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CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI INC (EIN 31-0675610)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-12
IRS object ID
201342249349302604
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)
Timestamp2013-08-12T16:28:11-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line165 E STATE STREETAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310675610EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHRISTIAN BENEVOLENT ASSOCIATION OFBusinessNameLine1
Business Name Line2GREATER CINCINNATI INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlCHRINameControl
Phone5139315000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18097 HAMILTON AVENUEAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45231ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRIAN GIBBONEYName
TitleCOOTitle
Phone5139315000Phone
Date Signed2013-08-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNIE OSTROWSKIName
PTINP00366367PTIN
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRIAN GIBBONEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18097 HAMILTON AVENUEAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45231ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1720313GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHRISTIANBENEVOLENT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1960YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionFOUNDED IN 1960, THE ORGANIZATION IS A NON-PROFIT PROVIDER OF RETIREMENT SERVICES, OFFERING A VARIETY OF LIVING STYLES FROM INDEPENDENT LIVING COTTAGES TO APARTMENTS, ASSISTED LIVING AND SKILLED NURSING. THE ORGANIZATION'S MISSION IS TO DEVELOP COMMUNITIES DESIGNED TO PROVIDE SECURE, QUALITY LIVING IN A CHRISTIAN ENVIRONMENT, DIRECTED ESPECIALLY TO PERSONS IN THEIR RETIREMENT YEARS. THE ORGANIZATION'S MINISTRY SERVES OVER 150 OLDER ADULTS. OUR SERVICES ARE DEDICATED TO THE ENHANCEMENT OF EACH RESIDENT IN AN ENVIRONMENT THAT RECONGNIZES AND PROMOTES PERSONAL DIGNITY. CBA PROVIDES ASSISTANCE TO THE RESIDENTS OF MT. HEALTHY CHRISTIAN HOME AND MCV HEALTH CARE FACILITIES IN THE FORM OF A GRANT. THIS ASSISTANCE OR GRANT ENABLES RESIDENTS TO CONTINUE TO RESIDE AT THEIR RESPECTIVE RESIDENCE WITHIN THE COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees7TotalNbrEmployees
Total Nbr Volunteers9TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year257340ContributionsGrantsPriorYear
Contributions Grants Current Year332312ContributionsGrantsCurrentYear
Program Service Revenue Prior Year834810ProgramServiceRevenuePriorYear
Program Service Revenue CY1362641ProgramServiceRevenueCY
Investment Income Prior Year138575InvestmentIncomePriorYear
Investment Income Current Year378InvestmentIncomeCurrentYear
Other Revenue Prior Year-20550OtherRevenuePriorYear
Other Revenue Current Year3963OtherRevenueCurrentYear
Total Revenue Prior Year1210175TotalRevenuePriorYear
Total Revenue Current Year1699294TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year147989GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY130600GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year403063SalariesEtcPriorYear
Salaries Etc Current Year638868SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year39994TotalFundrsngExpCurrentYear
Other Expense Prior Year702455OtherExpensePriorYear
Other Expenses Current Year1025327OtherExpensesCurrentYear
Total Expenses Prior Year1253507TotalExpensesPriorYear
Total Expenses Current Year1794795TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-43332RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-95501RevenuesLessExpensesCY
Total Assets BOY6871074TotalAssetsBOY
Total Assets EOY12858483TotalAssetsEOY
Total Liabilities BOY8636742TotalLiabilitiesBOY
Total Liabilities EOY14719652TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1765668NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1861169NetAssetsOrFundBalancesEOY
Mission DescriptionSERVING WITH EXCELLENCE REFLECTING JESUS' COMPASSIONMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1708547Expense
Grants130600Grants
Revenue1362641Revenue
DescriptionTHE ORGANIZATION PROVIDES MANAGEMENT AND SUPPORT SERVICES FOR ITS RELATED TAX-EXEMPT RETIREMENT COMMUNITIES. TOGETHER THESE FACILITIES, LOCATED IN TWO COMMUNITIES IN SOUTHWESTERN OHIO, PROVIDE RESIDENTIAL AND HEALTH CARE SERVICES TO OLDER ADULTS. MANAGEMENT SERVICES PROVIDED INCLUDE,BUT ARE NOT LIMITED TO: ADMINISTRATIVE, FINANCIAL, HUMAN RESOURCES, MARKETING AND DEVELOPMENT FOR THE RELATED TAX-EXEMPT ORGANIZATIONS. SERVICES PROVIDED BY THE RELATED ORGANIATIONS INCLUDE HEALTHCARE, DIETARY, PROGRAM, SOCIAL ACTIVITIES AND PERSONAL NEED SERVICES. LIVING STYLES INCLUDE: INDEPENDENT LIVING IN COTTAGES OR APARTMENTS, ASISSTED LIVING, SKILLED NURSING CARE AND CARE FOR DEMENTIA/ALZHEIMER'S PATIENTS IN A HOMELIKE ENVIRONMENT.Description
