MEMORYCARE: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MEMORYCARE (EIN 56-2178294)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-13
- IRS object ID
- 201331339349303818
- Schema version
- 2012v2.0
- 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 | 2013-05-13T13:14:29-07:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CORLISS & SOLOMON PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 242 CHARLOTTE ST STE 1 | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 288011434 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562178294 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORYCARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MEMO | NameControl |
| Phone | 8287712219 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 FAR HORIZONS LANE | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28803 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | VIRGINIA TEMPLETON MD | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 8287712219 | Phone |
| Date Signed | 2013-05-13 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STEPHEN C CORLISS | Name |
| Phone | 8282360206 | Phone |
| Date Prepared | 2013-05-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | VIRGINIA TEMPLETON MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 FAR HORIZONS LANE | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28803 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1860105 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.memorycare.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2000 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | MemoryCare's mission is three-fold: to provide specialized medical care to older adults with memory loss; to support caregivers with education, counseling, and improved access to services; and to provide community education. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 17 | TotalNbrEmployees |
| Total Nbr Volunteers | 23 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 513966 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1229468 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 556375 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 558132 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 48975 | InvestmentIncomePriorYear |
| Investment Income Current Year | 70175 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1917 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2330 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1121233 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1860105 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 817978 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 891069 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 72114 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 195537 | OtherExpensePriorYear |
| Other Expenses Current Year | 232728 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1013515 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1123797 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 107718 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 736308 | RevenuesLessExpensesCY |
| Total Assets BOY | 4222761 | TotalAssetsBOY |
| Total Assets EOY | 5224402 | TotalAssetsEOY |
| Total Liabilities BOY | 58488 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 10226 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4164273 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5214176 | NetAssetsOrFundBalancesEOY |
| Mission Description | MemoryCare's mission is three-fold: | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 972364 | Expense |
| Revenue | 558132 | Revenue |
| Description | MEMORYCARE WAS ESTABLISHED AS A NON-PROFIT CHARITABLE ORGANIZATION IN 2000. WE ARE THE ONLY ORGANIZATION IN WESTERN NORTH CAROLINA DEDICATED TO PROVIDING INTEGRATED MEDICAL AND SUPPORT SERVICES TO OLDER ADULTS AND THEIR FAMILIES FACED WITH MEMORY IMPAIRMENT DUE TO ALZHEIMER'S DISEASE AND RELATED DEMENTIAS. OUR GOAL IS TO ENHANCE THE BASIC SERVICES AVAILABLE IN THE COMMUNITY SO THAT OLDER ADULTS AND THEIR FAMILIES CAN ACHIEVE THE HIGHEST POSSIBLE QUALITY OF LIFE WITH A PROGRESSIVE MEMORY DISORDER. UTILIZING A MULTIDISCIPLINARY HOLISTIC MODEL OF CARE, OUR PHYSICIAN AND CARE MANAGER TEAMS PROVIDE DIAGNOSTIC WORK-UP, DISEASE MANAGEMENT PLANNING, TRAINING AND MEDICAL ASSISTANCE TO MANAGE DIFFICULT BEHAVIORS, CAREGIVER TRAINING, COUNSELING | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | AND SUPPORT. WE ALSO HELP COORDINATE AVAILABLE COMMUNITY RESOURCES, HELP LOW INCOME ELDERLY APPLY FOR MEDICAL ASSISTANCE, AND COUNSEL FAMILIES REGARDING END OF LIFE DECISION MAKING. ALL FAMILIES ARE PROVIDED WITH A DETAILED WRITTEN CARE PLAN THAT IS AMENDED AS THE DEMENTIA PROGRESSES AND HAVE FULL ACCESS TO OUR RESOURCE LIBRARY AND STAFF FOR EDUCATIONAL MATERIAL. MEMORYCARE STAFF IS DEVOTED TO PROVIDING COMMUNITY EDUCATION ON DEMENTIA, CAREGIVING, AND AGING RELATED HEALTH ISSUES. WE TEACH PROFES | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | COUNTIES REACHED 240 INDIVIDUALS AND OUR HOME VISIT PROGRAM CONTINUED TO SERVE BUNCOMBE COUNTY AND REACHED 320 INDIVIDUALS. WE HAVE CONTINUED OUR MINORITY LOW INCOME COMMUNITY SCREENING PROGRAM AND WE MAINTAIN A ROLE AS A FACULTY AND TRAINING SITE FOR MAHEC'S GERIATRIC FELLOWSHIP PROGRAM. IN 2012, THROUGH OUR COMMUNITY OUTREACH, OVER 3400 INDIVIDUALS RECEIVED DIRECT EDUCATION ABOUT DEMENTIA AND HEALTHY AGING INCLUDING STUDENTS, COMMUNITY MEMBERS, AND PROFESSIONAL HEALTH CARE PROVIDERS. THE MEMOR | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 972364 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 6 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 17 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MEMORYCARE | NamePerson |
