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PENACOOK PLACE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PENACOOK PLACE INC (EIN 23-7090088)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-07-12
IRS object ID
201131939349300228
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)
Timestamp2011-07-12T12:55:05-05:00Timestamp
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 Line1300 CROWN COLONY DRIVE SUITE 310AddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237090088EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PENACOOK PLACE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPENANameControl
Phone9783740707Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 WATER STREETAddressLine1
CityHAVERHILLCity
StateMAState
ZIP Code01830ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJULIAN RICHName
TitlePRESIDENT/CEOTitle
Phone9783740707Phone
Date Signed2011-06-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBARBARA J MORRISONName
Phone6179848100Phone
Date Prepared2011-06-01DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJULIAN RICHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1150 WATER STREETAddressLine1
CityHAVERHILLCity
StateMAState
ZIP Code01830ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13239928GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PENACOOKPLACE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1969YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTO PROMOTE THE HIGHEST POSSIBLE QUALITY OF LIFE FOR OUR RESIDENTS IN A CLEAN, SAFE AND ATTRACTIVE ENVIRONMENT. TO CARE FOR OUR RESIDENTS AS WE WOULD WANT TO BE CARED FOR-THE GOLDEN RULE OF PENACOOK PLACE. TO MEET OR EXCEED THE EXPECTATIONS OF OUR RESIDENTS, AS WELL AS OTHERS WITH WHOM WE COME IN CONTACT. TO SHOW HOSPITALITY, COURTESY, COOPERATION AND RESPECT TO ALL RESIDENTS, FAMILY MEMBERS, FELLOW EMPLOYEES, VOLUNTEERS AND VISITORS. TO BE AN INTEGRAL, CONTRIBUTING PART OF THE GREATER HAVERHILL BUSINESS, EDUCATIONAL AND CULTURAL COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees327TotalNbrEmployees
Total Nbr Volunteers5TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year114724ContributionsGrantsPriorYear
Contributions Grants Current Year105111ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12315685ProgramServiceRevenuePriorYear
Program Service Revenue CY13109590ProgramServiceRevenueCY
Investment Income Prior Year35017InvestmentIncomePriorYear
Investment Income Current Year25227InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year12465426TotalRevenuePriorYear
Total Revenue Current Year13239928TotalRevenueCurrentYear
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 Year8615350SalariesEtcPriorYear
Salaries Etc Current Year9267702SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3609362OtherExpensePriorYear
Other Expenses Current Year3858135OtherExpensesCurrentYear
Total Expenses Prior Year12224712TotalExpensesPriorYear
Total Expenses Current Year13125837TotalExpensesCurrentYear
Revenues Less Expenses Prior Year240714RevenuesLessExpensesPriorYear
Revenues Less Expenses CY114091RevenuesLessExpensesCY
Total Assets BOY6811191TotalAssetsBOY
Total Assets EOY6921192TotalAssetsEOY
Total Liabilities BOY4969566TotalLiabilitiesBOY
Total Liabilities EOY4957672TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1841625NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1963520NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROMOTE THE HIGHEST POSSIBLE QUALITY OF LIFE FOR OUR RESIDENTS IN A CLEAN, SAFE AND ATTRACTIVE ENVIRONMENT. TO CARE FOR OUR RESIDENTS AS WE WOULD WANT TO BE CARED FOR-THE GOLDEN RULE OF PENACOOK PLACE. TO MEET OR EXCEED THE EXPECTATIONS OF OUR RESIDENTS, AS WELL AS OTHERS WITH WHOM WE COME IN CONTACT. TO SHOW HOSPITALITY, COURTESY, COOPERATION AND RESPECT TO ALL RESIDENTS, FAMILY MEMBERS, FELLOW EMPLOYEES, VOLUNTEERS AND VISITORS. TO BE AN INTEGRAL, CONTRIBUTING PART OF THE GREATER HAVERHILL BUSINESS, EDUCATIONAL AND CULTURAL COMMUNITIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12021017Expense
Revenue13134817Revenue
DescriptionPENACOOK PLACE, INC. IS A NOT FOR PROFIT FACILITY PROVIDING SERVICE TO PRIVATE AND PUBLICLY AIDED PATIENTS AS LEVELS II & III. IT OPERATES A 160 BED NURSING HOME FACILITY.Description
Total Program Service Expense12021017TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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 Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
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 With109628NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees327NumberOfEmployees
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 Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
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 Line1CHARLES CARROZZABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9783740707TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1150 WATER STREETAddressLine1
CityHAVERHILLCity
StateMAState
ZIP Code01830ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
CINDY M RYAN
IMMEDIATE PAST CHAIR2.00X000
WILLIAM J KLUEBER
CHAIR2.00X000
THOMAS L MORTIMER
1ST VICE CHAIR2.00X000
FRANCIS W CLEARY JR
CLERK2.00X000
MARJORIE A BREWER
CLERK EMERITA2.00X000
HOWARD H BROWN
MEMBER2.00X000
FRANK NOVAK
MEMBER2.00X000
JOAN HULL
2ND VICE CHAIR2.00X000
JULIAN RICH
PRESIDENT/CEO31.60X16148600X
WILLIAM HART MD
MEMBER/MEDICAL DIRECTOR2.00X960000
JANIS CORDISCHI
MEMBER2.00X000
ROBERT BARANELLO
MEMBER2.00X000
LISA SALTERIO
D.O.N37.10X10026400X
