Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on the latest valid filing.
Faith Home Assisted Living
EIN 20-3494562 • 501(c)3
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
No value available
Liabilities / Revenue
Score unavailable
Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.
Net Margin
Score unavailable
Net margin requires both revenue and expenses on the latest valid filing.
Top Officer Pay
Score unavailable
No filing with officer or executive compensation is available for this organization yet.
Asset Growth
10th percentile
Faster asset growth than 10% of similar nonprofits.
Revenue Growth
Score unavailable
No valid filing value is available for this score.
Balance Sheet
Assets
Down$0
Down $1,301,922 (-100%) from 2010
Liabilities
Down$0
Down $1,135,887 (-100%) from 2010
Net Assets
Down$0
Down $166,035 (-100%) from 2010
Revenue
-
No earlier filing loaded for comparison.
Expenses
Down$0
Down $417,819 (-100%) from 2010
Net Income
-
No earlier filing loaded for comparison.
Trend Graphs
Filings
Most recent year
2011 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $0
- Liabilities
- $0
- Net assets
- $0
- Revenue
- -
- Expenses
- $0
- Net income
- -
| Balance Sheet | Operations | |||||
|---|---|---|---|---|---|---|
| Year | Assets | Liabilities | Net Assets | Revenue | Expenses | Net Income |
| 2011Facts available. Structured filing facts are available, but richer extracted sections are limited. | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 2010Facts available. Structured filing facts are available, but richer extracted sections are limited. | $1.30 | $1.14 | $0.17 | $0.42 | ||
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2011 to Dec 31, 2011
- Signed
- Jun 28, 2012
- Return Version
- 2011v1.2
- Gross Receipts
- $0
Filing and Contact Details
Filer
- EIN
- 20-3494562
Raw XML Appendix394 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/ActivityOrMissionDescription | 0 | TO PROVIDE HOUSING AND ASSISTANCE FOR INDIVIDUALS REQUIRING MINIMAL ASSISTANCE WITH DAILY ROUTINES. |
| IRS990/ActivityOther/Description | 0 | FAITH HOME ASSISTED LIVING PROVIDES ASSISTED LIVING FOR THE ELDERLY AND DISABLED PEOPLE. |
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| IRS990/Form990PartVIISectionA/NamePerson | 8 | DON AHRENS |
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| IRS990/Form990PartVIISectionA/Title | 7 | DIRECTOR |
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| IRS990/Form990PartVIISectionA/Title | 11 | SECRETARY |
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| IRS990/FormersListed | 0 | false |
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| IRS990/GrantsToIndividuals | 0 | false |
| IRS990/GrantsToOrganizations | 0 | false |
| IRS990/GrantToRelatedPerson | 0 | false |
| IRS990/GrossReceipts | 0 | 0 |
| IRS990/GroupReturnForAffiliates | 0 | false |
| IRS990/Hospital | 0 | false |
| IRS990/IndependentAuditFinancialStmt | 0 | false |
| IRS990/IndoorTanningServices | 0 | false |
| IRS990/InfoInScheduleOPartIII | 0 | X |
| IRS990/InfoInScheduleOPartVI | 0 | X |
| IRS990/InfoInScheduleOPartXI | 0 | X |
| IRS990/IntangibleAssets/BOY | 0 | 5908 |
| IRS990/InvestmentIncomeCurrentYear | 0 | 0 |
| IRS990/InvestmentIncomePriorYear | 0 | 435 |
| IRS990/InvestmentInJointVenture | 0 | false |
| IRS990/LandBuildingsEquipmentBasisNet/BOY | 0 | 1187437 |
| IRS990/LoanToOfficerOrDQP | 0 | false |
| IRS990/LobbyingActivities | 0 | false |
| IRS990/LocalChapters | 0 | false |
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| IRS990/MethodOfAccountingAccrual | 0 | X |
| IRS990/MinutesOfCommittees | 0 | true |
| IRS990/MinutesOfGoverningBody | 0 | true |
| IRS990/MissionDescription | 0 | TO PROVIDE HOUSING AND ASSISTANCE FOR INDIVIDUALS REQUIRING MINIMAL ASSISTANCE WITH DAILY ROUTINES. |
| IRS990/MoreThan5000KToIndividuals | 0 | false |
| IRS990/MoreThan5000KToOrganizations | 0 | false |
| IRS990/MortNotesPyblSecuredInvestProp/BOY | 0 | 1113040 |
| IRS990/NameOfPrincipalOfficerPerson | 0 | LADONNA GUNDERSON |
| IRS990/NbrIndependentVotingMembers | 0 | 12 |
| IRS990/NbrVotingGoverningBodyMembers | 0 | 12 |
| IRS990/NbrVotingMembersGoverningBody | 0 | 12 |
| IRS990/NetAssetsOrFundBalancesBOY | 0 | 166035 |
| IRS990/NetAssetsOrFundBalancesEOY | 0 | 0 |
| IRS990/NoListedPersonsCompensated | 0 | X |
| IRS990/NonDeductibleContributions | 0 | false |
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| IRS990/OtherLiabilities/BOY | 0 | 18021 |
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| IRS990/OtherRevenuePriorYear | 0 | 3256 |
| IRS990/PartialLiquidation | 0 | false |
| IRS990/PoliticalActivities | 0 | false |
| IRS990/PrepaidExpensesDeferredCharges/BOY | 0 | 403 |
| IRS990/PriorExcessBenefitTransaction | 0 | false |
| IRS990/ProfessionalFundraising | 0 | false |
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| IRS990/ReportOtherLiabilities | 0 | false |
| IRS990/ReportProgRelInvest | 0 | false |
| IRS990/RevenuesLessExpensesCY | 0 | 0 |
| IRS990/RevenuesLessExpensesPriorYear | 0 | 48813 |
| IRS990/SalariesEtcCurrentYear | 0 | 0 |
| IRS990/SalariesEtcPriorYear | 0 | 161852 |
| IRS990/SavingsAndTempCashInvestments/BOY | 0 | 25678 |
| IRS990ScheduleA/GiftsGrantsContribReceived509/CurrentTaxYearMinus1Year | 0 | 1505 |
| IRS990ScheduleA/GiftsGrantsContribReceived509/CurrentTaxYearMinus2Years | 0 | 390 |
| IRS990ScheduleA/GiftsGrantsContribReceived509/CurrentTaxYearMinus3Years | 0 | 170 |
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| IRS990ScheduleA/GiftsGrantsContribReceived509/Total | 0 | 2360 |
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| IRS990ScheduleA/GrossInvestmentIncome509/CurrentTaxYearMinus3Years | 0 | 2 |
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| IRS990ScheduleA/GrossReceiptsFromAdmissions/CurrentTaxYearMinus1Year | 0 | 465127 |
| IRS990ScheduleA/GrossReceiptsFromAdmissions/CurrentTaxYearMinus2Years | 0 | 433799 |
| IRS990ScheduleA/GrossReceiptsFromAdmissions/CurrentTaxYearMinus3Years | 0 | 441684 |
| IRS990ScheduleA/GrossReceiptsFromAdmissions/CurrentTaxYearMinus4Years | 0 | 446247 |
| IRS990ScheduleA/GrossReceiptsFromAdmissions/Total | 0 | 1786857 |
| IRS990ScheduleA/InvestmentIncomeAndUBTI/CurrentTaxYearMinus1Year | 0 | 435 |
| IRS990ScheduleA/InvestmentIncomeAndUBTI/CurrentTaxYearMinus2Years | 0 | 247 |
| IRS990ScheduleA/InvestmentIncomeAndUBTI/CurrentTaxYearMinus3Years | 0 | 2 |
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| IRS990ScheduleA/InvestmentIncomeAndUBTI/Total | 0 | 686 |
| IRS990ScheduleA/InvestmentIncomePercentage | 0 | 0.00000 |
| IRS990ScheduleA/PriorYearSupportPercentage | 0 | 0.99970 |
| IRS990ScheduleA/PubliclySupportedOrg509a2 | 0 | X |
| IRS990ScheduleA/PublicSupportPercentage509 | 0 | 0.99960 |
| IRS990ScheduleA/PublicSupportTotal509 | 0 | 1789217 |
| IRS990ScheduleA/ThirtyThreePercntTestsCY509 | 0 | X |
| IRS990ScheduleA/Total509/CurrentTaxYearMinus1Year | 0 | 466632 |
| IRS990ScheduleA/Total509/CurrentTaxYearMinus2Years | 0 | 434189 |
| IRS990ScheduleA/Total509/CurrentTaxYearMinus3Years | 0 | 441854 |
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| IRS990ScheduleA/Total509/Total | 0 | 1789217 |
| IRS990ScheduleA/TotalSupportTotal/CurrentTaxYearMinus1Year | 0 | 467067 |
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| IRS990ScheduleA/TotalSupportTotal/Total | 0 | 1789903 |
| IRS990/ScheduleBRequired | 0 | false |
| IRS990/ScheduleJRequired | 0 | false |
| IRS990ScheduleN/AssetsDistributed | 0 | true |
| IRS990ScheduleN/BondLiabilitiesDischarged | 0 | true |
| IRS990ScheduleN/BondsOutstanding | 0 | true |
| IRS990ScheduleN/DirectorOfSuccessor | 0 | true |
| IRS990ScheduleN/EmployeeOfSuccessor | 0 | true |
| IRS990ScheduleN/Form990ScheduleNPartIII/Explanation | 0 | THE ENTIRE FORMER BOARD OF DIRECTORS FOR FAITH HOME ASSISTED LIVING WILL CONTINUE TO SERVE ON THE BOARD FOR FAITH LUTHERAN HOME ADDITIONALLY THE ASSISTED LIVING MANAGER CHRIS JELLUM WILL BECOME AN EMPLOYEE OF THE MERGED CORPORATION |
| IRS990ScheduleN/Form990ScheduleNPartIII/Explanation | 1 | THE LIABILITY ASSOCIATED WITH THE BONDS WAS ASSUMED BY FAITH LUTHERAN HOME THROUGH MERGER ON JANUARY 1 2011 |
| IRS990ScheduleN/Form990ScheduleNPartIII/Identifier | 0 | DETAIL |
| IRS990ScheduleN/Form990ScheduleNPartIII/Identifier | 1 | DETAIL |
| IRS990ScheduleN/Form990ScheduleNPartIII/ReturnReference | 0 | SCHEDULE N PAGE 1 PART I LINE 2E |
| IRS990ScheduleN/Form990ScheduleNPartIII/ReturnReference | 1 | SCHEDULE N PAGE 2 PART I LINE 6C |
| IRS990ScheduleN/LiabilitiesPaid | 0 | true |
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| IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/AddressLine1 | 1 | 914 DAVIDSON DRIVE |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/AddressLine1 | 2 | 914 DAVIDSON DRIVE |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/AddressLine1 | 3 | 914 DAVIDSON DRIVE |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/AddressLine1 | 4 | 914 DAVIDSON DRIVE |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/City | 0 | OSAGE |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/City | 1 | OSAGE |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/City | 2 | OSAGE |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/City | 3 | OSAGE |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/City | 4 | OSAGE |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/State | 0 | IA |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/State | 1 | IA |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/State | 2 | IA |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/State | 3 | IA |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/State | 4 | IA |
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| IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/ZIPCode | 3 | 50461 |
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| IRS990ScheduleN/LiquidationTable/LiquidationDetail/DateOfDistribution | 0 | 2011-01-01 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/DateOfDistribution | 1 | 2011-01-01 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/DateOfDistribution | 2 | 2011-01-01 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/DateOfDistribution | 3 | 2011-01-01 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/DateOfDistribution | 4 | 2011-01-01 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/DescriptionOfAsset | 0 | BUILDINGS AND EQUIPMEN |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/DescriptionOfAsset | 1 | CASH AND INVESTMENTS |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/DescriptionOfAsset | 2 | INTANGIBLE ASSETS |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/DescriptionOfAsset | 3 | ACCOUNTS RECEIVABLE |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/DescriptionOfAsset | 4 | PREPAID EXPENSES |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/EIN | 0 | 420896119 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/EIN | 1 | 420896119 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/EIN | 2 | 420896119 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/EIN | 3 | 420896119 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/EIN | 4 | 420896119 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/FMVOfAsset | 0 | 1187437 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/FMVOfAsset | 1 | 107221 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/FMVOfAsset | 2 | 5908 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/FMVOfAsset | 3 | 954 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/FMVOfAsset | 4 | 403 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/IRCSection | 0 | 501C3 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/IRCSection | 1 | 501C3 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/IRCSection | 2 | 501C3 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/IRCSection | 3 | 501C3 |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/IRCSection | 4 | 501C3 |
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| IRS990ScheduleN/LiquidationTable/LiquidationDetail/NamePerson | 1 | FAITH LUTHERAN HOME |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/NamePerson | 2 | FAITH LUTHERAN HOME |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/NamePerson | 3 | FAITH LUTHERAN HOME |
| IRS990ScheduleN/LiquidationTable/LiquidationDetail/NamePerson | 4 | FAITH LUTHERAN HOME |
| IRS990ScheduleN/OwnerOfSuccessor | 0 | false |
| IRS990ScheduleN/ReceiveCompensation | 0 | false |
| IRS990ScheduleN/RequiredToNotifyAG | 0 | true |
| IRS990ScheduleO/GeneralExplanation/Explanation | 0 | FAITH HOME ASSISTED LIVING PROVIDES ASSISTED LIVING FOR THE ELDERLY AND DISABLED PEOPLE. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 1 | THE BOARD OF DIRECTORS, AT A MONTHLY MEETING, REVIEWED THE FORM 990 AND ATTACHEMENTS AND AFTER DISCUSSION IT WAS MOVED AND SECONDED TO FILE THE FORM 990 WITH THE IRS. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 2 | FAITH HOME ASSISTED LIVING MONITORS THEIR EMPLOYEES' COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH ANNUAL REVIEWS AND THROUGH INVESTIGATIONS OF ANY ALLEGATIONS OF POTENTIAL CONFLICTS OF INTEREST. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 3 | THE BOARD OF DIRECTORS DETERMINES THE SALARY OF THE ADMINISTRATOR BY DOING AN AREA MARKET STUDY OF OTHER NURSING HOMES IN THE AREA. THEY COMPARE SALARIES, BENEFITS AND EXPERIENCE OF THE OTHER ADMINISTRATORS AND FROM THIS SURVEY AND DISCUSSIONS THEY DETERMINE AND SET THE ADMINISTRATOR'S SALARY FOR FAITH HOME ASSISTED LIVING. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 4 | FAITH HOME ASSISTED LIVING MAKES ALL OF THEIR GOVERNING DOCUMENTS, POLICIES, FINANCIAL STATEMENTS AND FORM 990 TAX RETURN AVAILABLE AT ANY TIME TO THE PUBLIC IN THE ADMINISTRATIVE OFFICES LOCATED AT 914 DAVIDSON DRIVE, OSAGE, IA 50461. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 5 | ON JANUARY 1, 2011 FAITH HOME ASSISTED LIVING WAS MERGED WITH FAITH LUTHERAN HOME UNDER IOWA CODE SECTIONS 504.1101 AND 504.1108. ALL OF FAITH HOME ASSISTED LIVING'S ASSETS AND LIABILITIES WERE ASSUMED BY FAITH LUTHERAN HOME. THIS RETURN WILL BE THE FINAL RETURN FOR FAITH HOME ASSISTED LIVING. |
| IRS990ScheduleO/GeneralExplanation/Identifier | 0 | ALL OTHER ACCOMPLISHMENT DESCRIPTION |
| IRS990ScheduleO/GeneralExplanation/Identifier | 1 | ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 |
| IRS990ScheduleO/GeneralExplanation/Identifier | 2 | ENFORCEMENT OF CONFLICTS POLICY |
| IRS990ScheduleO/GeneralExplanation/Identifier | 3 | COMPENSATION PROCESS FOR OFFICERS |
| IRS990ScheduleO/GeneralExplanation/Identifier | 4 | GOVERNING DOCUMENTS DISCLOSURE EXPLANATION |
| IRS990ScheduleO/GeneralExplanation/Identifier | 5 | OTHER CHANGES IN NET ASSETS EXPLANATION |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 0 | FORM 990, PAGE 2, PART III, LINE 4D |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 1 | FORM 990, PAGE 6, PART VI, LINE 11B |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 2 | FORM 990, PAGE 6, PART VI, LINE 12C |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 3 | FORM 990, PAGE 6, PART VI, LINE 15B |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 4 | FORM 990, PAGE 6, PART VI, LINE 19 |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 5 | FORM 990, PART XI, LINE 5 |
| IRS990/ScheduleORequired | 0 | true |
| IRS990/School | 0 | false |
| IRS990/SignificantChange | 0 | false |
| IRS990/SignificantNewProgramServices | 0 | false |
| IRS990/StateLegalDomicile | 0 | IA |
| IRS990/SubjectToProxyTax | 0 | false |
| IRS990/TaxablePartyNotification | 0 | false |
| IRS990/TaxExemptBonds | 0 | false |
| IRS990/Terminated | 0 | true |
| IRS990/TerminatedReturn | 0 | X |
| IRS990/TerminationOrContraction | 0 | X |
| IRS990/TermOrPermanentEndowments | 0 | false |
| IRS990/TheBooksAreInCareOf/AddressUS/AddressLine1 | 0 | 914 DAVIDSON DRIVE |
| IRS990/TheBooksAreInCareOf/AddressUS/City | 0 | OSAGE |
| IRS990/TheBooksAreInCareOf/AddressUS/State | 0 | IA |
| IRS990/TheBooksAreInCareOf/AddressUS/ZIPCode | 0 | 50461 |
| IRS990/TheBooksAreInCareOf/NamePerson | 0 | LADONNA GUNDERSON |
| IRS990/TheBooksAreInCareOf/TelephoneNumber | 0 | 6417325511 |
| IRS990/TotalAssets/BOY | 0 | 1301923 |
| IRS990/TotalAssetsBOY | 0 | 1301923 |
| IRS990/TotalAssets/EOY | 0 | 0 |
| IRS990/TotalAssetsEOY | 0 | 0 |
| IRS990/TotalCompGT150K | 0 | false |
| IRS990/TotalExpensesCurrentYear | 0 | 0 |
| IRS990/TotalExpensesPriorYear | 0 | 417819 |
| IRS990/TotalFunctionalExpenses/Fundraising | 0 | 0 |
| IRS990/TotalFunctionalExpenses/ManagementAndGeneral | 0 | 0 |
| IRS990/TotalFunctionalExpenses/ProgramServices | 0 | 0 |
| IRS990/TotalFunctionalExpenses/Total | 0 | 0 |
| IRS990/TotalFundrsngExpCurrentYear | 0 | 0 |
| IRS990/TotalGrossUBI | 0 | 0 |
| IRS990/TotalLiabilities/BOY | 0 | 1135888 |
| IRS990/TotalLiabilitiesBOY | 0 | 1135888 |
| IRS990/TotalLiabilities/EOY | 0 | 0 |
| IRS990/TotalLiabilitiesEOY | 0 | 0 |
| IRS990/TotalLiabNetAssetsFundBalances/BOY | 0 | 1301923 |
| IRS990/TotalLiabNetAssetsFundBalances/EOY | 0 | 0 |
| IRS990/TotalNbrEmployees | 0 | 0 |
| IRS990/TotalNetAssetsFundBalances/BOY | 0 | 166035 |
| IRS990/TotalNetAssetsFundBalances/EOY | 0 | 0 |
| IRS990/TotalProfFundrsngExpCY | 0 | 0 |
| IRS990/TotalRevenueCurrentYear | 0 | 0 |
| IRS990/TotalRevenuePriorYear | 0 | 466632 |
| IRS990/TotalRevenue/TotalRevenueColumn | 0 | 0 |
| IRS990/TransactionRelatedEntity | 0 | false |
| IRS990/TransfersToExemptNonChrtblOrg | 0 | false |
| IRS990/TypeOfOrganizationCorporation | 0 | X |
| IRS990/UnrelatedBusinessIncome | 0 | false |
| IRS990/UnrestrictedNetAssets/BOY | 0 | 166035 |
| IRS990/UponRequest | 0 | X |
| IRS990/WebSite | 0 | N/A |
| IRS990/WhistleblowerPolicy | 0 | true |
| IRS990/YearFormation | 0 | 2006 |
| ReturnHeader/BuildTS | 0 | 2016-02-24 21:20:13Z |
| ReturnHeader/Filer/EIN | 0 | 203494562 |
| ReturnHeader/Filer/Name/BusinessNameLine1 | 0 | FAITH HOME ASSISTED LIVING |
| ReturnHeader/Filer/NameControl | 0 | FAIT |
| ReturnHeader/Filer/Phone | 0 | 6417325511 |
| ReturnHeader/Filer/USAddress/AddressLine1 | 0 | 914 DAVIDSON DRIVE |
| ReturnHeader/Filer/USAddress/City | 0 | OSAGE |
| ReturnHeader/Filer/USAddress/State | 0 | IA |
| ReturnHeader/Filer/USAddress/ZIPCode | 0 | 50461 |
| ReturnHeader/Officer/AuthorizeThirdParty | 0 | true |
| ReturnHeader/Officer/DateSigned | 0 | 2012-06-28 |
| ReturnHeader/Officer/Name | 0 | LADONNA GUNDERSON |
| ReturnHeader/Officer/Phone | 0 | 6417325511 |
| ReturnHeader/Officer/Title | 0 | ADMINISTRATOR |
| ReturnHeader/Preparer/DatePrepared | 0 | 2012-06-28 |
| ReturnHeader/PreparerFirm/PreparerFirmBusinessName/BusinessNameLine1 | 0 | WILLIAMS & COMPANY CPA PC |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/AddressLine1 | 0 | 1009 IOWA AVE |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/City | 0 | ONAWA |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/State | 0 | IA |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/ZIPCode | 0 | 51040 |
| ReturnHeader/Preparer/Name | 0 | DAVID D RADKE CPA |
| ReturnHeader/Preparer/Phone | 0 | 7124232616 |
| ReturnHeader/ReturnType | 0 | 990 |
| ReturnHeader/TaxPeriodBeginDate | 0 | 2011-01-01 |
| ReturnHeader/TaxPeriodEndDate | 0 | 2011-12-31 |
| ReturnHeader/TaxYear | 0 | 2011 |
| ReturnHeader/Timestamp | 0 | 2012-07-30T08:12:53-05:00 |
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