PRESBYTERIAN HOME OF HAWFIELDS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: PRESBYTERIAN HOME OF HAWFIELDS INC (EIN 56-1077371)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2011-11-23
IRS object ID: 201133279349300513
Schema version: 2010v3.4
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
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-23T14:24:48-06:00	Timestamp
Tax Period End Date	2011-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GILLIAM COBLE & MOSER LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 621	AddressLine1
City	BURLINGTON	City
State	NC	State
ZIP Code	272160621	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	561077371	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PRESBYTERIAN HOME OF HAWFIELDS INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PRES	NameControl
Phone	3365784701	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2502 SOUTH NC 119	AddressLine1
City	MEBANE	City
State	NC	State
ZIP Code	27302	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MR MAX KERNODLE	Name
Title	ADMINISTRATOR	Title
Phone	3365784701	Phone
Date Signed	2011-11-22	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	SCOTT WILLIAMS	Name
Phone	3362276283	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MR MAX KERNODLE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2502 SOUTH NC 119	AddressLine1
City	MEBANE	City
State	NC	State
ZIP Code	27302	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	6703316	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.HAWFIELDS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1973	YearFormation
State Legal Domicile	NC	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE HOUSING & RELATED FACILITIES & SERVICE FOR THE ELDERLY AND NEEDY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	180	TotalNbrEmployees
Total Nbr Volunteers	90	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4182	ContributionsGrantsPriorYear
Contributions Grants Current Year	11201	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	7027639	ProgramServiceRevenuePriorYear
Program Service Revenue CY	6660229	ProgramServiceRevenueCY
Investment Income Prior Year	8184	InvestmentIncomePriorYear
Investment Income Current Year	-1281	InvestmentIncomeCurrentYear
Other Revenue Prior Year	33104	OtherRevenuePriorYear
Other Revenue Current Year	29883	OtherRevenueCurrentYear
Total Revenue Prior Year	7073109	TotalRevenuePriorYear
Total Revenue Current Year	6700032	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4450439	SalariesEtcPriorYear
Salaries Etc Current Year	4306693	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2785480	OtherExpensePriorYear
Other Expenses Current Year	2581813	OtherExpensesCurrentYear
Total Expenses Prior Year	7235919	TotalExpensesPriorYear
Total Expenses Current Year	6888506	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-162810	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-188474	RevenuesLessExpensesCY
Total Assets BOY	3564526	TotalAssetsBOY
Total Assets EOY	3343159	TotalAssetsEOY
Total Liabilities BOY	540796	TotalLiabilitiesBOY
Total Liabilities EOY	507903	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3023730	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2835256	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE HOUSING & RELATED FACILITIES & SERVICE FOR THE ELDERLY AND NEEDY IN A HEALTH CARE SETTING.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	6386315	Expense
Revenue	6355753	Revenue
Description	THE ORGANIZATION PROVIDES HOUSING & SERVICES IN A 117 NURSING HOME BED AND 37 IL BED FOR THE ELDERLY & NEEDY.	Description
Total Program Service Expense	6386315	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	7	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	180	NumberOfEmployees
Employment Tax Returns Filed	0	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	0	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MAX KERNODLE	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3365784701	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2502 SOUTH NC 119	AddressLine1
City	MEBANE	City
State	NC	State
ZIP Code	27302	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
TOM GAMBLE
BOARD OF DIRECTOR	1.00	X	0	0	0
BILL STOCKARD
BOARD OF DIRECTOR	1.00	X	0	0	0
MARY SCOTT
BOARD OF DIRECTOR	1.00	X	0	0	0
JIMMY EVANS
BOARD OF DIRECTOR	1.00	X	0	0	0
HENDERSON SCOTT
BOARD OF DIRECTOR	1.00	X	0	0	0
MARSHALL TAYLOR
BOARD OF DIRECTOR	1.00	X	0	0	0
BILL MEBANE
BOARD OF DIRECTOR	1.00	X	0	0	0
MAX KERNODLE
ADMINISTRATOR/SECRETARY	40.00		119123	0	15932	X	X
REV A B PLEXICO
CHAIRMAN	1.00		0	0	0	X
GEORGE BASON
VICE CHAIRMAN	1.00		0	0	0	X
FENTON COVINGTON
TREASURER	1.00		0	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	119123	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	15932	TotalOtherCompensation
Number Individuals GT100 K	1	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
SUNDANCE REHABILITATION
6459 PAYSPHERE CIRCLE	CHICAGO	IL	60674	THERAPY SERVICE	513877
DIVISION OF MEDICAL ASSISTANCE
2011 MAIL SERVICE CENTER	RALEIGH	NC	27699	NURSING ASSESSMENT FEES	384221
SYSCO FOOD SERVICES
PO BOX 129	SELMA	NC	27576	RAW FOODS/SUPPLEMENTS	345131
MMS
PO BOX 955588	ST LOUIS	MO	63195	MEDICAL SUPPLIES	184095
DIAMOND PAPER COMPANY
PO BOX 1655	DANVILLE	VA	24541	SUPPLIES	167045

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	10	NumberOfContractorsGT100K
All Other Contributions	11201	AllOtherContributions
Total Contributions	11201	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
INTER & SKILLED CARE	623000	6004799	6004799
INDEPENDENT LIVING	623000	350954	350954
SPECIAL SERVICES	900099	304476		$304,476

Field	Value	IRS element (for citing)
Total Program Service Revenue	6660229	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2003	TotalRevenueColumn
Exclusion	$2,003	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2765	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2765	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2765	TotalRevenueColumn
Exclusion	$2,765	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	3284	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-3284	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-3284	TotalRevenueColumn
Exclusion	-$3,284	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
LATE PAYMENT INCOME	900099	13302	$13,302
DUKE POWER GENERATOR U	900099	7770	$7,770
EMPLOYEE/GUEST MEALS	900099	3691	$3,691

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2355	TotalRevenueColumn
Exclusion	$2,355	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	27118	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6700032	TotalRevenueColumn
Related Or Exempt Function Income	6355753	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$333,078	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	144169	Total
Management And General	144169	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	2918506	Total
Program Services	2838574	ProgramServices
Management And General	79932	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	976081	Total
Program Services	878426	ProgramServices
Management And General	97655	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	267937	Total
Program Services	248512	ProgramServices
Management And General	19425	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1598	Total
Management And General	1598	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	37591	Total
Management And General	37591	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	514931	Total
Program Services	500852	ProgramServices
Management And General	14079	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	8339	Total
Management And General	8339	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	43088	Total
Program Services	510	ProgramServices
Management And General	42578	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	344903	Total
Program Services	315924	ProgramServices
Management And General	28979	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	6265	Total
Program Services	5760	ProgramServices
Management And General	505	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	7120	Total
Program Services	7030	ProgramServices
Management And General	90	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	150189	Total
Program Services	150189	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	840101	840101
THERAPY	497802	497802
PHARMACY	87410	87410
BAD DEBT EXPENSE	27252		27252
PHYSICIAN SERVICE	10954	10954

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4270	Total
Program Services	4270	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	6888506	Total
Program Services	6386315	ProgramServices
Management And General	502192	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	378702	BOY
EOY	476808	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	100000	BOY
EOY	100000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	884693	BOY
EOY	710130	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	45424	BOY
EOY	51702	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	63216	BOY
EOY	56608	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	6280678	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	4338622	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2086089	BOY
EOY	1942056	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	6402	BOY
EOY	5855	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	3564526	BOY
EOY	3343159	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	534394	BOY
EOY	502048	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	6402	BOY
EOY	5855	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	540796	BOY
EOY	507903	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2923730	BOY
EOY	2735256	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	100000	BOY
EOY	100000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3023730	BOY
EOY	2835256	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3564526	BOY
EOY	3343159	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-188474	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2827	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	8796	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3257	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4182	CurrentTaxYearMinus1Year
Current Tax Year	11201	CurrentTaxYear
Total	30263	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6489463	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6988046	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6945172	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7027639	CurrentTaxYearMinus1Year
Current Tax Year	6660229	CurrentTaxYear
Total	34110549	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6492290	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6996842	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6948429	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7031821	CurrentTaxYearMinus1Year
Current Tax Year	6671430	CurrentTaxYear
Total	34140812	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	255	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	413	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	685	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	482	CurrentTaxYearMinus1Year
Current Tax Year	80	CurrentTaxYear
Total	1915	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	255	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	413	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	685	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	482	CurrentTaxYearMinus1Year
Current Tax Year	80	CurrentTaxYear
Total	1915	Total

Field	Value	IRS element (for citing)
Public Support Total509	34138897	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	8313	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7694	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	34990	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	24791	CurrentTaxYearMinus1Year
Current Tax Year	18070	CurrentTaxYear
Total	93858	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	8313	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7694	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	34990	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	24791	CurrentTaxYearMinus1Year
Current Tax Year	18070	CurrentTaxYear
Total	93858	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	33702	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	38677	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	12239	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	13997	CurrentTaxYearMinus1Year
Current Tax Year	13816	CurrentTaxYear
Total	112431	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6534305	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7043213	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6995658	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7070609	CurrentTaxYearMinus1Year
Current Tax Year	6703316	CurrentTaxYear
Total	34347101	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99390	PublicSupportPercentage509
Prior Year Support Percentage	0.99370	PriorYearSupportPercentage
Investment Income Percentage	0.00270	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00240	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1028277	OtherCostOrOtherBasis
Book Value	1028277	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3923922	OtherCostOrOtherBasis
Depreciation	3160952	Depreciation
Book Value	762969	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	928106	OtherCostOrOtherBasis
Depreciation	805249	Depreciation
Book Value	122858	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	400373	OtherCostOrOtherBasis
Depreciation	372421	Depreciation
Book Value	27952	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1942056	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	RESIDENT TRUST FUNDS	Description
Amount	$5,855	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	5855	TotalOfAmounts
Total Revenue	6700032	TotalRevenue
Total Expenses	6888506	TotalExpenses
Excess Or Deficit For Year	-188474	ExcessOrDeficitForYear
Total Adjustments	0	TotalAdjustments
Excess Or Deficit Per FS	-188474	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	6700032	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	6700032	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	6700032	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	6888506	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	6888506	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	6888506	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2	FENTON COVINGTON (TREASURER) IS MAX KERNODLE'S (SECRETARY/ADMINISTRATOR) BROTHER-IN-LAW.
FORM 990, PART VI, SECTION A, LINE 8B	THERE ARE SEVERAL COMMITTEES IN PLACE THAT REPORT TO THE GOVERNING BOARD AND MINUTES ARE RECORDED FOR THEIR PARTICULAR MEETINGS. THESE COMMITTEES DO NOT HAVE THE RIGHTS TO ACT ON BEHALF OF THE GOVERNING BOARD.
FORM 990, PART VI, SECTION B, LINE 11	A COPY OF FORM 990 WILL BE DISTRIBUTED AND REVIEWED AT THE NOVEMBER BOARD MEETING. ANY CHANGES WILL BE MADE PRIOR TO FILING THE FORM 990 WITH THE IRS.
	THE BOARD REVIEWS ANNUALLY AND SIGNS-OFF ON DOCUMENTS WHICH ARE RECORDED IN THE MEETING MINUTES.	FORM 990, PART VI, SECTION B, LINE 12C
	RECOMMENDATIONS ARE MADE AND DISCUSSED THROUGH THE FINANCE COMMITTEE. THE BOARD OF DIRECTORS THEN APPROVE ANY RECOMMENDATIONS.	FORM 990, PART VI, SECTION B, LINE 15
	ALL OTHER APPLICABLE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.	FORM 990, PART VI, SECTION C, LINE 19