MEMORYCARE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MEMORYCARE (EIN 56-2178294)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-06-08
IRS object ID: 201231609349300758
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 B
Schedule D
Schedule L
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-06-08T13:43:09-07:00	Timestamp
Tax Period End Date	2011-12-31	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	2011-01-01	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	2012-05-07	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	STEPHEN C CORLISS	Name
Phone	8282360206	Phone
Date Prepared	2012-06-08	DatePrepared

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	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	1123946	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	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	17	TotalNbrEmployees
Total Nbr Volunteers	21	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	728444	ContributionsGrantsPriorYear
Contributions Grants Current Year	513966	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	507406	ProgramServiceRevenuePriorYear
Program Service Revenue CY	556375	ProgramServiceRevenueCY
Investment Income Prior Year	62144	InvestmentIncomePriorYear
Investment Income Current Year	48975	InvestmentIncomeCurrentYear
Other Revenue Prior Year	9035	OtherRevenuePriorYear
Other Revenue Current Year	1917	OtherRevenueCurrentYear
Total Revenue Prior Year	1307029	TotalRevenuePriorYear
Total Revenue Current Year	1121233	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	732308	SalariesEtcPriorYear
Salaries Etc Current Year	817978	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	63781	TotalFundrsngExpCurrentYear
Other Expense Prior Year	185663	OtherExpensePriorYear
Other Expenses Current Year	195537	OtherExpensesCurrentYear
Total Expenses Prior Year	917971	TotalExpensesPriorYear
Total Expenses Current Year	1013515	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	389058	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	107718	RevenuesLessExpensesCY
Total Assets BOY	4187339	TotalAssetsBOY
Total Assets EOY	4222761	TotalAssetsEOY
Total Liabilities BOY	1663	TotalLiabilitiesBOY
Total Liabilities EOY	58488	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	4185676	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	4164273	NetAssetsOrFundBalancesEOY
Mission Description	MemoryCare's mission is three-fold:	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	894018	Expense
Revenue	556375	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 ALZHEIMERS 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 GREATLY EXTENDS OUR OUTREACH INTO THESE RURAL AREAS. OUR MINORITY LOW INCOME COMMUNITY SCREENING PROGRAM OFFERS SCREENINGS AT VARIOUS COMMUNITY BASED SITES. WE WORK WITH A LOCAL HOSPICE TO INCREASE OUR EXPERTISE IN END OF LIFE CARE AND THEIRS IN SUPPORTING PATIENTS WITH DEMENTIA. WE SERVE AS FACULTY AND A TRAINING SITE FOR THE GERIATRIC FELLOWSHIP PROGRAM AS WELL AS PROVIDE EDUCATION FOR MULTIPLE OTHER HEALTH CARE PROFESSIONALS AND COMMUNITY MEMBERS. WE COMPLETED AN EDUCATIONAL INITIATI	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	894018	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	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	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	0	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	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	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
JOHN E GREAR CFP
Sec/Treas from Jan - Nov	3.00	X	X	0	0	0
HUGH MCCOLLUM
Sec/Treas from Nov - Dec	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
Board Member	3.00	X		0	0	0
BETTY DOLL
Board Member	3.00	X		0	0	0
MARY DONNELLY
Board/Support Group Coord.	18.00	X		16949	0	0
PEGGY FRANC
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 MD
Founder/Dir. Emeritus	45.00	X		87867	0	9527
VIRGINIA TEMPLETON MD
Executive Director	60	X	X	139496		10367
THOMAS S KALUZYNSKI MD
Employee	50			119334		12509	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	363646	TotalReportableCompFromOrg
Total Other Compensation	32403	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	513966	AllOtherContributions
Noncash Contributions	32373	NoncashContributions
Total Contributions	513966	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn
Patient care fees	621110	287896
Caregiver fees	624100	223891
Other Clinical revenue	621110	44588

Field	Value	IRS element (for citing)
Total Program Service Revenue	556375	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	48975	TotalRevenueColumn
Exclusion	$48,975	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	3390	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	2713	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	677	TotalRevenueColumn
Exclusion	$677	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Miscellaneous	Description
Business Code	900099	BusinessCode
Total Revenue Column	1240	TotalRevenueColumn
Exclusion	$1,240	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1240	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1121233	TotalRevenueColumn
Related Or Exempt Function Income	556375	RelatedOrExemptFunctionIncome
Exclusion	$50,892	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	387799	Total
Program Services	361220	ProgramServices
Management And General	17692	ManagementAndGeneral
Fundraising	8887	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	341760	Total
Program Services	291546	ProgramServices
Management And General	15498	ManagementAndGeneral
Fundraising	34716	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6116	Total
Program Services	5473	ProgramServices
Management And General	278	ManagementAndGeneral
Fundraising	365	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	31173	Total
Program Services	27892	ProgramServices
Management And General	1418	ManagementAndGeneral
Fundraising	1863	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	51130	Total
Program Services	45748	ProgramServices
Management And General	2326	ManagementAndGeneral
Fundraising	3056	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	8770	Total
Program Services	0	ProgramServices
Management And General	8770	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	28479	Total
Program Services	25908	ProgramServices
Management And General	871	ManagementAndGeneral
Fundraising	1700	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	13013	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	13013	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	37573	Total
Program Services	34951	ProgramServices
Management And General	2622	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6985	Total
Program Services	6396	ProgramServices
Management And General	589	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	30000	Total
Program Services	27000	ProgramServices
Management And General	3000	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	3851	Total
Program Services	3533	ProgramServices
Management And General	137	ManagementAndGeneral
Fundraising	181	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	10780	Total
Program Services	9702	ProgramServices
Management And General	1078	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	31097	Total
Program Services	30619	ProgramServices
Management And General	478	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
Professional Development	15200	15200
Resource Center	1222	1222
Staff Appreciation	1062	1062
Clinical Supplies	1628	1628

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	5877	Total
Program Services	4918	ProgramServices
Management And General	959	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1013515	Total
Program Services	894018	ProgramServices
Management And General	55716	ManagementAndGeneral
Fundraising	63781	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	56720	BOY
EOY	88325	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1082317	BOY
EOY	880587	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	174160	BOY
EOY	127322	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	70145	BOY
EOY	111995	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	35825	BOY
EOY	36870	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	118044	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	96207	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	28995	BOY
EOY	21837	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	193	BOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2738984	BOY
EOY	2955825	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	4187339	BOY
EOY	4222761	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1663	BOY
EOY	8710	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
EOY	49778	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1663	BOY
EOY	58488	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3972430	BOY
EOY	3948241	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	213246	BOY
EOY	216032	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4185676	BOY
EOY	4164273	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4187339	BOY
EOY	4222761	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	107718	ReconcilationRevenueExpenses
Reconcilation Other Changes	-129121	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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	965697	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	735364	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	611958	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	728444	CurrentTaxYearMinus1Year
Current Tax Year	513966	CurrentTaxYear
Total	3555429	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	965697	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	735364	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	611958	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	728444	CurrentTaxYearMinus1Year
Current Tax Year	513966	CurrentTaxYear
Total	3555429	Total

Field	Value	IRS element (for citing)
Public Support Total170	3555429	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	49223	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	20802	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	80206	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	62144	CurrentTaxYearMinus1Year
Current Tax Year	48975	CurrentTaxYear
Total	261350	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	354934	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	374329	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	445772	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	507406	CurrentTaxYearMinus1Year
Current Tax Year	556375	CurrentTaxYear
Total	2238816	Total

Field	Value	IRS element (for citing)
Total Support	6055595	TotalSupport
Public Support Pertcentage170	0.58710	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.62610	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; 2007: 354934.; 2008: 183545.; 2009: 211648.; 2010: 260152.; 2011: 287896.; DESCRIPTION: CAREGIVER FEES; 2008: 157943.; 2009: 197261.; 2010: 208530.; 2011: 223891.; DESCRIPTION: OTHER PROGRAM INCOME; 2008: 32841.; 2009: 36863.; 2010: 38724.; 2011: 44588.;	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	2738984	BeginningOfYearBalance
Contributions	303097	Contributions
Investment Earnings Or Losses	-69286	InvestmentEarningsOrLosses
Administrative Expenses	16970	AdministrativeExpenses
End Of Year Balance	2955825	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.00000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
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	7102	Depreciation
Book Value	3917	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	107025	OtherCostOrOtherBasis
Depreciation	89105	Depreciation
Book Value	17920	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	21837	TotalOfBookValueLandBuildings

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	Funds with Community Foundation	Description
Book Value	2955825	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	2955825	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Conditional Contributions Received	Description
Amount	$49,778	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	49778	TotalOfAmounts
Total Revenue	1121233	TotalRevenue
Total Expenses	1013515	TotalExpenses
Excess Or Deficit For Year	107718	ExcessOrDeficitForYear
Excess Or Deficit Per FS	107718	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	1180880	TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities	56934	DonatedSrvcAndUseOfFacilities
Other Revenues	2713	OtherRevenues
Revenue Not Rptd F990	59647	RevenueNotRptdF990
Revenue Subtotal	1121233	RevenueSubtotal
Total Revenue Per Form990	1121233	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1073162	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	56934	DonatedServicesUseOfFacilities
Other Expenses Included	2713	OtherExpensesIncluded
Expenses Not Rptd F990	59647	ExpensesNotRptdF990
Expenses Subtotal	1013515	ExpensesSubtotal
Total Expenses Per Form990	1013515	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	ExplanationExplanation
Pt XII Line 2d	Event Expenses $2,713
Pt XIII Line 2d	Event Expenses $2,713
Pt X	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, 2011 and was, therefore, not required to file Federal Form 990-T (Exempt Organization Business Income
Pt X	Tax Return). The organization believes that it has appropriate support for all tax positions taken, and as such, does not have any uncertain tax positions that 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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	MARY DONNELLY	NamePerson

Field	Value	IRS element (for citing)
Relationship	Board Member	Relationship
Amount Of Transaction	16949	AmountOfTransaction
Description Of Transaction	Facilitated Caregiver Support Groups	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	5	NumberOfContributions
Noncash Contribs Rptd F990	32373	NoncashContribsRptdF990
Method Of Determining Revenues	Publicly Traded Value	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (19 entries)

IdentifierIdentifier	ExplanationExplanation
Pt VI, Line 11a	The board received a copy of the 990 prior to the May 9, 2012
Pt VI, Line 11a	board meeting where they had an opportunity to have questions
Pt VI, Line 11a	addressed. The board approved the filing of the 990 in this
Pt VI, Line 11a	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 15	The process for determining compensation for key employees
Pt VI, Line 15	involves review of a regional medical salary and benefits
Pt VI, Line 15	survey and a salary survey from the NC Center for Nonprofits.
Pt VI, Line 15	The basis for the decision is recorded in meeting minutes.
Pt VI, Line 18	Forms 1023 and 990 are made available upon request.
Pt VI, Line 19	Governing documents, conflict of interst policy and financial statements are made available upon request.
Pt XI	Community Foundation of Western NC Endowment net investment
Pt XI	losses of $129,121.
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	OTHER EXPENSES 5877. 4918. 959. 0.