STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MEMORYCARE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MEMORYCARE (EIN 56-2178294)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-05-12
IRS object ID
201111329349301426
Schema version
2010v3.2
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)
Timestamp2011-05-12T07:38:28-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CORLISS & SOLOMON PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1242 CHARLOTTE ST STE 1AddressLine1
CityASHEVILLECity
StateNCState
ZIP Code288011434ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN562178294EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEMORYCARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMEMONameControl
Phone8287712219Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 FAR HORIZONS LANEAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28803ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameVIRGINIA TEMPLETONName
TitleEXECUTIVE DIRECTORTitle
Phone8287712219Phone
Date Signed2011-04-28DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameSTEPHEN C CORLISSName
Phone8282360206Phone
Date Prepared2011-05-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonVIRGINIA TEMPLETON MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 FAR HORIZONS LANEAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28803ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1309363GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.memorycare.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionMemoryCare'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 Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees13TotalNbrEmployees
Total Nbr Volunteers44TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year611958ContributionsGrantsPriorYear
Contributions Grants Current Year728444ContributionsGrantsCurrentYear
Program Service Revenue Prior Year448972ProgramServiceRevenuePriorYear
Program Service Revenue CY507406ProgramServiceRevenueCY
Investment Income Prior Year80206InvestmentIncomePriorYear
Investment Income Current Year62144InvestmentIncomeCurrentYear
Other Revenue Prior Year2275OtherRevenuePriorYear
Other Revenue Current Year9035OtherRevenueCurrentYear
Total Revenue Prior Year1143411TotalRevenuePriorYear
Total Revenue Current Year1307029TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year716755SalariesEtcPriorYear
Salaries Etc Current Year732308SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year56748TotalFundrsngExpCurrentYear
Other Expense Prior Year148346OtherExpensePriorYear
Other Expenses Current Year185663OtherExpensesCurrentYear
Total Expenses Prior Year865101TotalExpensesPriorYear
Total Expenses Current Year917971TotalExpensesCurrentYear
Revenues Less Expenses Prior Year278310RevenuesLessExpensesPriorYear
Revenues Less Expenses CY389058RevenuesLessExpensesCY
Total Assets BOY3573304TotalAssetsBOY
Total Assets EOY4187339TotalAssetsEOY
Total Liabilities BOY3312TotalLiabilitiesBOY
Total Liabilities EOY1663TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3569992NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4185676NetAssetsOrFundBalancesEOY
Mission DescriptionMemoryCare's mission is three-fold:MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense793455Expense
Revenue507406Revenue
DescriptionMEMORYCARE 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, COUNSELINGDescription

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionAND 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 PROFESDescription

