CHRISTIAN CARE NURSING CENTER INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CHRISTIAN CARE NURSING CENTER INC (EIN 86-0318085)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201323189349305462
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T15:04:26-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450250958 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1850 N CENTRAL AVE SUITE 400 | AddressLine1 |
| City | PHOENIX | City |
| State | AZ | State |
| ZIP Code | 850044527 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860318085 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTIAN CARE NURSING CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHRI | NameControl |
| Phone | 6029431800 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2002 W SUNNYSIDE DRIVE | AddressLine1 |
| City | PHOENIX | City |
| State | AZ | State |
| ZIP Code | 85029 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN NORRIS | Name |
| Title | CEO | Title |
| Phone | 6029431800 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRENDA BLUNT | Name |
| PTIN | P00075126 | PTIN |
| Phone | 6022645844 | Phone |
| Date Prepared | 2013-11-12 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN NORRIS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2002 W SUNNYSIDE DRIVE | AddressLine1 |
| City | PHOENIX | City |
| State | AZ | State |
| ZIP Code | 85029 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5516631 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CHRISTIANCARE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1976 | YearFormation |
| State Legal Domicile | AZ | StateLegalDomicile |
| Activity Or Mission Description | PROVIDING LONG TERM CARE AND SKILLED NURSING TO VERY LOW INCOME SENIORS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 85 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 84858 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 80715 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5053847 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5313989 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 190 | InvestmentIncomePriorYear |
| Investment Income Current Year | 102308 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1477 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1469 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5140372 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5498481 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3546174 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3797796 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1668095 | OtherExpensePriorYear |
| Other Expenses Current Year | 1936071 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 5214269 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5733867 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -73897 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -235386 | RevenuesLessExpensesCY |
| Total Assets BOY | 2467778 | TotalAssetsBOY |
| Total Assets EOY | 2514849 | TotalAssetsEOY |
| Total Liabilities BOY | 2913871 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3196328 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -446093 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -681479 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | MOTIVATED BY CHRISTIAN LOVE AND CONCERN, WE STRIVE TO PROVIDE QUALITY AND RESPONSIVE SENIOR HOUSING, HOSPITALITY AND HEALTHCARE SERVICES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 5054204 | Expense |
| Revenue | 5313989 | Revenue |
