2013-11-15T15:58:56-06:00 2012-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2012-01-01 841176989 CHRISTIAN LIVING COMMUNITIES CHRI 7209743555 7000 E BELLEVIEW AVENUE NO 150 GREENWOOD VILLAGE CO 80111 BRYON CHILDS 7209743560 2013-11-15 1 JEFF PARKER P00970069 3149254300 2012 2016-02-25 16:41:14Z BRYON CHILDS 7000 E BELLEVIEW AVE 250 GREENWOOD VILLAGE CO 80111 60201043 0 X WWW.CHRISTIANLIVINGCOMMUNITIES.ORG X 1972 CO CHRISTIAN LIVING COMMUNITIES MINISTERS TO SENIOR ADULTS THROUGH A CONTINUUM OF SERVICES AND CARE THAT REFLECTS CHRISTIAN LOVE, RESPECT AND COMPASSION AND THAT ENRICHES THE QUALITY AND DIGNITY OF LIFE FOR EACH INDIVIDUAL. 12 11 794 335 0 0 43427 93626 42691001 43194141 1635012 1199961 114797 644710 44484237 45132438 0 0 0 0 21337893 21647262 0 0 0 24979177 25525802 46317070 47173064 -1832833 -2040626 208029365 206387997 214871859 220205325 -6842494 -13817328 CHRISTIAN LIVING COMMUNITIES MINISTERS TO SENIOR ADULTS THROUGH A CONTINUUM OF SERVICES AND CARE THAT REFLECTS CHRISTIAN LOVE, RESPECT AND COMPASSION AND THAT ENRICHES THE QUALITY AND DIGNITY OF LIFE FOR EACH INDIVIDUAL. 0 0 40930921 43194141 CHRISTIAN LIVING COMMUNITIES (CLC) PROVIDES INDEPENDENT LIVING SERVICES, ASSISTED LIVING CARE AND NURSING HOME CARE FOR THE SENIOR ADULTS. CLC MINISTERS TO SENIOR ADULTS THROUGH A CONTINUUM OF SERVICES AND CARE THAT REFLECTS CHRISTIAN LOVE, RESPECT AND COMPASSION AND THAT ENRICHES THE QUALITY AND DIGNITY OF LIFE FOR EACH INDIVIDUAL. CLC SERVED APPROXIMATELY 1,100 PEOPLE THROUGH THE COORDINATION AND MANAGEMENT OF ACTIVITIES OF THE AFFILIATED 501(C)(3) ORGANIZATIONS. 40930921 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 83 0 794 1 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X X BRYON CHILDS 7209743555 7000 E BELLEVIEW AVENUE SUITE 150 GREENWOOD VILLAGE CO 80111 RUSSELL DENBRABER 35.00 5.00 X X 255374 0 35431 SANDY CLARK 1.00 X 0 0 0 LUCI DRAAYER 1.00 X 0 0 0 SUSAN KEESEN 1.00 1.00 X 0 0 0 JERRY ALGER 1.00 X X 0 0 0 GREG J HAM 1.00 X 0 0 0 CHUCK POWELL 1.00 X 0 0 0 JACK BARKER 1.00 X X 0 0 0 GENE DEKRUIF 1.00 X 0 0 0 PAUL JOHNSON 1.00 X 0 0 0 MIKE SEVERNS 1.00 X 0 0 0 JARED VASOLD 1.00 X 0 0 0 ROBERT WESTENBROEK 1.00 X 0 0 0 CAMILLE THOMPSON 35.00 5.00 X 134277 0 17338 BRYON CHILDS 35.00 5.00 X 127689 0 19670 JEFF TROUT 35.00 5.00 X 127439 0 15732 JAN BOMGAARS 20.00 4.00 X 3869 0 0 CINDY HOGAN 40.00 X 129127 0 7437 JILL VITALE-AUSSEM 40.00 X 124591 0 51 JANET LYONS 40.00 X 130367 0 65 JAN ROTH 40.00 X 113128 0 15487 JAYNE KELLER 40.00 X 112611 0 5321 1258472 0 116532 11 0 1 0 PINKARD CONSTRUCTION 9195 W 6TH AVE LAKEWOOD CO 80215 CONSTRUCTION SERVICES 15365810 WELLS FARGO BANK 1740 BROADWAY DENVER CO 80274 TRUST SERVICES 8522938 MORRISON MANAGEMENT PO BOX 102289 ATLANTA GA 30389 FOOD SERVICES 3311333 PREMERE REHAB PO BOX 5700 PORTLAND OR 97228 HEALTHCARE SERVICES 1719933 KAISER PERMANENTE DEPT 1697 DENVER CO 80274 HEALTHCARE SERVICES 1323723 26 83160 10466 93626 NET PATIENT SERVICE REVENUE 623000 43194141 43194141 43194141 626175 626175 69034 0 69034 69034 69034 15642391 15068605 573786 573786 573786 SALON AND SPA INCOME 900099 192358 192358 PHONE SERVICE INCOME 900099 161432 161432 EMPLOYEE/GUEST/CATERING MEAL INCO 900099 101453 101453 120433 120433 575676 45132438 43194141 0 1844671 1406612 1406612 17053878 16155283 898595 16748 2 16746 1796012 1396396 399616 1374012 1162786 211226 75742 75742 122548 122548 173026 173026 3916956 2995001 921955 564082 564082 1398315 1398315 90486 45530 44956 110594 11204 99390 6743012 5829461 913551 5323703 4602442 721261 469043 405497 63546 DIETARY EXPENSE 3257356 3257356 SUPPLIES 1115308 964205 151103 MISCELLANEOUS EXPENSE 1062500 786875 275625 REPAIRS AND MAINTENANCE 436431 436431 666700 548739 117961 47173064 40930921 6242143 0 3009415 3964651 7220642 4518683 2748112 2747660 104346 120360 396700 422987 148844552 32227357 119490231 116617195 11731927 15007740 923379 939853 62404613 62048868 208029365 206387997 6752932 8003187 56798656 59628210 148200477 149103984 3119794 3469944 214871859 220205325 X -8373504 -15329450 840739 821851 690271 690271 -6842494 -13817328 208029365 206387997 X -2040626 57916 -4992124 X X 0 1 X 1 0 X 17277 338230 8063 430 93626 457626 30118593 36751571 40319453 42801526 43194141 193185284 36133 56683 46053 138869 30172003 37146484 40373569 42801956 43287767 193781779 0 0 0 193781779 1028118 798806 598101 607549 695209 3727783 12434 37111 49545 1040552 835917 598101 607549 695209 3777328 450706 71546 4672 575676 1102600 31212555 38433107 41043216 43414177 44558652 198661707 0.97540 0.97480 0.01900 0.02230 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7367894 7367894 131223619 29356148 101867471 10253039 2871209 7381830 116617195 DEFERRED FINANCING COSTS (NET) 4521470 MARKETING COSTS 4769251 BOND FUNDS 4423009 AWUL - LONG TERM 24495095 DUE TO RELATED PARTY 381151 CIP 23458892 62048868 DEPOSITS FROM RESIDENTS 298560 REFUNDABLE FEES 3171384 3469944 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: CHRISTIAN LIVING COMMUNITIES AND THE STEWARDSHIP FUND ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION FOR STATE LAW. HOWEVER, THE ORGANIZATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE TAX RETURNS FOR THE YEARS 2010 TO 2012 ARE SUBJECT TO REVIEW AND EXAMINATION BY THE IRS. X X X 0 0 0 0 0 0 0 0 0 RUSSELL DENBRABER 226733 0 28145 0 496 0 16746 0 18685 0 290805 0 0 0 CAMILLE THOMPSON 119533 0 14586 0 158 0 0 0 17338 0 151615 0 0 0 A COLORADO HEALTH FACILITIES AUTHORITY 840752932 0019648AC 2006-11-16 83241241 ACQUIRING, CONSTRUCTING, AND EQUIPPING VARIOUS UNITS FOR SENIORS. 1 0 0 B COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648AVQ5 2011-11-02 36043837 TO PAY COSTS OF ACQUIRING, CONSTRUCTING, AND EQUIPPING 74 INDEPENDENT LIVING 0 0 0 C COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648AD85 2012-10-25 49866401 TO REFUND THE SERIES 2004A AND SERIES 2004B-2 BONDS, REFUND THE SERIES 2006B 0 0 0 A 17895000 2000000 81241241 6072587 2584750 2226463 184863 40865502 31307076 2008 1 0 1 1 B 36043837 1920531 3195801 178978 30748527 2013 0 0 0 1 C 49866401 48870323 996078 2013 1 1 0 1 A 0 1 1 0 0 0 0 1 B 0 1 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 0 1 1 0 1 TRANSAMERICA 4.500000000000 1 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 SCHEDULE K PART IV, ARBITRAGE, LINE 2C DATE REBATE COMPUTATION PERFORMED ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/16/2011 PART I, LINE A, COLUMN (E) / PART II, COLUMN A, LINE 3 TOTAL PROCEEDS OF ISSUE VS. LISTED ISSUE PRICE THE TOTAL PROCEEDS REFLECT AN ORIGINAL ISSUE DISCOUNT OF $1,346,231. PART II, LINE 14, COLUMN (A) SERIES 2006 BONDS - DESCRIPTION OF REFUNDED ISSUES 1. REVENUE BONDS, SERIES 1997 - LAST CALL DATE 01/02/2007, ISSUE DATE 04/08/1997, REMAINING WEIGHTED AVERAGE MATURITY 7.0307 2. REVENUE BONDS, SERIES 1997 VRDB - LAST CALL DATE 12/19/2006, ISSUE DATE 04/08/1997, REMAINING WEIGHTED AVERAGE MATURITY 2.6172 3. SERIES 2001 REFUNDING BONDS - LAST CALL DATE 01/02/2007, ISSUE DATE 10/04/2001, REMAINING WEIGHTED AVERAGE MATURITY 16.7835 4. REVENUE BONDS, SERIES 2002 VRDBS - LAST CALL DATE 01/02/2007, ISSUE DATE 10/01/2002, REMAINING WEIGHTED AVERAGE MATURITY 14.4786 5. SERIES 2004 BONDS, FINAL DEBT SCHEDULES - LAST CALL DATE 01/02/2007, ISSUE DATE 11/04/2004, REMAINING WEIGHTED AVERAGE MATURITY 28.4435 ALL REFUNDED ISSUES - REMAINING WEIGHTED AVERAGE MATURITY 16.3150 PART II, LINE 14, COLUMN (D) SERIES 2012 BONDS ON OCTOBER 25, 2012, THE ORGANIZATION ISSUED TAX EXEMPT REVENUE BONDS, SERIES 2012 IN THE AMOUNT OF $49,195,000. THE NET PROCEEDS OF THE SERIES 2012 BONDS WERE USED TO (A) REFUND THE SERIES 2004A AND SERIES 2004B-2 BONDS ISSUED OCTOBER 15, 2004 (B) REFUND THE SERIES 2006B-1 BONDS ISSUED NOVEMBER 16, 2006; AND (C) REFUND THE SERIES 2009 BONDS ISSUED FEBRUARY 20,2009. AS A RESULT, THE 2004 AND 2009 BONDS ARE NO LONGER REPORTED ON SCHEDULE K AS THERE IS NO OUTSTANDING LIABILITY OVER $100,000 REMAINING ON THOSE BONDS. FORM 990, PART III, QUESTION 2, COLUMNS A &B THE ORGANIZATION, AS A SENIOR LIVING FACILITY, DOES REGULARLY LEASE OR MAKE AVAILABLE TAX-EXEMPT BOND FINANCED PROPERTY TO THE ELDERLY AS PART OF ITS CHARITABLE PURPOSE & MISSION. GREG HAM BOARD MEMBER 237580 INSURANCE 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 GOES THROUGH AN INTERNAL REVIEW BY THE CFO OF CHRISTIAN LIVING COMMUNITIES. A COPY OF THE RETURN WILL BE PROVIDED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS FOR COMMENTS AND CLARIFICATION. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, EACH DIRECTOR AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS REVIEWS AND SIGNS A STATEMENTS WHICH AFFIRMS THAT THEY A) HAVE RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, B) HAVE READ AND UNDERSTAND THE POLICY, C) HAVE AGREED TO COMPLY WITH THE POLICY, AND D) UNDERSTAND THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT INORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S CEO'S COMPENSATION WAS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS DERIVED FROM COMPARABILITY DATA PUT TOGETHER FROM VARIOUS SOURCES PURCHASED BY THE ORGANIZATION. OTHER OFFICERS' AND KEY EMPLOYEES' SALARIES WERE DETERMINED BY THE PRESIDENT/CEO WITH INFORMATION FROM THE SAME COMPARABILITY DATA USED ABOVE. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS AND FORM 990 RETURNS ARE MADE AVAILABLE ONLINE AND UPON REQUEST. THE ORGANIZATION HAS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES AVAILABLE TO THE PUBLIC AT ITS EXECUTIVE OFFICE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN INVESTMENT IN AFFILIATE 33,127. ELIMINATION - CHANGE IN UNRESTRICTED NET ASSETS -4,246. CHANGE VALUE FOUNDATION -27,742. CHANGE STEWARDSHIP FUND VALUE 8,854. LOSS ON REFUNDING - MSI -5,002,117. FORM 990, PART XII, LINE 2C THE PROCESS IS CONSISTENT WITH PRIOR YEARS. SOCIAL ACCOUNTABILITY REPORT FOR 2012 FORM 990 ANNUAL PROJECTS - 9 NEWS HEALTH FAIR - HEALTH SCREENINGS DONE FOR COMMUNITY PERSONS WHO MIGHT NOT HAVE HEALTH INSURANCE - 750 PERSONS SERVED. (VALUE OF $92,088 - IF A HEALTH SCREENING WERE TO COST $100 THIS WOULD BE $75,000. 100 VOLUNTEERS GAVE APPROXIMATELY 8 HOURS TO ASSIST IN THIS PROCESS (800 X $21.36 = $17,088)). EARTHEN VESSEL AWARD DINNER - HONOR A CLC VOLUNTEER FOR YEARS OF SERVICE. (VALUE OF $110,000). APPROXIMATELY 400 GUESTS ATTENDED THIS EVENT AND $110,000 WAS RAISED FOR RESIDENT'S ASSISTANCE ALZHEIMER'S MEMORY WALK- AWARENESS OF ALZHEIMER'S DISEASE - ANNUAL EVENT. (VALUE OF $7,831). MONEY RAISED AT EVENT WALK BY CLC STAFF, RESIDENTS & FAMILY MEMBERS. AGED TO PERFECTION - HONOR A COMMUNITY PERSON FOR THEIR SERVICE. MONEY RAISED FOR RESIDENT'S ASSISTANCE AT EVENT. (VALUE OF $42,000). BIGGEST LOOSER CONTEST - STAFF MEMBERS PAY TO BE IN CONTEST, ALL DONATIONS GIVEN TO THE WINNER'S FAVORITE CHARITY. $1,400 WAS RAISED AND DONATED FOR CHARITY OF CHOICE. ROMP TO STOMP - A SNOWSHOE WALK IN FRISCO TO BENEFIT THE SUSAN KOMEN BREAST CANCER FOUNDATION - $3,864 RAISED FROM DONATIONS FROM EMPLOYEES TO WALK. THERE WERE 36 TEAM MEMBERS FROM CLC. BACKPACKS FOR KIDS - RESIDENTS AND STAFF FILL BACKPACKS FOR NEEDY CHILDREN GOING BACK TO SCHOOL - 86 BACKPACKS DONATED AND GIVEN TO THE SALVATION ARMY FOR NEEDY CHILDREN (VALUE OF $3,440 - AVERAGE OF $40 PER PACK = $3,440). ANGEL TREE - RESIDENTS AND EMPLOYEES PROVIDED GIFTS FOR CHILDREN. 86 CHILDREN RECEIVED GIFTS TOTALING $1,720 (86 GIFTS X APPROXIMATELY $20/EACH. SPOUSE BASKETS - PURCHASING AND PREPARING GIFT BASKETS FOR PERSONS WHOSE SPOUSES WERE RESIDENTS IN CLC COMMUNITIES AND PASSED AWAY IN 2012. 26 BASKETS DELIVERED. (VALUE $1,147 - 26 BASKETS WERE PREPARED AND DISTRIBUTED, COST OF GIFTS $442 + 9 VOLUNTEERS - 33 HOURS X 21.36 = $705). COMMUNITY BBQ'S - ALL COMMUNITIES HELD BBQ'S IN THE SUMMER. STAFF PROVIDED THE FOOD AND DONATIONS WERE GIVEN. $410 WAS RAISED. BBQ'S WERE HELD AT THE COMMUNITIES AND DONATIONS WERE GIVEN FOR PARKINSONS. NELSON MINISTRIES - RESIDENTS AND STAFF COLLECTED CLOTHING AND BEDDING FOR THE HOMELESS. RESIDENTS AND STAFF WERE ABLE TO SHARE WITH OTHER COLLECTING 1600 LBS. OF CLOTHING (VALUE - $3,840). IF AND AVERAGE DOLLAR COST WERE TO BE ASSOCIATED WITH EACH ITEM OF CLOTHING IT WOULD BE $2. $2 X 1600 LBS.= $3,200. PLUS VOLUNTEER TIME OF PICK UP AND DELIVERY = 30 HOURS X $21.36= $640. DAFFODIL DAYS - ADULT DAY PROGRAM RESIDENTS SOLD DAFFODILS TO BENEFIT THE AMERICAN CANCER SOCIETY. AWARENESS RAISED FOR AMERICAN CANCER SOCIETY. $730 WORTH OF BOUQUETS OF DAFFODILS WERE SOLD TO RESIDENTS AND FAMILY MEMBERS. PINEWOOD SUMMER BBQ - FEED THE PINEWOOD RESIDENTS AND PROVIDE SOCIALIZATION. SERVED APPROXIMATELY 70 RESIDENTS FOR BBQ. (VALUE OF $1,484 - COST IS WHAT IT WOULD HAVE BEEN HAD IT NOT BEEN DONATED - 70 RESIDENTS X $9 = $630 + 10 VOLUNTEERS X 4 HOURS X $21.36 = $854). UV MONTH - GLASSES ARE COLLECTED AT ALL COMMUNITIES AND DONATED TO THE LYONS CLUB FOR USE IN THIRD WORLD COUNTRIES. 150 PEOPLE WERE HELPED TO SEE BETTER WITH A VAULE OF $750. (150 PARIS OF GLASSES X $5) PINEWOOD AUTUMN DINNER - FEED THE PINEWOOD RESIDENTS AND PROVIDE SOCIALIZATION. SERVED APPROXIMATELY 70 RESIDENTS FOR DINNER WITH A VALUE OF $1,484. (COST HAD IT NOT BEEN DONATED - 70 RESIDENTS X $9 = $630 + 10 VOLUNTEERS X 4 HOURS X $21.36 = $854 ONGOING PROJECTS - PINEWOOD PANTRY FOOD FOR PINEWOOD RESIDENTS - SERVE APPROXIMATELY 70 RESIDENTS EACH MONTH + VOLUNTEER TIME OF 40 HOURS. (VALUE OF $11,846 = 70 RESIDENTS X 8 ITEMS X $1/ITEM X 12 MONTHS = $6,720 + 5 VOLUNTEERS X 4 HOURS X 12 MONTHS X $21.36 = $5,127). BLOOD DRIVES - BLOOD GIVEN TO SAVE LIVES. QUARTERLY BLOOD DRIVES HELD AT THE JOHNSON CENTER. (ESTIMATED VALUE OF $180,000 - 160 PINTS OF BLOOD X 3 LIVES SAVED. COST OF BLOOD - 360 X $500 = $180,000). TOYS FOR GOD'S KIDS - RESIDENTS MAKE WOODEN CARS FOR LOCAL SCHOOLS AND CHILDREN IN THIRD WORLD COUNTRIES. RESIDENTS ARE KEPT BUSY AND GIVEN A SENSE OF FULFILLMENT. (VALUE OF $4,800 - 4,800 X $1 EACH). READING TO STUDENTS AT VANDELLEN SCHOOL - APPROXIMATELY 5 RESIDENTS FROM CLERMONT PARK READ MONTHLY TO CHILDREN AT VANDELLEN CHRISTIAN SCHOOL. RESIDENTS ARE KEPT BUSY AND GIVEN A SENSE OF PURPOSE. COUPON CLIPPING - RESIDENTS CLIP COUPONS TO SUPPORT OVERSEAS MILITARY FAMILIES. RESIDENTS ABLE TO GIVE BACK TO ARMED FORCES MEMBERS (VALUE-$270,300). 210 LBS OF COUPONS WERE SENT TO YOKOTA JAPAN. 14 BOXES WERE MAILED (POSTAGE $13.45/EA)=$300, + VALUE OF COUPONS IS $1,300/LB X 210 LBS = $270,000. RENEW - RESIDENTS DONATE USED FURNITURE, ETC TO RENEW (A THRIFT SHOP TO BENEFIT DENVER CHRISTIAN. RENEW SELLS THE ITEMS AND GIVES THE MONEY TO DENVER CHRISTIAN. ITEMS SOLD AT THRIFT STORE BENEFIT THOSE WHO CANNOT AFFORD FULL PRICED ITEMS (VALUE-$8,000). SALES FROM GOODS DONATED FROM CLC WAS $8,000 IN 2012. HABITAT FOR HUMANITY - BUILD HOMES FOR LOW INCOME. WORKED ON TRIPLEX FOR THREE LOW INCOME FAMILIES (VALUE-$20,000). FIFTY EXECUTIVE TEAM AND MANAGEMENT TEAM MEMBERS SPENT 8 HOURS WORKING ON CONSTRUCTION FOR HABITAT FOR HUMANITY: 50 X 8 X $50 = $20,000. SAVVY SECONDS - RESIDENTS OPERATE A THRIFT SHOP IN THEIR COMMUNITY WEEKLY (VALUE-$8,226). READING TO STUDENTS AT WALNUT HILLS ELEMENTARY - RESIDENTS FROM THE VILLAGE TRAVEL TO WALNUT HILLS ELEMENTARY SCHOOL TO READ FOR THE STUDENTS. RESIDENTS ARE GIVEN A SENSE OF PURPOSE. (VALUE OF $3,845 - FIVE RESIDENTS TRAVEL WEEKLY - 180 X $21.36 = $3,845). SUNDAY OFFERINGS - SUNDAY OFFERINGS: COMPASSION INTERNATIONAL, DELORIS PROJECT, SOUTH EAST CHRISTIAN OUTREACH, PAVE, DENVER RESCUE MISSION, COMPASSION CARE, COMPASSION INTERNATIONAL, DENVER URBAN MINISTRIES, DOCTORS WITHOUT BORDERS, SUSAN G. KOMEN, TENNYSON CENTER, TRUE IMPACT MINISTRIES, SALVATION ARMY, PINEWOOD LODGE, ARISE MINISTRIES, STEP 13, URBAN PEAK, WORLD VISION, FOOD FOR POOR, PINEWOOD LODGE, HABITAT FOR HUMANITY, MILE HIGH MINISTRIES, STREET'S HOPE, TOYS FOR GOD'S KIDS, OPERATION HOMEFRONT, HOMES FOR OUR TROOPS, FOOD BANK OF THE ROCKIES, LAREDON HALL, MISSIONARIES, LITTLE SISTERS OF THE POOR. WEEKLY BASIS. VALUE-$21,901. TOTAL GIVEN IN OFFERINGS BY RESIDENTS AT THE VARIOUS CLC COMMUNITIES. USE OF COMMUNITY SPACES - MEMORIAL SERVICES - CLC CHAPLAINS FACILITATE MEMORIAL SERVICES FOR RESIDENTS AND WHICH SERVES THE FAMILIES. (VALUE OF $6,600 - 66 SERVICES X $100 EACH). WORSHIP SERVICES - CLC CHAPLAINS PROVIDE WEEKLY WORSHIP SERVICES IN ALL COMMUNITIES TO SERVE FAMILIES. (VALUE OF $15,600 - 52 SERVICES X 3 COMMUNITIES X $100 PER SERVICE = $15,600). CLASSES - NEUROBICS, LIVINGIT, QMAP TO ENGAGE RESIDENTS AND EMPLOYEES & GENERAL PUBLIC ENGAGED IN LEARNING. (VALUE OF $30,000). OUTSIDE GROUPS - PEO, AARP, INFINITY REHAB, AMERICAN LUNG ASSOCIATION, MEDICARE MONDAY, MEN'S BREAKFAST, SENIOR CARE, FLU CLINIC, REGIS UNIVERSITY, MEMORIES IN THE MAKING, SWEDISH CASE MANAGERS. CLC BUILDINGS USED FOR THE BROADER COMMUNITY. (VALUE OF $4,800 - PEO - 24 MEETINGS, APPROXIMATELY 24 OTHER MEETINGS HELD AT VARIOUS COMMUNITIES X $100/HOUR = $4,800). EDEN TRAINING - CLC HOSTED TWO 3-DAY EDEN ALTERNATIVE CLASSES FOR CERTIFIED EDEN ASSOCIATES AND COVERED CATERING COSTS. (VALUE OF $840 - 10 PEOPLE X $8 FOR MEALS = $240, + COST OF MEETING SPACE = $600). EDEN EDUCATOR CLASS - CLC HOSTED A 5-DAY ADVANCED EDEN EDUCATOR CLASS. (VALUE OF $2,500 - $500 FOR MEETING SPACE PER DAY). SERVICES OFFERED - HEARING CLINICS, FLU SHOTS, SUPPORT GROUPS FOR PARKINSONS, LOW VISION, FAMILY COUNCIL, CAREGIVERS, COMMUNITY RECYCLING EVENT, TRANSPORTATION - GROCERY TRIPS, MEDICAL APPOINTMENTS, OUTINGS, POSTAL VAN, BOOKMOBILE, PODIATRIST, THRIFT SHOPS FOR RESIDENTS, WAIT PROGRAM, CPR CLASSES, FIRST AID CLASSES. (VALUE OF $21,513 - HEARING CLINICS - 24 X 21.36 = $513, FLU SHOTS GIVEN TO NEARLY ALL CLC EMPLOYEES - 600 X $35 = $21,000). INTERNSHIPS / MENTORING - SOUTH DENVER SCHOOL OF NURSING - 27 DAYS OF CLINICALS FOR CNA STUDENTS. CLC PROVIDED LOCATION AND OVERSIGHT. (VALUE OF $1,440 - 144 HOURS X 10 = 1,440). STUDENTS FROM THE COMMUNITY ARE GUIDED BY CLC STAFF - (VALUE $2,080 - WANJI MUKUNGA, CHAPLAIN MENTORED TWO STUDENTS FOR 2 HOURS EACH WEEK X 52 WEEKS = 208 X 10 = 2080). STUDENTS FROM REGIS UNIVERSITY COMPLETED THEIR INTERNSHIP AT HOLLY CREEK. (VALUE OF $1,200 - ASSIGNMENTS WERE SHARED WITH CLC STAFF. 24 HOURS X $50/HOUR = $1,200. HEALTH ONE EMS - PARAMEDIC CLINICALS AT THE JOHNSON CENTER - 19 STUDENTS. CLC PROVIDED SPACE AND OVERSIGHT. (VALUE OF $6,720 - 672 HOURS X 10 = 6,720). SPONSORSHIPS - CLC PROVIDES MONEY TO THE FOLLOWING ORGANIZATIONS TO SPONSOR THEIR WORK - $2,000 TO LEADING AGE INNOVATIONS FUND; $10 TO DUMB FRIENDS LEAGUE; $234 TO CENTER FOR WORK EDUCATION; $1,500 TO CENTURA HEALTH @ HOME; $200 TO DENVER CHRISTIAN SCHOOLS; $15,250 TO LEADINGAGE; $100 TO JEREMIAH'S HOPE; $500 TO LEADING AGE HURRICANE RELIEF. SOCIAL ACCOUNTABILITY REPORT FOR 2012 (CONTINUED) FORM 990 CLC STEWARDSHIP FUND SUPPORTED THE FOLLOWING IN 2012 - BENEVOLENT CARE: 15,367 COMMUNITY BENEIFITS: 93,261 TOTAL AMOUNT OF MONEY GIVEN BY THE STEWARDSHIP FUND IS $108,628. VOLUNTEER HOURS DONATED IN CLC COMMUNITIES - VOLUNTEERS IN ALL COMMUNITIES ENGAGED IN VARIOUS ACTIVITIES IN CLC COMMUNITIES. (VALUE OF $745,677 - HOLLY CREEK - JOHNSON CENTER - CLERMONT PARK - JC/VILLAGE - BOARD OF DIRECTORS - 34,924 HOURS X $21.36 = $745,677). EMPLOYEES RECEIVING SCHOLARSHIP DOLLARS FOR FURTHER EDUCATION - NINE CLC EMPLOYEES WERE INTERVIEWED BY THE CLC CULTURE & MISSION COMMITTEE OF THE BOARD AND WERE AWARDED SCHOLARSHIPS TO FURTHER THEIR EDUCATION. (VALUE OF $12,307). VOLUNTEER HOURS DONATED BY EXECUTIVE STAFF FOR OUTSIDE INDUSTRY-RELATED ORGANIZATIONS - LEADINGAGE, LEADINGAGE COLORADO, CENTURA HEALTH AT HOME HOSPICE ADVISORYCOMMITTEE, LEADERSHIP NEXT, 9 HEALTH FAIR, CONSULTING, MENTOR, CARE TRANSISIONS, MENTORING, WASH PARK CARES, REGIS. (VALUE OF $53,600 - RUSS - 313 HOURS , TED - 17 HOURS, JEFF - 250 HOURS, JANET - 256 HOURS, CAMILLE - 168 HOURS, CAITLIN - 42 HOURS, JAYNE - 26 HOURS. TOTAL: 1072 X AVERAGE WAGE OF $50/HR = $53,600). MEMBERSHIPS / AFFILIATIONS BY STAFF - LEADINGAGE, LEADINGAGE COLORADO, COLORADO COMMISSION ON AGING, COLORADO GERONTOLOGICAL SOCIETY, DENVER SEMINARY, FRANKLIN PARK, DENVER WORKS BOARD OF DIRECTORS, ELEOS PROJECT BOARD OF DIRECTORS, MOUNTAIN STATES EMPLOYER'S COUNCIL HEALTH CARE ADVISORY BOARD, STATE OF COLORADO LICENSED PROFESSIONAL COUNSELOR EXAMINERS BOARD, FIGHTING BLINDNESS FOUNDATION, AMERICAN ASSOCIATION OF NURSE EXECUTIVES, ASSOCIATION FOR PROFESSIONALS IN INFECTION CONTROL. CLC HAS A MEMBERSHIP OR AFFILIATION WITH THE FOLLOWING GROUPS: AFFORDABLE HOUSING MANAGEMENT ASSOCIATION (AHMA), LEADINGAGE, LEADINGAGECO, ARAPAHOE COUNTY COUNCIL ON AGING, ASSISTED LIVING FEDERATION FO AMERICA (ALFA) BARNABAS FOUNDATION, BETTER BUSINESS BUREAU (BBB) CENTER FOR AGING SERVICES TECHNOLOGY (CAST), CHRISTIAN REFORMED CHURCH (CRC) COLORADO COMMISSION ON AGING (CCOA), COLORADO CULTURE CHANGE COALITION (CCC), COLORADO FOUNDATION FOR MEDICAL CARE BOARD OF DIRECTORS (CFMC), COLORADO GERONTOLOGICAL SOCIETY (CGS), COUNCIL OF REFORMED CHARITIES (CORC), COVENANT HEALTH NETWORK (CHN), EAST COALITION FOR SENIORS, EDEN ALTERNATIVE, HOUSING AND URBAN DEVELOPMENT (HUD), NATIONAL AFFORDABLE HOUSING MANAGEMENT ASSOCIATION (NAHMA), NATIONAL PRIVATE DUTY ASSOCIATION (NPDA), REFORMED CHURCHES OF AMERICA (RCA), ROTARY CLUB, SOUTH METRO CHAMBER OF COMMERCE, SOUTHWEST COALITION FOR SENIORS, WEST COALITION FOR SENIORS, WOMEN IN LEADERSHIP. SUBSIDIZED HUD ALLOWANCES TO RESIDENTS UNABLE TO PAY FULLY ESTABLISHED RATES - $74,487. PAYMENT FOR ITEMS FOR RESIDENTS NOT REIMBURSED UNDER MEDICAID - UNREALIZED INCOME FROM TOTAL LONG-TERM CARE, MEDICAID AND MEDICAID BED HOLDS - $1,550,920. DONATIONS - 47 NEW TABLE CLOTHS WERE DONATED TO A CHURCH. SEVERAL ITEMS WERE DONATED TO LAURAL MANOR FOR VICTIMS OF THE FIRES IN COLORADO SPRINGS - WIPES, SYRINGES, GLOVES, BRIEFS, WOUND SUPPLIES, PAPER TOWELS, PILLOWS, LINENS, CLOTHES, CUPS, ETC. (VALUE - $2,473 - COST OF TABLE CLOTHS WERE $7 EACH, 7 X $47 = $329. ITEMS WERE DONATED TO A NURSING HOME IN COLORADO SPRINGS DURING FIRE EVACUATIONS - $2,144). TOTAL FOR ALL CATEGORIES: $3,453,971 = 8.13% OF OPERATING REVENUES AND 8.34% OF OPERATING EXPENSES. CHARITY CARE AND UNCOMPENSATED CHARGES FORM 990 PART IX STATEMENT OF FUNCTIONAL EXPENSES THROUGH THE ORGANIZATION'S MISSION, ESTIMATED DIRECT AND INDIRECT COSTS OF PROVIDING CHARITY CARE HAVE BEEN ESTIMATED USING ACTUAL COSTS AND OPERATIONAL PROJECTIONS. COSTS FOREGONE APPROXIMATE $471,000 FOR THE YEAR ENDED DECEMBER 31, 2012. UNCOMPENSATED CHARGES PROVIDED TO RESIDENTS UNDER THE MEDICAID PROGRAM, WHICH IS FUNDED FROM OPERATIONS, WAS APPROXIMATELY $1,303,000 FOR THE YEAR ENDED DECEMBER 31, 2012. CHRISTIAN LIVING SERVICES FOR SENIOR HOUSING & HEALTHCARE LLC 7000 E BELLEVIEW AVENUE STE 150 GREENWOOD VILLAGE CO 80111 SENIOR HOUSING CO 0 0 CHRISTIAN LIVING COMMUNITIES CHRISTIAN LIVING COMMUNITIES - THE STEWARDSHIP FUND 7000 E BELLEVIEW AVENUE SUITE 250 GREENWOOD VILLAGE CO 80111 742408569 FUNDRAISING CO 501(C)(3) 509(A)(1) CHRISTIAN LIVING COMMUNITIES 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 CHRISTIAN LIVING COMMUNITES - THE STEWARDSHIP FUND M 55352 GL CHRISTIAN LIVING COMMUNITES - THE STEWARDSHIP FUND N 88671 GL CHRISTIAN LIVING COMMUNITES - THE STEWARDSHIP FUND C 83160 GL