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MT HEALTHY CHRISTIAN HOME INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MT HEALTHY CHRISTIAN HOME INC (EIN 31-0714767)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-07-26
IRS object ID
201232089349301053
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-07-26T16:43:19-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 EAST STATE ST STE 600AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310714767EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MT HEALTHY CHRISTIAN HOME INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMTHENameControl
Phone5139315000Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameROGER H SCHWARTZName
TitleCFOTitle
Phone5139315000Phone
Date Signed2012-07-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNIE OSTROWSKIName
PTINP00366367PTIN
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJ DONALD SAMSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1411 WESTERN ROW ROADAddressLine1
CityMASONCity
StateOHState
ZIP Code45040ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9938340GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHRISTIANBENEVOLENT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1964YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionFOUNDED IN 1964, THE ORGANIZATION IS A NOT-FOR-PROFIT PROVIDER OF RETIREMENT SERVICES, OFFERING A VARIETY OF LIVING STYLES, FROM RESIDENTIAL LIVING APARTMENTS, ASSISTED LIVING AND SKILLED NURSING CARE. THE ORGANIZATION'S MISSION IS 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 THE SPIRITUAL, PHYSICAL, SOCIAL, CULTURAL AND EMOTIONAL WELL-BEING OF EACH RESIDENT IN AN ENVIRONMENT THAT RECOGNIZES AND PROMOTES PERSONAL DIGNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees278TotalNbrEmployees
Total Nbr Volunteers70TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2404ContributionsGrantsPriorYear
Contributions Grants Current Year23530ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8989559ProgramServiceRevenuePriorYear
Program Service Revenue CY9894723ProgramServiceRevenueCY
Investment Income Prior Year2485InvestmentIncomePriorYear
Investment Income Current Year8583InvestmentIncomeCurrentYear
Other Revenue Prior Year35108OtherRevenuePriorYear
Other Revenue Current Year11504OtherRevenueCurrentYear
Total Revenue Prior Year9029556TotalRevenuePriorYear
Total Revenue Current Year9938340TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year49240GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY40141GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5159938SalariesEtcPriorYear
Salaries Etc Current Year5081758SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4280045OtherExpensePriorYear
Other Expenses Current Year3924655OtherExpensesCurrentYear
Total Expenses Prior Year9489223TotalExpensesPriorYear
Total Expenses Current Year9046554TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-459667RevenuesLessExpensesPriorYear
Revenues Less Expenses CY891786RevenuesLessExpensesCY
Total Assets BOY5397900TotalAssetsBOY
Total Assets EOY8481211TotalAssetsEOY
Total Liabilities BOY13158547TotalLiabilitiesBOY
Total Liabilities EOY15350072TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-7760647NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-6868861NetAssetsOrFundBalancesEOY
Mission DescriptionSERVING WITH EXCELLENCE REFLECTING JESUS' COMPASSION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7734781Expense
Grants40141Grants
Revenue9906227Revenue
DescriptionNURSING CARE SERVICE PROGRAMS INCLUDE SEMI-PRIVATE ROOMS AND A LIMITED NUMBER OF PRIVATE ROOMS, ASSISTED LIVING AND RESPITE CARE WITH ALL THE AMENITIES OF RESIDENTIAL LIVING IN A PRIVATE/SHARED OCCUPANCY STUDIO. CHARGES ARE BASED ON INDIVIDUAL ASSESSMENTS TO DEVELOP PERSONALIZED CARE AND SERVICE. RESIDENTIAL SERVICES INCLUDE A FULL CALENDAR OF LIFE ENRICHING RELIGIOUS (CHAPEL AND PASTORAL CARE), SOCIAL AND EDUCATIONAL PROGRAMS, SERVICES AND ACTIVITIES. SERVICES INCLUDE WEEKLY HOUSEKEEPING, LAUNDRY, MAINTENANCE, UTILITIES, TRASH REMOVAL, AND DINING CONSISTING OF THREE MEALS A DAY.Description
Total Program Service Expense7734781TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
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 Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
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 Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109633NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees278NumberOfEmployees
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 Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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 Line1JOHN BARROWBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3145877921TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1622 EMERSON ROAD SUITE 310AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ROD HURON
SECRETARY & DIRECTOR1.00XX000
DAVID PHILLIPS
VICE CHAIR & DIRECTOR1.00XX000
ROBERT WALSH
CHAIR & DIRECTOR1.00XX000
JAMES PLUNKETT
TREASURER & DIRECTOR1.00XX000
PHYLLIS J SANDERS
DIRECTOR1.00X000
LUDMILA GRACANIN
DIRECTOR1.00X000
KITTY GARNER
MEMBER AT LARGE/DIRECTOR1.00X000
BEVERLY YOUNG
DIRECTOR1.00X000
MARK SPARKS
DIRECTOR1.00X000
J DONALD SAMS
CEO4.00X011464942000
ROGER SCHWARTZ
CFO12.00X0975850
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs212234TotalReportableCompFrmRltdOrgs
Total Other Compensation42000TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
KINDRED REHAB SERVICES