| Description | THE ORGANIZATION IS A 66-BED SKILLED & LONG-TERM CARE CENTER WHICH PROVIDES 24-HOUR NURSING CARE & SPECIALIZED REHABILITATION SERVICES TO THE ELDERLY. THE CENTER OFFERS COMFORTABLE ROOMS, NUTRITIOUS MEALS, SOCIAL SERVICES INCLUDING A CAMPUS CHAPLAIN & INDIVIDUALIZED ACTIVITY PROGRAMS GIVING RESIDENTS A SENSE OF PURPOSE AS THEY NEAR THE END OF LIFE. LICENSED BY THE STATE OF AZ & CERTIFIED BY MEDICARE, APPROXIMATELY 60% OF RESIDENT CARE SERVICES ARE PAID BY THE AZ HEALTH CARE COST CONTAINMENT SYSTEM. THE CENTER ACTIVELY PARTICIPATES IN FUND RAISING AS MEDICAID REIMBURSEMENT HAS NOT COVERED THE COST OF PROVIDING QUALITY CARE SERVICES. THE CENTER IS AN ACTIVE PARTICIPANT IN ADVANCING EXCELLENCE IN AMERICA'S NURSING HOMES, A COALITION OF CONSUMERS/HEALTH CARE PROVIDERS & NURSING HOME PROFESSIONALS. (CONTINUED ON SCH. O) IN FEBRUARY 2010 US NEWS & WORLD REPORT RANKED THE CENTER IN THE TOP 5 NURSING HOMES IN ARIZONA.FOUNDED IN 1979 THE CHRISTIAN CARE COMPANIES BEGAN WITH 96 UNITS OF SUBSIDIZED HOUSING AND A 60 BED NURSING CENTER ON THE PHOENIX CAMPUS. THE NURSING CENTER CORNERSTONE QUOTES PSALM 71:9, CAST ME NOT OFF IN THE TIME OF OLD AGE; FORSAKE ME NOT WHEN MY STRENGTH FAILETH. THE ORGANIZATION IS ONE OF THE RELATED CHRISTIAN CARE COMPANIES. THE CHRISTIAN CARE COMPANIES ARE COMPRISED OF NON-PROFIT CORPORATIONS CONTROLLED BY THE NON-DENOMINATIONAL CHRISTIAN CHURCHES OF ARIZONA. GOVERNED BY A COMMON BOARD OF DIRECTORS, RELATED ENTITIES INCLUDE: CHRISTIAN CARE RETIREMENT APARTMENTS, INC., CHRISTIAN CARE ASSISTED LIVING, INC. (PHOENIX), CHRISTIAN CARE MESA, INC.; CHRISTIAN CARE TUCSON, INC., CHRISTIAN CARE MESA II, INC., CHRISTIAN CARE MANOR I, INC., CHRISTIAN CARE MANOR II, INC., CHRISTIAN CARE MANOR III, INC., CHRISTIAN HOUSING MESA, INC., CHRISTIAN CARE MESA III, INC., CHRISTIAN HOUSING COTTONWOOD, INC. CHRISTIAN CARE COTTONWOOD, INC., CHRISTIAN CARE COTTONWOOD III, INC., CHRISTIAN CARE COTTONWOOD IV, INC., CHRISTIAN CARE COTTONWOOD V, INC., CHRISTIAN CARE COTTONWOOD VI, INC., CHRISTIAN CARE COTTONWOOD VII, INC., CHRISTIAN CARE COTTONWOOD VIII, INC., CHRISTIAN CARE CALIFORNIA, INC., CHRISTIAN CARE FOUNDATION, CHRISTIAN CARE MANAGEMENT, INC., CHRISTIAN CARE MANAGEMENT II, INC. AND CHRISTIAN CARE HOLDING COMPANY, INC.AT DECEMBER 31, 2012, THE CHRISTIAN CARE COMPANIES OWN AND OPERATE 1,631 UNITS OF MIDDLE-INCOME, MARKET-RATE INDEPENDENT AND ASSISTED LIVING FOR SENIORS ON FOUR CAMPUSES, 428 UNITS OF SUBSIDIZED HOUSING, AND A 66-BED HEALTH CENTER. IN ADDITION, WE PROVIDE ASSISTED LIVING SERVICES TO UP TO 91 RESIDENTS OF OUR SUBSIDIZED HOUSING.BENEFITS OF BEING PART OF A CHRISTIAN CARE CAMPUS TYPICALLY INCLUDE SHARED HOUSEKEEPING, MAINTENANCE, AND SECURITY SERVICES INCLUDING CALL BUTTON MONITORING; ACCESS TO PRIVATE SCHEDULED TRANSPORTATION; AND COMPUTER LABS WITH HIGH-SPEED INTERNET. RESIDENTS TYPICALLY HAVE ENTREE TO ON-CAMPUS FOOD SERVICE VENUES, ENTERTAINING ACTIVITY PROGRAMS, HEALTH & WELLNESS OPPORTUNITIES AND CHAPLAINCY SERVICES.CHRISTIAN CARE MANAGEMENT, INC., PROVIDES STRATEGIC DIRECTION, DEVELOPMENT, HUMAN RESOURCES, ACCOUNTING, PAYROLL, BUDGETARY, INFORMATION TECHNOLOGY AND CORPORATE MANAGEMENT SUPPORT. CHRISTIAN CARE HOLDING COMPANY, INC. PROVIDES FINANCIAL ASSETS TO MEET LIQUIDITY NEEDS AND SPONSORS SOME OF THE RELATED ORGANIZATIONS. CHRISTIAN CARE FOUNDATION, INC. CREATES A POSITIVE AWARENESS AND RAISES FUNDS TO SUPPORT AND EXPAND THE CHRISTIAN CARE MISSION AND ENTITIES. | Description |
| Total Program Service Expense | 5054204 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | AZ | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID KLEMM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6024435451 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2002 W SUNNYSIDE DRIVE | AddressLine1 |
| City | PHOENIX | City |
| State | AZ | State |
| ZIP Code | 85029 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|---|
| LARRY D DAILY | |||||||
| DIRECTOR | 0.10 | 0.90 | X | 0 | 0 | 0 | |
| JAY MIHALEK | |||||||
| DIRECTOR | 0.10 | 0.90 | X | 0 | 0 | 0 | |
| CHRISTINE GUERIN | |||||||
| DIRECTOR | 0.10 | 0.90 | X | 0 | 0 | 0 | |
| SHARON JOHNSON-SHANNON | |||||||
| DIRECTOR | 0.10 | 0.90 | X | 0 | 0 | 0 | |
| EARL KRUEGER | |||||||
| DIRECTOR | 0.10 | 0.90 | X | 0 | 0 | 0 | |
| ROGER BLUMENTHAL | |||||||