FAITH DELANEY
MEMBER2.00X000
KALISTER GREEN-BYRD
MEMBER2.00X000
RICHARD SUNDELL
TREASURER2.00X000
ELAINE DALTON
MEMBER2.00X000
GAIL EDELSTEIN
MEMBER2.00X000
LUCINDA NOLET
MEMBER2.00X000
C CARY REA
MEMBER2.00X000
CHARLES CARROZZA
CHIEF FINANCIAL OFFICER31.208343500X
TANYA SULLIVAN
LPN50.0010363700X
MARK KAUFMAN
RN40.0010995100X
FieldValueIRS element (for citing)
Total Reportable Comp From Org568373TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MORRISON MANAGEMENT SPECIALISTBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 102289AddressLine1
CityATLANTACity
StateGAState
ZIP Code30368ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesDIETARY SERVICESDescriptionOfServices
Compensation589771Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions105111AllOtherContributions
Total Contributions105111TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MCD INCOME62300056502545650254
PROG.SERV.REVENUE-RELA62300035031513503151
MCR A INCOME62300024301872430187
PRIVATE REVENUE62300013124701312470
PVH INCOME623000124430124430

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column89098TotalRevenueColumn
Related Or Exempt Function Income89098RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue13109590TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column25227TotalRevenueColumn
Exclusion$25,227ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13239928TotalRevenueColumn
Related Or Exempt Function Income13109590RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$25,227ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total244921Total
Management And General244921ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7450401Total
Program Services7000173ProgramServices
Management And General450228ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1010088Total
Program Services923260ProgramServices
Management And General86828ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total562292Total
Program Services513957ProgramServices
Management And General48335ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total19823Total
Management And General19823ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total40000Total
Management And General40000ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total2051Total
Management And General2051ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total612381Total
Program Services612381ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total16869Total
Program Services16869ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total806241Total
Program Services677567ProgramServices
Management And General128674ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total587009Total
Program Services515503ProgramServices
Management And General71506ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total6007Total
Program Services2873ProgramServices
Management And General3134ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9320Total
Management And General9320ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total96Total
Program Services96ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total297185Total
Program Services297185ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total105826Total
Program Services105826ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
USER FEE892253892253
FOOD396640396640
BAD DEBTS3900039000
LICENSE AND DUES1125511255
TUITION AND EDUCATION1075910759

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5420Total
Program Services5420ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13125837Total
Program Services12021017ProgramServices
Management And General1104820ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY49722BOY
EOY283073EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY353398BOY
EOY441668EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1881848BOY
EOY1877964EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY277520BOY
EOY231698EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8207204LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5567132LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2731587BOY
EOY2640072EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY646763BOY
EOY532401EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY870353BOY
EOY914316EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6811191BOY
EOY6921192EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1354566BOY
EOY1451372EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3615000BOY
EOY3505000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY1300EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4969566BOY
EOY4957672EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1758899BOY
EOY1904520EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY82726BOY
EOY59000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1841625BOY
EOY1963520EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6811191BOY
EOY6921192EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses114091ReconcilationRevenueExpenses
Reconcilation Other Changes7804ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years50188CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years104636CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years120916CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year114724CurrentTaxYearMinus1Year
Current Tax Year105111CurrentTaxYear
Total495575Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11734604CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11295644CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11802514CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12315685CurrentTaxYearMinus1Year
