FURP.ORG / PUBLIC DATA EXPLORER

KANSAS CITY UNITED METHODIST RETIREMENT HOME INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KANSAS CITY UNITED METHODIST RETIREMENT HOME INC (EIN 23-7302390)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-15
IRS object ID
201311379349300501
Schema version
2012v2.1
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)
Timestamp2013-05-15T07:00:27-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1600 WASHINGTON AVENUE SUITE 1800AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

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)
NameJAMES MORDYName
TitleSECRETARYTitle
Phone8169420994Phone
Date Signed2013-05-16DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFF PARKERName
PTINP00970069PTIN
Phone3149254300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTERRI MOORENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line110000 WORNALL ROADAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64114ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14261010GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.KINGSWOODATHOME.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionKINGSWOOD'S 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 Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees306TotalNbrEmployees
Total Nbr Volunteers90TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year372962ContributionsGrantsPriorYear
Contributions Grants Current Year169279ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14098864ProgramServiceRevenuePriorYear
Program Service Revenue CY13604155ProgramServiceRevenueCY
Investment Income Prior Year74271InvestmentIncomePriorYear
Investment Income Current Year30481InvestmentIncomeCurrentYear
Other Revenue Prior Year469243OtherRevenuePriorYear
Other Revenue Current Year456945OtherRevenueCurrentYear
Total Revenue Prior Year15015340TotalRevenuePriorYear
Total Revenue Current Year14260860TotalRevenueCurrentYear
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 Year6579138SalariesEtcPriorYear
Salaries Etc Current Year6713033SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9038463OtherExpensePriorYear
Other Expenses Current Year8634104OtherExpensesCurrentYear
Total Expenses Prior Year15617601TotalExpensesPriorYear
Total Expenses Current Year15347137TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-602261RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1086277RevenuesLessExpensesCY
Total Assets BOY34408337TotalAssetsBOY
Total Assets EOY34028881TotalAssetsEOY
Total Liabilities BOY48295412TotalLiabilitiesBOY
Total Liabilities EOY48752862TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-13887075NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-14723981NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionKINGSWOODS' MISSION IS TO WELCOME OLDER ADULTS WITH OPPORTUNITIES TO ENRICH THEIR LIVES WITH EXCELLENT RESIDENTIAL AND HEALTHCARE SERVICES OFFERED IN A SAFE, LOVING AND CARING COMMUNITY. A MINISTRY OF THE UNITED METHODIST CHURCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense13434026Expense
Revenue13604155Revenue
DescriptionKINGSWOODS' MISSION IS TO WELCOME OLDER ADULTS WITH OPPORTUNITIES TO ENRICH THEIR LIVES WITH EXCELLENT RESIDENTIAL AND HEALTHCARE SERVICES OFFERED IN A SAFE, LOVING, AND CARING COMMUNITY. 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 Expense13434026TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other 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 Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109649NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees306NumberOfEmployees
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 Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
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 (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelated
ROBERT ADAMS
CHAIRMAN/DIRECTOR1.00XX000
DAVID CARNES
VICE CHAIRMAN/DIRECTOR1.00XX000
SALLY FIRESTONE
DIRECTOR1.00X000
DR HEATHER ANDERSON
DIRECTOR1.00X000
GEORGE HEYMACH
DIRECTOR1.00X000
JOANNE KELLEY
DIRECTOR1.00X000
EVELYN CRAIG
DIRECTOR1.00X000
RICHARD LANE
DIRECTOR1.00X000
JAMES MORDY
SECRETARY/DIRECTOR1.00XX000
FRED WIMAN
TREASURER/DIRECTOR1.00XX000
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
SCOTT CORBIN
DIRECTOR1.00X000
DR JAMES DALEY
DIRECTOR1.00X000
RUTHANNE PHILLIPS
DIRECTOR1.00X000
WW NICK KENNEDY
DIRECTOR1.00X000
TERRI MOORE
EXECUTIVE DIRECTOR1.00X01780902836540.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs178090TotalReportableCompFrmRltdOrgs
Total Other Compensation28365TotalOtherCompensation
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
REHABCARE GROUP
7733 FORSYTH BLVD STE 2300ST LOUISMO63105THERAPY PROVIDER762602
LIFE CARE SERVICES LLC
400 LOCUST STREET SUITE 820DES MOINESIA50309MANAGEMENT682273
SYSCO FOODS
1915 KANSAS CITY RDOLATHEKS66061FOOD SERVICE522215
OMNICARE PHARMACY
PO BOX 715268COLUMBUSOH43271PHARMACY231035
ZILLNER MARKETING COMMUNICATION
8725 ROSEHILL ROAD SUITE 200LENEZAKS66215MARKETING207846
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Related Organizations169279RelatedOrganizations
Total Contributions169279TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column13604155TotalRevenueColumn
Related Or Exempt Function Income13604155RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue13604155TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column30631TotalRevenueColumn
Exclusion$30,631ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real20250Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real20250Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column20250TotalRevenueColumn
Exclusion$20,250ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other150Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-150Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-150TotalRevenueColumn
Exclusion-$150ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS623000226478$226,478
BEAUTY SHOP62300099081$99,081
DINING SERVICES62300085646$85,646

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column25490TotalRevenueColumn
Exclusion$25,490ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue436695TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14260860TotalRevenueColumn
Related Or Exempt Function Income13604155RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$487,426ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5604035Total
Program Services4804597ProgramServices
Management And General799438ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total677685Total
Program Services581011ProgramServices
Management And General96674ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total431313Total
Program Services369784ProgramServices
Management And General61529ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total366042Total
Management And General366042ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total110149Total
Management And General110149ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total48938Total
Management And General48938ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total262403Total
Program Services257369ProgramServices
Management And General5034ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total21877Total
Management And General21877ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total157353Total
Management And General157353ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total915704Total
Program Services886047ProgramServices
Management And General29657ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total27554Total
Program Services9343ProgramServices
Management And General18211ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1212675Total
Program Services1173400ProgramServices
Management And General39275ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1922084Total
Program Services1859834ProgramServices
Management And General62250ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total149064Total
Program Services144236ProgramServices
Management And General4828ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
ANCILLARY SERVICES12505531250553
FOOD811915811915
MAINTENANCE47202145673415287
SUPPLIES33115131626714884

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total574621Total
Program Services512936ProgramServices
Management And General61685ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15347137Total
Program Services13434026ProgramServices
Management And General1913111ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY482683BOY
EOY1320859EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY816967BOY
EOY702781EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY52460BOY
EOY72314EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY76040BOY
EOY94109EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis50777041LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec28876681LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY23573818BOY
EOY21900360EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9406369BOY
EOY9938458EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY34408337BOY
EOY34028881EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3194613BOY
EOY4423152EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4192892BOY
EOY3910810EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY17789349BOY
EOY17211251EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2642581BOY
EOY2051038EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY20475977BOY
EOY21156611EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY48295412BOY
EOY48752862EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-16372806BOY
EOY-17536723EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY663480BOY
EOY961092EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1822251BOY
EOY1851650EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-13887075BOY
EOY-14723981EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY34408337BOY
EOY34028881EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1086277ReconcilationRevenueExpenses
Reconciliation Unrealized Invest249371ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years193297CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years348301CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years151090CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year372962CurrentTaxYearMinus1Year
Current Tax Year169279CurrentTaxYear
Total1234929Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13024580CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13562820CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14225617CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14098864CurrentTaxYearMinus1Year
Current Tax Year13604155CurrentTaxYear
Total68516036Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13217877CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13911121CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14376707CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14471826CurrentTaxYearMinus1Year
Current Tax Year13773434CurrentTaxYear
Total69750965Total

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 Total50969750965PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years290229CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years175983CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years168142CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year98747CurrentTaxYearMinus1Year
Current Tax Year50881CurrentTaxYear
Total783982Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years290229CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years175983CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years168142CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year98747CurrentTaxYearMinus1Year
Current Tax Year50881CurrentTaxYear
Total783982Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years447480CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years505982CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years531662CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year446102CurrentTaxYearMinus1Year
Current Tax Year436695CurrentTaxYear
Total2367921Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13955586CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14593086CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15076511CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15016675CurrentTaxYearMinus1Year
Current Tax Year14261010CurrentTaxYear
Total72902868Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95680PublicSupportPercentage509
Prior Year Support Percentage0.95440PriorYearSupportPercentage
Investment Income Percentage0.01080InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01510PriorYrInvestIncomePercentage
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 Balance1842813BeginningOfYearBalance
Contributions30396Contributions
Investment Earnings Or Losses238844InvestmentEarningsOrLosses
Other Expenditures30396OtherExpenditures
End Of Year Balance2081657EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1930509BeginningOfYearBalance
Contributions26488Contributions
Investment Earnings Or Losses-5536InvestmentEarningsOrLosses
Other Expenditures108648OtherExpenditures
End Of Year Balance1842813EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1773191BeginningOfYearBalance
Contributions35570Contributions
Investment Earnings Or Losses172057InvestmentEarningsOrLosses
Other Expenditures50309OtherExpenditures
End Of Year Balance1930509EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

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

Current Year Minus4 Years CurrentYearMinus4Years

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 Balance0.92790PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.07210TermEndowmentEOYBalance
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 Basis46634832OtherCostOrOtherBasis
Depreciation26556573Depreciation
Book Value20078259BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2598359OtherCostOrOtherBasis
Depreciation2320108Depreciation
Book Value278251BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings21900360TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING COSTS419577
INTEREST IN ASSETS OF FOUNDATION867463
DONOR RESTRICTED FUND- PERM RESTRICTED1931616
DONOR RESTRICTED FUND- TEMP RESTRICTED150040
BOND FUNDS6569762
FieldValueIRS element (for citing)
Total Book Value Other Assets9938458TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
RESIDENT DEPOSITS$138,807
REFUNDABLE ENTRANCE FEES$21,017,804
FieldValueIRS element (for citing)
Total Of Amounts21156611TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (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, LINE 2:THE ORGANIZATION APPLIES THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S 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 ORGANIZATION'S 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 2009 THROUGH 2012 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES.

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 PersonTERRI MOORENamePerson
TitleEXECUTIVE DIRECTORTitle
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs148085CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs29015BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs990OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs28365NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs206455TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
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 E-MAILED TO BOARD MEMBERS PRIOR TO BEING FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CBOARD 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 EXISTS. 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 15THE CEO IS AN EMPLOYEE OF LIFE CARE SERVICES, THE MANAGEMENT COMPANY, AND RECEIVED COMPENSATION OF APPROXIMATELY $178,000. 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 C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABE TO THE PUBLIC UPON REQUEST.
FORM 990 PAGE 12, PART XII, LINE 2CTHE POLICY FOR REVIEWING THE FINANCIAL STATEMENT REMAINS UNCHANGED FROM THE PRIOR YEAR
FORM 990, SCHEDULE R, PART III, COLUMN ATHE PARTNERSHIPS ARE RELATED AS THERE IS COMMON CONTROL WHEREAS BOARD MEMBERS OF THE FILING ORGANIZATION OWN A VOTING MAJORITY OF THESE PARTNERSHIPS.

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 (4 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
457 WEST 100TH TERRACE LLC
10000 WORNALL ROADKANSAS CITYMO64114274598541REAL 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
Dividends Related Organization0DividendsRelatedOrganization
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 Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1LIFE CARE SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeOTransactionType
Amount Involved610755AmountInvolved
Method Of Amt DeterminationMANAGEMENT AGREEMENTMethodOfAmtDetermination