| DIRECTOR | 0.10 | 0.90 | X | 0 | 0 | 0 | |
| FRANK SUNG | |||||||
| DIRECTOR | 0.10 | 0.90 | X | 0 | 0 | 0 | |
| MARILYN METZGER | |||||||
| DIRECTOR | 0.10 | 0.90 | X | 0 | 0 | 0 | |
| OSCAR E FRENCH | |||||||
| DIRECTOR | 0.10 | 0.90 | X | 0 | 0 | 0 | |
| THOMAS HARTZLER | |||||||
| PRESIDENT | 0.10 | 0.90 | X | 0 | 0 | 0 | X |
| JOHN MCKINDLES | |||||||
| FIRST VICE PRESIDENT | 0.10 | 0.90 | X | 0 | 0 | 0 | X |
| DONALD DEWITT | |||||||
| SECOND VICE PRESIDENT | 0.10 | 0.90 | X | 0 | 0 | 0 | X |
| BARBARA CARR | |||||||
| TREASURER | 0.10 | 0.90 | X | 0 | 0 | 0 | X |
| GEOFFREY LEWIS | |||||||
| SECRETARY | 0.10 | 0.90 | X | 0 | 0 | 0 | X |
| JACK MARTIN | |||||||
| PAST PRESIDENT | 0.10 | 0.90 | X | 0 | 0 | 0 | X |
| JOHN S NORRIS | |||||||
| CHIEF EXECUTIVE OFFICER | 2.00 | 38.00 | 0 | 203164 | 93873 | X | |
| DAVID KLEMM | |||||||
| CHIEF FINANCIAL OFFICER | 3.00 | 37.00 | 0 | 126526 | 45525 | X | |
| EDWARD JOHNSON | |||||||
| CHIEF HUMAN RESOURCE OFFIC | 3.00 | 37.00 | 0 | 128646 | 14456 | X | |
| KATHRYN LOSCHEIDER | |||||||
| EXECUTIVE DIRECTOR | 10.00 | 30.00 | 0 | 133695 | 5916 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 592031 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 159770 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| COVENANT ALLIANCE REHAB | |||||
| 1520 KENSINGTON RD SUITE 110 | OAK BROOK | IL | 60523 | PATIENT THERAPIES | 327550 |
| CHRISTIAN CARE MANAGEMENT INC | |||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | MANAGEMENT SERVICES | 179087 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| All Other Contributions | 80715 | AllOtherContributions |
| Total Contributions | 80715 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| RESIDENT SERVICE INCOM | 623000 | 5308677 | 5308677 |
| MISCELLANEOUS INCOME | 900099 | 5312 | 5312 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5313989 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 82 | TotalRevenueColumn |
| Exclusion | $82 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1469 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1469 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1469 | TotalRevenueColumn |
| Exclusion | $1,469 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 120376 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 18150 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 102226 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 102226 | TotalRevenueColumn |
| Exclusion | $102,226 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5498481 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5313989 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $103,777 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3243002 | Total |
| Program Services | 3054502 | ProgramServices |
| Management And General | 188500 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22425 | Total |
| Program Services | 21722 | ProgramServices |
| Management And General | 703 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 269963 | Total |
| Program Services | 252603 | ProgramServices |
| Management And General | 17360 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 262406 | Total |
| Program Services | 248485 | ProgramServices |
| Management And General | 13921 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 179087 | Total |
| Management And General | 179087 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13865 | Total |
| Management And General | 13865 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 405245 | Total |
| Program Services | 405245 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8774 | Total |
| Program Services | 8774 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58206 | Total |
| Management And General | 58206 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38998 | Total |
| Program Services | 760 | ProgramServices |
| Management And General | 38238 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 216105 | Total |
