MEMORIAL HOSPITAL AND HOMES ASSOCIATION INC: Form 990, tax year 2012
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- Organization
- MEMORIAL HOSPITAL AND HOMES ASSOCIATION INC (EIN 41-1428331)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2013-12-15
- IRS object ID
- 201303509349300115
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-12-15T09:47:41-06:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411281737 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MILLER MCDONALD INC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 348 | AddressLine1 |
| City | PARK RAPIDS | City |
| State | MN | State |
| ZIP Code | 56470 | 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 | 411428331 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HOSPITAL & HOMES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MEMO | NameControl |
| Phone | 2183462200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 415 8TH AVENUE SOUTH | AddressLine1 |
| City | PERHAM | City |
| State | MN | State |
| ZIP Code | 56573 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KENNETH GUCK | Name |
| Title | PRESIDENT | Title |
| Phone | 2183462200 | Phone |
| Date Signed | 2013-11-25 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFF HAUKEBO | Name |
| PTIN | P00055507 | PTIN |
| Phone | 2187325769 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KENNETH GUCK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 415 8TH AVENUE SOUTH | AddressLine1 |
| City | PERHAM | City |
| State | MN | State |
| ZIP Code | 56573 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 312246 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE AFFORDABLE HOUSING FOR LOW TO MODERATE INCOME TENANTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 227315 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 184866 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1615 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1389 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 111024 | OtherRevenuePriorYear |
| Other Revenue Current Year | 125991 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 339954 | TotalRevenuePriorYear |
| Total Revenue Current Year | 312246 | 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 | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | 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 | 334519 | OtherExpensePriorYear |
| Other Expenses Current Year | 354661 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 334519 | TotalExpensesPriorYear |
| Total Expenses Current Year | 354661 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5435 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -42415 | RevenuesLessExpensesCY |
| Total Assets BOY | 971886 | TotalAssetsBOY |
| Total Assets EOY | 873215 | TotalAssetsEOY |
| Total Liabilities BOY | 883633 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 827377 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 88253 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 45838 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO OWN AND OPERATE A HOUSING DEVELOPMENT IN PERHAM, MINNESOTA OFFERING HOUSING FOR ELDERLY TENANTS WITH LOW OR MODERATE INCOME. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 317151 | Expense |
| Revenue | 310857 | Revenue |
| Description | LOW INCOME HOUSING - A 38 UNIT APARTMENT COMPLEX FOR LOW TO MODERATE INCOME TENANTS. | Description |
| Total Program Service Expense | 317151 | 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 | 1 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| 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 | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | 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 | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | 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 | DEBBIE ANDERSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2183462200 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 415 8TH AVENUE SOUTH | AddressLine1 |
| City | PERHAM | City |
| State | MN | State |
| ZIP Code | 56573 | 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 |
|---|---|---|---|---|---|---|
| AL STIGMAN | ||||||
| BOARD MEMBER | 0.80 | X | 0 | 0 | 0 | |
| JOANN WINJUM | ||||||
| BOARD MEMBER | 0.80 | X | 0 | 0 | 0 | |
| DARYL RUTHER | ||||||
| BOARD MEMBER | 0.80 | X | 0 | 0 | 0 | |
| PATRICK TOBKIN | ||||||
| BOARD MEMBER | 0.80 | X | 0 | 0 | 0 | |
| JANE HENDRICKSON | ||||||
| BOARD MEMBER | 0.80 | X | 0 | 0 | 0 | |
| MARK CEYNOWA | ||||||
| BOARD MEMBER | 0.80 | X | 0 | 0 | 0 | |
| JIM HOLPER | ||||||
| BOARD MEMBER | 0.80 | X | 0 | 0 | 0 | |
| KENNETH GUCK | ||||||
| PRESIDENT | 2.50 | 0 | 0 | 0 | X | |
| TIM GRAFF | ||||||
| VICE-PRESIDENT | 1.30 | 0 | 0 | 0 | X | |
| ALANA HERRMANN | ||||||
| SECRETARY/TREASURER | 2.50 | 1800 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1800 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | RENTAL INCOME | Description |
| Business Code | 531110 | BusinessCode |
| Total Revenue Column | 184866 | TotalRevenueColumn |
| Related Or Exempt Function Income | 184866 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 184866 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1389 | TotalRevenueColumn |
| Exclusion | $1,389 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 115109 | 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 | 115109 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 115109 | TotalRevenueColumn |
| Related Or Exempt Function Income | 115109 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Business Code | 531110 | BusinessCode |
| Total Revenue Column | 10882 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10882 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 10882 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 312246 | TotalRevenueColumn |
| Related Or Exempt Function Income | 310857 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,389 | ExclusionAmount |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96671 | Total |
| Program Services | 78525 | ProgramServices |
| Management And General | 18146 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5821 | Total |
| Management And General | 5821 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6366 | Total |
| Management And General | 6366 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3881 | Total |
| Management And General | 3881 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44565 | Total |
| Program Services | 44565 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2520 | Total |
