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KANSAS CITY UNITED METHODIST RETIREMENT HOME INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
KANSAS CITY UNITED METHODIST RETIREMENT HOME INC (EIN 23-7302390)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-07-23
IRS object ID
201232059349300528
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-07-23T14:31:50-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1600 WASHINGTON AVENUE SUITE 1800AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237302390EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KANSAS CITY UNITED METHODIST RETIREMENTBusinessNameLine1
Business Name Line2HOME INC D/B/A KINGSWOODBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlKANSNameControl
Phone8169420994Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line110000 WORNALL ROADAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64114ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES MORDYName
TitleSECRETARYTitle
Phone8169420994Phone
Date Signed2012-07-20DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameALLAN LARSONName
PTINP00028482PTIN
Phone3149254300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMES MORDYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line110000 WORNALL ROADAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64114ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15015340GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.KINGSWOODATHOME.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionKINGSWOODS' MISSION IS TO PROVIDE RESIDENTAL AND HEALTH CARE FACILITIES, SERVICES AND OPPORTUNITIES FOR OLDER ADULTS. KINGSWOOD, A MINISTRY OF THE UNITED METHODIST CHURCH.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees297TotalNbrEmployees
Total Nbr Volunteers104TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year151090ContributionsGrantsPriorYear
Contributions Grants Current Year372962ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14225617ProgramServiceRevenuePriorYear
Program Service Revenue CY14098864ProgramServiceRevenueCY
Investment Income Prior Year151791InvestmentIncomePriorYear
Investment Income Current Year74271InvestmentIncomeCurrentYear
Other Revenue Prior Year548013OtherRevenuePriorYear
Other Revenue Current Year469243OtherRevenueCurrentYear
Total Revenue Prior Year15076511TotalRevenuePriorYear
Total Revenue Current Year15015340TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6198GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6221605SalariesEtcPriorYear
Salaries Etc Current Year6579138SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9051496OtherExpensePriorYear
Other Expenses Current Year9038463OtherExpensesCurrentYear
Total Expenses Prior Year15279299TotalExpensesPriorYear
Total Expenses Current Year15617601TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-202788RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-602261RevenuesLessExpensesCY
Total Assets BOY36726889TotalAssetsBOY
Total Assets EOY34408337TotalAssetsEOY
Total Liabilities BOY49958968TotalLiabilitiesBOY
Total Liabilities EOY48295412TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-13232079NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-13887075NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionKINGSWOODS' MISSION IS TO WELCOME OLDER ADULTS WITH OPPORTUNITIES TO ENRICH THEIR LIVES WITH EXCELLENT RESIDENTIAL AND HEALTHCARE SERVICES OFFERED IN A SAFE, LOVING AND CARING COMMUNITY. A MINISTRY OF THE UNITED METHODIST CHURCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense13733917Expense
Revenue14098864Revenue
DescriptionKINGSWOODS' MISSION IS TO WELCOME OLDER ADULTS WITH OPPORTUNITIES TO ENRICH THEIR LIVES WITH EXCELLENT RESIDENTIAL AND HEALTHCARE SERVICES OFFERED IN A SAFE, LOVING, AND CARING COMMUNITY. KINGSWOOD, A MINISTRY OF THE UNITED METHODIST CHURCH, MAINTAINS 201 APARTMENTS, 82 BEDS IN THE HEALTH CENTER, 17 ASSISTED LIVING APARTMENTS, AND 54 VILLA HOMES. THE HEALTH CENTER IS LICENSED BY THE STATE OF MISSOURI AS A SKILLED NURSING FACILITY. KINGSWOOD AVERAGES AROUND 300 RESIDENTS ON THE 32 ACRE CAMPUS. SERVICES PROVIDED BY KINGSWOOD INCLUDE MEALS, HOUSEKEEPING, LAUNDRY, UTILITIES, MAINTENANCE, LIGHTED PARKING, RELIGIOUS/SOCIAL PROGRAMMING, SECURITY, ADMINISTRATIVE SERVICES, LOUNGES, CRAFT AREAS, TRANSPORTATION, PERSONAL CARE ASSISTANCE, REHABILITATITVE THERAPY, A CHAPEL, A LIBRARY, A COMPUTER LAB, BEAUTY AND BARBER SALON, GIFT SHOP, OUTDOOR PATIOS AND WALKING AREAS.Description
Total Program Service Expense13733917TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109646NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees297NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CONNIE CARGINBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8164423255TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110000 WORNALL ROADAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64114ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ROBERT ADAMS
CHAIRMAN/DIRECTOR1.00XX000
DAVID CARNES
VICE CHAIRMAN/DIRECTOR1.00XX000
SALLY FIRESTONE
DIRECTOR1.00X000
DR HEATHER ANDERSON
DIRECTOR1.00X000
GEORGE HEYMACH
DIRECTOR1.00X000
JOANNE KELLEY
DIRECTOR1.00X000
EVELYN CRAIG
DIRECTOR1.00X000
RICHARD LANE
DIRECTOR1.00X000
JAMES MORDY
SECRETARY/DIRECTOR1.00XX000
FRED WIMAN
TREASURER/DIRECTOR1.00XX000
JANICE WOLLARD
DIRECTOR1.00X000
JOELLEN WURTH
DIRECTOR1.00X000
MILTON ADAMS
DIRECTOR EMERITUS1.00X000
WILLIAM FRANKLIN
DIRECTOR EMERITUS1.00X000
RUTH KINTIGH
DIRECTOR EMERITUS1.00X000
RUSSELL LYTLE
DIRECTOR EMERITUS1.00X000
SCOTT CORBIN
DIRECTOR1.00X000
DR JAMES DALEY
DIRECTOR1.00X000
RUTHANNE PHILLIPS
DIRECTOR1.00X000
JEFFREY HARKINS
EXECUTIVE DIRECTOR40.00X0280620
TERRI MOORE
EXECUTIVE DIRECTOR40.00X01160550
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs144117TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHABCARE GROUP
7733 FORSYTH BLVD STE 2300ST LOUISMO63105THERAPY PROVIDER640778
LIFE CARE SERVICES LLC
400 LOCUST STREET SUITE 820DES MOINESIA50309MANAGEMENT514742
BLUE CROSS BLUE SHIELD OF KC
PO BOX 219451KANSAS CITYMO64121HEALTH INSURANCE506541
SYSCO FOODS
1915 KANSAS CITY RDOLATHEKS66061FOOD SERVICE496870
KANSAS CITY POWER & LIGHT
PO BOX 219330KANSAS CITYMO64121ELECTRICITY419034
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Related Organizations372962RelatedOrganizations
Total Contributions372962TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column14098864TotalRevenueColumn
Related Or Exempt Function Income14098864RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue14098864TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column74271TotalRevenueColumn
Exclusion$74,271ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real24476Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real24476Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column24476TotalRevenueColumn
Exclusion$24,476ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS623000250691$250,691
BEAUTY SHOP62300097057$97,057
DINING SERVICES62300076631$76,631

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column20388TotalRevenueColumn
Exclusion$20,388ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue444767TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15015340TotalRevenueColumn
Related Or Exempt Function Income14098864RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$543,514ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5554059Total
Program Services4777254ProgramServices
Management And General776805ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total738Total
Program Services635ProgramServices
Management And General103ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total618984Total
Program Services532411ProgramServices
Management And General86573ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total405357Total
Program Services348663ProgramServices
Management And General56694ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total404444Total
Management And General404444ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total91151Total
Management And General91151ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total44854Total
Management And General44854ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total309511Total
Program Services298477ProgramServices
Management And General11034ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7155Total
Management And General7155ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total139037Total
Management And General139037ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total303547Total
Program Services293716ProgramServices
Management And General9831ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total18234Total
Program Services8172ProgramServices
Management And General10062ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1266235Total
Program Services1225226ProgramServices
Management And General41009ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2167133Total
Program Services2096947ProgramServices
Management And General70186ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total132490Total
Program Services128199ProgramServices
Management And General4291ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
ANCILLARY SERVICES12640071264007
FOOD795482795482
UTILITIES66404964254321506
MAINTENANCE47168445640815276

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total959450Total
Program Services865777ProgramServices
Management And General93673ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15617601Total
Program Services13733917ProgramServices
Management And General1883684ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY782171BOY
EOY482683EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2184914BOY
EOY816967EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY48836BOY
EOY52460EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY62411BOY
EOY76040EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis50710144LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec27136326LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY25348797BOY
EOY23573818EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8299760BOY
EOY9406369EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY36726889BOY
EOY34408337EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3375434BOY
EOY3194613EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4678727BOY
EOY4192892EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY18337003BOY
EOY17789349EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3053029BOY
EOY2642581EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY20514775BOY
EOY20475977EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY49958968BOY
EOY48295412EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-15849842BOY
EOY-16372806EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY795907BOY
EOY663480EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1821856BOY
EOY1822251EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-13232079BOY
EOY-13887075EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36726889BOY
EOY34408337EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-602261ReconcilationRevenueExpenses
Reconcilation Other Changes-52735ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years193297CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years348301CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year151090CurrentTaxYearMinus1Year
Current Tax Year372962CurrentTaxYear
Total1065650Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13393751CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13024580CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13562820CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14225617CurrentTaxYearMinus1Year
Current Tax Year14098864CurrentTaxYear
Total68305632Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13393751CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13217877CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13911121CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14376707CurrentTaxYearMinus1Year
Current Tax Year14471826CurrentTaxYear
Total69371282Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50969371282PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years361940CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years290229CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years175983CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year168142CurrentTaxYearMinus1Year
Current Tax Year98747CurrentTaxYear
Total1095041Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years361940CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years290229CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years175983CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year168142CurrentTaxYearMinus1Year
Current Tax Year98747CurrentTaxYear
Total1095041Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years291197CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years447480CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years505982CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year531662CurrentTaxYearMinus1Year
Current Tax Year446102CurrentTaxYear
Total2222423Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14046888CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13955586CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14593086CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15076511CurrentTaxYearMinus1Year
Current Tax Year15016675CurrentTaxYear
Total72688746Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95440PublicSupportPercentage509
Prior Year Support Percentage0.95170PriorYearSupportPercentage
Investment Income Percentage0.01510InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01870PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1930509BeginningOfYearBalance
Contributions26488Contributions
Investment Earnings Or Losses-5536InvestmentEarningsOrLosses
Other Expenditures108648OtherExpenditures
End Of Year Balance1842813EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1773191BeginningOfYearBalance
Contributions35570Contributions
Investment Earnings Or Losses172057InvestmentEarningsOrLosses
Other Expenditures50309OtherExpenditures
End Of Year Balance1930509EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1547455BeginningOfYearBalance
Contributions20220Contributions
Investment Earnings Or Losses210576InvestmentEarningsOrLosses
Other Expenditures5060OtherExpenditures
End Of Year Balance1773191EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2016690BeginningOfYearBalance
Contributions56415Contributions
Investment Earnings Or Losses-434368InvestmentEarningsOrLosses
Other Expenditures91292OtherExpenditures
End Of Year Balance1547445EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1543850OtherCostOrOtherBasis
Book Value1543850BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis46531323OtherCostOrOtherBasis
Depreciation24854058Depreciation
Book Value21677265BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2634971OtherCostOrOtherBasis
Depreciation2282268Depreciation
Book Value352703BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings23573818TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING COSTS457957
INTEREST IN ASSETS OF FOUNDATION834190
DONOR RESTRICTED FUND- PERM RESTRICTED1724303
DONOR RESTRICTED FUND- TEMP RESTRICTED118509
BOND FUNDS6271410
FieldValueIRS element (for citing)
Total Book Value Other Assets9406369TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
RESIDENT DEPOSITS$163,046
REFUNDABLE ENTRANCE FEES$20,312,931
FieldValueIRS element (for citing)
Total Of Amounts20475977TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:KINGSWOOD MAINTAINS A WESLEY ENDOWMENT FUND. THE FUNDS ARE USED FOR FINANCIAL ASSISTANCE FOR THE RESIDENTS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE ORGANIZATION APPLIES THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE TAX RETURNS FOR THE YEARS 2008 THROUGH 2011 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantWESLEY ASSISTANCE GRANTTypeOfGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
ExplanationTHE ORGANIZATION REVIEWS ANNUALLY THE NEED BY RESIDENTS WHOSE RESOURCES ARE NOT SUFFICIENT TO PAY THEIR MONTHLY FEES. THE WESLEY ASSISTANCE FUND PROVIDES THE DIFFERENCE BETWEEN THE COST AND THE RESOURCES AVAILABLE.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2MILTON ADAMS HAS A FAMILY RELATIONSHIP. ROBERT ADAMS HAS A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 3LIFE CARE SERVICES WAS HIRED AS A MANAGEMENT COMPANY IN 2009.
FORM 990, PART VI, SECTION B, LINE 11THE COMPLETED 990 WILL BE E-MAILED TO BOARD MEMBERS PRIOR TO BEING FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS ARE REQUIRED ANNUALLY TO REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN THAT THEY WILL COMPLY WITH THE POLICY. IF AND WHEN A CONFLICT ARISES, THE BOARD MEMBER IS ASKED TO DISCLOSE MATERIAL FACTS AND LEAVE THE MEETING. A DETERMINATION IS MADE BY THE REMAINING BOARD MEMBERS WHETHER OR NOT A CONFLICT OF INTEREST EXIST. IF A CONFLICT EXISTS, THE BOARD MEMBER IS REQUESTED TO LEAVE THE MEETING DURING THE DISCUSSION AND THE REST OF THE BOARD VOTES ON THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15THE CEO IS AN EMPLOYEE OF LIFE CARE SERVICES, THE MANAGEMENT COMPANY. COMPARATIVE INFORMATION ON OTHER DIRECTOR'S COMPENSATION IS AVAILABLE THROUGH LIFE CARE SERVICES. A PERFORMANCE REVIEW IS COMPLETED BY THE EMPLOYEE AND THE CEO. COMPARATIVE INFORMATION ON SIMILAR POSITIONS ARE AVAILABLE THROUGH LIFE CARE SERVICES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -52,735.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990 PAGE 12, PART XI, LINE 2CTHE POLICY FOR REVIEWING THE FINANCIAL STATEMENT REMAINS UNCHANGED FROM THE PRIOR YEAR
FORM 990, SCHEDULE R, PART III, COLUMN ATHE PARTNERSHIPS ARE RELATED AS THERE IS COMMON CONTROL WHERE AS BOARD MEMBERS OF THE FILING ORGANIZATION OWN A VOTING MAJORITY OF THESE PARTNERSHIPS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1KINGSWOOD SENIOR LIVING COMMUNITY FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110000 WORNALL ROADAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64114ZIPCode
FieldValueIRS element (for citing)
EIN200639597EIN
Primary ActivitiesPROVIDES SUPPORT FOR KANSAS CITY UNITED METHODIST RETIREMENT HOME, INC.PrimaryActivities
Legal Domicile StateMOLegalDomicileState
Exempt Code Section501 (C)(3)ExemptCodeSection
Public Charity StatusLINE 11A, TYPE IPublicCharityStatus
Controlled Org0ControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
614 WEST 99TH LLC
10000 WORNALL ROADKANSAS CITYMO64114203437324REAL ESTATEMON/A
WEST 100TH TERRACE LLC
10000 WORNALL ROADKANSAS CITYMO64114753134697REAL ESTATEMON/A
457 WEST 100TH TERRACE LLC
10000 WORNALL ROADKANSAS CITYMO64114274598541REAL ESTATEMON/A
LIFE CARE SERVICES
400 LOCUST SUITE 820 CAPITAL SQUAREDES MOINESIA50309MANAGEMENT OF COMMUNITYIAN/AN/A00
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
KINGSWOOD SENIOR LIVING COMMUNITY FOUNDATION
C372962
LIFE CARE SERVICES
N514742MANAGEMENT AGREEMENT