PRESBYTERIAN HOME OF HAWFIELDS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: PRESBYTERIAN HOME OF HAWFIELDS INC (EIN 56-1077371)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2012-11-29
IRS object ID: 201213349349300531
Schema version: 2011v1.2
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	2012-11-29T15:27:46-06:00	Timestamp
Tax Period End Date	2012-09-30	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	2011-10-01	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	2012-11-27	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	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	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	6768040	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	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	180	TotalNbrEmployees
Total Nbr Volunteers	90	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	11201	ContributionsGrantsPriorYear
Contributions Grants Current Year	1570	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	6660229	ProgramServiceRevenuePriorYear
Program Service Revenue CY	6700276	ProgramServiceRevenueCY
Investment Income Prior Year	-1281	InvestmentIncomePriorYear
Investment Income Current Year	8103	InvestmentIncomeCurrentYear
Other Revenue Prior Year	29883	OtherRevenuePriorYear
Other Revenue Current Year	57758	OtherRevenueCurrentYear
Total Revenue Prior Year	6700032	TotalRevenuePriorYear
Total Revenue Current Year	6767707	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	4306693	SalariesEtcPriorYear
Salaries Etc Current Year	4181532	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	2581813	OtherExpensePriorYear
Other Expenses Current Year	2623283	OtherExpensesCurrentYear
Total Expenses Prior Year	6888506	TotalExpensesPriorYear
Total Expenses Current Year	6804815	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-188474	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-37108	RevenuesLessExpensesCY
Total Assets BOY	3343159	TotalAssetsBOY
Total Assets EOY	3264761	TotalAssetsEOY
Total Liabilities BOY	507903	TotalLiabilitiesBOY
Total Liabilities EOY	466613	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2835256	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2798148	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	6173956	Expense
Revenue	6700276	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	6173956	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
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	10	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	180	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
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	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 (11 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
MARSHALL TAYLOR
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		119123	0	15893		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	119123	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	15893	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
SUNDANCE REHABILITATION
6459 PAYSPHERE CIRCLE	CHICAGO	IL	60674	REHAB THERAPY	488083
DIVISION OF MEDICAL ASSISTANCE
2022 MAIL SERVICE CENTER	RALEIGH	NC	27699	NURSING ASSESSMENT FEES	377232
SYSCO FOOD SERVICES
PO BOX 129	SELMA	NC	27576	RAW FOODS/SUPPLEMENTS	305405
MMS
PO BOX 955588	ST LOUIS	MO	63195	MEDICAL SUPPLIES	194542
NIGHTINGALE NURSING SERVICES
PO BOX 1163	CARRBORO	NC	27510	AGENCY NURSING	193353

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	10	NumberOfContractorsGT100K
All Other Contributions	1570	AllOtherContributions
Total Contributions	1570	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INTER & SKILLED CARE	623000	6064366	6064366
SPECIAL SERVICES	623000	328280	328280
INDEPENDENT LIVING	623000	307630	307630

Field	Value	IRS element (for citing)
Total Program Service Revenue	6700276	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	436	TotalRevenueColumn
Exclusion	$436	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	8000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	333	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	7667	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	7667	TotalRevenueColumn
Exclusion	$7,667	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
TIMBER SALE	900099	40408	$40,408
DUKE POWER GENERATOR R	900099	8249	$8,249
LATE PAYMENT INCOME	900099	4236	$4,236

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2485	TotalRevenueColumn
Exclusion	$2,485	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	55378	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6767707	TotalRevenueColumn
Related Or Exempt Function Income	6700276	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$65,861	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	111765	Total
Management And General	111765	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	2840615	Total
Program Services	2723143	ProgramServices
Management And General	117472	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	969999	Total
Program Services	871202	ProgramServices
Management And General	98797	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	259153	Total
Program Services	239588	ProgramServices
Management And General	19565	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	36000	Total
Management And General	36000	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	500743	Total
Program Services	486464	ProgramServices
Management And General	14279	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	5568	Total
Management And General	5568	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	46720	Total
Program Services	944	ProgramServices
Management And General	45776	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	353228	Total
Program Services	315181	ProgramServices
Management And General	38047	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	6443	Total
Program Services	5906	ProgramServices
Management And General	537	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	7027	Total
Program Services	6510	ProgramServices
Management And General	517	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	126620	Total
Program Services	126620	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	850125	850125
THERAPY	448855	448855
BAD DEBT EXPENSE	142536		142536
PHARMACY	83182	83182

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	16236	Total
Program Services	16236	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	6804815	Total
Program Services	6173956	ProgramServices
Management And General	630859	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	476808	BOY
EOY	545793	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	710130	BOY
EOY	669086	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	51702	BOY
EOY	53914	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	56608	BOY
EOY	52247	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	6242748	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	4406045	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1942056	BOY
EOY	1836703	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	5855	BOY
EOY	7018	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	3343159	BOY
EOY	3264761	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	502048	BOY
EOY	459595	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	5855	BOY
EOY	7018	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	507903	BOY
EOY	466613	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2735256	BOY
EOY	2698148	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	2835256	BOY
EOY	2798148	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3343159	BOY
EOY	3264761	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-37108	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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	8796	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3257	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4182	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	11201	CurrentTaxYearMinus1Year
Current Tax Year	1570	CurrentTaxYear
Total	29006	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6988046	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6945172	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7027639	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6660229	CurrentTaxYearMinus1Year
Current Tax Year	6700276	CurrentTaxYear
Total	34321362	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6996842	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6948429	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7031821	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6671430	CurrentTaxYearMinus1Year
Current Tax Year	6701846	CurrentTaxYear
Total	34350368	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	413	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	685	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	482	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	80	CurrentTaxYearMinus1Year
Current Tax Year	140	CurrentTaxYear
Total	1800	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	413	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	685	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	482	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	80	CurrentTaxYearMinus1Year
Current Tax Year	140	CurrentTaxYear
Total	1800	Total

Field	Value	IRS element (for citing)
Public Support Total509	34348568	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7694	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	34990	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	24791	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	18070	CurrentTaxYearMinus1Year
Current Tax Year	7052	CurrentTaxYear
Total	92597	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7694	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	34990	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	24791	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	18070	CurrentTaxYearMinus1Year
Current Tax Year	7052	CurrentTaxYear
Total	92597	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	38677	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	12239	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	13997	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	13816	CurrentTaxYearMinus1Year
Current Tax Year	58809	CurrentTaxYear
Total	137538	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7043213	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6995658	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7070609	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6703316	CurrentTaxYearMinus1Year
Current Tax Year	6767707	CurrentTaxYear
Total	34580503	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99330	PublicSupportPercentage509
Prior Year Support Percentage	0.99390	PriorYearSupportPercentage
Investment Income Percentage	0.00270	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	3911352	OtherCostOrOtherBasis
Depreciation	3229030	Depreciation
Book Value	682322	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	918727	OtherCostOrOtherBasis
Depreciation	822662	Depreciation
Book Value	96065	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	384392	OtherCostOrOtherBasis
Depreciation	354353	Depreciation
Book Value	30039	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1836703	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	RESIDENT TRUST FUNDS	Description
Amount	$7,018	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	7018	TotalOfAmounts
Total Revenue	6767707	TotalRevenue
Total Expenses	6804815	TotalExpenses
Excess Or Deficit For Year	-37108	ExcessOrDeficitForYear
Excess Or Deficit Per FS	-37108	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	6767707	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	6767707	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	6767707	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	6804815	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	6804815	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	6804815	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.