STRATEGY STUDIO / PUBLIC DATA EXPLORER

UPSTATE SENIOR LIVING INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UPSTATE SENIOR LIVING INC (EIN 51-0553716)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-07
IRS object ID
201303119349301870
Schema version
2012v2.1
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)
Timestamp2013-11-07T14:24:59-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560747981EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN510553716EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UPSTATE SENIOR LIVING INCBusinessNameLine1
Business Name Line2DBA THE WOODLANDS AT FURMANBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlUPSTNameControl
Phone8643713100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 TRAILHEAD COURTAddressLine1
CityGREENVILLECity
StateSCState
ZIP Code29617ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBEN NORWOOD IIIName
TitlePRESIDENTTitle
Phone8643713100Phone
Date Signed2013-11-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
PTINP00445891PTIN
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1THE WOODLANDS AT FURMANBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonBEN NORWOOD IIINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11500 TRAILHEAD COURTAddressLine1
CityGREENVILLECity
StateSCState
ZIP Code29617ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8806956GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.THEWOODLANDSATFURMAN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HIGH QUALITY ELDER CARE SERVICES AND FACILITIES AT THE LOWEST POSSIBLE COST.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees192TotalNbrEmployees
Total Nbr Volunteers95TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7911419ProgramServiceRevenuePriorYear
Program Service Revenue CY8777691ProgramServiceRevenueCY
Investment Income Prior Year211227InvestmentIncomePriorYear
Investment Income Current Year29265InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year8122646TotalRevenuePriorYear
Total Revenue Current Year8806956TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3476145SalariesEtcPriorYear
Salaries Etc Current Year3855829SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10748260OtherExpensePriorYear
Other Expenses Current Year10281318OtherExpensesCurrentYear
Total Expenses Prior Year14224405TotalExpensesPriorYear
Total Expenses Current Year14137147TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-6101759RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-5330191RevenuesLessExpensesCY
Total Assets BOY77372931TotalAssetsBOY
Total Assets EOY73785326TotalAssetsEOY
Total Liabilities BOY101885669TotalLiabilitiesBOY
Total Liabilities EOY104623266TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-24512738NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-30837940NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF UPSTATE SENIOR LIVING, INC. IS TO BE THE RETIREMENT COMMUNITY OF CHOICE BY NURTURING A DISTINCTIVE CULTURE OF ENRICHMENT WHILE PROVIDING SECURITY AND A CONTINUUM OF CARE FOR ITS RESIDENTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12891246Expense
Revenue8777691Revenue
DescriptionTHE WOODLANDS AT FURMAN WAS CREATED WITH A PHILOSOPHY OF REJUVENATION AND RE-INSPIRATION, AND OUR UNIQUE AFFILIATION WITH FURMAN UNIVERSITY GOES A LONG WAY TOWARD MAKING THAT HAPPEN. IT IS AN AFFILIATION THAT WILL KEEP RESIDENTS HEALTHY, ACTIVE, CONNECTED, AND INVOLVED.WE BELIEVE THAT THE HEALTHIEST AND HAPPIEST RETIREMENT IS ONE THAT IS ACTIVE AND STIMULATING. WE DO EVERYTHING POSSIBLE TO MAKE RETIREMENT ONE OF THE MOST REWARDING AND ENRICHING PARTS OF LIFE BY OFFERING MORE THAN JUST BEAUTIFUL HOUSING. WE OFFER A LIFESTYLE THAT ENCOURAGES PHYSICAL, MENTAL, SOCIAL GROWTH.SEE SCHEDULE O FOR CONTINUATION OF ACCOMPLISHMENTS:EVERY ASPECT OF OUR COMMUNITY IS DESIGNED TO PROVIDE FINE SENIOR LIVING. OUR HOUSING OPTIONS INCLUDE AN EXTENSIVE SELECTION OF FLOOR PLANS TO OFFER MAXIMUM COMFORT, CONVENIENCE, AND STYLE. OUR UNIQUE LOCATION, ADJACENT TO FURMAN UNIVERSITY, FURTHER ENHANCES THE DISTINCTIVE LIFESTYLE AT THE WOODLANDS.FOR THOSE WHO CAN NO LONGER LIVE INDEPENDENTLY, THE ARBORETUM PROVIDES CARE IN A COMFORTABLE, NURTURING ENVIRONMENT BASED ON COMPASSION, UNDERSTANDING, AND PROFESSIONALISM. HERE, QUALITY OF LIFE AND QUALITY OF CARE TAKE PRECEDENCE. WHETHER IT'S ASSISTED LIVING, MEMORY SUPPORT, OR SKILLED NURSING, HERE YOU WILL FIND QUALITY CARE IN A SECURE YET INVITING ENVIRONMENT. THE ARBORETUM PROVIDES SPACIOUS RESIDENCES, VALUABLE AMENITIES, HEALTH SERVICES, AND CUSTOMIZED CARE THAT TRANSITIONS TO ADDRESS THE EVOLVING NEEDS AND PREFERENCES OF ITS RESIDENTS.Description
Total Program Service Expense12891246TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
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 Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees192NumberOfEmployees
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
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 Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KEVIN PARKER EXECUTIVE DIRECTORBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8643713100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11500 TRAILHEAD COURTAddressLine1
CityGREENVILLECity
StateSCState
ZIP Code29617ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
BEN NORWOOD
PRESIDENT6.00XX000
SAM SMITH
VICE PRESIDENT4.00XX000
WALTER GOLDSMITH
SECRETARY/TREASURER4.00XX000
LARRY D ESTRIDGE
BOARD MEMBER2.00X000
W BEN DEIBLER
BOARD MEMBER2.00X000
ELAINE GUYTON
BOARD MEMBER2.00X000
JOHN R SANDERS
BOARD MEMBER2.00X000
SARAH FLETCHER
BOARD MEMBER2.00X000
BRUCE BROWN
BOARD MEMBER2.00X000
CLARE MORRIS
BOARD MEMBER2.00X000
DR EDWARD HILGER
BOARD MEMBER2.00X000
TROY CANNADAY
EXECUTIVE DIRECTOR50.00X143336021102
FieldValueIRS element (for citing)
Total Reportable Comp From Org143336TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation21102TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
GREYSTONE MANAGEMENT
225 E JOHN CARPENTER FWYIRVINGTX75062MANAGEMENT SERVICES415745
HERITAGE HEALTHCARE
PO BOX 823424PHILADELPHIAPA19182THERAPY SERVICES401313
GLYNNDEVINS ADVERTISING
11230 COLLEGE BLVDOVERLAND PARKKS66210MARKETING SERVICES341697
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICE REVEN62300061203506120350
SKILLED NURSING AND TH62300013654101365410
AMORTIZATION OF ADVANC62300011068171106817
OTHER SERVICE REVENUE623000145362145362
FOOD SERVICE REVENUE6230003975239752
FieldValueIRS element (for citing)
Total Program Service Revenue8777691TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column29265TotalRevenueColumn
Exclusion$29,265ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8806956TotalRevenueColumn
Related Or Exempt Function Income8777691RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$29,265ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total164438Total
Program Services139772ProgramServices
Management And General24666ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3139947Total
Program Services2805779ProgramServices
Management And General334168ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total276941Total
Program Services246867ProgramServices
Management And General30074ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total274503Total
Program Services244694ProgramServices
Management And General29809ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total358429Total
Management And General358429ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total30441Total
Management And General30441ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total61146Total
Management And General61146ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total45680Total
Management And General45680ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total612291Total
Program Services610791ProgramServices
Management And General1500ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total289112Total
Program Services289112ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1201867Total
Program Services948732ProgramServices
Management And General253135ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total55185Total
Program Services27645ProgramServices
Management And General27540ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1561406Total
Program Services1561406ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total49820Total
Program Services10745ProgramServices
Management And General39075ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total18703Total
Program Services15598ProgramServices
Management And General3105ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3119826Total
Program Services3119826ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2536591Total
Program Services2536591ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total207991Total
Program Services202106ProgramServices
Management And General5885ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT131568131568
MISCELLANEOUS1262141248

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14137147Total
Program Services12891246ProgramServices
Management And General1245901ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1654856BOY
EOY911501EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5455901BOY
EOY8995912EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2818861BOY
EOY2442253EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY8008BOY
EOY9128EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7078318BOY
EOY5789515EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis63192526LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7555613LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY57456650BOY
EOY55636913EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2900337BOY
EOY104EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY77372931BOY
EOY73785326EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY842556BOY
EOY410738EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY15386388BOY
EOY19865942EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY76953982BOY
EOY77341435EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8702743BOY
EOY7005151EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY101885669BOY
EOY104623266EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-24512738BOY
EOY-30837940EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-24512738BOY
EOY-30837940EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY77372931BOY
EOY73785326EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-5330191ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-995011ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1117487CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5276099CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7911419CurrentTaxYearMinus1Year
Current Tax Year8777691CurrentTaxYear
Total23087196Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1117487CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5276099CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7911419CurrentTaxYearMinus1Year
Current Tax Year8777691CurrentTaxYear
Total23087196Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50923087196PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years530337CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years304006CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year211227CurrentTaxYearMinus1Year
Current Tax Year-965746CurrentTaxYear
Total79824Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years530337CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years304006CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year211227CurrentTaxYearMinus1Year
Current Tax Year-965746CurrentTaxYear
Total79824Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1647824CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5580105CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8122646CurrentTaxYearMinus1Year
Current Tax Year7811945CurrentTaxYear
Total23167020Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99660PublicSupportPercentage509
Prior Year Support Percentage0.93190PriorYearSupportPercentage
Investment Income Percentage0.00340InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.06810PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis55680628OtherCostOrOtherBasis
Depreciation5329704Depreciation
Book Value50350924BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5292616OtherCostOrOtherBasis
Depreciation1012563Depreciation
Book Value4280053BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2200459OtherCostOrOtherBasis
Depreciation1213346Depreciation
Book Value987113BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18823OtherCostOrOtherBasis
Book Value18823BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings55636913TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ENTRANCE FEE DEPOSITS$478,598
GROUND LEASE PAYABLE$5,864,057
ACCRUED INTEREST PAYABLE$662,496
FieldValueIRS element (for citing)
Total Of Amounts7005151TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt7811945TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-995011NetUnrealizedGainsInvestments
Revenue Not Rptd F990-995011RevenueNotRptdF990
Revenue Subtotal8806956RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9908806956TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14137147TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal14137147ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014137147TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE ORGANIZATION IS TAX EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND UNDER SIMILAR STATE STATUTES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2012. FISCAL YEARS ENDING ON OR AFTER DECEMBER 31, 2009 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonTROY CANNADAYNamePerson
TitleEXECUTIVE DIRECTORTitle
Base Compensation Filing Org119770BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org23566BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org4300DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org16802NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org164438TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 6THE EXECUTIVE DIRECTOR'S BONUS (4-10%) IS BASED ON FINANCIAL PERFORMANCE. GOALS ARE ESTABLISHED AND APPROVED BY THE MANAGEMENT COMPANY AND THE BOARD OF DIRECTORS.
PART IIIDAY TO DAY MANAGEMENT FUNCTIONS ARE PROVIDED THROUGH GREYSTONE COMMUNITIES, AN UNRELATED ORGANIZATION. SERVICES INCLUDE FINANCIAL OVERSIGHT, MARKETING, AND OPERATIONS.SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
SOUTH CAROLINA JOBS - ECONOMIC DEVELOPMENT AUTHORITY
A570960018837036DA72007-10-1776911708CONSTRUCTION AND DEVELOPMENT000
SOUTH CAROLINA JOBS - ECONOMIC DEVELOPMENT AUTHORITY
B570960018837036DS82012-03-0642575183CURRENT REFUNDING000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindOther Spent ProceedsOtherSpentProceeds
A7458670881052987484043286759288993714789836796305820090011
B4257554519762802009101142575183

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00000.000000.000000.00000000
B00000.000000.000000.00000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Business Name Line2NameOfGICProvider/BusinessNameLine2Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDue
SOVEREIGN BANK
A1113.300000000000001BAYERISCHELANDESBANK/SAN3.000000000000110
(no name)
B000000110

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE K, PART I, DESCRIPTION OF PURPOSE:BOND B: PROCEEDS OF THIS ISSUE WERE USED TO CURRENTLY REFUND A PRIOR ISSUE DATED OCTOBER 17, 2007, ON A DATE NO LATER THAN MARCH 2, 2012.
SCHEDULE K, PART II, LINE 3: TOTAL PROCEEDSTHE AMOUNT ON LINE 3 INCLUDES AGGREGATE INVESTMENT EARNINGS TO DATE.
SCHEDULE K, PART II, LINE 11: OTHER SPENT PROCEEDSTHE AMOUNT ON LINE 11 AS OTHER SPENT PROCEEDS WAS USED TO CURRENTLY REFUND PRIOR ISSUES DESCRIBED ABOVE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2BOARD MEMBERS LARRY ESTRIDGE AND ELAINE GUYTON HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 3DAY TO DAY MANAGEMENT FUNCTIONS ARE PROVIDED THROUGH GREYSTONE COMMUNITIES INCLUDING FINANCIAL OVERSIGHT, MARKETING, AND OPERATIONS.
FORM 990, PART VI, SECTION B, LINE 11THE 990 WAS INITIALLY REVIEWED BY THE FINANCE COMMITTE. AFTER APPROVAL, THE 990 WAS PROVIDED TO THE FULL BOARD FOR REVIEW, COMMENT, AND APPROVAL PRIOR TO SUBMITTING THE RETURN WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS IS REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. INDIVIDUALS REALIZE THEIR FIDUCIARY DUTY TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST SO THAT THE BOARD CAN DETERMINE THE APPROPRIATE COURSE OF ACTION SHOULD A CONFLICT ARISE.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION UTILIZES COMPARABILITY DATA WHEN DETERMINING CHANGES IN COMPENSATION FOR TOP MANAGEMENT OFFICIALS. THESE SALARIES ARE APPROVED BY THE BOARD WITH ASSISTANCE FROM GREYSTONE AS PART OF THE APPROVAL OF THE ANNUAL BUDGET FOR THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 18THE FORM 990 IS AVAILABLE UPON REQUEST AT THE ORGANIZATION'S OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.