SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
Chapman Adult Care Homes Inc
 
Employer identification number

48-0770361
Return Reference Explanation
Pt VI, Line 11b The Form 990 is reviewed by the board of directors at
Pt VI, Line 11b a regularly scheduled meeting of the board.
Pt VI, Line 15a The compensation level of the administrator is set by
Pt VI, Line 15a the board of directors. All other employees are hired
Pt VI, Line 15a by the administrator.
Pt VI, Line 19 The governing documents and IRS Form 990 is made available upon specific written request.
Form 990, Part IX, Line 24e Dues & subs 5778. 0. 5778. 0.
Form 990, Part IX, Line 24e Resident activities 231. 231. 0. 0.
Form 990, Part IX, Line 24e Utilities 74497. 67047. 7450. 0.
Form 990, Part IX, Line 24e Background checks 405. 0. 405. 0.
Form 990, Part IX, Line 24e Medicare therapy/billing 95221. 95221. 0. 0.
Form 990, Part IX, Line 24e Property taxes 52. 0. 52. 0.
Form 990, Part IX, Line 24e Telephone 8115. 7304. 811. 0.
Form 990, Part IX, Line 24e Lease/rental 2571. 0. 2571. 0.
Form 990, Part IX, Line 24e Lawn care/snow removal 7456. 0. 7456. 0.
Form 990, Part IX, Line 24e Repairs/maintenance 56392. 0. 56392. 0.
Form 990, Part IX, Line 24e Software updates 26029. 26029. 0. 0.
Form 990, Part IX, Line 24e Minor equipment 23914. 0. 23914. 0.
Form 990, Part IX, Line 24e Other 37770. 0. 37770. 0.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID: 21013422
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