddressLine1Txt
CityCOLORADO SPRINGSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80921ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DARWYN HARP
BOARD MEMBER THRU 3/220.400.60Yes (X)$0$0$0
DICK DICKSON
CHAIRMAN - THRU 3/220.400.60Yes (X)$0$0$0Yes (X)
JODI SHEAHAN
VICE CHAIR - THRU 3/220.400.60Yes (X)$0$0$0Yes (X)
KENNETH KORTMAN
BOARD MEMBER THRU 3/220.400.60Yes (X)$0$0$0
TAMI WISELY
BOARD MEMBER THRU 3/220.400.60Yes (X)$0$0$0
JENNY KENNEDY
BOARD MEMBER0.403.60Yes (X)$0$0$0
DANA RASIC
BOARD CHAIR / CEO5.0050.00Yes (X)$0$0$0Yes (X)
NATHAN MERRILL
TREASURER / CFO5.0050.00Yes (X)$0$0$0Yes (X)
DAN VAGLE
BOARD MEMBER0.403.60Yes (X)$0$0$0
RICK SUMMERS
BOARD MEMBER / COO5.0050.00Yes (X)$0$0$0Yes (X)
DALE TURNER
BOARD MEMBER0.403.60Yes (X)$0$0$0
DON MORGAN
BOARD MEMBER0.403.60Yes (X)$0$0$0
LARRY SMITH
BOARD MEMBER0.403.60Yes (X)$0$0$0
RONALD E ESTES END 322
PRESIDENT/CEO/CFO22.0018.00$358,240$0$9,412Yes (X)
DONNA TAYLOR END 622
EXECUTIVE VICE PRESIDENT/COO22.0018.00$343,680$0$10,591Yes (X)
JULIE HOFFMAN
CONTROLLER22.0018.00$118,835$0$5,084Yes (X)
LISA D SISCO
EXECUTIVE DIRECTOR0.0040.00$103,101$0$19,388Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$923,856TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$44,475TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RIDGE VIEW CONSTRUCTION
12075 SILVER CONCHO TRELBERTCO80106CONSTRUCTION CONTRACTOR$157,730
MORRISON LIVING
5801 PEACHTREE DUNWOODY ROADATLANTAGA30342HEALTH AGENCY STAFFING$154,038
SONORAN LANDSCAPE MAINTENANCE
PO BOX 8681PHOENIXAZ85066LANDSCAPING/GROUNDS KEEPING$153,360
COVENANT ALLIANCE REHAB
28100 TORCH PARKWAY - SUITE 600WARRENVILLEIL60555THERAPY SERVICES$101,083
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$1,552,194GovernmentGrantsAmt
All Other Contributions$41,073AllOtherContributionsAmt
Noncash Contributions$57,640NoncashContributionsAmt
Total Contributions$1,593,267TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
LIFE TENANCY623990$5,610,217$5,610,217
NURSING CARE623000$3,383,423$3,383,423
SENIOR HOUSING623990$88,211$88,211
FieldValueIRS element (for citing)
Total Program Service Revenue$9,081,851TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$71,571TotalRevenueColumnAmt
Exclusion$71,571ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$593,529OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$593,529OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$593,529TotalRevenueColumnAmt
Exclusion$593,529ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
OTHER PERSONAL SERVICES FOR RESID812900$27,330$27,330
MISCELLANEOUS REVENUE623000$10,399$10,399
CATERING SERVICES722320$7,250$7,250
FieldValueIRS element (for citing)
Other Revenue Total$44,979OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,385,197TotalRevenueColumnAmt
Related Or Exempt Func Income$9,081,851RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$710,079ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,063,145TotalAmt
Program Services$5,461,706ProgramServicesAmt
Management And General$601,439ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$639,403TotalAmt
Program Services$599,698ProgramServicesAmt
Management And General$39,705ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$459,169TotalAmt
Program Services$412,198ProgramServicesAmt
Management And General$46,971ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$21,700TotalAmt
Program Services$10,639ProgramServicesAmt
Management And General$11,061ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$76,006TotalAmt
Program Services$1,700ProgramServicesAmt
Management And General$74,306ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$579,519TotalAmt
Program Services$579,519ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$944,840TotalAmt
Program Services$803,434ProgramServicesAmt
Management And General$141,406ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$36,848TotalAmt
Program Services$36,848ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$466,956TotalAmt
Program Services$441,203ProgramServicesAmt
Management And General$25,753ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$149,991TotalAmt
Program Services$139,495ProgramServicesAmt
Management And General$10,496ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$907,975TotalAmt
Program Services$886,336ProgramServicesAmt
Management And General$21,639ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$18,782TotalAmt
Program Services$9,791ProgramServicesAmt
Management And General$8,991ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,257TotalAmt
Program Services$6,709ProgramServicesAmt
Management And General$1,548ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$447,625TotalAmt
Program Services$380,759ProgramServicesAmt
Management And General$66,866ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$834,152TotalAmt
Program Services$793,175ProgramServicesAmt
Management And General$40,977ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$415,705TotalAmt
Program Services$282,194ProgramServicesAmt
Management And General$133,511ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RESIDENT RELATED SUPPLI$858,263$856,202$2,061
MAINTENANCE AND REPAIRS$228,286$225,590$2,696
BAD DEBT$184,721$184,721
DUES AND SUBSCRIPTIONS$92,390$68,854$23,536

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$54,482TotalAmt
Program Services$43,743ProgramServicesAmt
Management And General$10,739ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,488,215TotalAmt
Program Services$12,224,514ProgramServicesAmt
Management And General$1,263,701ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,103,465BOYAmt
EOY$2,640,364EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$703,444BOYAmt
EOY$740,676EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,078,948BOYAmt
EOY$1,998,093EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$62,457BOYAmt
EOY$67,434EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$406,027BOYAmt
EOY$68,228EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$27,519,214LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,941,662LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,740,339BOYAmt
EOY$10,577,552EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,256,332BOYAmt
EOY$2,187,397EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$623,441BOYAmt
EOY$535,261EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,533,144BOYAmt
EOY$7,520,159EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$29,507,597BOYAmt
EOY$26,335,164EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,068,028BOYAmt
EOY$574,514EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$15,167BOYAmt
EOY$10,078EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,492,288BOYAmt
EOY$6,115,240EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$36,188BOYAmt
EOY$9,190EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,044,168BOYAmt
EOY$1,604,254EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,392,331BOYAmt
EOY$11,911,078EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,048,170BOYAmt
EOY$20,224,354EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,646,550BOYAmt
EOY$4,740,104EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,812,877BOYAmt
EOY$1,370,706EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,459,427BOYAmt
EOY$6,110,810EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,507,597BOYAmt
EOY$26,335,164EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,103,018ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$157,419NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$88,180OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
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$622,983CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$447,291CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,037,015CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,639,710CurrentTaxYearMinus1YearAmt
Current Tax Year$1,593,627CurrentTaxYearAmt
Total$9,340,626TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,995,268CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,961,987CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,266,385CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,603,079CurrentTaxYearMinus1YearAmt
Current Tax Year$9,081,851CurrentTaxYearAmt
Total$61,908,570TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,618,251CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,409,278CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,303,400CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,242,789CurrentTaxYearMinus1YearAmt
Current Tax Year$10,675,478CurrentTaxYearAmt
Total$71,249,196TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,058CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,706CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,506CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,154CurrentTaxYearMinus1YearAmt
Total$93,424TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,058CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,706CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,506CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,154CurrentTaxYearMinus1YearAmt
Total$93,424TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$71,155,772PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,626CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,050CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,234CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,243CurrentTaxYearMinus1YearAmt
Current Tax Year$71,571CurrentTaxYearAmt
Total$94,724TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,626CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,050CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,234CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,243CurrentTaxYearMinus1YearAmt
Current Tax Year$71,571CurrentTaxYearAmt
Total$94,724TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$83,284CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$80,125CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$50,419CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,178CurrentTaxYearMinus1YearAmt
Current Tax Year$44,979CurrentTaxYearAmt
Total$280,985TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,706,161CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,499,453CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,357,053CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,270,210CurrentTaxYearMinus1YearAmt
Current Tax Year$10,792,028CurrentTaxYearAmt
Total$71,624,905TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99350PublicSupportCY509Pct
Public Support PY5090.99300PublicSupportPY509Pct
Investment Income CY0.00130InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
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
