PRESBYTERIAN HOME OF HAWFIELDS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: PRESBYTERIAN HOME OF HAWFIELDS INC (EIN 56-1077371)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2013-11-27
IRS object ID: 201303319349300615
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
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-27T12:43:56-06:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	560587953	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GILLIAM COBLE & MOSER LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 621	AddressLine1
City	BURLINGTON	City
State	NC	State
ZIP Code	272160621	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	561077371	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PRESBYTERIAN HOME OF HAWFIELDS INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PRES	NameControl
Phone	3365784701	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2502 SOUTH NC 119	AddressLine1
City	MEBANE	City
State	NC	State
ZIP Code	27302	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MR MAX KERNODLE	Name
Title	ADMINISTRATOR	Title
Phone	3365784701	Phone
Date Signed	2013-11-26	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	SCOTT WILLIAMS	Name
PTIN	P00024567	PTIN
Phone	3362276283	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MR MAX KERNODLE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2502 SOUTH NC 119	AddressLine1
City	MEBANE	City
State	NC	State
ZIP Code	27302	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	6185764	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.HAWFIELDS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1973	YearFormation
State Legal Domicile	NC	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE HOUSING & RELATED FACILITIES & SERVICE FOR THE ELDERLY AND NEEDY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	194	TotalNbrEmployees
Total Nbr Volunteers	90	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1570	ContributionsGrantsPriorYear
Contributions Grants Current Year	9033	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	6700276	ProgramServiceRevenuePriorYear
Program Service Revenue CY	6148298	ProgramServiceRevenueCY
Investment Income Prior Year	8103	InvestmentIncomePriorYear
Investment Income Current Year	7049	InvestmentIncomeCurrentYear
Other Revenue Prior Year	57758	OtherRevenuePriorYear
Other Revenue Current Year	19111	OtherRevenueCurrentYear
Total Revenue Prior Year	6767707	TotalRevenuePriorYear
Total Revenue Current Year	6183491	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4181532	SalariesEtcPriorYear
Salaries Etc Current Year	4020734	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2623283	OtherExpensePriorYear
Other Expenses Current Year	2509711	OtherExpensesCurrentYear
Total Expenses Prior Year	6804815	TotalExpensesPriorYear
Total Expenses Current Year	6530445	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-37108	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-346954	RevenuesLessExpensesCY
Total Assets BOY	3264761	TotalAssetsBOY
Total Assets EOY	3045264	TotalAssetsEOY
Total Liabilities BOY	466613	TotalLiabilitiesBOY
Total Liabilities EOY	594070	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2798148	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2451194	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE HOUSING & RELATED FACILITIES & SERVICE FOR THE ELDERLY AND NEEDY IN A HEALTH CARE SETTING.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	5953150	Expense
Revenue	6148298	Revenue
Description	THE ORGANIZATION OPERATES A NURSING HOME FACILITY WITH 117 NURSING BEDS AND 37 INDEPENDENT LIVINGS BEDS IN MEBANE, NORTH CAROLINA.	Description
Total Program Service Expense	5953150	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	9	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	194	NumberOfEmployees
Employment Tax Returns Filed	0	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	0	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MAX KERNODLE	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3365784701	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2502 SOUTH NC 119	AddressLine1
City	MEBANE	City
State	NC	State
ZIP Code	27302	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
REV AB PLEXICO
BOARD OF DIRECTOR	1.00	X	0	0	0
MARY SCOTT
BOARD OF DIRECTOR	1.00	X	0	0	0
HENDERSON SCOTT
BOARD OF DIRECTOR	1.00	X	0	0	0
BILL MEBANE
BOARD OF DIRECTOR	1.00	X	0	0	0
TOM GAMBLE
BOARD OF DIRECTOR	1.00	X	0	0	0
BILL STOCKARD
BOARD OF DIRECTOR	1.00	X	0	0	0
JIMMY EVANS
CHAIRMAN	1.00		0	0	0	X
GEORGE BASON
VICE CHAIRMAN	1.00		0	0	0	X
FENTON COVINGTON
TREASURER	1.00		0	0	0	X
MAX KERNODLE
ADMINISTRATOR/SECRETARY	70.00		133352	0	18727		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	133352	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	18727	TotalOtherCompensation
Number Individuals GT100 K	1	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
GENESIS ELDERCARE REHAB SERVICES
PO BOX 7247	PHILADELPHIA	PA	19170	REHAB THERAPY	420898
DIVISION OF MEDICAL ASSISTANCE
2022 MAIL SERVICE CENTER	RALEIGH	NC	27699	NURSING ASSESSMENT FEES	407802
NIGHTINGALE NURSING SERVICES
PO BOX 1163	CARRBORO	NC	27510	AGENCY NURSING	355337
SYSCO FOOD SERVICES
PO BOX 129	SELMA	NC	27576	RAW FOODS/SUPPLEMENTS	326617
J11 MAC PALMETTO GBA LLC
PO BOX 100238	COLUMBIA	SC	29202	MEDICAID INSURANCE SERVICES	300000

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	9	NumberOfContractorsGT100K
All Other Contributions	9033	AllOtherContributions
Total Contributions	9033	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SKILLED CARE RESIDEN	623000	5623474	5623474
SPECIAL SERVICES REVEN	623000	305161	305161
INDEPENDENT LIVING REV	623000	213463	213463
COMMERICAL INSURANCE	623000	6200	6200

Field	Value	IRS element (for citing)
Total Program Service Revenue	6148298	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	322	TotalRevenueColumn
Exclusion	$322	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2380	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2380	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2380	TotalRevenueColumn
Exclusion	$2,380	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	9000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	2273	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	6727	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	6727	TotalRevenueColumn
Exclusion	$6,727	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
LATE PAYMENT INCOME	900099	7319	$7,319
DUKE POWER GENERATOR U	900099	7118	$7,118
EMPLOYEE/GUEST MEALS	900099	1638	$1,638

