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MT HEALTHY CHRISTIAN HOME INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MT HEALTHY CHRISTIAN HOME INC (EIN 31-0714767)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-15
IRS object ID
201122279349302952
Schema version
2010v3.2
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)
Timestamp2011-08-15T12:35:14-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-08-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNIE OSTROWSKIName
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts9029556GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHRISTIANBENEVOLENT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1964YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionSCHEDULE OFOUNDED 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 Employees302TotalNbrEmployees
Total Nbr Volunteers61TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year160160ContributionsGrantsPriorYear
Contributions Grants Current Year2404ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8611527ProgramServiceRevenuePriorYear
Program Service Revenue CY8989559ProgramServiceRevenueCY
Investment Income Prior Year4149InvestmentIncomePriorYear
Investment Income Current Year2485InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year35108OtherRevenueCurrentYear
Total Revenue Prior Year8775836TotalRevenuePriorYear
Total Revenue Current Year9029556TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year152984GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY49240GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4991802SalariesEtcPriorYear
Salaries Etc Current Year5159938SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4242103OtherExpensePriorYear
Other Expenses Current Year4280045OtherExpensesCurrentYear
Total Expenses Prior Year9386889TotalExpensesPriorYear
Total Expenses Current Year9489223TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-611053RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-459667RevenuesLessExpensesCY
Total Assets BOY5284867TotalAssetsBOY
Total Assets EOY5397900TotalAssetsEOY
Total Liabilities BOY12585847TotalLiabilitiesBOY
Total Liabilities EOY13158547TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-7300980NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-7760647NetAssetsOrFundBalancesEOY
Mission DescriptionSERVING WITH EXCELLENCE REFLECTING JESUS' COMPASSION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense8124380Expense
Grants49240Grants
Revenue9024667Revenue
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 Expense8124380TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded 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 With109628NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees302NumberOfEmployees
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 Line1BRENDA LAVINBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2177329651TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 N POSTVILLE DRIVEAddressLine1
CityLINCOLNCity
StateILState
ZIP Code62656ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (12 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
THOMAS STURM
DIRECTOR1.00X000
J DONALD SAMS
CEO4.00X010109047031
DAVID BICKEL
CONTROLLER16.00X0927700
ROGER SCHWARTZ
CFO12.00X0819041327
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs275764TotalReportableCompFrmRltdOrgs
Total Other Compensation48358TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
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 SERVICES241921
REHABWORKS LLC
PO BOX 503534ST LOUISMO63150THERAPY SERVICES201680
LIFE CARE SERVICES
400 LOCUST SUITE 820 CAPITAL SQUADES MOINESIA50309MANAGEMENT SERVICES161988
HOME CARE PHARMACY
PO BOX 715276COLUMBUSOH43271PHARMACY SERVICES155523
MIDWEST CHRISTIAN VILLAGES
200 N POSTVILLE DRIVELINCOLNIL62656MANAGEMENT SERVICES153227
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions2404AllOtherContributions
Total Contributions2404TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT REVENUEDescription
Business Code532000BusinessCode
Total Revenue Column8989559TotalRevenueColumn
Related Or Exempt Function Income8989559RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8989559TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2485TotalRevenueColumn
Exclusion$2,485ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code999999BusinessCode
Total Revenue Column35108TotalRevenueColumn
Related Or Exempt Function Income35108RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue35108TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9029556TotalRevenueColumn
Related Or Exempt Function Income9024667RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,485ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total49240Total
Program Services49240ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4146387Total
Program Services3856140ProgramServices
Management And General290247ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total33205Total
Program Services30881ProgramServices
Management And General2324ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total658719Total
Program Services612609ProgramServices
Management And General46110ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total321627Total
Program Services299113ProgramServices
Management And General22514ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total446573Total
Management And General446573ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total92672Total
Management And General92672ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total814772Total
Program Services592033ProgramServices
Management And General222739ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total91633Total
Program Services91633ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total517851Total
Program Services481601ProgramServices
Management And General36250ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total462558Total
Program Services430179ProgramServices
Management And General32379ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total6626Total
Program Services3612ProgramServices
Management And General3014ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3920Total
Management And General3920ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total345896Total
Program Services345896ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total340928Total
Program Services317063ProgramServices
Management And General23865ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total121189Total
Management And General121189ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD369918369918
LICENSES & FEES30068327963621047
DEFERRED BOND COSTS236458236458
BAD DEBT EXPENSE105323105323
RESIDENT ACTIVITIES1424914249

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8796Total
Program Services8796ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9489223Total
Program Services8124380ProgramServices
Management And General1364843ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY115440BOY
EOY564063EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY855936BOY
EOY766665EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY10273BOY
EOY10273EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY53297BOY
EOY41518EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10759584LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7561509LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3508259BOY
EOY3198075EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY741662BOY
EOY817306EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5284867BOY
EOY5397900EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY802443BOY
EOY820038EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5755000BOY
EOY6157739EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY15372BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6013032BOY
EOY6180770EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12585847BOY
EOY13158547EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-7300980BOY
EOY-7760647EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-7300980BOY
EOY-7760647EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5284867BOY
EOY5397900EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-459667ReconcilationRevenueExpenses
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 Years157933CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58613CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7176CurrentTaxYearMinus1Year
Current Tax Year2404CurrentTaxYear
Total230126Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7412931CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8340096CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8305472CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8611527CurrentTaxYearMinus1Year
Current Tax Year9024667CurrentTaxYear
Total41694693Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7570864CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8344096CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8364085CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8618703CurrentTaxYearMinus1Year
Current Tax Year9027071CurrentTaxYear
Total41924819Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year50295CurrentTaxYear
Total50295Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year50295CurrentTaxYear
Total50295Total
FieldValueIRS element (for citing)
Public Support Total50941874524PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13107CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17250CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8469CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4149CurrentTaxYearMinus1Year
Current Tax Year2485CurrentTaxYear
Total45460Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13107CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17250CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8469CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4149CurrentTaxYearMinus1Year
Current Tax Year2485CurrentTaxYear
Total45460Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7583971CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8361346CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8372554CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8622852CurrentTaxYearMinus1Year
Current Tax Year9029556CurrentTaxYear
Total41970279Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99770PublicSupportPercentage509
Prior Year Support Percentage0.99810PriorYearSupportPercentage
Investment Income Percentage0.00110InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00120PriorYrInvestIncomePercentage
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$512OtherActivitiesAmount
Total Lobbying Expenditures IIB512TotalLobbyingExpendituresIIB
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 6% OF AOPHA DUES IN 2010.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 Basis8268006OtherCostOrOtherBasis
Depreciation5606108Depreciation
Book Value2661898BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2005168OtherCostOrOtherBasis
Depreciation1669006Depreciation
Book Value336162BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis324435OtherCostOrOtherBasis
Depreciation286395Depreciation
Book Value38040BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3198075TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
SECURITY DEPOSIT AND OTHER ESCROW ACCOUNTS483059
CONSTRUCTION IN PROGRESS63947
DEFERRED COSTS214300
REFUNDABLE DEPOSITS56000
FieldValueIRS element (for citing)
Total Book Value Other Assets817306TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
RESIDENT DEPOSITS$203,413
RELATED PARTY PAYABLE$5,977,357
FieldValueIRS element (for citing)
Total Of Amounts6180770TotalOfAmounts
Total Revenue9029556TotalRevenue
Total Expenses9489223TotalExpenses
Excess Or Deficit For Year-459667ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-459667ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8989493TotRevenueEtcAuditedFinclStmt
Other Revenues-40063OtherRevenues
Revenue Not Rptd F990-40063RevenueNotRptdF990
Revenue Subtotal9029556RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9909029556TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9449160TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal9449160ExpensesSubtotal
Other Expenses Not Included40063OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt40063ExpensesNotRptdOnFinStmt
Total Expenses Per Form9909489223TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 2D - OTHER ADJUSTMENTS:RECLASS OF CONSULTING SERVICES -40,063.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:RECLASS OF CONSULTING SERVICES 40,063.

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 Grant49240AmountOfCashGrant

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 O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3IN JANUARY-MARCH 2010, LIFE CARE SERVICES, LLC PROVIDED TWO EXECUTIVE DIRECTORS, ONE OF WHOM ACTED AS OPERATIONS MANAGER OVER CHRISTIAN BENEVOLENT ASSOCIATION AND ALL OF THE RELATED ENTITIES. AN ADMINISTRATOR OR THE HEALTH CARE CENTER WAS ALSO PROVIDED IN ADDITION TO SOFTWARE PROGRAMS, TRAINING, AND MANAGEMENT SUPPORT. EFFECTIVE 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.
OFFICERS 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 12C
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 2010.FORM 990, PART VI, SECTION B, LINE 15A
FORM 1023 AND 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 18
GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
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 HOURS DISTRIBUTION FOR DAVID BICKEL: (40 HOUR WORK WEEK) A. CBA: 15% - 6 HOURS B. CBA FOUNDATION: 5% - 2 HOURS C. MT HEALTHY: 40% - 16 HOURS D. MCV HEALTH CARE FACILITY: 30% - 12 HOURS E. MASON CHRISTIAN VILLAGE: 10% - 4 HOURSFORM 990, PART VII, AVERAGE HOURS PER WEEK TO RELATED ORGANIZATION:
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.FORM 990, PART XI, LINE 2C:

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 Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI INC
C60205CASH TRANSACTION
CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI INC
L264698CASH TRANSACTION