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KANSAS CITY UNITED METHODIST RETIREMENT HOME INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
KANSAS CITY UNITED METHODIST RETIREMENT HOME INC (EIN 23-7302390)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-05-16
IRS object ID
201131369349302233
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)
Timestamp2011-05-16T14:01:33-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN 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 Date2010-01-01TaxPeriodBeginDate

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)
NameMIKE DIRLAMName
TitleINTERIM CEOTitle
Phone8169420994Phone
Date Signed2011-05-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3149254300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMIKE DIRLAMNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line110000 WORNALL ROADAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64114ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15082237GrossReceipts
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 Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees289TotalNbrEmployees
Total Nbr Volunteers107TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year348301ContributionsGrantsPriorYear
Contributions Grants Current Year151090ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13562820ProgramServiceRevenuePriorYear
Program Service Revenue CY14225617ProgramServiceRevenueCY
Investment Income Prior Year129669InvestmentIncomePriorYear
Investment Income Current Year151791InvestmentIncomeCurrentYear
Other Revenue Prior Year534935OtherRevenuePriorYear
Other Revenue Current Year548013OtherRevenueCurrentYear
Total Revenue Prior Year14575725TotalRevenuePriorYear
Total Revenue Current Year15076511TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY6198GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6346566SalariesEtcPriorYear
Salaries Etc Current Year6221605SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8973255OtherExpensePriorYear
Other Expenses Current Year9051496OtherExpensesCurrentYear
Total Expenses Prior Year15319821TotalExpensesPriorYear
Total Expenses Current Year15279299TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-744096RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-202788RevenuesLessExpensesCY
Total Assets BOY38390101TotalAssetsBOY
Total Assets EOY36726889TotalAssetsEOY
Total Liabilities BOY51594835TotalLiabilitiesBOY
Total Liabilities EOY49958968TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-13204734NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-13232079NetAssetsOrFundBalancesEOY
Mission DescriptionKINGSWOODS' MISSION IS TO PROVIDE RESIDENTAL AND HEALTH CARE FACILITIES, SERVICES AND OPPORTUNITIES FOR OLDER ADULTS. KINGSWOOD IS A MINISTRY OF THE UNITED METHODIST CHURCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense13383285Expense
Revenue14225617Revenue
DescriptionKINGSWOODS' MISSION IS TO PROVIDE RESIDENTIAL AND HEALTH CARE FACILITIES, SERVICES AND OPPORTUNITIES FOR OLDER ADULTS. 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 Expense13383285TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 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 Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109647NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees289NumberOfEmployees
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 Of1Form8282PropertyDisposedOf
Number Of8282 Filed1NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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 (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ROBERT ADAMS
CHAIRMAN/DIRECTOR1.00XX000
DAVID CARNES
DIRECTOR1.00X000
SALLY FIRESTONE
DIRECTOR1.00X000
DR HEATHER ANDERSON
DIRECTOR1.00X000
GEORGE HEYMACH
DIRECTOR1.00X000
JOHN YOUNGER
DIRECTOR1.00X000
JOANNE KELLEY
DIRECTOR1.00X000
EVELYN CRAIG
DIRECTOR1.00X000
RICHARD LANE
DIRECTOR1.00X000
JAMES MORDY
SECRETARY/DIRECTOR1.00XX000
FRED WIMAN
TREASURER/DIRECTOR1.00XX000
VICKIE WOLGAST
DIRECTOR1.00X000
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
JEFFREY HARKINS
CEO40.00X01634910
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs163491TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
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
REHAB CHOICE
2127 INNERBELT BUS CENTER DRST LOUISMO63110THERAPY PROVIDER931555
LIFE CARE SERVICES LLC
400 LOCUST STREET SUITE 820DES MOINESIA50309MANAGEMENT593423
SYSCO FOODS
1915 KANSAS CITY RDOLATHEKS66061FOOD SERVICE554007
BLUE CROSS BLUE SHIELD OF KC
PO BOX 219451KANSAS CITYMO64121HEALTH INSURANCE433804
KCP & L
PO BOX 418679KANSAS CITYMO64141ELECTRICITY421962
FieldValueIRS element (for citing)
Number Of Contractors GT100 K17NumberOfContractorsGT100K
Related Organizations151090RelatedOrganizations
Total Contributions151090TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column14225617TotalRevenueColumn
Related Or Exempt Function Income14225617RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue14225617TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column157517TotalRevenueColumn
Exclusion$157,517ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real16351Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real16351Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column16351TotalRevenueColumn
Exclusion$16,351ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other5726Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-5726Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-5726TotalRevenueColumn
Exclusion-$5,726ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS623000317677$317,677
DINING SERVICES623000113921$113,921
BEAUTY SHOP62300092051$92,051

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column8013TotalRevenueColumn
Exclusion$8,013ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue531662TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15076511TotalRevenueColumn
Related Or Exempt Function Income14225617RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$699,804ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total6198Total
Program Services6198ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5374399Total
Program Services4625128ProgramServices
Management And General749271ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4578Total
Program Services3940ProgramServices
Management And General638ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total438778Total
Program Services377606ProgramServices
Management And General61172ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total403850Total
Program Services347547ProgramServices
Management And General56303ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total443770Total
Management And General443770ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total102989Total
Management And General102989ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total46943Total
Management And General46943ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total257089Total
Program Services219488ProgramServices
Management And General37601ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total21592Total
Management And General21592ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total69807Total
Management And General69807ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total939560Total
Program Services909131ProgramServices
Management And General30429ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total27189Total
Program Services7516ProgramServices
Management And General19673ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1213988Total
Program Services1174671ProgramServices
Management And General39317ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2192987Total
Program Services2121963ProgramServices
Management And General71024ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total139523Total
Program Services135004ProgramServices
Management And General4519ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
ANCILLARY SERVICES13438931343893
FOOD857227857227
SUPPLIES39412935506939060
MAINTENANCE34060332957211031
CONTRACTED LABOR33076726414066627

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total329440Total
Program Services305192ProgramServices
Management And General24248ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15279299Total
Program Services13383285ProgramServices
Management And General1896014ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY578518BOY
EOY782171EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1165565BOY
EOY2184914EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY47468BOY
EOY48836EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY67691BOY
EOY62411EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis50536795LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec25187998LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY27139748BOY
EOY25348797EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9391111BOY
EOY8299760EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY38390101BOY
EOY36726889EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4378011BOY
EOY3375434EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4539308BOY
EOY4678727EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY18854447BOY
EOY18337003EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3462492BOY
EOY3053029EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY20360577BOY
EOY20514775EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY51594835BOY
EOY49958968EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-15589945BOY
EOY-15849842EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY577937BOY
EOY795907EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1807274BOY
EOY1821856EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-13204734BOY
EOY-13232079EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38390101BOY
EOY36726889EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-202788ReconcilationRevenueExpenses
Reconcilation Other Changes175443ReconcilationOtherChanges
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 Minus2 Years193297CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year348301CurrentTaxYearMinus1Year
Current Tax Year151090CurrentTaxYear
Total692688Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12002926CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13393751CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13024580CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13562820CurrentTaxYearMinus1Year
Current Tax Year14225617CurrentTaxYear
Total66209694Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12002926CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13393751CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13217877CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13911121CurrentTaxYearMinus1Year
Current Tax Year14376707CurrentTaxYear
Total66902382Total

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 Total50966902382PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years315697CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years361940CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years290229CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year175983CurrentTaxYearMinus1Year
Current Tax Year168142CurrentTaxYear
Total1311991Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years315697CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years361940CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years290229CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year175983CurrentTaxYearMinus1Year
Current Tax Year168142CurrentTaxYear
Total1311991Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years309554CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years291197CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years447480CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year505982CurrentTaxYearMinus1Year
Current Tax Year531662CurrentTaxYear
Total2085875Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12628177CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14046888CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13955586CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14593086CurrentTaxYearMinus1Year
Current Tax Year15076511CurrentTaxYear
Total70300248Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95170PublicSupportPercentage509
Prior Year Support Percentage0.93570PriorYearSupportPercentage
Investment Income Percentage0.01870InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02050PriorYrInvestIncomePercentage
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 Balance1773191BeginningOfYearBalance
Contributions35570Contributions
Investment Earnings Or Losses172057InvestmentEarningsOrLosses
Other Expenditures50309OtherExpenditures
End Of Year Balance1930509EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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 Basis46340593OtherCostOrOtherBasis
Depreciation22875805Depreciation
Book Value23464788BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2648438OtherCostOrOtherBasis
Depreciation2312193Depreciation
Book Value336245BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3914OtherCostOrOtherBasis
Book Value3914BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings25348797TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING COSTS497531
INTEREST IN ASSETS OF FOUNDATION676060
DONOR RESTRICTED FUND- PERM RESTRICTED1763363
ACCRUED INTEREST22
DONOR RESTRICTED FUND- TEMP RESTRICTED167147
BOND FUNDS5195637
FieldValueIRS element (for citing)
Total Book Value Other Assets8299760TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
RESIDENT DEPOSITS$210,206
REFUNDABLE ENTRANCE FEES$20,304,569
FieldValueIRS element (for citing)
Total Of Amounts20514775TotalOfAmounts

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 ORGANIZATIONS 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 ORGANIZATIONS 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 2007 THROUGH 2010 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
Number Of Recipients1NumberOfRecipients
Amount Of Cash Grant6198AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierOTHER INFORMATION:Identifier
Return ReferencePART IV:ReturnReference
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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 PersonJEFFREY HARKINSNamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs163491CompBasedOnRelatedOrgs
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 Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs163491TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VIJEFF HARKINS, CEO, WAS AN EMPLOYEE OF LIFE CARE SERVICES DURING 2010. AS A RESULT OF THIS HE WAS NOT DIRECTLY COMPENSATED THROUGH THE FINANCIAL STATEMENTS.
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 PROVIDED TO BOARD MEMBERS PRIOR TO BEING FILED WITH THE IRS.
BOARD 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 12C
THE 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 B, LINE 15
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABE TO THE PUBLIC UPON REQUEST. THE FORM 990 IS ALSO AVAILABLE ON THE WEBSITE WWW.GUIDESTAR.ORG.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 175,443.FORM 990, PART XI, LINE 5:
THE POLICY FOR REVIEWING THE FINANCIAL STATEMENT REMAINS UNCHANGED FROM THE PRIOR YEARFORM 990 PAGE 12, PART XI, LINE 2C
THE PARTNERSHIPS ARE RELATED AS THERE IS COMMON CONTROL WHERE AS BOARD MEMBERS OF THE FILING ORGANIZATION OWN A VOTING MAJORITY OF THESE PARTNERSHIPS.FORM 990, SCHEDULE R, PART III, COLUMN A

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 (3 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
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
C151090
LIFE CARE SERVICES
N593423MANAGEMENT AGREEMENT