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	656	TotalRevenueColumn
Exclusion	$656	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	16731	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6183491	TotalRevenueColumn
Related Or Exempt Function Income	6148298	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$26,160	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	118832	Total
Management And General	118832	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	2759105	Total
Program Services	2637893	ProgramServices
Management And General	121212	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	878085	Total
Program Services	785832	ProgramServices
Management And General	92253	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	264712	Total
Program Services	247014	ProgramServices
Management And General	17698	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	5715	Total
Management And General	5715	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	36480	Total
Management And General	36480	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	586517	Total
Program Services	568025	ProgramServices
Management And General	18492	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	8784	Total
Management And General	8784	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	48765	Total
Management And General	48765	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	304840	Total
Program Services	265294	ProgramServices
Management And General	39546	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	7401	Total
Program Services	6071	ProgramServices
Management And General	1330	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	7806	Total
Program Services	6928	ProgramServices
Management And General	878	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	123820	Total
Program Services	123820	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	828430	828430
THERAPY	403683	403683
BAD DEBT EXPENSE	67310		67310
PHARMACY	55897	55897

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	24263	Total
Program Services	24263	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	6530445	Total
Program Services	5953150	ProgramServices
Management And General	577295	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	545793	BOY
EOY	204701	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	100000	BOY
EOY	100000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	669086	BOY
EOY	896095	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	53914	BOY
EOY	49922	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	52247	BOY
EOY	45094	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	6233380	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	4491894	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1836703	BOY
EOY	1741486	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	7018	BOY
EOY	7966	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	3264761	BOY
EOY	3045264	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	459595	BOY
EOY	486104	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	7018	BOY
EOY	107966	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	466613	BOY
EOY	594070	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2698148	BOY
EOY	2351194	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	100000	BOY
EOY	100000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2798148	BOY
EOY	2451194	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3264761	BOY
EOY	3045264	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-346954	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3257	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4182	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	11201	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1570	CurrentTaxYearMinus1Year
Current Tax Year	9033	CurrentTaxYear
Total	29243	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6945172	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7027639	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6660229	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6700276	CurrentTaxYearMinus1Year
Current Tax Year	6148298	CurrentTaxYear
Total	33481614	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6948429	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7031821	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6671430	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6701846	CurrentTaxYearMinus1Year
Current Tax Year	6157331	CurrentTaxYear
Total	33510857	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	685	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	482	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	80	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	140	CurrentTaxYearMinus1Year
Current Tax Year	210	CurrentTaxYear
Total	1597	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	685	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	482	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	80	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	140	CurrentTaxYearMinus1Year
Current Tax Year	210	CurrentTaxYear
Total	1597	Total

Field	Value	IRS element (for citing)
Public Support Total509	33509260	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	34990	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	24791	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	18070	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7052	CurrentTaxYearMinus1Year
Current Tax Year	10021	CurrentTaxYear
Total	94924	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	34990	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	24791	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	18070	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7052	CurrentTaxYearMinus1Year
Current Tax Year	10021	CurrentTaxYear
Total	94924	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	12239	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	13997	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	13816	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	58809	CurrentTaxYearMinus1Year
Current Tax Year	16139	CurrentTaxYear
Total	115000	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6995658	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7070609	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6703316	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6767707	CurrentTaxYearMinus1Year
Current Tax Year	6183491	CurrentTaxYear
Total	33720781	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99370	PublicSupportPercentage509
Prior Year Support Percentage	0.99330	PriorYearSupportPercentage
Investment Income Percentage	0.00280	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00270	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1028277	OtherCostOrOtherBasis
Book Value	1028277	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3909720	OtherCostOrOtherBasis
Depreciation	3318800	Depreciation
Book Value	590920	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	931990	OtherCostOrOtherBasis
Depreciation	829935	Depreciation
Book Value	102055	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	363393	OtherCostOrOtherBasis
Depreciation	343159	Depreciation
Book Value	20234	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1741486	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
RESIDENT TRUST FUNDS	$7,966
LINE OF CREDIT	$100,000

Field	Value	IRS element (for citing)
Total Of Amounts	107966	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	6183491	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	6183491	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	6183491	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	6530445	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	6530445	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	6530445	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2	FENTON COVINGTON (TREASURER) IS MAX KERNODLE'S (SECRETARY/ADMINISTRATOR) BROTHER-IN-LAW.
FORM 990, PART VI, SECTION A, LINE 8B	THERE ARE SEVERAL COMMITTEES IN PLACE THAT REPORT TO THE GOVERNING BOARD AND MINUTES ARE RECORDED FOR THEIR PARTICULAR MEETINGS. THESE COMMITTEES DO NOT HAVE THE RIGHTS TO ACT ON BEHALF OF THE GOVERNING BOARD.
FORM 990, PART VI, SECTION B, LINE 11	A COPY OF FORM 990 WILL BE DISTRIBUTED AND REVIEWED AT THE NOVEMBER BOARD MEETING. ANY CHANGES WILL BE MADE PRIOR TO FILING THE FORM 990 WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE BOARD REVIEWS ANNUALLY AND SIGNS-OFF ON DOCUMENTS WHICH ARE RECORDED IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 15	RECOMMENDATIONS ARE MADE AND DISCUSSED THROUGH THE FINANCE COMMITTEE. THE BOARD OF DIRECTORS THEN APPROVE ANY RECOMMENDATIONS.
FORM 990, PART VI, SECTION C, LINE 19	ALL OTHER APPLICABLE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.