| Telephone Number | 8287712219 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 FAR HORIZONS LANE | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28803 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|
| DAVID VANCE | |||||||
| President | 3.00 | X | X | 0 | 0 | 0 | |
| PAM TURNER | |||||||
| Vice-President | 3.00 | X | X | 0 | 0 | 0 | |
| HUGH MCCOLLUM | |||||||
| Secretary/Treasurer | 3.00 | X | X | 0 | 0 | 0 | |
| JOHN BERNHARDT MA RN | |||||||
| Board Member | 3.00 | X | 0 | 0 | 0 | ||
| JOHN COWAN | |||||||
| Board Member | 3.00 | X | 0 | 0 | 0 | ||
| GEORGIA CRUMP LPN GRN | |||||||
| Board Member | 3.00 | X | 0 | 0 | 0 | ||
| BETTY DOLL MBA CLTC | |||||||
| Board Member | 3.00 | X | 0 | 0 | 0 | ||
| MARY DONNELLY | |||||||
| Board/Support Group Coord. | 16.00 | X | 6900 | 0 | 0 | ||
| PEGGY FRANC | |||||||
| Board Member | 3.00 | X | 0 | 0 | 0 | ||
| CAROLINE KNOX ESQ | |||||||
| Board Member | 3.00 | X | 0 | 0 | 0 | ||
| LINDA HOLLINSHEAD | |||||||
| Board Member | 3.00 | X | 0 | 0 | 0 | ||
| ELEANOR OWEN | |||||||
| Board Member | 3.00 | X | 0 | 0 | 0 | ||
| DAVID WHILDEN | |||||||
| Board Member | 3.00 | X | 0 | 0 | 0 | ||
| MARGARET NOEL MORRIS MD | |||||||
| Founder/Dir. Emerita | 40.00 | X | 91790 | 0 | 10767 | ||
| VIRGINIA TEMPLETON MD | |||||||
| Executive Director | 60 | X | X | 139926 | 11400 | ||
| THOMAS S KALUZYNSKI MD | |||||||
| Employee | 45 | 110059 | 15077 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 348675 | TotalReportableCompFromOrg |
| Total Other Compensation | 37244 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| All Other Contributions | 1229468 | AllOtherContributions |
| Noncash Contributions | 20147 | NoncashContributions |
| Total Contributions | 1229468 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn |
|---|---|---|
| Patient care fees | 621110 | 257287 |
| Caregiver fees | 624100 | 259857 |
| Other clinical revenue | 621110 | 40988 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 558132 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 70175 | TotalRevenueColumn |
| Exclusion | $70,175 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 975 | GrossIncomeFundraisingEvents |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 975 | TotalRevenueColumn |
| Exclusion | $975 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Miscellaneous | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 1355 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1355 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1355 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1860105 | TotalRevenueColumn |
| Related Or Exempt Function Income | 559487 | RelatedOrExemptFunctionIncome |
| Exclusion | $71,150 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 385917 | Total |
| Program Services | 355596 | ProgramServices |
| Management And General | 18951 | ManagementAndGeneral |
| Fundraising | 11370 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 410312 | Total |
| Program Services | 358927 | ProgramServices |
| Management And General | 17665 | ManagementAndGeneral |
| Fundraising | 33720 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4687 | Total |
| Program Services | 3876 | ProgramServices |
| Management And General | 158 | ManagementAndGeneral |
| Fundraising | 653 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34659 | Total |
| Program Services | 30504 | ProgramServices |
| Management And General | 1487 | ManagementAndGeneral |
| Fundraising | 2668 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55494 | Total |
| Program Services | 49738 | ProgramServices |
| Management And General | 2541 | ManagementAndGeneral |
| Fundraising | 3215 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8600 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 8600 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13182 | Total |
| Program Services | 11867 | ProgramServices |
| Management And General | 404 | ManagementAndGeneral |
| Fundraising | 911 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34908 | Total |
| Program Services | 32436 | ProgramServices |
| Management And General | 1090 | ManagementAndGeneral |
| Fundraising | 1382 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14633 | Total |
| Program Services | 14412 | ProgramServices |
| Management And General | 122 | ManagementAndGeneral |
| Fundraising | 99 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31000 | Total |