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionCOUNTIES 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 INITIATIDescription
FieldValueIRS element (for citing)
Total Program Service Expense793455TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees13NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMEMORYCARENamePerson
Telephone Number8287712219TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 FAR HORIZONS LANEAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28803ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MARGARET NOEL MD
Founder/Dir. Emeritus45.00XX8419508892
VIRGINIA TEMPLETON MD
Exec. Director60.00XX12819209740XX
THOMAS S KALUZYNSKI MD
Employee50.00111307010517X
DAVID VANCE
President3.00XX000
PAM TURNER
Vice-President3.00XX000
JOHN E GREAR CFP
Sec/Treas.3.00XX000
JOHN BERNHARDT MA RN
Board Member3.00X000
JOHN COWAN
Board Member3.00X000
GEORGIA CRUMP LPN
Board Member3.00X000
BETTY DOLL
Board Member3.00X000
MARY DONNELLY
Board/Support Group Coord.18.00X746200
PEGGY FRANC
Board Member3.00X000
LINDA HOLLINSHEAD
Board Member3.00X000
HUGH MCCOLLUM
Board Member3.00X000
ARTHEA STAEGER REED PHD
Board Member3.00X000
ELEANOR OWEN
Board Member3.00X000
BRANDON WALLACE
Board Member3.00X000
DAVID WILDEN
Board Member3X
FieldValueIRS element (for citing)
Total Reportable Comp From Org331156TotalReportableCompFromOrg
Total Other Compensation29149TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Federated Campaigns82800FederatedCampaigns
All Other Contributions645644AllOtherContributions
Noncash Contributions49657NoncashContributions
Total Contributions728444TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
Patient care fees621110260152
Caregiver fees624100208530
Other Clinical revenue62111038724
FieldValueIRS element (for citing)
Total Program Service Revenue507406TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column62144TotalRevenueColumn
Exclusion$62,144ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events11009GrossIncomeFundraisingEvents
Fundraising Direct Expenses2334FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column8675TotalRevenueColumn
Exclusion$8,675ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscellaneousDescription
Business Code900099BusinessCode
Total Revenue Column360TotalRevenueColumn
Exclusion$360ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue360TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1307029TotalRevenueColumn
Related Or Exempt Function Income507406RelatedOrExemptFunctionIncome
Exclusion$71,179ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total364833Total
Program Services339687ProgramServices
Management And General16816ManagementAndGeneral
Fundraising8330Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total288632Total
Program Services245534ProgramServices
Management And General13326ManagementAndGeneral
Fundraising29772Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4667Total
Program Services4179ProgramServices
Management And General216ManagementAndGeneral
Fundraising272Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total28150Total
Program Services25211ProgramServices
Management And General1298ManagementAndGeneral
Fundraising1641Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total46026Total
Program Services41219ProgramServices
Management And General2123ManagementAndGeneral
Fundraising2684Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total8325Total
Program Services0ProgramServices
Management And General8325ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12669Total
Program Services12569ProgramServices
Management And General0ManagementAndGeneral
Fundraising100Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total13741Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising13741Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total28374Total
Program Services26064ProgramServices
Management And General2310ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6170Total
Program Services5806ProgramServices
Management And General364ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total29000Total
Program Services26100ProgramServices
Management And General2900ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total4001Total
Program Services3629ProgramServices
Management And General164ManagementAndGeneral
Fundraising208Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12389Total
Program Services11150ProgramServices
Management And General1239ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total27691Total
Program Services27220ProgramServices
Management And General471ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Professional Development146971469700
Resource Center2053205300
Staff Appreciation1090109000
Clinical Supplies71171100
Bad Debt Expense181080181080

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6644Total
Program Services6536ProgramServices
Management And General108ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total917971Total
Program Services793455ProgramServices
Management And General67768ManagementAndGeneral
Fundraising56748Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY87410BOY
EOY56720EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY838807BOY
EOY1082317EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY43410BOY
EOY174160EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY49824BOY
EOY70145EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY58452BOY
EOY35825EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis114423LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec85428LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY38536BOY
EOY28995EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY16900BOY
EOY193EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2439965BOY
EOY2738984EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3573304BOY
EOY4187339EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3312BOY
EOY1663EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3312BOY
EOY1663EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3534500BOY
EOY3972430EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY35492BOY
EOY213246EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3569992BOY
EOY4185676EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3573304BOY
EOY4187339EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses389058ReconcilationRevenueExpenses
Reconcilation Other Changes226626ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years710015CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years965697CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years735364CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year611958CurrentTaxYearMinus1Year
Current Tax Year728444CurrentTaxYear
Total3751478Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years710015CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years965697CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years735364CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year611958CurrentTaxYearMinus1Year
Current Tax Year728444CurrentTaxYear
Total3751478Total
FieldValueIRS element (for citing)
Public Support Total1703751478PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years58399CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years49223CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20802CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year80206CurrentTaxYearMinus1Year
Current Tax Year62144CurrentTaxYear
Total270774Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years286961CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years354934CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years374329CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year445772CurrentTaxYearMinus1Year
Current Tax Year507406CurrentTaxYear
Total1969402Total
FieldValueIRS element (for citing)
Total Support5991654TotalSupport
Gross Receipts From Admissions Etc1969402GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.62610PublicSupportPertcentage170
Public Support Pertcent Prior Year0.47450PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage
Facts And Circumstances TestOTHER INCOME PART II, LINE 10; DESCRIPTION: PATIENT CARE FEES; 2006: 286961.; 2007: 354934.; 2008: 183545.; 2009: 211648.; 2010: 260152.; DESCRIPTION: CAREGIVER FEES; 2008: 157943.; 2009: 197261.; 2010: 208530.; DESCRIPTION: OTHER PROGRAM INCOME; 2008: 32841.; 2009: 36863.; 2010: 38724.;FactsAndCircumstancesTest

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 Balance2439965BeginningOfYearBalance
Contributions49120Contributions
Investment Earnings Or Losses265195InvestmentEarningsOrLosses
Administrative Expenses15296AdministrativeExpenses
End Of Year Balance2738984EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1541986BeginningOfYearBalance
Contributions497723Contributions
Investment Earnings Or Losses412164InvestmentEarningsOrLosses
Administrative Expenses11908AdministrativeExpenses
End Of Year Balance2439965EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2139085BeginningOfYearBalance
Contributions50000Contributions
Investment Earnings Or Losses-635786InvestmentEarningsOrLosses
Administrative Expenses11313AdministrativeExpenses
End Of Year Balance1541986EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis11019OtherCostOrOtherBasis
Depreciation6296Depreciation
Book Value4723BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis103404OtherCostOrOtherBasis
Depreciation79132Depreciation
Book Value24272BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings28995TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionFunds with Community FoundationDescription
Book Value2738984BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets2738984TotalBookValueOtherAssets
Total Revenue1307029TotalRevenue
Total Expenses917971TotalExpenses
Excess Or Deficit For Year389058ExcessOrDeficitForYear
Net Unrealized GL On Investments226626NetUnrealizedGLOnInvestments
Total Adjustments226626TotalAdjustments
Excess Or Deficit Per FS615684ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1361077TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities51714DonatedSrvcAndUseOfFacilities
Other Revenues2334OtherRevenues
Revenue Not Rptd F99054048RevenueNotRptdF990
Revenue Subtotal1307029RevenueSubtotal
Total Revenue Per Form9901307029TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt972019TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities51714DonatedServicesUseOfFacilities
Other Expenses Included2334OtherExpensesIncluded
Expenses Not Rptd F99054048ExpensesNotRptdF990
Expenses Subtotal917971ExpensesSubtotal
Total Expenses Per Form990917971TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
Pt XII Line 2dEvent Expenses $2,334
Pt XIII Line 2dEvent Expenses $2,334
Pt XMemoryCare 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, 2010 and was, therefore, not required to file Federal Form 990-T (Exempt Organization Business Income
Pt XTax 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 2008, 2009 & 2010 are subject to examination by the IRS, generally for three years after being filed.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions8NumberOfContributions
Noncash Contribs Rptd F99049657NoncashContribsRptdF990
Method Of Determining RevenuesPublicly Traded ValueMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (20 entries)

IdentifierIdentifierExplanationExplanation
Pt VI-B, Line 11aThe board received a copy of the 990 prior to the May 12, 2011
Pt VI-B, Line 11aboard meeting where they had an opportunity to have questions
Pt VI-B, Line 11aaddressed. The board approved the filing of the 990 in this
Pt VI-B, Line 11ameeting.
Pt VI-B, Line 12cBoard members are made aware of the conflict of interest policy
Pt VI-B, Line 12cby instruction at MemoryCare's annual meeting and the
Pt VI-B, Line 12crequirement that members sign a conflict of interest form
Pt VI-B, Line 12cat this meeting each year.
Pt VI-B, Line 15The process for determining compensation for key employees
Pt VI-B, Line 15involves review of a regional medical salary and benefits
Pt VI-B, Line 15survey and a salary survey from the NC Center for Nonprofits.
Pt VI-B, Line 15The basis for the decision is recorded in meeting minutes.
Pt VI-C, Line 19These documents are made available upon request.
Pt XICommunity Foundation of Western NC Endowment net investment
Pt XIgains of $226,626.
Form 990EZ, Part I, Line 8MISC
Form 990EZ, Part I, Line 16ANNUITY CONTRACT LABOR BOARD DEVELOPMENT DONOR RECOGNITION DUES AND SUBSCRIPTIONS FUNDRAISING INSURANCE PROFESSIONAL DEVELOPMENT PROFESSIONAL FEES RECRUITMENT REFERENCE MATERIALS RESOURCE CENTER MATERIALS OTHER EXPENSES
Form 990EZ, Part II, Line 24ACCOUNTS RECEIVABLE - NET GRANTS RECEIVABLE - NET INVESTMENTS
Form 990EZ, Part II, Line 26ACCOUNTS PAYABLE & ACCRUED EXPENSES
Form 990, Part IX, Line 24fOTHER EXPENSES 6644. 6536. 108. 0.