| Program Services | 206037 | ProgramServices |
| Management And General | 10068 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24713 | Total |
| Program Services | 24364 | ProgramServices |
| Management And General | 349 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28674 | Total |
| Program Services | 25748 | ProgramServices |
| Management And General | 2926 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74108 | Total |
| Program Services | 74108 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 137736 | Total |
| Program Services | 137736 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55574 | Total |
| Program Services | 55474 | ProgramServices |
| Management And General | 100 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 361917 | 361917 | |
| FOOD LAUNDRY LINENS | 170467 | 170467 | |
| REFINANCE FEES | 83365 | 83365 | |
| BAD DEBT EXPENSE | 63262 | 63262 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15975 | Total |
| Program Services | 6262 | ProgramServices |
| Management And General | 9713 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5733867 | Total |
| Program Services | 5054204 | ProgramServices |
| Management And General | 679663 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44830 | BOY |
| EOY | 48713 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84959 | BOY |
| EOY | 60518 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 672372 | BOY |
| EOY | 695799 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14139 | BOY |
| EOY | 12546 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18461 | BOY |
| EOY | 18728 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3399169 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1887801 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1494345 | BOY |
| EOY | 1511368 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50013 | BOY |
| EOY | 76913 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88659 | BOY |
| EOY | 90264 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2467778 | BOY |
| EOY | 2514849 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 349971 | BOY |
| EOY | 435337 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26670 | BOY |
| EOY | 7600 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1298805 | BOY |
| EOY | 1411282 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500000 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 738425 | BOY |
| EOY | 1342109 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2913871 | BOY |
| EOY | 3196328 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -446093 | BOY |
| EOY | -681479 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -446093 | BOY |
| EOY | -681479 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2467778 | BOY |
| EOY | 2514849 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -235386 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 116705 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 79604 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 106194 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 84858 | CurrentTaxYearMinus1Year |
| Current Tax Year | 80715 | CurrentTaxYear |
| Total | 468076 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3945745 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4699094 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4816352 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5053847 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5314006 | CurrentTaxYear |
| Total | 23829044 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4062450 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4778698 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4922546 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5138705 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5394721 | CurrentTaxYear |
| Total | 24297120 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 946068 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 770652 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 689657 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 742052 | CurrentTaxYearMinus1Year |
| Current Tax Year | 598636 | CurrentTaxYear |
| Total | 3747065 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 946068 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 770652 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 689657 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 742052 | CurrentTaxYearMinus1Year |
| Current Tax Year | 598636 | CurrentTaxYear |
| Total | 3747065 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 20550055 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1760 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 139 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1267 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1667 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1551 | CurrentTaxYear |
| Total | 6384 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1760 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 139 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1267 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1667 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1551 | CurrentTaxYear |
| Total | 6384 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4064210 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4778837 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4923813 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5140372 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5396272 | CurrentTaxYear |
| Total | 24303504 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.84560 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.81960 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00030 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00080 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 1 | AgentTrusteeEtc |
| Beginning Balance | 4060 | BeginningBalance |
| Ending Balance | 4060 | EndingBalance |
| Included On FS | 0 | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 28076 | OtherCostOrOtherBasis |
| Book Value | 28076 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2728257 | OtherCostOrOtherBasis |
| Depreciation | 1512521 | Depreciation |
| Book Value | 1215736 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 80051 | OtherCostOrOtherBasis |
| Depreciation | 17685 | Depreciation |
| Book Value | 62366 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 407494 | OtherCostOrOtherBasis |
| Depreciation | 273357 | Depreciation |
| Book Value | 134137 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 155291 | OtherCostOrOtherBasis |
| Depreciation | 84238 | Depreciation |
| Book Value | 71053 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1511368 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO AFFILIATES | Description |
| Amount | $1,342,109 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1342109 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 5498481 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 5498481 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 5498481 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 5733867 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 5733867 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 5733867 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 1B: | THE ORGANIZATION HOLDS DEPOSITS IN TRUST FOR ITS RESIDENTS. | |
| PART X, LINE 2: | THE ENTITIES BELIEVE THAT THEY HAVE APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING THEIR ANNUAL FILING REQUIREMENTS, AND AS SUCH, DO NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN S NORRIS | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | 0 | 189354 | 0 | 330 | 0 | 13480 | 0 | 8923 | 0 | 84950 | 0 | 297037 | 0 | 0 |
