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WILLIAM B RICE EVENTIDE HOME: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WILLIAM B RICE EVENTIDE HOME (EIN 04-2106771)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-08
IRS object ID
201232219349300528
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)
Timestamp2012-08-08T09:49:55-05:00Timestamp
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 Line1300 CROWN COLONY DRIVE SUITE 310AddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042106771EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WILLIAM B RICE EVENTIDE HOME INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWILLNameControl
Phone6174728300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1215 ADAMS STREETAddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD MEADEName
TitlePRESIDENTTitle
Phone6174728300Phone
Date Signed2012-07-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBARBARA J MORRISONName
PTINP00173340PTIN
Phone6179848100Phone
Date Prepared2012-07-26DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICHARD MEADENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1215 ADAMS STREETAddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode
FieldValueIRS element (for citing)
Gross Receipts21055309GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.EVENTIDEHOME.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1924YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionOPERATION OF A NURSING HOME PROVIDING ROOM AND BOARD AND NURSING SERVICES TO THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees153TotalNbrEmployees
Total Nbr Volunteers35TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8775ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5949078ProgramServiceRevenuePriorYear
Program Service Revenue CY5876985ProgramServiceRevenueCY
Investment Income Prior Year1725652InvestmentIncomePriorYear
Investment Income Current Year1663212InvestmentIncomeCurrentYear
Other Revenue Prior Year19316OtherRevenuePriorYear
Other Revenue Current Year17261OtherRevenueCurrentYear
Total Revenue Prior Year7702821TotalRevenuePriorYear
Total Revenue Current Year7557458TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4377206SalariesEtcPriorYear
Salaries Etc Current Year4420771SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2078405OtherExpensePriorYear
Other Expenses Current Year2224980OtherExpensesCurrentYear
Total Expenses Prior Year6455611TotalExpensesPriorYear
Total Expenses Current Year6645751TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1247210RevenuesLessExpensesPriorYear
Revenues Less Expenses CY911707RevenuesLessExpensesCY
Total Assets BOY24025400TotalAssetsBOY
Total Assets EOY22544776TotalAssetsEOY
Total Liabilities BOY3130701TotalLiabilitiesBOY
Total Liabilities EOY2651604TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20894699NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19893172NetAssetsOrFundBalancesEOY
Mission DescriptionTO MAINTAIN A UNIQUE LIFE-CARE RETIREMENT COMMUNITY THAT PROVIDES INDIVIDUALIZED AND CARING SUPPORTIVE SERVICES IN A HOME-LIKE ATMOSPHERE WHICH ALLOWS THE RESIDENTS TO MAINTAIN INDEPENDENT LIVES WITH DIGNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6008408Expense
Revenue5894246Revenue
DescriptionTHE HOME PROVIDES SECURE HOUSING, QUALITY NURSING CARE, MEANINGFUL ACTIVITIES, OPPORTUNITIES FOR SOCIALIZATION, AND A WIDE VARIETY OF SUPPORTIVE SERVICES TO SIXTY FRAIL ELDERS UNABLE TO LIVE INDEPENDENTLY IN THE COMMUNITY, WITHOUT REGARD FOR THEIR ABILITY TO PAY.Description
Total Program Service Expense6008408TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
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 Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
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 Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees153NumberOfEmployees
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 Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
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
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JANICE FARIABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6174728300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1215 ADAMS STREETAddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
GAYLE DAVIS
PRESIDENT5.00XX000
RICHARD MEADE
FIRST VICE PRESIDENT5.00XX000
DONALD POWELL
SECOND VICE PRESIDENT5.00XX000
MICHAEL MCFARLAND
CLERK5.00XX000
RUTH DOBBIE
DIRECTOR5.00X000
ROBERT DOLBEC
DIRECTOR5.00X000
ROBERT DWYER
DIRECTOR5.00X000
ROBERT FOY
DIRECTOR5.00X000
ROBERT GUARNIERI
DIRECTOR5.00X000
LYNNE HOUGHTON
DIRECTOR5.00X000
WILLIAM JACKSON
DIRECTOR5.00X000
SHEILA MCINTYRE
DIRECTOR5.00X000
CHARLES RIPPBERGER MD
DIRECTOR5.00X000
WILLIAM SMITH
DIRECTOR5.00X000
PRISCILLA URANN
DIRECTOR5.00X000
BRIAN GOTTA
DIRECTOR5.00X000
AMY ROSS
TREASURER5.00XX000
JOYCE HAGLUND
ADMINISTRATOR40.0014487106938X
FieldValueIRS element (for citing)
Total Reportable Comp From Org144871TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation6938TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SHESKEY ARCHITECTS
FRANKLIN STQUINCYMA02169ARCHITECTURAL SERVICES1207058
ROGERSON COMMUNITIES
FLORENCE STBOSTONMA02131DEVELOPMENT CONSULTANT450000
CREATING RESULTS
1400 CROWN COURT SUITE 211WOODBRIDGEVA22193ADVERTISING278925
NIXON PEABODY
SUMMER STBOSTONMA02110LEGAL117847
STONE TRUST PARTNERS
86 WASHBURN RDCANTONCT06019ADVERTISING103688
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PUBLICLY AIDED62300031033973103397
PRIVATE62300017993691799369
MEDICARE623000819732819732
ANCILLARY INCOME623000154487154487
FieldValueIRS element (for citing)
Total Program Service Revenue5876985TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column314663TotalRevenueColumn
Exclusion$314,663ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities14846400Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities13497851Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1348549Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1348549TotalRevenueColumn
Exclusion$1,348,549ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISC. REVENUE-RELATED-Description
Business Code623000BusinessCode
Total Revenue Column17261TotalRevenueColumn
Related Or Exempt Function Income17261RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue17261TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7557458TotalRevenueColumn
Related Or Exempt Function Income5894246RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,663,212ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3619991Total
Program Services3174301ProgramServices
Management And General445690ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total52104Total
Program Services45689ProgramServices
Management And General6415ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total424598Total
Program Services372322ProgramServices
Management And General52276ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total324078Total
Program Services284178ProgramServices
Management And General39900ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13225Total
Management And General13225ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total42549Total
Management And General42549ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total403990Total
Program Services369729ProgramServices
Management And General34261ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total9083Total
Program Services9083ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total81215Total
Program Services78188ProgramServices
Management And General3027ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total433421Total
Program Services433421ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total1355Total
Program Services1355ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total268270Total
Program Services268270ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total43063Total
Program Services43063ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PATIENT CARE EXPENSES846095846095
205 ADAMS STREET6800968009
BAD DEBTS1176411764
MISCELLANEOUS29412941

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6645751Total
Program Services6008408ProgramServices
Management And General637343ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY82310BOY
EOY131316EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3409712BOY
EOY786807EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY680167BOY
EOY647415EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY66310BOY
EOY87092EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11397906LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5547477LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6085550BOY
EOY5850429EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY11783187BOY
EOY9604472EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1918164BOY
EOY5437245EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24025400BOY
EOY22544776EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY728608BOY
EOY284217EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2402093BOY
EOY2367387EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3130701BOY
EOY2651604EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY20834799BOY
EOY19833272EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY18900BOY
EOY18900EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY41000BOY
EOY41000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20894699BOY
EOY19893172EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24025400BOY
EOY22544776EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses911707ReconcilationRevenueExpenses
Reconcilation Other Changes-1913234ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Minus4 Years1894CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2495CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41866CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8775CurrentTaxYearMinus1Year
Total55030Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5618337CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5823211CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5805048CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5968394CurrentTaxYearMinus1Year
Current Tax Year5894246CurrentTaxYear
Total29109236Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5620231CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5825706CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5846914CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5977169CurrentTaxYearMinus1Year
Current Tax Year5894246CurrentTaxYear
Total29164266Total

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 Total50929164266PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years501078CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years470096CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years325401CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1650976CurrentTaxYearMinus1Year
Current Tax Year314663CurrentTaxYear
Total3262214Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years501078CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years470096CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years325401CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1650976CurrentTaxYearMinus1Year
Current Tax Year314663CurrentTaxYear
Total3262214Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6121309CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6295802CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6172315CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7628145CurrentTaxYearMinus1Year
Current Tax Year6208909CurrentTaxYear
Total32426480Total
FieldValueIRS element (for citing)
Public Support Percentage5090.89940PublicSupportPercentage509
Prior Year Support Percentage0.89400PriorYearSupportPercentage
Investment Income Percentage0.10060InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.10600PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance59900BeginningOfYearBalance
End Of Year Balance59900EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance51125BeginningOfYearBalance
Contributions8775Contributions
End Of Year Balance59900EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance41000BeginningOfYearBalance
Contributions10125Contributions
End Of Year Balance51125EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.67000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.33000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3151077OtherCostOrOtherBasis
Book Value3151077BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6768506OtherCostOrOtherBasis
Depreciation4262539Depreciation
Book Value2505967BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1465563OtherCostOrOtherBasis
Depreciation1272178Depreciation
Book Value193385BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12760OtherCostOrOtherBasis
Depreciation12760Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5850429TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
INTEREST RECEIVABLE30393
MORTGAGE ACQUISITION COSTS, NET23150
CONSTRUCTION IN PROGRESS4458667
SOFTWARE, NET9532
DEFERRED ADVERTISING COSTS915503
FieldValueIRS element (for citing)
Total Book Value Other Assets5437245TotalBookValueOtherAssets
Total Revenue7557458TotalRevenue
Total Expenses6645751TotalExpenses
Excess Or Deficit For Year911707ExcessOrDeficitForYear
Net Unrealized GL On Investments-1913234NetUnrealizedGLOnInvestments
Total Adjustments-1913234TotalAdjustments
Excess Or Deficit Per FS-1001527ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt5601675TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1913234NetUnrealizedGainsInvestments
Revenue Not Rptd F990-1913234RevenueNotRptdF990
Revenue Subtotal7514909RevenueSubtotal
Investment Expenses Not Included42549InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt42549RevenueNotRptdOnFinStmt
Total Revenue Per Form9907557458TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6603202TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal6603202ExpensesSubtotal
Investment Expenses Not Included242549InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt42549ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906645751TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:TERM ENDOWMENT FUNDS ARE TO BE USED FOR NEW RESIDENT BEDS. THE PERMANENT ENDOWMENT FUND'S INCOME IS USED FOR THE GENERAL PURPOSES OF THE HOME.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE ORGANIZATION IS A NOT-FOR-PROFIT AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME. SHOULD THE STATUS BE CHALLENGED IN THE FUTURE, THE ENTITIES 2008 THROUGH 2011 TAX YEARS ARE OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonJOYCE HAGLUNDNamePerson
Base Compensation Filing Org144871BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org6938NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org151809TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE ADMINISTRATOR WILL REVIEW FORM 990 WITH MEMBERS OF THE BOARD'S EXECUTIVE COMMITTEE PRIOR TO ITS FILING WITH THE IRS. THE EXECUTIVE COMMITTEE WILL REPORT ON IT'S REVIEW TO THE FULL BOARD.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT IS ENFORCED ANNUALLY BY DISTRIBUTION OF THE POLICY AND FOLLOW UP TO CONFIRM NO ONE IS IN CONFLICT OF THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15THE PRESIDENT OF THE BOARD AND MEMBERS OF THE EXECUTIVE COMMITTEE APPROVES CEO'S SALARY. THEY REGULARLY REVIEW SALARY STUDIES DONE BY STATE HEALTHCARE ASSOCIATIONS. APPROVAL IS DOCUMENTED IN THE BOARD OF DIRECTORS MINUTES. THIS WAS LAST DONE IN 2011.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -1,913,234.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE ORGANIZATION HAS AN AUDIT COMMITTEE THAT OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND APPOINTS THE AUDITOR.PROCEDURES FOR REVIEW OF AUDITED FINANCIAL STATEMENT & SELECTION OF AUDITOR