| Program Services | 27784 | ProgramServices |
| Management And General | 1419 | ManagementAndGeneral |
| Fundraising | 1797 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4346 | Total |
| Program Services | 4346 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13182 | Total |
| Program Services | 11864 | ProgramServices |
| Management And General | 1318 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27524 | Total |
| Program Services | 27016 | ProgramServices |
| Management And General | 348 | ManagementAndGeneral |
| Fundraising | 160 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Professional Development | 20170 | 20170 | 0 | 0 |
| Resource Center | 5018 | 5018 | 0 | 0 |
| Development/Outreach | 23056 | 4611 | 2306 | 16139 |
| Clinical Supplies | 11349 | 11349 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25760 | Total |
| Program Services | 2850 | ProgramServices |
| Management And General | 22910 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1123797 | Total |
| Program Services | 972364 | ProgramServices |
| Management And General | 79319 | ManagementAndGeneral |
| Fundraising | 72114 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88325 | BOY |
| EOY | 66539 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 880587 | BOY |
| EOY | 1020038 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 127322 | BOY |
| EOY | 286827 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111995 | BOY |
| EOY | 116752 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36870 | BOY |
| EOY | 66293 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 162911 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 109391 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21837 | BOY |
| EOY | 53520 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 13579 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2955825 | BOY |
| EOY | 3600854 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4222761 | BOY |
| EOY | 5224402 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8710 | BOY |
| EOY | 10226 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49778 | BOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58488 | BOY |
| EOY | 10226 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3948241 | BOY |
| EOY | 4394009 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 216032 | BOY |
| EOY | 820167 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4164273 | BOY |
| EOY | 5214176 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4222761 | BOY |
| EOY | 5224402 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 736308 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 313595 | ReconciliationUnrealizedInvest |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 735364 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 611958 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 728444 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 513966 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1229468 | CurrentTaxYear |
| Total | 3819200 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 735364 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 611958 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 728444 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 513966 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1229468 | CurrentTaxYear |
| Total | 3819200 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 3819200 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 20802 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 80206 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 62144 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 48975 | CurrentTaxYearMinus1Year |
| Current Tax Year | 70175 | CurrentTaxYear |
| Total | 282302 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 374329 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 445772 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 507406 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 575971 | CurrentTaxYearMinus1Year |
| Current Tax Year | 558132 | CurrentTaxYear |
| Total | 2461610 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 6563112 | TotalSupport |
| Public Support Pertcentage170 | 0.58190 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.58710 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| Public Support Total509 | 0 | PublicSupportTotal509 |
| Public Support Percentage509 | 0 | PublicSupportPercentage509 |
| Investment Income Percentage | 0 | InvestmentIncomePercentage |
| Facts And Circumstances Test | OTHER INCOME PART II, LINE 10; DESCRIPTION: PATIENT CARE FEES; 2008: 183545.; 2009: 211648.; 2010: 260152.; 2011: 290772.; 2012: 257287.; DESCRIPTION: CAREGIVER FEES; 2008: 157943.; 2009: 197261.; 2010: 208530.; 2011: 240611.; 2012: 259857.; DESCRIPTION: OTHER PROGRAM INCOME; 2008: 32841.; 2009: 36863.; 2010: 38724.; 2011: 44588.; 2012: 40988.; | FactsAndCircumstancesTest |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2955825 | BeginningOfYearBalance |
| Contributions | 265399 | Contributions |
| Investment Earnings Or Losses | 399273 | InvestmentEarningsOrLosses |
| Administrative Expenses | 19643 | AdministrativeExpenses |
| End Of Year Balance | 3600854 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2738984 | BeginningOfYearBalance |
| Contributions | 303097 | Contributions |
| Investment Earnings Or Losses | -69286 | InvestmentEarningsOrLosses |
| Administrative Expenses | 16970 | AdministrativeExpenses |
| End Of Year Balance | 2955825 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2439965 | BeginningOfYearBalance |
| Contributions | 49120 | Contributions |
| Investment Earnings Or Losses | 265195 | InvestmentEarningsOrLosses |
| Administrative Expenses | 15296 | AdministrativeExpenses |
| End Of Year Balance | 2738984 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1541986 | BeginningOfYearBalance |
| Contributions | 497723 | Contributions |
| Investment Earnings Or Losses | 412164 | InvestmentEarningsOrLosses |
| Administrative Expenses | 11908 | AdministrativeExpenses |
| End Of Year Balance | 2439965 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2139085 | BeginningOfYearBalance |
| Contributions | 50000 | Contributions |
| Investment Earnings Or Losses | -635786 | InvestmentEarningsOrLosses |
| Administrative Expenses | 11313 | AdministrativeExpenses |
| End Of Year Balance | 1541986 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.00000 | BoardDesignatedEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11019 | OtherCostOrOtherBasis |
| Depreciation | 7908 | Depreciation |
| Book Value | 3111 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 151892 | OtherCostOrOtherBasis |
| Depreciation | 101483 | Depreciation |
| Book Value | 50409 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 53520 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Funds with Community Foundation | Description |
| Book Value | 3600854 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3600854 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Conditional Contributions Received | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 2239434 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 313595 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 65734 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 379329 | RevenueNotRptdF990 |
| Revenue Subtotal | 1860105 | RevenueSubtotal |
| Total Revenue Per Form990 | 1860105 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1189531 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 65734 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 65734 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1123797 | ExpensesSubtotal |
| Total Expenses Per Form990 | 1123797 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt X Line 2 | MEMORYCARE IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE. UNDER THE CODE, HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE ORGANIZATION HAD LESS THAN $1,000 OF INCOME FROM UNRELATED BUSINESS ACTIVITIES IN THE YEAR ENDED DECEMBER 31, 2012 AND WAS, THEREFORE, NOT REQUIRED TO FILE FEDERAL FORM 990-T (EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN). TH |
| Pt X Line 2 | are material to the financial statements. The organization's Forms 990 for 2009, 2010 & 2011 are subject to examination by the IRS, generally for three years after being filed. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (22 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI, Line 11b | The board received a copy of the 990 prior to the May 8, 2013 |
| Pt VI, Line 11b | board meeting where they had an opportunity to have questions |
| Pt VI, Line 11b | addressed. The board approved the filing of the 990 in this |
| Pt VI, Line 11b | meeting. |
| Pt VI, Line 12c | Board members are made aware of the conflict of interest policy |
| Pt VI, Line 12c | by instruction at MemoryCare's annual meeting and the |
| Pt VI, Line 12c | requirement that members sign a conflict of interest form |
| Pt VI, Line 12c | at this meeting each year. |
| Pt VI, Line 15a | The process for determining compensation for key employees |
| Pt VI, Line 15a | involves review of a regional medical salary and benefits |
| Pt VI, Line 15a | survey and a salary survey from the NC Center for Nonprofits. |
| Pt VI, Line 15b | The process for determining compensation for key employees |
| Pt VI, Line 15b | involves review of a regional medical salary and benefits |
| Pt VI, Line 15b | survey and a salary survey from the NC Center for Nonprofits. |
| Pt VI, Line 18 | Forms 1023 and 990 are made available upon request. |
| Pt VI, Line 19 | Governing documents, conflict of interest policy and audited financial |
| Pt VI, Line 19 | statements are made available upon request. |
| Pt XI | Community Foundation of Western NC Endowment net investment |
| Pt XI | gains of $313,595. |
| Form 990EZ, Part II, Line 24 | ACCOUNTS RECEIVABLE - NET GRANTS RECEIVABLE - NET INVESTMENTS |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE & ACCRUED EXPENSES |
| Form 990, Part IX, Line 24f | BAD DEBT EXPENSE 21426. 0. 21426. 0. STAFF APPRECIATION 996. 896. 100. 0. OTHER EXPENSES 3338. 1954. 1384. 0. |