PO BOX 277365ATLANTAGA303847365THERAPY SERVICES589573
MIDWEST CHRISTIAN VILLAGES
200 N POSTVILLE DRIVELINCOLNIL62656MANAGEMENT SERVICES324556
SYSCO FOODS SERVICE
PO BOX 62066CINCINNATIOH452620066DIETARY & FOOD PRODUCTS313620
MCKESSON MEDICAL SURGICAL
PO BOX 630693CINCINNATIOH452740693MEDICAL SUPPLIES & EQUIPMENT133964
OMNICARE INC
100 EAST RIVERCENTER BLVDCOVINGTONKY41011PHARMACY SERVICES117967
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions23530AllOtherContributions
Total Contributions23530TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT REVENUEDescription
Business Code532000BusinessCode
Total Revenue Column9894723TotalRevenueColumn
Related Or Exempt Function Income9894723RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9894723TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8583TotalRevenueColumn
Exclusion$8,583ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code999999BusinessCode
Total Revenue Column11504TotalRevenueColumn
Related Or Exempt Function Income11504RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue11504TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9938340TotalRevenueColumn
Related Or Exempt Function Income9906227RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$8,583ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total40141Total
Program Services40141ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3802728Total
Program Services3536537ProgramServices
Management And General266191ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total37687Total
Program Services35049ProgramServices
Management And General2638ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total843648Total
Program Services784593ProgramServices
Management And General59055ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total397695Total
Program Services369856ProgramServices
Management And General27839ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total504786Total
Management And General504786ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total71495Total
Management And General71495ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total861612Total
Program Services690594ProgramServices
Management And General171018ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total36223Total
Program Services36223ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total460773Total
Program Services428519ProgramServices
Management And General32254ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total21179Total
Management And General21179ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total489799Total
Program Services455513ProgramServices
Management And General34286ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total5692Total
Program Services3103ProgramServices
Management And General2589ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3440Total
Management And General3440ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total319790Total
Program Services319790ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total353524Total
Program Services328777ProgramServices
Management And General24747ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total70422Total
Management And General70422ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD380204380204
LICENSES & FEES28334226350819834
BAD DEBT EXPENSE2500025000
DEFERRED BOND COSTS2399423994

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total13380Total
Program Services13380ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9046554Total
Program Services7734781ProgramServices
Management And General1311773ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY564063BOY
EOY442663EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY766665BOY
EOY1778062EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY1835000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY10273BOY
EOY10273EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY41518BOY
EOY50917EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11484501LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7915033LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3198075BOY
EOY3569468EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY817306BOY
EOY794828EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5397900BOY
EOY8481211EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY820038BOY
EOY1087178EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY6157739BOY
EOY6069934EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6180770BOY
EOY8192960EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13158547BOY
EOY15350072EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-7760647BOY
EOY-6868861EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-7760647BOY
EOY-6868861EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5397900BOY
EOY8481211EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses891786ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years58613CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7176CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2404CurrentTaxYearMinus1Year
Current Tax Year23530CurrentTaxYear
Total95723Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8340096CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8305472CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8611527CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9024667CurrentTaxYearMinus1Year
Current Tax Year9867109CurrentTaxYear
Total44148871Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8344096CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8364085CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8618703CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9027071CurrentTaxYearMinus1Year
Current Tax Year9890639CurrentTaxYear
Total44244594Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year40141CurrentTaxYear
Total40141Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year50295CurrentTaxYearMinus1Year
Total50295Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year50295CurrentTaxYearMinus1Year
Current Tax Year40141CurrentTaxYear
Total90436Total
FieldValueIRS element (for citing)
Public Support Total50944154158PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17250CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8469CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4149CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2485CurrentTaxYearMinus1Year
Current Tax Year8583CurrentTaxYear
Total40936Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17250CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8469CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4149CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2485CurrentTaxYearMinus1Year
Current Tax Year8583CurrentTaxYear
Total40936Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8361346CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8372554CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8622852CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9029556CurrentTaxYearMinus1Year
Current Tax Year9899222CurrentTaxYear
Total44285530Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99700PublicSupportPercentage509
Prior Year Support Percentage0.99770PriorYearSupportPercentage
Investment Income Percentage0.00090InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00110PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$821OtherActivitiesAmount
Total Lobbying Expenditures IIB821TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationA PORTION OF DUES PAYMENTS TO AOPHA ARE RELATED TO LOBBYING ACTIVITIES. THE AMOUNT ABOVE REPRESENTS 9% OF AOPHA DUES IN 2011.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis161975OtherCostOrOtherBasis
Book Value161975BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8731843OtherCostOrOtherBasis
Depreciation5849331Depreciation
Book Value2882512BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2253455OtherCostOrOtherBasis
Depreciation1769827Depreciation
Book Value483628BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis337228OtherCostOrOtherBasis
Depreciation295875Depreciation
Book Value41353BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3569468TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
SECURITY DEPOSIT AND OTHER ESCROW ACCOUNTS535845
DEFERRED COSTS202983
REFUNDABLE DEPOSITS56000
FieldValueIRS element (for citing)
Total Book Value Other Assets794828TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
RESIDENT DEPOSITS$291,126
RELATED PARTY PAYABLE$7,901,834
FieldValueIRS element (for citing)
Total Of Amounts8192960TotalOfAmounts
Total Revenue9938340TotalRevenue
Total Expenses9046554TotalExpenses
Excess Or Deficit For Year891786ExcessOrDeficitForYear
Excess Or Deficit Per FS891786ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt9937798TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal9937798RevenueSubtotal
Other Revenues Not Included542OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt542RevenueNotRptdOnFinStmt
Total Revenue Per Form9909938340TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9046012TotExpensesEtcAuditedFinclStmt
Other Expenses Included-542OtherExpensesIncluded
Expenses Not Rptd F990-542ExpensesNotRptdF990
Expenses Subtotal9046554ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9909046554TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 4B - OTHER ADJUSTMENTS:RECLASS OF CONSULTING SERVICES 542.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RECLASS OF CONSULTING SERVICES -542.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantRESIDENT SUBSIDYTypeOfGrant
Number Of Recipients8NumberOfRecipients
Amount Of Cash Grant40141AmountOfCashGrant

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: A RESIDENT OR THEIR FAMILY CAN SUBMIT A REQUEST TO THE ORGANIZATION FOR SUBSIDY OF THEIR RENT AT MT. HEALTHY CHRISTIAN HOME. A COMMITTEE HAS BEEN ESTABLISHED WHICH WILL REVIEW THE APPLICANT'S CIRCUMSTANCES AND WILL DETERMINE WHETHER ASSISTANCE WILL BE GRANTED BASED ON SPECIFIC CRITERIA. THE COMMITTEE HAS A RESTRICTION ON THE AMOUNT OF FUNDS TO USE FOR SUBSIDY PURPOSES, WHICH WILL ONLY BE EXCEEDED IN THE CASE OF RESIDENTS WHO WERE GRANDFATHERED IN UNDER PREVIOUS ARRANGEMENTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
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
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs114649CompBasedOnRelatedOrgs
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 Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs42000NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs156649TotalCompensationRelatedOrgs
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 $42,000 IN 2011.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 3EFFECTIVE APRIL 1ST OF 2010, THE MANAGEMENT SERVICES WERE PROVIDED BY MIDWEST CHRISTIAN VILLAGES. MIDWEST CHRISTIAN VILLAGES PROVIDES AN EXECUTIVE DIRECTOR FOR THE CAMPUS. IN ADDITION, MIDWEST CHRISTIAN VILLAGES PROVIDES OPERATIONS, ACCOUNTING, BILLING, AND OTHER SUPPORT.
FORM 990, PART VI, SECTION A, LINE 6THE RELATED TAX-EXEMPT ORGANIZATION, CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI, INC. ("CBA"), IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ACBA, THE MEMBER OF THE FILING ORGANIZATION, HAS THE RIGHT TO ELECT OR APPOINT ONE OF MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY, WHETHER PERIODICALLY, OR AS VACANCIES ARISE, OR OTHERWISE.
FORM 990, PART VI, SECTION A, LINE 7BCBA, THE MEMBER OF THE FILING ORGANIZATION, HAS THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ORGANIZATION'S GOVERNING BODY SUCH AS APPROVAL OF THE GOVERNING'S BODY'S DECISION TO DISSOLVE THE ORGANIZATION.
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 CFO REVIEWS 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 RESPONSIBILITY 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 BOARD OF DIRECTORS OF A RELATED ORGANIZATION, CHRISTIAN BENEVOLENT ASSOCIATON OF GREATER CINCINNATI, INC., DETERMINES THE CEO'S COMPENSATION THROUGH USE OF REVIEW BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DECISION. THE PROCESS WAS LAST COMPLETED IN 2011.
FORM 990, PART VI, SECTION C, LINE 18FORM 1023 AND 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
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 VII, AVERAGE HOURS PER WEEK TO RELATED ORGANIZATION:HOURS DISTRIBUTION FOR J. DONALD SAMS: (40 HOUR WORK WEEK) A. CBA: 50% - 20 HOURS B. CBA FOUNDATION: 15% - 6 HOURS C. MT HEALTHY: 10% - 4 HOURS D. MCV HEALTH CARE FACILITY: 12.5% - 5 HOURS E. MASON CHRISTIAN VILLAGE: 12.5% - 5 HOURS HOURS DISTRIBUTION FOR ROGER SCHWARTZ: (30 HOUR WORK WEEK) A. CBA: 15% - 4.5 HOURS B. CBA FOUNDATION: 5% - 1.5 HOURS C. MT HEALTHY: 40% - 12 HOURS D. MCV HEALTH CARE FACILITY: 30% - 9 HOURS E. MASON CHRISTIAN VILLAGE: 10% - 3 HOURS
FORM 990, PART XI, LINE 2C:CHRISTIAN BENEVOLENT ASSOCIATION, A RELATED ORGANIZATION 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 StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI INC
8097 HAMILTON AVENUECINCINNATIOH45231310675610MANAGEMENT/SUPPORT SERVICES FOR RELATED TAX-EXEMPT RETIREMENT COMMUNITIESOH501(C)(3)509(A)(1)N/A0
MASON CHRISTIAN VILLAGE INC
8097 HAMILTON AVENUECINCINNATIOH45231311173965RETIREMENT SERVICESOH501(C)(3)509(A)(2)1CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI INC
MCV HEALTH CARE FACILITIES INC
8097 HAMILTON AVENUECINCINNATIOH45231311257250RETIREMENT SERVICESOH501(C)(3)509(A)(2)1CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI INC
CHRISTIAN BENEVOLENT ASSOCIATION FOUNDATION FOR THE AGING INC
8097 HAMILTON AVENUECINCINNATIOH45231311413825FUNDRAISING & FINANCIAL SUPPORT FOR CBA OF GREATER CINCINNATIOH501(C)(3)509(A)(3)1CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI INC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg