STRATEGY STUDIO / PUBLIC DATA EXPLORER

COMMUNITY RESIDENTIAL CENTERS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY RESIDENTIAL CENTERS INC (EIN 37-1223609)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-12
IRS object ID
201401329349300635
Schema version
2012v2.1
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)
Timestamp2014-05-12T09:27:37-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420714325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1117 E MAIN ST STE 210AddressLine1
CityGALESBURGCity
StateILState
ZIP Code61401ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN371223609EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY RESIDENTIAL CENTERS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone3093431550Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1285 SOUTH FARNHAM STREETAddressLine1
CityGALESBURGCity
StateILState
ZIP Code61401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTAN SYDLOWSKIName
TitlePRESIDENTTitle
Phone3093431550Phone
Date Signed2014-05-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBEN MCMAHANName
PTINP00702421PTIN
Phone3093428026Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTAN SYDLOWSKINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1285 SOUTH FARNHAM STREETAddressLine1
CityGALESBURGCity
StateILState
ZIP Code61401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9933265GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE & OPERATE LONG-TERM CARE FACILITIES FOR THE DEVELOPMENTALLY DISABLED.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees378TotalNbrEmployees
Total Nbr Volunteers49TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year16940ContributionsGrantsPriorYear
Contributions Grants Current Year25070ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9563561ProgramServiceRevenuePriorYear
Program Service Revenue CY9906456ProgramServiceRevenueCY
Investment Income Prior Year10206InvestmentIncomePriorYear
Investment Income Current Year1739InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year9590707TotalRevenuePriorYear
Total Revenue Current Year9933265TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6722525SalariesEtcPriorYear
Salaries Etc Current Year6570058SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3458068OtherExpensePriorYear
Other Expenses Current Year3245569OtherExpensesCurrentYear
Total Expenses Prior Year10180593TotalExpensesPriorYear
Total Expenses Current Year9815627TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-589886RevenuesLessExpensesPriorYear
Revenues Less Expenses CY117638RevenuesLessExpensesCY
Total Assets BOY10408095TotalAssetsBOY
Total Assets EOY9633437TotalAssetsEOY
Total Liabilities BOY7633578TotalLiabilitiesBOY
Total Liabilities EOY6741282TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2774517NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2892155NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF THE ORGANIZATION IS ARTICULATED IN ITS ARTICLES OF INCORPORATION AS FOLLOWS:THE CORPORATION IS ORGANIZED EXCLUSIVELY FOR CHARTIABLE PURPOSES AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. IN FURTHERANCE OF THOSE CHARITABLE PURPOSES, THE CORPORATION SHALL BE EMPOWERED TO BUILD, LEASE, ACQUIRE AND OTHERWISE OWN AND OPERATE RESIDENTIAL FACILITIES, NURSING FACILITIES AND OTHER RELATED FACILITIES AND SERVICES FOR THE ELDERLY, MENTALLY RETARDED, MENTALLY ILL, DEVELOPMENTALLY DISABLED AND OTHER LIKE CONDITIONS WITHOUT REGARD TO RACE, RELIGION, COLOR, SEX, CREED OR NATIONAL ORIGIN OF SAID PERSONS. THE CORPORATION WILL NOT ENGAGE IN THE PRACTICE OF MEDICINE NOR RENDER ANY LICENSED PROFESSIONAL SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9255776Expense
Revenue9906456Revenue
DescriptionALL PROGRAM SERVICES RELATE TO PROVIDING AND OPERATING LONG-TERM CARE FACILITIES AND OTHER RELATED SERVICES TO THE DEVELOPMENTALLY DISABLED AND ELDERLY. THE ORGANIZATION OPERATES ONE, 255-BED FACILITY.Description
Total Program Service Expense9255776TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees378NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RON WILSON RFMS INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3093431550TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1285 SOUTH FARNHAM STREETAddressLine1
CityGALESBURGCity
StateILState
ZIP Code61401ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
GARY BRUINGTON
DIRECTOR2.000.00X500000
STAN SYDLOWSKI
PRESIDENT2.000.00X475000X
CHARLES WESTBAY
SECRETARY2.000.00X475000X
DAVID BEVERSDORF
DIRECTOR2.000.00X500000
RON WILSON RFMS INC
CFO40.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org19500TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RFMS INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1285 SOUTH FARNHAM STREETAddressLine1
CityGALESBURGCity
StateILState
ZIP Code61401ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesADMINISTRATIVE SERVICESDescriptionOfServices
Compensation279510Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions25070AllOtherContributions
Noncash Contributions188NoncashContributions
Total Contributions25070TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE & MEDICAID62300082835038283503
RESIDENT PRIVATE PAY62300014840941484094
AID TRAINING INCOME623000120187120187
SUPPORT SERVICES INCOM6230001867218672
FieldValueIRS element (for citing)
Total Program Service Revenue9906456TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1739TotalRevenueColumn
Exclusion$1,739ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9933265TotalRevenueColumn
Related Or Exempt Function Income9906456RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,739ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total19800Total
Management And General19800ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5335993Total
Program Services5253939ProgramServices
Management And General82054ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total36156Total
Program Services35600ProgramServices
Management And General556ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total773323Total
Program Services761431ProgramServices
Management And General11892ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total404786Total
Program Services398561ProgramServices
Management And General6225ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total365580Total
Program Services217686ProgramServices
Management And General147894ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total51124Total
Management And General51124ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total152193Total
Management And General152193ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total69917Total
Program Services69917ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total19705Total
Program Services17735ProgramServices
Management And General1970ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total56780Total
Program Services44533ProgramServices
Management And General12247ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3623Total
Program Services2898ProgramServices
Management And General725ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total630957Total
Program Services589056ProgramServices
Management And General41901ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total36138Total
Program Services35838ProgramServices
Management And General300ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1177Total
Program Services1059ProgramServices
Management And General118ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total339498Total
Program Services322523ProgramServices
Management And General16975ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total49950Total
Program Services42458ProgramServices
Management And General7492ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES & SMALL EQUIP.820427820427
MEDICAID ASSESSMENT TAX567412567412
EQUIPMENT RENT & MAINT.6128061280
SUBSCRIPTIONS & FEES1232966155714

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7479Total
Program Services6808ProgramServices
Management And General671ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9815627Total
Program Services9255776ProgramServices
Management And General559851ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY113789BOY
EOY167925EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY851920BOY
EOY278131EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2636967BOY
EOY2634718EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY76170BOY
EOY66519EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8963231LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3625840LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5662919BOY
EOY5337391EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY10000BOY
EOY10000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1056330BOY
EOY1138753EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10408095BOY
EOY9633437EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY794459BOY
EOY579020EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4954904BOY
EOY4770576EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1884215BOY
EOY1391686EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7633578BOY
EOY6741282EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2774517BOY
EOY2892155EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2774517BOY
EOY2892155EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10408095BOY
EOY9633437EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses117638ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19811CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16802CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20620CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16940CurrentTaxYearMinus1Year
Current Tax Year25070CurrentTaxYear
Total99243Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10149763CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10042712CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9949772CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9563561CurrentTaxYearMinus1Year
Current Tax Year9906456CurrentTaxYear
Total49612264Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10169574CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10059514CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9970392CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9580501CurrentTaxYearMinus1Year
Current Tax Year9931526CurrentTaxYear
Total49711507Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50949711507PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8149CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2376CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years171160CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10206CurrentTaxYearMinus1Year
Current Tax Year1739CurrentTaxYear
Total193630Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8149CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2376CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years171160CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10206CurrentTaxYearMinus1Year
Current Tax Year1739CurrentTaxYear
Total193630Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4776CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5969CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2615CurrentTaxYearMinus2Years
Total13360Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10182499CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10067859CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10144167CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9590707CurrentTaxYearMinus1Year
Current Tax Year9933265CurrentTaxYear
Total49918497Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99590PublicSupportPercentage509
Prior Year Support Percentage0.99530PriorYearSupportPercentage
Investment Income Percentage0.00390InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00440PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis184000OtherCostOrOtherBasis
Book Value184000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6351515OtherCostOrOtherBasis
Depreciation2084525Depreciation
Book Value4266990BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1567665OtherCostOrOtherBasis
Depreciation910945Depreciation
Book Value656720BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis529007OtherCostOrOtherBasis
Depreciation390245Depreciation
Book Value138762BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis331044OtherCostOrOtherBasis
Depreciation240125Depreciation
Book Value90919BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5337391TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
FIDUCIARY TRUST ACCOUNTS66686
DEFERRED FINANCING COSTS93178
ESCROW DEPOSITS29143
REPLACEMENTS RESERVE920530
OTHER RECEIVABLES29216
FieldValueIRS element (for citing)
Total Book Value Other Assets1138753TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE BALANCE PAYABLE TO 501(C)(3) UNRELATED PARTY$1,325,000
DUE TO RESIDENTS, TRUST ACCOUNTS$66,686
FieldValueIRS element (for citing)
Total Of Amounts1391686TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION RECEIVES SUPPORT SERVICES FROM LTC SUPPORT SERVICES, LLC, AN UNRELATED COMPANY. THESE SERVICES INCLUDE OVERSIGHT, TRAINING, REGULATORY COMPLIANCE, QUALITY ASSURANCE PROGRAMS, HUMAN RESOURCE SUPPORT, MARKETING AND MAINTENANCE. COMMUNITY RESIDENTIAL CENTERS, INC., OWNS 12.5% OF LTC SUPPORT SERVICES, LLC. THE REMAINING 87.5% OF LTC SUPPORT SERVICES, LLC, IS OWNED BY UNRELATED EXEMPT ORGANIZATIONS. THE ORGANIZATION ALSO HAS A NEGOTIATED ARMS LENGTH ADMINISTRATIVE SERVICES CONTRACT WITH RFMS, INC., AN UNRELATED COMPANY, TO OBTAIN SERVICES SUCH AS CASH MANAGEMENT, ACCOUNTING AND FINANCIAL REPORTING, PAYROLL AND EMPLOYEE BENEFITS, INFORMATION TECHNOLOGY, REGULATORY MATTERS, AND OTHER GENERAL BUSINESS AND FINANCIAL MANAGEMENT SERVICES AS REQUIRED.
FORM 990, PART VI, SECTION B, LINE 11EACH MEMBER OF THE BOARD OF DIRECTORS RECEIVES A PAPER COPY OF FORM 990 FOR THEIR REVIEW AND COMMENT PRIOR TO ITS FILING. THE BOARD ALSO REVIEWS IN DETAIL EACH FORM 990 FILED BY THE ORGANIZATION AT ITS REGULARLY SCHEDULED BOARD MEETINGS. ON AN ANNUAL BASIS, EACH BOARD MEMBER ATTENDS A TRAINING SESSION THAT PROVIDES UPDATES ON CURRENT EXEMPT ORGANIZATION TAX COMPLIANCE MATTERS.
FORM 990, PART VI, SECTION B, LINE 12CALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO ATTEST TO THEIR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. THE BOARD OF DIRECTORS REVIEWS ALL COMPLETED CONFLICT OF INTEREST STATEMENTS TO DETERMINE IF ANY CONFLICTS EXIST WHICH WOULD REQUIRE RESTRICTION ON PARTICIPATION IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN ANY TRANSACTIONS INVOLVING THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 18A PAPER COPY OF FORM 990 IS PROVIDED UPON REQUEST. THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE VIA THE GUIDESTAR.ORG WEBSITE AND THROUGH THE ATTORNEY GENERAL'S OFFICE OF THE STATE OF ILLINOIS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC EXCEPT THROUGH PUBLIC FILING REQUIREMENTS.