| DAVID KLEMM | ||||||||||||||
| CHIEF FINANCIAL OFFICER | 0 | 116169 | 0 | 325 | 0 | 10032 | 0 | 5230 | 0 | 40295 | 0 | 172051 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | SCHEDULE J, PART I, QUESTION 3: THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, CHRISTIAN CARE MANAGEMENT, INC., THAT USED THE FOLLOWING METHODS DESCRIBED IN QUESTION 3 TO ESTABLISH THE CEO'S COMPENSATION: COMPENSATION COMMITTEE (A.K.A. PERSONNEL COMMITTEE), FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, WRITTEN EMPLOYMENT CONTRACT, AND APPROVAL BY THE INDEPENDENT GOVERNING BOARD. SCHEDULE J, PART II: AS MINISTERS, PART OF THE COMPENSATION PAID TO JOHN NORRIS AND DAVID KLEMM INCLUDES A HOUSING ALLOWANCE, WHICH IS APPROVED BY THE BOARD AND INCLUDED IN OTHER COMPENSATION IN COLUMN D. TOTAL COMPENSATION TO THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES REMAINS MODEST COMPARED TO SIMILAR INDUSTRY POSITIONS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE CEO, CFO, HUMAN RESOURCE OFFICER AND ADMINISTRATOR ARE COMPENSATED BY CHRISTIAN CARE MANAGEMENT, INC. FOR PROVIDING OVERSIGHT OF THE DAILY MANAGEMENT OF THE ORGANIZATION. THE CORPORATION AND MANAGEMENT ENTERED INTO A MANAGEMENT AGREEMENT ON A MONTH-TO-MONTH BASIS UNDER WHICH THE CORPORATION IS TO PAY MANAGEMENT AND BOOKKEEPING FEES IN AN AMOUNT SPECIFIED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 4 | ON MAY 21, 2012, THE ARTICLES OF INCORPORATION WERE AMENDED. CHANGES INCLUDED THE FOLLOWING SIGNIFICANT PROVISIONS: 1) IF ANY PROVISIONS OF THE ORGANIZATION'S ARTICLES OF INCORPORATION OR BYLAWS CONFLICT WITH THE TERMS OF THE HUD-INSURED NOTE, MORTGAGE, DEED OF TRUST, SECURITY DEED, SECURITY AGREEMENT, OR THE HUD REGULATORY AGREEMENT, THE PROVISIONS OF THE HUD LOAN DOCUMENTS CONTROL. 2) AS LONG AS HUD IS THE INSURER OR HOLDER OF THE NOTE CHANGES TO THE ORGANIZATIONAL DOCUMENTS REQUIRED BY HUD MAY NOT BE AMENDED WITHOUT HUD'S PRIOR WRITTEN APPROVAL. 3) THE FOLLOWING CHANGES WILL REQUIRE WRITTEN CONSENT OF HUD TO BE IN EFFECT: A) MODIFICATIONS OF THE CORPORATION, B) REQUIREMENT THAT ANY HUD PREVIOUS PARTICIPATION CERTIFICATIONS BE OBTAINED, C) ANY AMENDMENTS AFFECTING THE HUD LOAN DOCUMENTS, D) AMENDMENTS AUTHORIZING ANY OFFICER, DIRECTOR, OR MEMBER, OTHER THAN THOSE PREVIOUSLY AUTHORIZED BY HUD TO BIND THE CORPORATION FOR MATTERS CONCERNING THE HUD PROJECT, E) ANY CHANGES IN THE GOVERNING BOARD, F) ANY CHANGES IN A GUARANTOR OF ANY OBLIGATION TO HUD. 4) UPON DISSOLUTION NO CHANGES IN POSSESSION OR RIGHT TO COLLECT RENTS SHALL PASS TO ANY OTHER PERSON OR ENTITY WITHOUT HUD APPROVAL. 5) THE CORPORATION SHALL NOT VOLUNTARILY BE DISSOLVED OR CONVERTED TO ANOTHER FORM OF ENTITY WITHOUT WRITTEN APPROVAL OF HUD. 6) THE CORPORATION'S BUSINESS AND PURPOSE SHOULD BE ONLY FOR THE ACQUISITION, OWNERSHIP, OPERATION AND MAINTENANCE OF THE HUD PROJECT UNLESS OTHERWISE APPROVED IN WRITING BY HUD. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERSHIP OF THE CORPORATION IS COMPOSED OF AND LIMITED TO THE INDEPENDENT CHRISTIAN CHURCHES OF ARIZONA. |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION ARE RESERVED TO (OR SUBJECT TO THE APPROVAL OF) CERTAIN PERSONS OTHER THAN THE GOVERNING BODY AS FOLLOWS: AS LONG AS HUD IS THE INSURER OR HOLDER OF THE DEBT ON THE PROPERTY, CHANGES TO THE ORGANIZATIONAL DOCUMENTS REQUIRED BY HUD MAY NOT BE AMENDED WITHOUT HUD'S PRIOR WRITTEN APPROVAL. IN ADDITION, THE FOLLOWING CHANGES WILL REQUIRE WRITTEN CONSENT OF HUD TO BE IN EFFECT: A) MODIFICATIONS OF THE CORPORATION, B) REQUIREMENT THAT ANY HUD PREVIOUS PARTICIPATION CERTIFICATIONS BE OBTAINED, C) ANY AMENDMENTS AFFECTING THE HUD LOAN DOCUMENTS, D) AMENDMENTS AUTHORIZING ANY OFFICER, DIRECTOR, OR MEMBER, OTHER THAN THOSE PREVIOUSLY AUTHORIZED BY HUD TO BIND THE CORPORATION FOR MATTERS CONCERNING THE HUD PROJECT, E) ANY CHANGES IN THE GOVERNING BOARD, F) ANY CHANGES IN A GUARANTOR OF ANY OBLIGATION TO HUD. UPON DISSOLUTION NO CHANGES IN POSSESSION OR RIGHT TO COLLECT RENTS SHALL PASS TO ANY OTHER PERSON OR ENTITY WITHOUT HUD APPROVAL. THE CORPORATION SHALL NOT VOLUNTARILY BE DISSOLVED OR CONVERTED TO ANOTHER FORM OF ENTITY WITHOUT WRITTEN APPROVAL OF HUD. THE CORPORATION'S BUSINESS AND PURPOSE SHOULD BE ONLY FOR THE ACQUISITION, OWNERSHIP, OPERATION AND MAINTENANCE OF THE HUD PROJECT UNLESS OTHERWISE APPROVED IN WRITING BY HUD. THE ORGANIZATION MAY NOT SELL OR OTHERWISE DISPOSE OF MORE THAN $200,000 OF REAL PROPERTY OVER THE OBJECTION OF 51% OR MORE OF THE MEMBERS EXCEPT IN THE ORDINARY COURSE OF BUSINESS AND ON SUCH TERMS AND CONDITIONS AS ARE CONSISTENT WITH THE BEST INTEREST AND PURPOSES OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | GOVERNANCE DECISIONS PERTAINING TO THE HUD PROJECT AND LOAN ARE SUBJECT TO WRITTEN APPROVAL OF HUD. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE CEO AND CFO WILL REVIEW COMPLETED FORM 990 AND PROVIDE A FINAL DRAFT TO THE GOVERNING BOARD ALLOWING FOR A COMMENT PERIOD BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, HIGHEST COMPENSATED INDEPENDENT CONTRACTORS AND ANY OTHER PERSON WITH SUBSTANTIAL INFLUENCE ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT. PART OF THIS STATEMENT REQUIRES THEM TO SIGN AND CONFIRM THAT THEY HAVE READ AND UNDERSTOOD THE COMPANY'S CONFLICT OF INTEREST POLICY. THEY ALSO AGREE TO NOTIFY THE CHAIR OF THE BOARD OR PRESIDENT AND/OR THE CEO IMMEDIATELY IF THEY BECOME AWARE OF ANY POTENTIAL CONFLICTS. IF AN INDIVIDUAL HAS A CONFLICT, THEY ARE REQUIRED TO EXCUSE THEMSELVES FROM DISCUSSION OF THE ISSUE AND THE VOTING PROCESS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO IS NOT COMPENSATED BY CHRISTIAN CARE NURSING CENTER, INC. THE CEO IS COMPENSATED BY CHRISTIAN CARE MANAGEMENT, INC. FOR HIS SERVICES PROVIDED TO ALL RELATED CHRISTIAN CARE COMPANIES. THE COMPENSATION IS DETERMINED BY LOOKING AT COMPARABILITY DATA THROUGH REVIEW OF FORM 990 OF OTHER ORGANIZATIONS AND COMPENSATION SURVEY AND STUDY. THE CEO'S COMPENSATION IS REVIEWED BY THE PERSONNEL COMMITTEE AND RATIFIED BY THE INDEPENDENT GOVERNING BOARD. THE COMPENSATION ARRANGEMENT IS DOCUMENTED IN A WRITTEN EMPLOYMENT CONTRACT. THIS DOCUMENTATION IS PREPARED IN JANUARY OF EACH YEAR. THE CFO, ADMINISTRATOR, AND HUMAN RESOURCE OFFICER ARE NOT COMPENSATED BY CHRISTIAN CARE NURSING CENTER, INC. THE CFO, ADMINISTRATOR AND HUMAN RESOURCE OFFICER ARE COMPENSATED BY CHRISTIAN CARE MANAGEMENT, INC. FOR SERVICES TO MULTIPLE CHRISTIAN CARE RELATED ENTITIES. THEIR COMPENSATION IS DETERMINED BY LOOKING AT COMPARABILITY DATA THROUGH REVIEW OF FORM 990 OF OTHER ORGANIZATIONS AND COMPENSATION SURVEYS AND STUDY. THEY DO NOT HAVE A WRITTEN EMPLOYMENT CONTRACT. THEIR COMPENSATION IS ALSO REVIEWED ANNUALLY ON THEIR ANNIVERSARY DATE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART V, LINE 2A: EMPLOYEES ARE EMPLOYEES OF CHRISTIAN CARE MANAGEMENT, INC. NO FEDERAL OR STATE PAYROLL REPORTING IS DONE BY CHRISTIAN CARE NURSING CENTER, INC. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (23 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTIAN CARE MANAGEMENT INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 942756711 | MANAGEMENT SERVICES AND SUPPORT FOR CHRISTIAN CARE COMPANIES | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISTIAN CARE HOLDING COMPANY INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 860892946 | ENHANCING LIQUIDITY FOR CHRISTIAN CARE COMPANIES | AZ | 501(C)(3) | 11B | N/A | 0 | |
| CHRISTIAN CARE FOUNDATION | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 201239464 | SUPPORTING AND EXPANDING CHRISTIAN CARE'S MINISTRY | AZ | 501(C)(3) | 11A | 0 | CHRISTIAN CARE MANAGEMENT INC | |