| Management And General | 2520 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40838 | Total |
| Program Services | 40838 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67941 | Total |
| Program Services | 67941 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| TAXES & INSURANCE | 25061 | 25061 |
| CONTRACTS | 15533 | 15533 |
| REAL ESTATE TAXES | 12780 | 12780 |
| APPLIANCE REPLACEMENT | 12555 | 12555 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20129 | Total |
| Program Services | 19353 | ProgramServices |
| Management And General | 776 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 354661 | Total |
| Program Services | 317151 | ProgramServices |
| Management And General | 37510 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 209730 | BOY |
| EOY | 165366 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1804342 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1104767 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 753147 | BOY |
| EOY | 699575 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9009 | BOY |
| EOY | 8274 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 971886 | BOY |
| EOY | 873215 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 833121 | BOY |
| EOY | 780651 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50512 | BOY |
| EOY | 46726 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 883633 | BOY |
| EOY | 827377 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -576990 | BOY |
| EOY | -580254 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 665243 | BOY |
| EOY | 626092 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88253 | BOY |
| EOY | 45838 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 971886 | BOY |
| EOY | 873215 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -42415 | 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 | 0 | 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 | 205802 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 214225 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 787189 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 227846 | CurrentTaxYearMinus1Year |
| Current Tax Year | 184930 | CurrentTaxYear |
| Total | 1619992 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 107770 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 110195 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 103859 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 108832 | CurrentTaxYearMinus1Year |
| Current Tax Year | 115045 | CurrentTaxYear |
| Total | 545701 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 313572 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 324420 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 891048 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 336678 | CurrentTaxYearMinus1Year |
| Current Tax Year | 299975 | CurrentTaxYear |
| Total | 2165693 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | 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) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 2165693 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2282 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2207 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1838 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1615 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1389 | CurrentTaxYear |
| Total | 9331 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2282 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2207 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1838 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1615 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1389 | CurrentTaxYear |
| Total | 9331 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4505 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7779 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 37796 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1661 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10882 | CurrentTaxYear |
| Total | 62623 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 320359 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 334406 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 930682 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 339954 | CurrentTaxYearMinus1Year |
| Current Tax Year | 312246 | CurrentTaxYear |
| Total | 2237647 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.96780 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97050 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00420 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00500 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17510 | OtherCostOrOtherBasis |
| Book Value | 17510 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1540024 | OtherCostOrOtherBasis |
| Depreciation | 931441 | Depreciation |
| Book Value | 608583 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 246808 | OtherCostOrOtherBasis |
| Depreciation | 173326 | Depreciation |
| Book Value | 73482 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 699575 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCOUNTS PAYABLE - OPERATIONS | $10,406 |
| ACCRUED INTEREST PAYABLE | $12,581 |
| ACCRUED PROPERTY TAXES | $12,046 |
| TENANT'S SECURITY DEPOSIT | $11,693 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 46726 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 312246 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 312246 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 312246 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 354661 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 354661 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 354661 | TotalExpensesPerForm990 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | MEMORIAL HOSPITAL AND HOMES ASSOCIATION, INC. HAS CONTRACTED WITH PERHAM HEALTH TO ACT AS THE MANAGING AGENT OF ITS LOW INCOME HOUSING APARTMENT COMPLEX. |
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE NO COMMITTEES, THE BOARD MAKES ALL THE DECISIONS AS A WHOLE, SO THERE ARE NO MINUTES FOR COMMITTEE MEETINGS ONLY BOARD MEETINGS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 WILL BE FILED IN A TIMELY MANNER BEFORE THE BOARD REVIEWS IT. THE BOARD WILL REVIEW IT AT THEIR NEXT AVAILABLE MEETING, AND IF AT THAT TIME THEY FIND AN ERROR THE RETURN WILL BE AMENDED. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST FORM. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES IT'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST THROUGH THEIR OFFICE IN PERHAM, ANY INTERESTED PARTY CAN CALL OR GO TO THE OFFICE IN PERSON TO MAKE THE REQUEST, ALSO ON GUIDESTAR.COM. |