Current Tax Year13109591CurrentTaxYear
Total60258038Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11784792CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11400280CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11923430CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12430409CurrentTaxYearMinus1Year
Current Tax Year13214702CurrentTaxYear
Total60753613Total

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 Total50960753613PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years102586CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years87138CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years75528CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35017CurrentTaxYearMinus1Year
Current Tax Year25227CurrentTaxYear
Total325496Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years102586CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years87138CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years75528CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35017CurrentTaxYearMinus1Year
Current Tax Year25227CurrentTaxYear
Total325496Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11887378CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11487418CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11998958CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12465426CurrentTaxYearMinus1Year
Current Tax Year13239929CurrentTaxYear
Total61079109Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99470PublicSupportPercentage509
Prior Year Support Percentage0.99200PriorYearSupportPercentage
Investment Income Percentage0.00530InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00800PriorYrInvestIncomePercentage
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis30859OtherCostOrOtherBasis
Book Value30859BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5994462OtherCostOrOtherBasis
Depreciation3887142Depreciation
Book Value2107320BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2139584OtherCostOrOtherBasis
Depreciation1657760Depreciation
Book Value481824BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis42299OtherCostOrOtherBasis
Depreciation22230Depreciation
Book Value20069BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2640072TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
FUNDED RESERVE682594
INTEREST RECEIVABLE10819
DEPOSITS43352
SOFTWARE, NET2856
BOND ISSUE COSTS, NET174695
FieldValueIRS element (for citing)
Total Book Value Other Assets914316TotalBookValueOtherAssets
Total Revenue13239928TotalRevenue
Total Expenses13125837TotalExpenses
Excess Or Deficit For Year114091ExcessOrDeficitForYear
Net Unrealized GL On Investments7804NetUnrealizedGLOnInvestments
Total Adjustments7804TotalAdjustments
Excess Or Deficit Per FS121895ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13247732TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments7804NetUnrealizedGainsInvestments
Revenue Not Rptd F9907804RevenueNotRptdF990
Revenue Subtotal13239928RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99013239928TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13125837TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal13125837ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013125837TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 PersonJULIAN RICHNamePerson
Base Compensation Filing Org146486BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org15000BonusFilingOrg
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 Org161486TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LANDMARK HEALTH SOLUTIONSBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipA OWNER IS A DIRECTOR OF ORGANIZATIONRelationship
Amount Of Transaction113480AmountOfTransaction
Description Of TransactionCONSULTING SERVICESDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11CFO INITIALLY REVIEWS THE FORM 990 AND THEN REVIEWS IT WITH THE PRESIDENT/CEO OF THE ORGANIZATION, BOTH PARTIES APPROVE THE FORM 990.
AT THE SEPTEMBER BOARD OF DIRECTOR'S MEETING, EVERY BOARD MEMBER IS GIVEN A COPY OF THE CONFLICT OF INTEREST STATEMENT TO READ AND SIGN. ALL BOARD MEMBERS ARE REQUIRED TO SIGN. THE POLICY OUTLINES THE RESTRICTIONS IMPOSED UPON THE BOARD IF ANY CONFLICT SHOULD EXIST. ALL STAFF MEMBERS ARE PRESENTED INFORMATION REGARDING ORGANIZATIONAL INTEGRITY UPON HIRE AND DURING THEIR ANNUAL ORIENTATION. CONFLICT OF INTEREST IS INCLUDED IN OUR O.I. PROGRAM AND STAFF IS REQUIRED TO REVIEW AS PART OF THEIR CONTINUED EMPLOYMENT.FORM 990, PART VI, SECTION B, LINE 12C
A PERSONNEL COMMITTEE WAS ESTABLISHED AS A SUB-COMMITTEE OF THE BOARD OF DIRECTORS. THE FOCUS OF THIS GROUP IS TO REVIEW AND EVALUATE THE PRESIDENT/CEO ON AN ANNUAL BASIS, THE PERSONNEL COMMITTEE RECEIVES INPUT FROM ALL BOARD MEMBERS AND DEPARTMENT HEADS. THE PERSONNEL COMMITTEE THEN MAKES THEIR RECOMMENDATION TO THE FULL BOARD FOR FINAL APPROVAL. THIS PROCESS IS CONDUCTED ANNUALLY AND TAKES PLACE STARTING IN JANUARY OF EACH YEAR TO EVALUATE THE PERFORMANCE OF THE PRESIDENT/CEO FOR YEAR JUST COMPLETED. THE LAST TIME THIS PROCESS WAS CONDUCTED WAS JANUARY 2011 FOR THE 2010 CALENDAR YEAR.FORM 990, PART VI, SECTION B, LINE 15
THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC, UPON REQUEST. THE FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 7,804.FORM 990, PART XI, LINE 5:
THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.FORM 990, PART XII, LINE 2C: