STRATEGY STUDIO / PUBLIC DATA EXPLORER

CENTRAL BAPTIST HOME FOR THE AGED: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CENTRAL BAPTIST HOME FOR THE AGED (EIN 36-1952520)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-07-12
IRS object ID
202221939349301757
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-07-12T14:42:37-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110 S RIVERSIDE PLAZA 9TH FLOORAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN361952520EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL BAPTIST VILLAGEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone7085838500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14747 N CANFIELDAddressLine1Txt
CityNORRIDGECityNm
State AbbreviationILStateAbbreviationCd
ZIP60706ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLORI ALTMANPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone7085838500PhoneNum
Signature2022-07-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLORIPersonFirstNm
Person LastALTMANPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID LOWENTHALPreparerPersonNm
PTINP00378651PTIN
Phone3122071040PhoneNum
Preparation2022-07-08PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAWN MONDSCHEINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14747 N CANFIELDAddressLine1Txt
CityNORRIDGECityNm
State AbbreviationILStateAbbreviationCd
ZIP60706ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$36,043,551GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CBVILLAGE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1896FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionCENTRAL BAPTIST VILLAGE IS A CONTINUING CARE RETIREMENT COMMUNITY WITH (CONT'D ON SCHEDULE O) MORE THAN A CENTURY OF DEDICATED SERVICE IN CARING FOR OLDER ADULTS. INSPIRED BY FAITH, WE SERVE AND CELEBRATE SENIORS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee336TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,354,849PYContributionsGrantsAmt
CY Contributions Grants$2,929,498CYContributionsGrantsAmt
PY Program Service Revenue$16,983,217PYProgramServiceRevenueAmt
CY Program Service Revenue$15,197,454CYProgramServiceRevenueAmt
PY Investment Income$2,167,688PYInvestmentIncomeAmt
CY Investment Income$2,849,981CYInvestmentIncomeAmt
PY Other Revenue$173,975PYOtherRevenueAmt
CY Other Revenue$205,716CYOtherRevenueAmt
PY Total Revenue$20,679,729PYTotalRevenueAmt
CY Total Revenue$21,182,649CYTotalRevenueAmt
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$11,685,993PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,563,295CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$15,226PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,744,322PYOtherExpensesAmt
CY Other Expenses$7,662,706CYOtherExpensesAmt
PY Total Expenses$19,445,541PYTotalExpensesAmt
CY Total Expenses$19,226,001CYTotalExpensesAmt
PY Revenues Less Expenses$1,234,188PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,956,648CYRevenuesLessExpensesAmt
Total Assets BOY$67,828,859TotalAssetsBOYAmt
Total Assets EOY$67,571,437TotalAssetsEOYAmt
Total Liabilities BOY$22,121,680TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,106,371TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$45,707,179NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$47,465,066NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS SET FORTH IN PART I, LINE 1, CENTRAL BAPTIST VILLAGE IS A CHARITABLE AND RELIGIOUS NOT-FOR-PROFIT ORGANIZATION, ESTABLISHED UNDER THE SPONSORSHIP OF NORTH AMERICAN BAPTIST CONFERENCE OF CHURCHES. OUR MISSION EMBRACES A FULL RANGE OF HUMAN NEEDS OF THE ELDERLY AND IS LIMITED ONLY BY OUR IMAGINATION, OUR SKILLS, OUR RESOURCES, AND OUR WILLINGNESS TO PROMOTE MEANINGFUL CHANGE. BEYOND CARING FOR THE ELDERLY'S COMFORT, SAFETY, SECURITY, AND GOOD HEALTH CARE, WE ATTEMPT TO PROMOTE THE QUALITY OF THEIR LIVES AND CREATE A BALANCE BETWEEN PROVIDING CARE TO THE ELDERLY AND DEALING EFFECTIVELY WITH PEOPLE AND SITUATIONS OF THE WORLD AROUND US. THIS INCLUDES GROWING IN SPIRITUAL WHOLENESS AND UNDERSTANDING THE MEANING OF LIFE, AGING, AND DEATH.FOR MORE DETAIL ON OUR COMMITMENT AND MISSION, PLEASE SEE THE ATTACHED CENTRAL BAPTIST VILLAGE MISSION STATEMENT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$13,987,287ExpenseAmt
Revenue$15,376,023RevenueAmt
DescAS PART OF OUR MISSION AT CENTRAL BAPTIST VILLAGE, WE PLEDGE TO SUPPORT OUR RESIDENTS WHEN THEY DEPLETE THEIR FUNDS. WE HAVE MAINTAINED IN RESIDENCE ALL RESIDENTS WHO HAVE BECOME, THROUGH NO FAULT OF THEIR OWN, UNABLE TO PAY THEIR REGULAR CHARGES. THROUGH OUR OWN HOME FOR LIFE PROGRAM (MADE POSSIBLE BY THE GENEROUS CONTRIBUTIONS OF OTHER CHURCHES, CHARITABLE ORGANIZATIONS, AND PEOPLE WHO BELIEVE IN AND SUPPORT THE PURPOSE, PROGRAMS, AND MISSION OF OUR COMMUNITY), WE EXTEND A HELPING HAND OF CHARITY IN THE TRUE EXAMPLE OF CHRIST AND HIS MINISTRY. OUR CHARITY APPLIES ALSO TO PERSONS OUTSIDE THE COMMUNITY WHO DO NOT HAVE THE FINANCIAL RESOURCES TO PAY THE COMMUNITY'S FEES AND CHARGES. WE ASSIST THEM, IN PART OR IN FULL, TO THE BEST OF OUR GOD GIVEN ABILITIES. IN ACCORDANCE WITH OUR BYLAWS, WE WILL WAIVE OR REDUCE, BASED ON AN INDIVIDUAL'S ABILITY TO PAY, ANY ENTRANCE FEE, ASSIGNMENT OF ASSETS, OR FEE FOR SERVICES. THIS CHARITY IS AVAILABLE TO ALL WHO NEED AND APPLY FOR IT. IN ADDITION, PROVIDING SERVICES TO OUR SKILLED NURSING RESIDENTS UNDER MEDICAID (8,689 MEDICAID DAYS IN 2021), PAYMENTS FOR WHICH DO NOT MEET OUR COSTS, WE FURTHER PRESERVE THEIR RESOURCES. OUTSIDE OF SKILLED NURSING, WE SUPPORT RESIDENTS IN OUR INDEPENDENT AND ASSISTED LIVING RESIDENCES WHO HAVE A NEED THROUGH OUR HOME FOR LIFE PROGRAM. IN ADDITION, WE HAVE FORGIVEN RESIDENTS' DEBT, DONATED CEMETERY PLOTS, AND PAID FOR FUNERALS AND MEMORIAL SERVICES IN OUR CHAPEL. CENTRAL BAPTIST VILLAGE ALSO EXTENDS ITS CHARITY TO THE LOCAL COMMUNITY AT LARGE. WE ARE A MAJOR CONTRIBUTOR TO THE SENIORS ASSISTANCE CENTER, SUPPORT THE HOME DELIVERED MEALS PROGRAM, HOST SAC VOLUNTEER LUNCHEONS, AND PROVIDE COMPLIMENTARY HEALTH SCREENING AND PRESENTATIONS FOR AREA OLDER ADULTS. ADDITIONALLY, CERTAIN CENTRAL BAPTIST VILLAGE EDUCATIONAL PROGRAMS ASSIST OUR LOCAL COMMUNITY TO LEARN AND MANAGE A MYRIAD OF RELEVANT TOPICS ON SUCCESSFUL AGING. EXAMPLES OF THOSE PROGRAMS ARE AGING CARE CONNECTIONS BENEFITS FAIR, TOTAL MEMORY WORKOUT, MEMORY SCREENING DAY, HEALTH CARE DECISIONS DAY, AND ANNUAL SENIOR HEALTH AND FITNESS DAY. WE SUPPORT MANY SCHOOLS WITH THEIR CNA TRAINING PROGRAMS, INTERNSHIP PLACEMENT SERVICES, AND PROFESSIONAL CONTINUING EDUCATIONAL SEMINARS, WHICH PROVIDE A COMPREHENSIVE EDUCATIONAL EXPERIENCE FOR INDIVIDUALS SEEKING TO WORK IN THE GERONTOLOGY FIELD. WE OFFER STIMULATING INTER-GENERATIONAL PROGRAMMING TO ENCOURAGE MUTUAL LEARNING, MENTORING, AND ENTERTAINMENT AND TO ENHANCE THE QUALITY OF LIFE FOR ALL PARTICIPANTS. IN OUR ON-GOING EFFORT TO SUPPORT A LOCAL CHURCH ON OUR PROPERTY, WE PROVIDE THE LAND FOR CHURCH OF OUR SAVIOR AND DONATE 20 PARKING SPOTS IN OUR COMMUNITY'S PARKING LOT FOR NORRIDGE COMMUNITY RESIDENTS' PARKING NEEDS. THESE EXAMPLES DO NOT CAPTURE ALL OF OUR ACTIVITIES, BUT THEY GIVE A PICTURE OF OUR CHARITABLE AND RELIGIOUS MISSION. THE PURPOSE OF ALL OF OUR ACTIVITIES IS TO CARRY FORWARD THAT MISSION.Desc
Total Program Service Expenses$13,987,287TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt 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 Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee336EmployeeCnt
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LORI ALTMANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7085838500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14747 N CANFIELD AVENUEAddressLine1Txt
CityNORRIDGECityNm
State AbbreviationILStateAbbreviationCd
ZIP60706ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARY COBAN
PRESIDENT1.000.00Yes (X)Yes (X)$0$0$0
JAMES RENKE
VICE PRESIDENT (UNTIL 9/21)1.000.00Yes (X)Yes (X)$0$0$0
JULIE ADAMS
TREASURER1.000.00Yes (X)Yes (X)$0$0$0
RICH GUSTAFSON
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
CARLO SALVADOR
DIRECTOR1.000.00Yes (X)$0$0$0
CAROLYN JOHNSON
DIRECTOR1.000.00Yes (X)$0$0$0
CONNIE LEEPER
DIRECTOR1.000.00Yes (X)$0$0$0
DANIEL WITT
DIRECTOR1.000.00Yes (X)$0$0$0
JOSHUA VIET NGUYEN
DIRECTOR (UNTIL 5/21)1.000.00Yes (X)$0$0$0
JUDITH DUNNE BERNARDI
DIRECTOR1.000.00Yes (X)$0$0$0
PAUL ODLYZKO
DIRECTOR1.000.00Yes (X)$0$0$0
RAYMOND MCGOVERN
DIRECTOR1.000.00Yes (X)$0$0$0
ROBERT WHITESELL
DIRECTOR1.000.00Yes (X)$0$0$0
DAWN MONDSCHEIN
CHIEF EXECUTIVE OFFICER40.000.00Yes (X)$223,092$0$15,061
LORI ALTMAN
CHIEF FINANCIAL OFFICER40.000.00Yes (X)$183,021$0$8,799
ANNA-LIISA LACROIX
ADMINISTRATOR40.000.00$146,036$0$12,020Yes (X)
KAREN HAEDO
DIRECTOR OF NURSING40.000.00$142,427$0$8,287Yes (X)
RACHEL TELLEEN
DIRECTOR OF SALES & MARKET40.000.00$123,718$0$11,777Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$818,294TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$55,944TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289ATLANTAGA30368OPERATIONS MANAGEMENT$1,938,772
SYMBRIA REHAB
28100 TORCH PARKWAYWARRENVILLEIL60555REHAB THERAPISTS$389,189
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$417,663RelatedOrganizationsAmt
Government Grants$2,398,588GovernmentGrantsAmt
All Other Contributions$113,247AllOtherContributionsAmt
Total Contributions$2,929,498TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NURSING HOME FEES623000$11,442,570$11,442,570
MEDICARE/MEDICAID PAYMENTS623000$3,754,884$3,754,884
FieldValueIRS element (for citing)
Total Program Service Revenue$15,197,454TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,320,215TotalRevenueColumnAmt
Exclusion$1,320,215ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$16,390,668SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$14,860,902SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,529,766SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,529,766TotalRevenueColumnAmt
Exclusion$1,529,766ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NON-REFUNDABLE DEPOSITS623000$125,750$125,750
VILLAGE CAFE722514$24,301$24,301
BEAUTY/BARBER SHOP812900$2,846$2,846

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$52,819TotalRevenueColumnAmt
Related Or Exempt Func Income$52,819RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$205,716OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,182,649TotalRevenueColumnAmt
Related Or Exempt Func Income$15,376,023RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,877,128ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$429,972TotalAmt
Management And General$429,972ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,896,714TotalAmt
Program Services$7,883,548ProgramServicesAmt
Management And General$1,013,166ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$121,195TotalAmt
Program Services$57,530ProgramServicesAmt
Management And General$63,665ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,443,874TotalAmt
Program Services$1,053,327ProgramServicesAmt
Management And General$390,547ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$671,540TotalAmt
Program Services$562,695ProgramServicesAmt
Management And General$108,845ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$143,583TotalAmt
Management And General$143,583ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$63,175TotalAmt
Management And General$63,175ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$132,540TotalAmt
Management And General$132,540ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,109,875TotalAmt
Program Services$995,175ProgramServicesAmt
Management And General$114,700ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$57,428TotalAmt
Management And General$57,428ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$136,563TotalAmt
Program Services$83,501ProgramServicesAmt
Management And General$53,062ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$177,280TotalAmt
Program Services$10,156ProgramServicesAmt
Management And General$167,124ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,628,560TotalAmt
Program Services$659,382ProgramServicesAmt
Management And General$969,178ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,410TotalAmt
Program Services$1,410ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$28,506TotalAmt
Program Services$9,178ProgramServicesAmt
Management And General$19,328ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6TotalAmt
Management And General$6ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,453,772TotalAmt
Program Services$910,020ProgramServicesAmt
Management And General$543,752ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$436,426TotalAmt
Program Services$36,979ProgramServicesAmt
Management And General$399,447ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD$875,698$863,621$12,077
SUPPLIES$848,435$844,166$4,269
PROVIDER TAX$253,755$253,755
DUES/FEES/LICENSES$36,570$36,570

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$279,124TotalAmt
Program Services$16,599ProgramServicesAmt
Management And General$262,525ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,226,001TotalAmt
Program Services$13,987,287ProgramServicesAmt
Management And General$5,238,714ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,247,014BOYAmt
EOY$1,709,481EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,894,035BOYAmt
EOY$1,527,071EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$3,130,697BOYAmt
EOY$3,224,618EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$284,219BOYAmt
EOY$258,529EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$42,735,434LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$22,292,119LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$19,764,759BOYAmt
EOY$20,443,315EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$41,508,135BOYAmt
EOY$40,408,423EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$67,828,859BOYAmt
EOY$67,571,437EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,936,239BOYAmt
EOY$2,444,261EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,943,115BOYAmt
EOY$17,434,004EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$1,992,700BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$249,626BOYAmt
EOY$228,106EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,121,680BOYAmt
EOY$20,106,371EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$27,745,104BOYAmt
EOY$29,110,589EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,962,075BOYAmt
EOY$18,354,477EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$45,707,179BOYAmt
EOY$47,465,066EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$67,828,859BOYAmt
EOY$67,571,437EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,956,648ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,037,598NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$838,837OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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$331,678CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$338,552CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$397,887CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,354,849CurrentTaxYearMinus1YearAmt
Current Tax Year$2,929,498CurrentTaxYearAmt
Total$5,352,464TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,924,968CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,440,561CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,921,146CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,108,157CurrentTaxYearMinus1YearAmt
Current Tax Year$15,376,023CurrentTaxYearAmt
Total$84,770,855TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,256,646CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,779,113CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,319,033CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,463,006CurrentTaxYearMinus1YearAmt
Current Tax Year$18,305,521CurrentTaxYearAmt
Total$90,123,319TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,085CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,960CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,965CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,700CurrentTaxYearMinus1YearAmt
Current Tax Year$11,275CurrentTaxYearAmt
Total$26,985TotalAmt

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$1,085CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,960CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,965CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,700CurrentTaxYearMinus1YearAmt
Current Tax Year$11,275CurrentTaxYearAmt
Total$26,985TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$90,096,334PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$923,751CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$969,274CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,089,639CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$972,539CurrentTaxYearMinus1YearAmt
Current Tax Year$1,320,215CurrentTaxYearAmt
Total$5,275,418TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$923,751CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$969,274CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,089,639CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$972,539CurrentTaxYearMinus1YearAmt
Current Tax Year$1,320,215CurrentTaxYearAmt
Total$5,275,418TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$625CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,360CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$49,035CurrentTaxYearMinus1YearAmt
Current Tax Year$27,147CurrentTaxYearAmt
Total$82,167TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,181,022CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,753,747CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,408,672CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,484,580CurrentTaxYearMinus1YearAmt
Current Tax Year$19,652,883CurrentTaxYearAmt
Total$95,480,904TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.94360PublicSupportCY509Pct
Public Support PY5090.94810PublicSupportPY509Pct
Investment Income CY0.05530InvestmentIncomeCYPct
Investment Income PY0.05170InvestmentIncomePYPct
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
ExplanationSPECIAL EVENT REVENUE - 2017 AMOUNT: $ 625. 2018 AMOUNT: $ 5,360. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. VILLAGE CAFE - 2020 AMOUNT: $ 33,585. 2021 AMOUNT: $ 24,301. BEAUTY/BARBER SHOP - 2020 AMOUNT: $ 15,450. 2021 AMOUNT: $ 2,846.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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,875,039BeginningYearBalanceAmt
Investment Earnings Or Losses$1,272,499InvestmentEarningsOrLossesAmt
Other Expenditures$884,205OtherExpendituresAmt
Administrative Expenses$80,206AdministrativeExpensesAmt
End Year Balance$18,183,130EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,130,689BeginningYearBalanceAmt
Investment Earnings Or Losses$996,204InvestmentEarningsOrLossesAmt
Other Expenditures$1,175,411OtherExpendituresAmt
Administrative Expenses$76,444AdministrativeExpensesAmt
End Year Balance$17,875,039EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,101,570BeginningYearBalanceAmt
Investment Earnings Or Losses$2,392,542InvestmentEarningsOrLossesAmt
Other Expenditures$1,285,117OtherExpendituresAmt
Administrative Expenses$78,306AdministrativeExpensesAmt
End Year Balance$18,130,689EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,726,053BeginningYearBalanceAmt
Investment Earnings Or Losses-$779,955InvestmentEarningsOrLossesAmt
Other Expenditures$765,788OtherExpendituresAmt
Administrative Expenses$78,740AdministrativeExpensesAmt
End Year Balance$17,101,570EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,628,606BeginningYearBalanceAmt
Investment Earnings Or Losses$1,920,557InvestmentEarningsOrLossesAmt
Other Expenditures$744,489OtherExpendituresAmt
Administrative Expenses$78,621AdministrativeExpensesAmt
End Year Balance$18,726,053EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$285,820OtherCostOrOtherBasisAmt
Book Value$285,820BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,639,424OtherCostOrOtherBasisAmt
Depreciation$16,125,455DepreciationAmt
Book Value$14,513,969BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,810,190OtherCostOrOtherBasisAmt
Depreciation$6,166,664DepreciationAmt
Book Value$5,643,526BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,443,315TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
SECURITIES - NORTHERN TRUST$19,602,873C
PERPETUAL TRUSTS$18,183,079C
RESTRICTED FUNDS - AMALGAMATED$2,487,437C
CERTIFICATE OF DEPOSIT$135,034C
FieldValueIRS element (for citing)
Total Book Value Securities$40,408,423TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
RESIDENT DEPOSITS$102,863
BOND PREMIUM$70,142
RESIDENT CREDIT BALANCES$55,101
FieldValueIRS element (for citing)
Total Liability$228,106TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$20,851,348TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,037,598NetUnrealizedGainsInvstAmt
Other Revenue$838,837OtherRevenueAmt
Revenue Not Reported-$198,761RevenueNotReportedAmt
Revenue Subtotal$21,050,109RevenueSubtotalAmt
Investment Expenses Not Incld$132,540InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$132,540RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$21,182,649TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$19,093,461TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$19,093,461ExpensesSubtotalAmt
Investment Expenses Not Incld2$132,540InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$132,540ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$19,226,001TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE HOME FOR LIFE PROGRAM IS USED TO PROVIDE FINANCIAL ASSISTANCE TO RESIDENTS WHO LIVE IN INDEPENDENT OR ASSISTED LIVING WHO ARE NO LONGER ABLE TO AFFORD THEIR MONTHLY FEES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE OF PERPETUAL TRUSTS HELD BY OTHERS 838,837.

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 Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 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
DAWN MONDSCHEIN
CHIEF EXECUTIVE OFFICER$218,892$0$4,200$0$0$0$2,596$0$12,465$0$238,153$0$0$0
LORI ALTMAN
CHIEF FINANCIAL OFFICER$179,571$0$3,450$0$0$0$2,164$0$6,635$0$191,820$0$0$0
ANNA-LIISA LACROIX
ADMINISTRATOR$142,586$0$3,450$0$0$0$1,758$0$10,262$0$158,056$0$0$0
KAREN HAEDO
DIRECTOR OF NURSING$138,977$0$3,450$0$0$0$1,652$0$6,635$0$150,714$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationAS INDICATED IN SCHEDULE J, PART II, THE CEO AND CFO RECEIVED A BONUS BASED UPON PERFORMANCE AND THE FINANCIAL RESULTS OF THE ORGANIZATION. THE BONUS WAS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ILLINOIS FINANCE AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN861091967BondIssuerEIN
CUSIP45200B4K1CUSIPNum
Bond Issued2007-06-14BondIssuedDt
Issue Price$23,510,440IssuePriceAmt
PurposeSEE PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$5,650,000RetiredAmt
Total Proceeds$24,719,536TotalProceedsAmt
In Reserve Fund$2,335,441InReserveFundAmt
Issuance Costs From Proceeds$470,209IssuanceCostsFromProceedsAmt
Working Capital Expenditures$2,345WorkingCapitalExpendituresAmt
Capital Expenditures$1,527,275CapitalExpendituresAmt
Other Spent Proceeds$21,930,801OtherSpentProceedsAmt
Substantial Completion2007SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable BondsYes (1)RefundingTaxableBondsInd
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 Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
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 RebateYes (1)ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICYes (1)GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line1NATIXIS FUNDING CORBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of GIC22.400000000000TermOfGICPct
Regulatory Safe Harbor StsfdYes (1)RegulatorySafeHarborStsfdInd
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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCH K, PART I, LINE A, COLUMN (F):RENOVATE FACILITY AND REFUND PRIOR ISSUES (11/10/1999).