ExplanationMISCELLANEOUS - 2018 AMOUNT: $ 13,795. 2019 AMOUNT: $ 17,542. 2020 AMOUNT: $ 22,494. 2021 AMOUNT: $ 7,030. 2022 AMOUNT: $ 10,399. BEAUTY/BARBER SERVICES - CATERING SERVICES - 2018 AMOUNT: $ 35,411. 2019 AMOUNT: $ 32,160. 2020 AMOUNT: $ 13,621. 2021 AMOUNT: $ 9,198. 2022 AMOUNT: $ 7,250. OTHER PERSONAL SERVICES FOR RESIDENTS - 2018 AMOUNT: $ 20,070. 2019 AMOUNT: $ 16,036. 2020 AMOUNT: $ 9,316. 2021 AMOUNT: $ 5,124. 2022 AMOUNT: $ 27,330. OFFICE LEASE INCOME - EMPLOYEE GUEST MEALS - 2018 AMOUNT: $ 14,008. 2019 AMOUNT: $ 14,387. 2020 AMOUNT: $ 4,988. 2021 AMOUNT: $ 826.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

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,104,139BeginningYearBalanceAmt
Investment Earnings Or Losses-$131,135InvestmentEarningsOrLossesAmt
End Year Balance$1,973,004EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,760,498BeginningYearBalanceAmt
Investment Earnings Or Losses$377,425InvestmentEarningsOrLossesAmt
Other Expenditures$33,784OtherExpendituresAmt
End Year Balance$2,104,139EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,639,142BeginningYearBalanceAmt
Investment Earnings Or Losses$148,356InvestmentEarningsOrLossesAmt
Other Expenditures$27,000OtherExpendituresAmt
End Year Balance$1,760,498EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,337,674BeginningYearBalanceAmt
Investment Earnings Or Losses$301,468InvestmentEarningsOrLossesAmt
End Year Balance$1,639,142EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,366,978BeginningYearBalanceAmt
Investment Earnings Or Losses-$29,304InvestmentEarningsOrLossesAmt
End Year Balance$1,337,674EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,853,842OtherCostOrOtherBasisAmt
Book Value$3,853,842BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,713,182OtherCostOrOtherBasisAmt
Depreciation$14,388,199DepreciationAmt
Book Value$5,324,983BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,766,424OtherCostOrOtherBasisAmt
Depreciation$2,553,463DepreciationAmt
Book Value$1,212,961BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$185,766OtherCostOrOtherBasisAmt
Book Value$185,766BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,577,552TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATESDesc
Book Value$7,520,159BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$7,520,159TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
SECURITY DEPOSITS$109,803
REFUNDABLE LIFE TENANCY CONTRACTS$573,007
DUE TO AFFILIATES$11,228,268
FieldValueIRS element (for citing)
Total Liability$11,911,078TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE ORGANIZATION MAINTAINS ESCROW ACCOUNTS ON BEHALF OF ITS RESIDENTS.
PART V, LINE 4:THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED TO SUPPORT RETIRED PASTORS AND MISSIONARIES, SUPPORT CHAPLAINS, PROVIDE EMERGENCY ASSISTANCE TO EMPLOYEES, PROVIDE HEALTHCARE SERVICES, AND PURCHASE NEEDED EQUIPMENT.
PART X, LINE 2:THE ORGANIZATION APPLIES THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
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 (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RONALD E ESTES END 322
PRESIDENT/CEO/CFO$127,327$0$0$0$230,913$0$404$0$9,008$0$367,652$0$0$0
DONNA TAYLOR END 622
EXECUTIVE VICE PRESIDENT/COO$73,106$0$0$0$270,574$0$0$0$10,591$0$354,271$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4AFormAndLineReferenceDesc
ExplanationRONALD ESTES, PRESIDENT / CEO / CFO, DONNA TAYLOR, EXECUTIVE VP / COO, AND JULIE HOFFMANN, CONTROLLER, ALL RECEIVED SEVERANCE PAYMENTS.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1IDA OF THE CITY OF PEORIA AZBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN521767454BondIssuerEIN
CUSIPF1284MBG3CUSIPNum
Bond Issued2012-12-20BondIssuedDt
Issue Price$5,969,957IssuePriceAmt
PurposeREFUNDED PRIOR ISSUE DATED 11/20/03PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$5,969,957TotalProceedsAmt
In Reserve Fund$322,203InReserveFundAmt
Issuance Costs From Proceeds$119,399IssuanceCostsFromProceedsAmt
Other Spent Proceeds$5,528,355OtherSpentProceedsAmt
Substantial Completion2013SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00010PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00010TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: IDA OF THE CITY OF PEORIA, AZ DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2022ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$57,640NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOVID PPE - GLOVESMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4LIFESTREAM COMPLETE SENIOR LIVING, INC. AND ITS AFFILIATED ORGANIZATIONS, LIFESTREAM COMPLETE SENIOR LIVING AT SUN RIDGE, INC., LIFESTREAM COMPLETE SENIOR LIVING AT THUNDERBIRD, INC., AND LIFESTREAM COMPLETE SENIOR LIVING AT NORTHEAST PHOENIX, INC. (COLLECTIVELY LIFESTREAM), ENTERED INTO A TRANSITION AGREEMENT WITH BETHESDA FOUNDATION DBA BETHESDA SENIOR LIVING COMMUNITIES (BETHESDA) ON DECEMBER 15, 2021, THAT PROVIDED FOR BETHESDA, SUBJECT TO THE COMPLETION OF THE DUE DILIGENCE, TO ACQUIRE GOVERNANCE CONTROL OF LIFESTREAM ON APRIL 1, 2022. THE GOVERNANCE CONTROL WAS EFFECTED THROUGH ACTION BY LIFESTREAM'S BOARD OF DIRECTORS ON MARCH 17, 2022. BETHESDA BOARD MEMBERS WERE ELECTED TO SERVE AS LIFESTREAM BOARD MEMBERS EFFECTIVE APRIL 1, 2022, AND LIFESTREAM'S EXISTING BOARD MEMBERS TENDERED THEIR RESIGNATION EFFECTIVE MARCH 31, 2022. THIS TRANSACTION AND AGREEMENT DID NOT IMPACT LIFESTREAM'S CORPORATE STRUCTURE.
FORM 990, PART VI, SECTION B, LINE 11BTAX RETURNS ARE PROVIDED TO THE BOARD MEMBERS PRIOR TO THE FILING OF THE RETURN. BOARD MEMBERS ARE AFFORDED THE OPPORTUNITY TO PROPOSE APPROPRIATE CHANGES TO THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY AND FORMS ARE DISTRIBUTED AND DISCUSSED AT THE ANNUAL MEETING OF THE BOARD. EACH BOARD DIRECTOR, COMMITTEE MEMBER AND OFFICER WITH BOARD DELEGATED POWERS WHETHER THEY BE DIRECT OR INDIRECT MUST READ AND SIGN INDICATING TO HAVE READ AND UNDERSTOOD THE CONFLICT POLICY AND AGREE TO COMPLY. EACH PERSON, ACCORDING TO THE POLICY, HAS THE DUTY TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST BY DISCLOSING THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN - THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED, THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH.
FORM 990, PART VI, SECTION B, LINE 15AANNUALLY, THE COMPENSATION COMMITTEE (COMPRISED OF THE CHAIRMAN AND VICE-CHAIRMAN OF THE BOARD PLUS ONE OTHER MEMBER OF THE BOARD OF DIRECTORS) REVIEWS THE FOLLOWING INFORMATION TO SET AND APPROVE EXECUTIVE COMPENSATION: INDEPENDENT SALARY SURVEY INFORMATION; PERFORMANCE REVIEW FOR CEO BASED ON MISSION, QUALITY, FINANCIAL AND STAFF LEADERSHIP; PERFORMANCE FEEDBACK ON OTHER EXECUTIVES PROVIDED BY CEO; BACKGROUND, SKILLS, QUALIFICATIONS FOR EACH EXECUTIVE. THE COMPENSATION COMMITTEE MEETS AND MAKES RECOMMENDATIONS TO THE FULL BOARD OF DIRECTORS DURING EXECUTIVE SESSION. MINUTES ARE TAKEN AT EACH MEETING AND MADE PART OF THE CORPORATE RECORD.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:CSPRGC CHANGE -88,180.
FORM 990, PAGE 12, PART XII, LINE 2CTHERE HAS BEEN NO CHANGE IN EITHER THE OVERSIGHT PROCESS OR THE SELECTION PROCESS DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
LIFESTREAM COMPLETE SENIOR LIVING AT NORTHEAST PHOENIX INC
11555 WEST PEORIA AVENUEYOUNGTOWNAZ85363860682800SENIOR APARTMENTSAZ501(C)(3)LINE 10LIFESTREAM COMPLETE SENIOR LIVING INCYes (1)
LIFESTREAM COMPLETE SENIOR LIVING AT SUN RIDGE INC
11555 WEST PEORIA AVENUEYOUNGTOWNAZ85363860712529SKILLED NURSINGAZ501(C)(3)LINE 10LIFESTREAM COMPLETE SENIOR LIVING INCYes (1)
LIFESTREAM COMPLETE SENIOR LIVING AT THUNDERBIRD INC
11555 WEST PEORIA AVENUEYOUNGTOWNAZ85363860739097SENIOR APARTMENTSAZ501(C)(3)LINE 10LIFESTREAM COMPLETE SENIOR LIVING INCYes (1)
BETHESDA SENIOR LIVING COMMUNITIES
15475 GLENEAGLE DRCOLORADO SPRINGSCO80921470497753DEVELOPMENT AND OPERATION OF SENIOR LIVING FACILITIESCO501(C)(3)LINE 100N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CHARITABLE TRUST (1)BusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesINVESTMENTSPrimaryActivitiesTxt
Legal Domicile StateAZLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1LIFESTREAM COMPLETE SENIOR LIVING INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeTEntityTypeTxt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
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 Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd