12710 Townepark Way
Suite 1000
Louisville KY 40243-1596
Contact Information
Address 12710 Townepark Way
Suite 1000
Louisville, KY 40243 1596
Phone (502) 254-4253
Fax 502 254-5117
Contact Name James Patton
At A Glance
Former Names
Christian Church Homes of Kentucky, 1960-2005
Christian Church Widows and Orphans Home, 1884-1960
Financial Summary
Revenue vs Expenses - All Years
Expense Breakdown - Recent Year
Mission Statement

To enhance the journey of life for Older Adults
A society that values and serves people of all ages. 
Background Statement

Christian Care Communities is Kentucky’s largest faith-based, not-for-profit provider of affordable senior retirement housing and long-term care services for older adults.

Founded in Louisville in 1884 to care for widows and orphans, Christian Care now serves older adults through an extensive network of retirement communities, including:

  • Independent Living Apartments and Patio Homes
  • Certified Assisted Living Apartments
  • Licensed Personal Care Homes
  • Skilled Nursing Care Facilities
  • Transitional Short-Term Rehabilitation Services
  • Adult Day Care Centers (Medical and Social Models)
  • Private Duty Nursing Personnel
  • Home and Community-Based Services
Impact Statement
In 2015, Christian Care Communities provided $1.9 million of uncompensated care and services to residents. 
Needs Statement
There is not presently a long-term care provider in Woodford County with Medicare- or Medicaid-certified skilled nursing beds. Woodford Countians in need of either intensive, post-hospitalization, in-patient rehab services that are eligible for Medicare coverage OR who need long-term care services and qualify for Medicaid benefits must seek those services elsewhere...separated from family, neighbors and other social supports. We plan to build a Continuing Care Retirement Community (CCRC) in Midway, KY that will initially include two skilled nursing cottages for 12 persons each (certified for both Medicare and Medicaid), a 12-person licensed personal care home for memory care, and a 12- apartment asssited living facility.  They will all be constructed and operated under the guiding principles of the Green House model, an innovative and promising approach to elder care which is further described in the PROGRAMS section of this profile.
25% of the projected $12M construction cost is needed to ensure both program viability (covering debt service) and broad accessibility (affordable).
CEO/Executive Director Statement
In 2010, Christian Care Communities refreshed the Strategic Plan it developed in 2006 in order to successfully continue pursuing its vision of becoming Kentucky’s premier provider of older adult services. The five underlying philosophical “pillars” of the plan are
1) Ministry makes a difference - that we are first and foremost a ministry to and for older adults and families facing elder care challenges;
2) Invest in our people - that quality care happens when caregiving and support staff are qualified, motivated and engaged, so staff recruitment, selection, orientation, ongoing training and education, career planning and advancement opportunities, performance appraisal and coaching, succession planning and empowerment are forms of INVESTMENT in delivering quality care - not an expense;
3) Exceed the expectations of older adults and their families - it is insufficient to simply MEET their needs - we aim to EXCEED their expectations in order to fulfill our mission and build lasting relationships;  
4) Innovate and grow - introduce new approaches and expand the breadth of our service mix, the number of families served and the geographic reach of our services; and  
5) Exercise responsible stewardship - not only in managing current operations and protecting existing assets, but preserving facilities and maintaining equipment in as-new condition. 
Goals and action plans with 1-, 3- and 5-year target completion dates, priorities, and staff and board member assignments were established. Progress is reported internally and reviewed in real time using the Focus and Execute® strategic plan operating webtool ( View the current implementation status by logging in at this URL: user i.d. "guestview" and password "ccc11."
Board Chair Statement
In the aftermath of the Civil War, Kentucky's Christian Churches collectively responded to the newly created social need to care for widows and orphans, many of whom had few resources and little hope...that organization has grown in scope and size to become the Commonwealth's largest faith-based provider of affordable housing and long term care services.  Our strategic focus for the future is aimed at helping families throughout Kentucky facing elder care challenges to confidently and effectively meet them.  We are committed to preserving the heritage of caring for people based on their needs, not on their financial strength...and continue to deserve our tax-exempt status through consistent demonstration of this premise.  Our duty extends to preparing the caregivers of tomorrow, as well, so we serve as clinical training sites for academic programs in multiple disciplines. The volunteer and community support of the organization's mission has grown well beyond its denominational roots, as has the breadth of faith traditions represented among those we serve. Christian Care Communities intends to change the face of elder care in Kentucky!
Service Categories
Secondary Organization Category Housing, Shelter / Senior Citizens' Housing, Retirement Communities
Tertiary Organization Category Human Services / Residential Care & Adult Day Programs
Geographic Areas Served
Bowling Green
Board Chair
Board Chair Marie Smart
Company Affiliation UK Sanders Brown Center on Aging, Lexington, KY
Term Jan 2014 to Dec 2016
Board Members
Jill J Bell Passport Health PlanVoting
Marcella Davis RetiredVoting
Franklin H Farris Jr.Mountjoy Chilton Medley LLPVoting
Terri Fowler Jefferson Animal HospitalVoting
Chadwick N Gardner AttorneyVoting
Susan Jones Western Kentucky UniversityVoting
Bruce Lucas Retired PhysicianVoting
Weldon Maisch RetiredVoting
Andrew Martin McCarthy Strategic SolutionsVoting
J. Martin McKinney United Parcel Service (UPS)Voting
Jerry T Miller Louisville MetroVoting
Sue Napper RetiredVoting
Alan Parsons Retired AttorneyVoting
Audrey L Powell Ephraim McDowell Regional Medical CenterVoting
Marie Smart UK Sanders Brown Center on AgingVoting
Phil Steenbergen Fifth Third BankVoting
Tanya Tyler Pastor Chalice Christian ChurchVoting
Board Demographics - Ethnicity
African American/Black 2
Asian American/Pacific Islander 0
Caucasian 15
Hispanic/Latino 0
Native American/American Indian 0
Other 0 0
Board Demographics - Gender
Male 9
Female 8
Unspecified 0
Board Term Lengths 4
Board Term Limits 2
Board Meeting Attendance % 83%
Written Board Selection Criteria? Under Development
Written Conflict of Interest Policy? Yes
Percentage Making Monetary Contributions 100%
Percentage Making In-Kind Contributions 17%
Constituency Includes Client Representation Yes
Number of Full Board Meetings Annually 3
Board Co-Chair
Board CoChair Mr. Franklin H Farris Jr.
Company Affiliation Mountjoy Chilton Medley LLP
Term Jan 2014 to Dec 2016
Standing Committees
Program / Program Planning
Strategic Planning / Strategic Direction
Board Governance
Institutional Advancement
Human Resources / Personnel
Additional Board Members and Affiliations
Nelda Barnett Retired
Paul Bolin Williamson Medical Center
Joe Hatchett Retired
CEO Comments
Our chief operating challenges are 1) attracting and retaining sufficient numbers of qualified, motivated people to perform the services we provide, 2) maintaining our existing facilities in "as-new" operating condition while expanding our services to reach more people who need support, and 3) securing the financial resources necessary to provide quality care, to innovate and respond effectively to changing community needs.  Reliance on government-funded programs for housing, health care and social support services has enabled Christian Care Communities to expand its reach over the past half-century, but this important source of support appears threatened in the contemporary debate about fiscal restraint among elected leaders in Washington, DC and Frankfort.  Re-enlisting the active involvement of families, the faith community and philanthropically-minded people and organizations will be paramount in order to meaningfully address the largest growth in older adults - both in number and as a percentage the population - in American history.   
CEO/Executive Director
Executive Director Dr. Keith R. Knapp
Term Start Feb 2009

President & Chief Executive Officer

Christian Care Communities, Louisville, KY: Responsible for leading and overseeing daily operations of 127-year-old, not-for-profit continuum of care organization serving over 2,200 seniors annually throughout KY; revenues of $46M/yr. (2009-present)
Episcopal Church Home, Louisville, KY: Responsible for overseeing all daily operations of a 266-resident, not-for-profit CCRC in a suburban setting (169-bed Nursing and Personal Care Facility, 52-unit Memory Care Center & 36 independent living patio homes); revenues of $13M/yr. (1999 – 2006)

Chief Operating Officer

Christian Care Communities, Louisville, KY (2006-2009)

Nursing Care Management of America, Cincinnati, OH: Responsible for the overall operation of 10 long-term care facilities (1,183 beds) owned and/or operated by N.C.M., located throughout OH, WV and VA; revenues of $36M/yr. (1986–87)

Executive Director/Administrator

Christian Church Home of Louisville: 572-resident, not-for-profit CCRC in an urban setting (126-bed Nursing Facility, Outpatient Rehab Center, Adult Day Care Center & 2 high-rise apartment complexes participating in the HUD Sec. 202/8 & 236 rent subsidy programs); revenues of $15M/yr. (1989-99)

Bethesda Scarlet Oaks Retirement Community, Cincinnati, OH: 242-resident, private, not-for-profit CCRC; revenues of $5.3M/yr. (1987-89)
Assistant Clinical Professor: Dept of Family & Geriatric Medicine, University of Louisville (2007-present)
Doctor of Philosophy - Gerontology - University of Kentucky
Master's Degree in Hospital and Health Administration - Special Studies in Aging and Long-Term Care Administration, Xavier University
Bachelor of Arts and Sciences - University of Kentucky


Certified Fellow American College of Health Care Administrators
Licensed Nursing Home Administrator
Certified Nurse Assistant

Full Time Staff 495
Part Time Staff 145
Volunteers 523
Contractors 12
Retention Rate 74%
Management Reports to Board? Yes
Staff Demographics - Ethnicity
African American/Black 290
Asian American/Pacific Islander 2
Caucasian 550
Hispanic/Latino 8
Native American/American Indian 0
Other 0 7
Staff Demographics - Gender
Male 95
Female 760
Unspecified 0
Former CEOs
Dr Kirk Alliman Apr 2002 - Feb 2009
Mr Daniel Prather Feb 2001 - Apr 2002
Senior Staff
Title Director of Pastoral Care
Title Director of PR, Marketing & Communications
Title Vice President-Human Resources
Title Executive Vice President
Title VP - Home & Community-Based Services
Title VP Mission Advancement
Title VP Finance
Formal Evaluations
CEO Formal Evaluation Yes
CEO/Executive Formal Evaluation Frequency Annually
Senior Management Formal Evaluation Yes
Senior Management Formal Evaluation Frequency Annually
NonManagement Formal Evaluation Yes
Non Management Formal Evaluation Frequency Annually
CEO Comments
Our key strategic initiatives include: 1) introducing in Kentucky the Green House ® Project (Midway) and P.A.C.E. (Program of All-Inclusive Care for the Elderly - Louisville); 2)  implementing post-acute, short-term rehabilitation units in our remaining skilled nursing facilities;
3) implement performance contracting model for increasing energy efficiency and reducing operating costs in HUD housing (Louisville);
4) modernizing our performance evaluation processes and developing succession plans at all levels of the organization; 5) further strengthening relationships with supporting congregations and expanding our chaplaincy scope to support resident/client families; 6) expanding services in Bowling Green (assisted living and private duty nursing), Hopkinsville (home health care agency and private duty nursing) and Lexington (adult day care – social model); and 7) opening projects under way in Owensboro (low-income housing) and Louisville (second skilled nursing facility and new adult day care center – medical model).  
The Homeplace at Midway will be a Continuing Care Retirement Community serving frail elders - primarily from Woodford, Scott, Franklin and Fayette Counties -  in need of supportive residential care, memory care or skilled nursing. 
Following the promising approach to elder care known as the Green House Project, it replaces a traditional, medical model and institution-centered layout, environment and care methods with a combination of "homes" that are much more residential in scale and suroundings.  It also reorganizes caregiving roles in ways that are more person-centered and measurably improves clinical outcomes and resident satisfaction.  This applies to skilled nursing, memory care and assisted living settings many of the techniques shown to be successful in providing quality care for developmentally disabled adults in group homes. 
Monitored by the state Cabinet for Health & Family Services, The Homeplace also supports The Centers for Medicare and Medicaid Services sanction of this care model as part of The Center's plan to promote "culture change" in long term care.
Budget 3000000
Category Health Care, General/Other Patient Care/Health Care Delivery
Population Served Aging, Elderly, Senior Citizens, Elderly and/or Disabled,
Program Short Term Success
The Homeplace will initially provide 48 beds for elders in need of skilled nursing, memory care (dementia, Alzheimer's) and assisted living. We anticipate expanding bed availability as the facility entrenches itself into the Central Kentucky community.
Program Long term Success
The Homeplace will change the model of residential care for the elderly in Woodford County, and its long-term success will be measured in the high utilization of all services as the facility originates and grows.
Program Success Monitored By
Christian Care Communities
KY Cabinet of Health & Family Services/ Office of Health Policy
Nursing Home Ombudsman Program
Program Comments
CEO Comments
The Homeplace at Midway will have a close relationship with Midway College's school of nursing. It will serve as a key clinical training site for students completing their geriatrics field experience, preparing the caregiving professionals of tomorrow in a setting believed by many to represent the future gold standard in eldercare.
Also, residents who wish to attend classes at the college can do so - to audit a particular lecture, an entire course, or to even enroll in a degree-granting program of study. Lifelong learning for students of ALL ages will be the norm, regardless of which campus is considered their home base.
Furthermore, the combination of Midway College's highly regarded equine program, the surrounding community's heritage of horse farming and the availability and interest of nearby research faculty opens the door to explore how some of the equine therapy interventions that have been so successful with children who have developmental disorders (such as autism or Asperger's Syndrome) intellectually disabled people might be applied to benefit elders with dementia.
Finally, this CCRC will be the first Green House in the U.S. to adjoin a school of nursing, the first to operate independently from a larger existing facilty; and the first sanctioned Green House in Kentucky.
Plans & Policies
Organization has a Fundraising Plan? Yes
Organization has a Strategic Plan? Yes
Years Strategic Plan Considers 5
Date Strategic Plan Adopted Dec 2010
Management Succession Plan? Under Development
Organization Policy and Procedures Yes
Nondiscrimination Policy Yes
Whistleblower Policy Yes
Document Destruction Policy Yes
Nursing Home Ombudsman Program
Clinical Training and/or Research Sites for:
American Red Cross (certified nursing assistant);
Bellarmine University (Physical therapy);
Central HS (certified nursing assistant);
Draughn's Junior College (medical billing, admin assistant);
Eastern KY University (recreational therapy);
Franklin College (nursing);
KCTCS (nursing, occupational therapy);
Murray State University (dietetics);
Spalding University (nursing, social work, occupational therapy);
Sullivan University (nursing, pharmacy);
Transylvania University (business adminstration);
University of KY (gerontology, social work);
University of Louisville (nursing, medicine, social work, expressive therapies, business); and
Western KY University (nursing, health administration, honors).
External Assessments and Accreditations
Centers for Medicare and Medicaid Services (U.S. Department of Health and Human Services) - Medicare Certification2011
United States Department of Housing and Urban Development (HUD) - Housing Counseling Agency Certification2011
Best Places to WorkBest Places to Work-Bowling Green2010
Healthiest Place to WorkBusiness First for Louisville2010
Government Licenses
Is your organization licensed by the Government? Yes
Revenue vs Expenses - All Years
Expense Breakdown - Recent Year
Fiscal Year
Fiscal Year Start Jan 01, 2014
Fiscal Year End Dec 31, 2014
Projected Revenue $50,736,000.00
Projected Expenses $53,587,000.00
Endowment Value $19,046,000.00
Spending Policy Percentage
Percentage 5%
Detailed Financials
Revenue and ExpensesHelpFinancial data for prior years is entered by foundation staff based on the documents submitted by nonprofit organizations.Foundation staff members enter this information to assure consistency in the presentation of financial data across all organizations.
Fiscal Year201320122011
Total Revenue$21,674,519$35,710,822$34,473,309
Total Expenses$24,457,414$34,016,377$33,696,539
Revenue Less Expenses($2,782,895)$1,694,445$776,770
Revenue SourcesHelpThe financial analysis involves a comparison of the IRS Form 990 and the audit report (when available). Revenue from foundations and corporations may be included in individual contributions when not itemized separately.
Fiscal Year201320122011
Foundation and
Corporation Contributions
Government Contributions$427,139$0$0
Individual Contributions$177,950$722,511$1,261,518
Investment Income, Net of Losses$4,732$471,644$519,692
Membership Dues------
Special Events--$76,464$76,028
Revenue In-Kind------
Expense Allocation
Fiscal Year201320122011
Program Expense$15,120,511$29,218,496$29,063,398
Administration Expense$9,052,930$4,797,881$4,633,141
Fundraising Expense$283,973----
Payments to Affiliates------
Total Revenue/Total Expenses0.891.051.02
Program Expense/Total Expenses62%86%86%
Fundraising Expense/Contributed Revenue47%0%0%
Assets and Liabilities
Fiscal Year201320122011
Total Assets$44,361,236$92,664,774$90,257,195
Current Assets$2,678,715$7,247,696$3,832,301
Long-Term Liabilities$65,931,372$30,070,432$28,250,541
Current Liabilities$3,763,022$19,681,507$20,447,391
Total Net Assets($25,333,158)$42,912,835$41,559,263
Capital Campaign
Currently in a Capital Campaign? Yes
Campaign Purpose To raise sufficient funds which supplement construction financing for completion of The Homeplace at Midway, and to provide cash reserves for the support of residents caught between adequate financial resources and Medicaid eligibility.
Goal $4,000,000.00
Dates Sept 2011 to Mar 2013
Amount Raised To Date 825000 as of Aug 2011
Capital Campaign Anticipated in Next 5 Years? Yes
State Registration Yes
CEO Comments
Helping elders remain in their homes - safely and for as long as possible - and assisting their families with maintaining adequate supports and meaningful relationships are key, overriding objectives for Christian Care Communities. The anticipated growth in the number of older adults over the next 20 years presents a multitude of opportunities for service and an intimidating set of fiscal challenges.  The Social Security system and at least two of its key, popular programs - Medicare and Medicaid - are already feeling some of the strain.  Christian Care Communities expects to remain relevant and to serve as a catalyst for positive changes in how Kentucky cares for its frail elders.  
Address 12710 Townepark Way
Suite 1000
Louisville, KY 402431596
Primary Phone 502 254-4253
Contact Email
CEO/Executive Director Dr. Keith R. Knapp
Board Chair Marie Smart
Board Chair Company Affiliation UK Sanders Brown Center on Aging, Lexington, KY