SCH K, PART II, LINE 3:THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS.
SCH K, PART II, LINE 3:THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4 - 12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4.
SCH K, PART IV, LINE 2C:DATE THE REBATE COMPUTATION WAS PERFORMED: 05/31/2017
SCH K, PART IV, LINE 5C, COLUMN A:THE GIC WAS TERMINATED ON 7/12/2012

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZATION'S FORM 990. MANAGEMENT REVIEWS THE COMPLETED FORM 990 AND PROVIDES A FULL COPY TO ALL VOTING MEMBERS OF THE GOVERNING BODY. BOARD MEMBERS APPROVE THE FORM 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS IS REQUIRED TO ANNUALLY DISCLOSE ANY PERSONS OR ENTITIES WHICH MAY PRESENT A POSSIBLE FUTURE CONFLICT OF INTEREST. THESE ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND BOARD PRESIDENT AND FILED IN THE EXECUTIVE DIRECTOR'S BOARD MEMBER FILES. IN ADDITION, THE BOARD IS ASKED AT EACH MEETING IF THERE ARE ANY CONFLICTS OF INTEREST THAT NEED TO BE REPORTED. IF THERE ARE ANY DISCLOSED, THEY ARE DOCUMENTED IN THE MINUTES AND THE INTERESTED BOARD MEMBER IS PROHIBITED FROM PARTICIPATING IN DISCUSSIONS OR VOTES PERTAINING TO ANY TRANSACTION OR ARRANGEMENT. CENTRAL BAPTIST VILLAGE'S EMPLOYEE HANDBOOK CONTAINS A CONFLICT OF INTEREST POLICY AND ALL EMPLOYEES ARE REQUIRED TO SIGN A HANDBOOK RECEIPT ACKNOWLEDGMENT.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMMITTEE (THE COMMITTEE) OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE ANNUAL REVIEW OF THE COMPENSATION OF THE OFFICERS OF THE ORGANIZATION. ALL MEMBERS OF THE COMMITTEE ARE INDEPENDENT IN DETERMINING THE COMPENSATION OF THE OFFICERS OF THE ORGANIZATION. THE COMMITTEE EVALUATES THE OFFICERS OF THE ORGANIZATION PERFORMANCE AGAINST PREVIOUSLY AGREED UPON CRITERIA, CONSIDERS COMPARABLE MARKET DATA, THEN DEBATES AND DOCUMENTS ITS RECOMMENDATION OF REASONABLE COMPENSATION. IN DETERMINING THE COMPENSATION OF OTHER OFFICERS, THE SAME PROCEDURES ARE PERFORMED; HOWEVER, THE COMMITTEE CONSIDERS THE CEO'S EVALUATION OF THE STAFF'S PERFORMANCE.
FORM 990, PART VI, SECTION C, LINE 19ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF PERPETUAL TRUSTS HELD BY OTHERS 838,837.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
ARTHUR E GENIUS
PO BOX 803878CHICAGOIL60680366038242SUPPORTING ORGANIZATIONIL501(C)(3)LINE 12D, III-O0
RICHARD M GENIUS SR TRUST FOR CENTRAL BAPTIST HOME
PO BOX 803878CHICAGOIL60680367035832SUPPORTING ORGANIZATIONIL501(C)(3)LINE 12D, III-O0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth 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 Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ARTHUR E GENIUS
C$116,166COST
RICHARD M GENIUS SR TRUST FOR CENTRAL BAPTIST HOME
C$301,497COST