| CHRISTIAN CARE ASSISTED LIVING INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 860828877 | AFFORDABLE ASSISTED LIVING FOR SENIORS | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISTIAN CARE RETIREMENT APARTMENTS INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 742455683 | AFFORDABLE RESIDENTIAL LIVING FOR SENIORS | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISTIAN CARE MESA INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 860828879 | AFFORDABLE RESIDENTIAL & ASSISTED LIVING FOR SENIORS | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISTIAN CARE TUCSON INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 860962052 | AFFORDABLE RESIDENTIAL & ASSISTED LIVING FOR SENIORS | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISTIAN CARE MESA II INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 900067112 | AFFORDABLE RESIDENTIAL LIVING FOR SENIORS | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISTIAN CARE MANOR I INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 860381939 | SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISTIAN CARE MANOR II INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 860433280 | SUBSIDIZED HOUSING WITH ASSISTED LIVING FOR VERY-LOW INCOME SENIORS | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISITAN HOUSING MESA INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 953471692 | SUBSIDIZED HOUSING WITH ASSISTED LIVING FOR VERY-LOW INCOME SENIORS | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISTIAN CARE MANOR III INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 742437015 | SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISITAN HOUSING COTTONWOOD INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 860775063 | SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISTIAN CARE COTTONWOOD INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 860809772 | SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISTIAN CARE COTTONWOOD III INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 860852384 | SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISTIAN CARE COTTONWOOD IV INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 860898511 | SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISTIAN CARE COTTONWOOD V INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 860943071 | SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISTIAN CARE COTTONWOOD VI INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 861002178 | SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISTIAN CARE COTTONWOOD VII INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 861020888 | SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISTIAN CARE COTTONWOOD VIII INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 861045413 | SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORS | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISTIAN CARE CALIFORNIA | |||||||||||
| PO BOX 83210 | PHOENIX | AZ | 850713210 | 330264173 | AFFORDABLE SENIOR HOUSING AND HEALTHCARE | CA | 501(C)(3) | 7 | N/A | 0 | |
| CHRISTIAN CARE MANAGEMENT II INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 264242355 | CHARITABLE HEALTH AND/OR EDUCATIONAL ORGANIZATION | AZ | 501(C)(3) | 9 | N/A | 0 | |
| CHRISTIAN CARE MESA III INC | |||||||||||
| 2002 W SUNNYSIDE DRIVE | PHOENIX | AZ | 85029 | 203253081 | AFFORDABLE ASSISTED LIVING FOR SENIORS | AZ | 501(C)(3) | 7 | N/A | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | FORM 990, SCHEDULE R, PART V: | ReturnReference |
| Explanation | CHRISTIAN CARE NURSING CENTER IS IN THE HIGHEST LEVEL OF THE FULL CONTINUUM OF CARE AVAILABLE ON THE PHOENIX CAMPUS. IT PROVIDES 68 BEDS OF SKILLED NURSING / LONG TERM CARE FOR VERY LOW-TO-MIDDLE INCOME SENIORS. IT IS LOCATED JUST EAST OF CHRISTIAN CARE ASSISTED LIVING WHICH PROVIDES 40 UNITS OF ASSISTED LIVING. TO ACHIEVE EFFICIENCIES AND ECONOMIES OF SCALE, BILLS THAT PERTAIN TO MULTIPLE ENTITIES ON THE PHOENIX CAMPUS ARE PAID BY A SINGLE RELATED PHOENIX ENTITY AND REPAID MONTHLY. AS PART OF THE CHRISTIAN CARE FAMILY OF RELATED NONPROFIT ORGANIZATIONS, PAYROLL IS PAID THROUGH CHRISTIAN CARE MANAGEMENT, INC. | Explanation |