Total Program Service Expense1708547TotalProgramServiceExpense
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 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
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 Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees7NumberOfEmployees
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBIN DIETZBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5138001674TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18097 HAMILTON AVENUEAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45231ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelated
DAVID PHILLIPS
SECRETARY & DIRECTOR1.00XX000
LARRY COLLINS
VICE CHAIR & DIRECTOR1.00XX000
MICK MCLAUGHLIN
CHAIR & DIRECTOR1.00XX000
JONATHAN BOWERS
TREASURER & DIRECTOR1.00XX000
KITTY GARNER
DIRECTOR1.00X000
MILDRED MERKEL
DIRECTOR1.00X000
ROBERT STEVENS
DIRECTOR1.00X000
THOMAS STURM
MEMBER AT LARGE & DIRECTOR1.00X000
LAWSON WALKER
DIRECTOR1.00X000
J DONALD SAMS
CEO (PART YEAR)20.00X10766004500020.00
ROGER SCHWARTZ
CFO4.50X942090025.50
BRIAN GIBBONEY
COO4.00X910660036.00
LARRY MONROE
CEO (PART YEAR)20.00X455490020.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org338484TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation45000TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PLANTE MORAN PLLCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line165 E STATE STREET SUITE 600AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesAUDIT AND TAXDescriptionOfServices
Compensation129400Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions332312AllOtherContributions
Total Contributions332312TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ADMIN SERVICE FEES56100013624921362492
RESIDENT SERVICES532000149149
FieldValueIRS element (for citing)
Total Program Service Revenue1362641TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column378TotalRevenueColumn
Exclusion$378ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory24982GrossSalesOfInventory
Cost Of Goods Sold21019CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3963TotalRevenueColumn
Exclusion$3,963ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1699294TotalRevenueColumn
Related Or Exempt Function Income1362641RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,341ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total130600Total
Program Services130600ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total402633Total
Program Services362639ProgramServices
Fundraising39994Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total103944Total
Program Services103944ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total96123Total
Program Services96123ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total36168Total
Program Services36168ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total46254Total
Management And General46254ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total28515Total
Program Services28515ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total80167Total
Program Services80167ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total28830Total
Program Services28830ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total364Total
Program Services364ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1263Total
Program Services1263ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total25620Total
Program Services25620ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3159Total
Program Services3159ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total689990Total
Program Services689990ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6650Total
Program Services6650ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total17700Total
Program Services17700ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
CHARITY CARE EXPENSE8718887188
DEFERRED BOND COSTS61736173
LICENSES & FEES34543454

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1794795Total
Program Services1708547ProgramServices
Management And General46254ManagementAndGeneral
Fundraising39994Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY111292BOY
EOY53186EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11708BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY9330BOY
EOY9330EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5900BOY
EOY5900EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis87815LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec73980LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6671BOY
EOY13835EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6726173BOY
EOY12776232EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6871074BOY
EOY12858483EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY108461BOY
EOY116288EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY8528281BOY
EOY8439128EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY6164236EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8636742BOY
EOY14719652EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1765668BOY
EOY-1861169EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1765668BOY
EOY-1861169EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6871074BOY
EOY12858483EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-95501ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years436243CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years291776CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years236795CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year257340CurrentTaxYearMinus1Year
Current Tax Year332312CurrentTaxYear
Total1554466Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years436243CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years291776CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years236795CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year257340CurrentTaxYearMinus1Year
Current Tax Year332312CurrentTaxYear
Total1554466Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total68716AmountsSubstContributorsTotal
Public Support Total1701485750PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years139898CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years139746CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years139418CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year138575CurrentTaxYearMinus1Year
Current Tax Year378CurrentTaxYear
Total558015Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years385768CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years266625CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years62154CurrentTaxYearMinus2Years
Current Tax Year149CurrentTaxYear
Total714696Total
FieldValueIRS element (for citing)
Total Support2827177TotalSupport
Gross Receipts From Admissions Etc4181746GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.52550PublicSupportPertcentage170
Public Support Pertcent Prior Year0.49210PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2010 AMOUNT: $ 775. 2012 AMOUNT: $ 149. DEPOSIT FORFEITURES - MCV COTTAGE TURNOVER - 2008 AMOUNT: $ 385,768. 2009 AMOUNT: $ 266,625. 2010 AMOUNT: $ 61,379.GeneralExplanation

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

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis71815OtherCostOrOtherBasis
Depreciation57980Depreciation
Book Value13835BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16000OtherCostOrOtherBasis
Depreciation16000Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13835TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED LOAN COSTS27778
DEPOSITS71
INVESTMENTS IN AFFILIATES12745208
CONSTRUCTION IN PROGRESS3175
FieldValueIRS element (for citing)
Total Book Value Other Assets12776232TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionRELATED PARTY PAYABLEDescription
Amount$6,164,236Amount
FieldValueIRS element (for citing)
Total Of Amounts6164236TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationNO PROVISION HAS BEEN MADE FOR INCOME TAXES SINCE THE ASSOCIATION AND ITS CONTROLLED NOT-FOR-PROFIT ENTITIES ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER CODE SECTION 501(C)(3) AND IS CLASSIFIED AS OTHER THAN A PRIVATE FOUNDATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ASSOCIATION, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ASSOCIATION IS NOT CURRENTLY UNDER EXAMINATION BY THE INTERNAL REVENUE SERVICE OR ANY STATE OR LOCAL TAX AUTHORITIES. THE ASSOCIATION'S FEDERAL TAX RETURNS FOR THE YEARS ENDED PRIOR TO DECEMBER 31, 2009 ARE NO LONGER SUBJECT TO EXAMINATION.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
MT HEALTHY CHRISTIAN HOME
8097 HAMILTON AVENUECINCINNATIOH45231310714767501(C)(3)48626SUBSIDY FOR RESIDENTS OF MT. HEALTHY CHRISTIAN HOME
MCV HEALTH CARE FACILITIES
8097 HAMILTON AVENUECINCINNATIOH45231311257250501(C)(3)81974SUBSIDY FOR RESIDENTS OF MCV HEALTH CARE FACILITIES
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI, INC. PROVIDES FUNDING FOR ITS RELATED ORGANIZATIONS TO HELP FURTHER THEIR EXEMPT PURPOSES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonJ DONALD SAMSNamePerson
TitleCEO (PART YEAR)Title
Base Compensation Filing Org107660BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org45000NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org152660TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 1AReturnReference
ExplanationJ. DONALD SAMS RECEIVED A HOUSING ALLOWANCE IN THE AMOUNT OF $45,000 IN 2012. THIS IS TAXABLE COMPENSATION.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 3THE MANAGEMENT SERVICES ARE PROVIDED BY MIDWEST CHRISTIAN VILLAGES. MIDWEST CHRISTIAN VILLAGES PROVIDES AN EXECUTIVE DIRECTOR FOR THE CAMPUS, AS WELL AS OPERATIONS, ACCOUNTING, BILLING, AND OTHER SUPPORT.
FORM 990, PART VI, SECTION A, LINE 8BWITH THE EXCEPTION OF THE DEVELOPMENT COMMITTEE, INDIVIDUAL COMMITTEES DO NOT CONTEMPORANEOUSLY DOCUMENT MEETINGS HELD OR WRITTEN ACTIONS UNDERTAKEN DURING THE YEAR. ACTIONS OF THE ANNUAL NOMINATING COMMITTEE ARE DOCUMENTED IN THE GOVERNING BODY'S MINUTES.
FORM 990, PART VI, SECTION B, LINE 11THE CONTROLLER AND COO REVIEW THE FORM 990 AND THEN WILL PROVIDE ELECTRONIC COPIES OF THE FORM 990 TO ALL BOARD MEMBERS PRIOR TO FILING. MAJOR POINTS OF THE FORM ARE ADDRESSED WITH THE BOARD EITHER VIA EMAIL OR AT THE CLOSEST BOARD MEETING DATE.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS AND DIRECTORS REVIEW AND SIGN THE CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. IT IS THE RESPONSIBILTY OF OFFICERS AND DIRECTORS TO DISCLOSE THE EXISTENCE OF A CONFLICT AND SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF THE CONFLICT IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THOSE WITH CONFLICTS ARE SUBJECT TO VOTING AND PARTICIPATION RESTRICTIONS.
FORM 990, PART VI, SECTION B, LINE 15ATHE COMPENSATION POLICY FOR THE CEO INCLUDES A REVIEW, OVERSEEN BY THE BOARD OF DIRECTORS OF CBA, BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DECISION. THE PROCESS WAS LAST COMPLETED IN 2012.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:CHRISTIAN BENEVOLENT ASSOCIATION HAS AN AUDIT COMMITTEE WHICH OVERSEES AUDIT OF THE FINANCIAL STATEMENTS AND IS INVOLVED IN THE SELECTION OF THE INDEPENDENT ACCOUNTANT WHICH COMPLETES THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
MT HEALTHY CHRISTIAN HOME INC
8097 HAMILTON AVENUECINCINNATIOH45231310714767RETIREMENT SERVICESOH501(C)(3)509(A)(2)CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI INC1
MASON CHRISTIAN VILLAGE INC
411 WESTERN ROW ROADMASONOH45040311173965RETIREMENT SERVICESOH501(C)(3)509(A)(2)CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI INC1
MCV HEALTH CARE FACILITIES INC
411 WESTERN ROW ROADMASONOH45040311257250RETIREMENT SERVICESOH501(C)(3)509(A)(2)CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI INC1
CHRISTIAN BENEVOLENT ASSOCIATION FOUNDATION FOR THE AGING INC
8097 HAMILTON AVENUECINCINNATIOH45231311413825FUNDRAISING & FINANCIAL SUPPORT FOR CBA OF GREATER CINCINNATIOH501(C)(3)509(A)(3)CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI INC1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
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 Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MT HEALTHY CHRISTIAN HOME INC
L490000FMV
MCV HEALTH CARE FACILITIES INC
L700000FMV
MASON CHRISTIAN VILLAGE INC
L172492FMV
CHRISTIAN BENEVOLENT ASSOCIATION FOUNDATION FOR THE AGING INC
B96245FMV
MCV HEALTH CARE FACILITIES INC
B81974FMV
MT HEALTHY CHRISTIAN HOME INC
D1186695FMV
MCV HEALTH CARE FACILITIES INC
D1777847FMV
MT HEALTHY CHRISTIAN HOME INC
R6515198FMV