FORM 990, PART VII, SECTION A, COLUMN F:RON WILSON IS EMPLOYED BY RFMS, INC., AN UNRELATED ORGANIZATION WHICH HAS AN ADMINISTRATIVE SERVICES CONTRACT WITH COMMUNITY RESIDENTIAL CENTERS, INC. THE TYPE OF SERVICES PROVIDED BY RFMS, INC., ARE DETAILED IN THE SCHEDULE O EXPLANATION ABOVE RELATIVE TO FORM 990, PART VI, SECTION A, LINE 3. RON WILSON IS THE CHIEF FINANCIAL OFFICER OF RFMS, INC. HIS COMPENSATION REPORTED ON HIS RFMS, INC. FORM W-2, BOX 5 FOR CALENDAR YEAR 2012 IS $174,379. RON WILSON'S COMPENSATION AMOUNT AND HOURS HAVE NOT BEEN PRORATED BASED ON TIME SPENT FOR EACH OF THE NINETEEN ORGANIZATIONS TO WHOM SERVICES ARE PROVIDED BY RFMS, INC.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CRC CHERRY STREET FACILITY LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1285 SOUTH FARNHAM STREETAddressLine1
CityGALESBURGCity
StateILState
ZIP Code61401ZIPCode
FieldValueIRS element (for citing)
EIN421578299EIN
Primary ActivitiesOWNS FACILITY OPERATED BY COMMUNITY RESIDENTIAL CENTERS, INC.PrimaryActivities
Legal Domicile StateILLegalDomicileState
Total Income528TotalIncome
EOY Assets5548726EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1RFMS INC MEDICAL BENEFIT PLAN TRUSTBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1285 SOUTH FARNHAM STREETAddressLine1
CityGALESBURGCity
StateILState
ZIP Code61401ZIPCode
FieldValueIRS element (for citing)
EIN367042729EIN
Primary ActivitiesMEDICAL, ST DISABILITY & DEATH BENEFITS FOR ELIGIBLE EMPLOYEESPrimaryActivities
Legal Domicile StateILLegalDomicileState
Exempt Code Section501(C)(9)ExemptCodeSection
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1RFMS INC MEDICAL BENEFIT PLAN TRUSTBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeRTransactionType
Amount Involved560111AmountInvolved
Method Of Amt DeterminationCOST OF PREMIUMSMethodOfAmtDetermination

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE R, PART II AND PART V:ReturnReference
ExplanationTHE RFMS, INC. MEDICAL BENEFIT PLAN TRUST IS A SELF-INSURED BENEFIT PROGRAM FUNDED BY THE EMPLOYERS AND PARTICIPANTS WITHIN THE PLAN. PARTICIPANTS IN THE PLAN ARE CURRENT AND FORMER EMPLOYEES OF THE FOLLOWING SPONSORS: RFMS, INC., LTC SUPPORT SERVICES, LLC, COMMUNITY RESIDENTIAL CENTERS, INC., COMMUNITY LIVING OPTIONS, INC., FRANCES HOUSE, INC., UNLIMITED DEVELOPMENT, INC., KENSINGTON OF GALESBURG, INC., ACHIEVEMENT UNLIMITED, INC., CONCEPTS PLUS, INC., PINNACLE OPPORTUNITIES, INC., PIONEER CONCEPTS, INC., RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., RESIDENTIAL ALTERNATIVES OF IOWA, DESERT HEALTHCARE FACILITIES, INC., FLORIDA LIVING OPTIONS, INC., AND HIGHLAND ESTATES RESORT, LLC. NO TRUSTEE FEES OR MANAGEMENT FEES ARE PAID BY THE RFMS, INC. MEDICAL BENEFIT PLAN TRUST. THE AMOUNT OF PREMIUMS RECEIVED BY THE RFMS, INC. MEDICAL BENEFIT PLAN TRUST IS FOR THE PLAN'S FISCAL YEAR ENDING OCTOBER 31, 2012.Explanation