FURP.ORG / PUBLIC DATA EXPLORER

LINN HEALTH & REHABILITATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LINN HEALTH & REHABILITATION (EIN 05-0500899)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-06
IRS object ID
201323109349301392
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)
Timestamp2013-11-06T14:25:13-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN061009205EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BLUM SHAPIRO & COMPANY PC CPASBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line150 HOLDEN STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02908ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050500899EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNITED METHODIST HEALTH CARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNITNameControl
Phone4014387210Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line140 IRVING AVENUEAddressLine1
CityEAST PROVIDENCECity
StateRIState
ZIP Code02914ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAUL PARKSName
TitleVICE PRESIDENTTitle
Phone4014387210Phone
Date Signed2013-10-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDONALD SULLIVANName
PTINP00059830PTIN
Phone4012725600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPAUL PARKSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line140 IRVING STAddressLine1
CityEAST PROVIDENCECity
StateRIState
ZIP Code02914ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6753510GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionUNITED METHODIST HEALTH CARE CENTER, D/B/A LINN HEALTH CARE CENTER, OFFERS SKILLED NURSING HOME CARE, VARIOUS LEVELS OF POST HOSPITAL CARE, ON-SITE REHABILITATION AS WELL AS SHORT AND LONG TERM MEDICAL CARE IN A PRIVATE OR SEMI-PRIVATE ROOM IN AN 84 BED EXTENDED CARE FACILITY.SERVICES AT LINN HEALTH CARE CENTER DESIGNATED TO IDENTIFY AND ADDRESS CORE ISSUES SURROUNDING THE SOCIAL, PHYSICAL AND PSYCHOLOGICAL NEEDS OF AN INDIVIDUAL, ENHANCE AND MAXIMIZE INDIVIDUAL FUNCTIONING AND INDEPENDENCE, AND PROVIDE FLEXIBLE TREATMENT OPTIONS TO CATER TO INDIVIDUAL NEEDS. SERVICES INCLUDE POST-OP REHAB CARE, SKILLED NURSING CARE, HOSPICE SERVICES, SHORT AND LONG TERM CARE, RESPITE STAYS, ON-SITE REHABILITATION SERVICES INCLUDING PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, SOCIAL SERVICE SUPPORT, TRANSPORT SERVICES AND SPIRITUAL CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year191286ContributionsGrantsPriorYear
Contributions Grants Current Year152554ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6953142ProgramServiceRevenuePriorYear
Program Service Revenue CY6571251ProgramServiceRevenueCY
Investment Income Prior Year8InvestmentIncomePriorYear
Investment Income Current Year3InvestmentIncomeCurrentYear
Other Revenue Prior Year27958OtherRevenuePriorYear
Other Revenue Current Year29702OtherRevenueCurrentYear
Total Revenue Prior Year7172394TotalRevenuePriorYear
Total Revenue Current Year6753510TotalRevenueCurrentYear
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 Year4110075SalariesEtcPriorYear
Salaries Etc Current Year4194108SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2904758OtherExpensePriorYear
Other Expenses Current Year2640111OtherExpensesCurrentYear
Total Expenses Prior Year7014833TotalExpensesPriorYear
Total Expenses Current Year6834219TotalExpensesCurrentYear
Revenues Less Expenses Prior Year157561RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-80709RevenuesLessExpensesCY
Total Assets BOY3656382TotalAssetsBOY
Total Assets EOY3596347TotalAssetsEOY
Total Liabilities BOY1866012TotalLiabilitiesBOY
Total Liabilities EOY1886686TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1790370NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1709661NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionUNITED METHODIST HEALTH CARE CENTER HAS BEEN ORGANIZED FOR THE PURPOSE OF PROVIDING NURSING CARE, HEALTH CARE, ASSISTED LIVING AND OTHER FACILITIES AND SERVICES ESPECIALLY DESIGNED TO MEET THE PHYSICAL, SOCIAL AND PSYCHOLOGICAL NEEDS OF THE AGED AND CONTRIBUTING TO THEIR HEALTH, SECURITY, HAPPINESS AND USEFULNESS IN LONGER LIVING.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5884965Expense
Revenue6571251Revenue
DescriptionOPERATION OF AN 84 BED NURSING FACILITY FOR THE ELDERLY. THERE WERE 25,971 BED DAYS PROVIDED IN 2012, OF WHICH 15,598 WERE PROVIDED TO MEDICAID PATIENTS, AND 1,787 TO MEDICARE PATIENTS.Description
Total Program Service Expense5884965TotalProgramServiceExpense
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 Endowments0TermOrPermanentEndowments
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
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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 Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4014387210TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line140 IRVING AVENUEAddressLine1
CityEAST PROVIDENCECity
StateRIState
ZIP Code02914ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
JOANNE B DAHMER
BOARD MEMBER3.00X000
PAUL J LAMARRE
BOARD MEMBER3.00X000
ROBERT K BOWER
PRESIDENT3.00X000X
BRUCE E ANDREWS
TREASURER3.00X000X
NORA ALMOND
SECRETARY3.00X000X
HANNAH BELL-LOMBARDO
BOARD MEMBER3.00X000
RACHEL FILINSON
BOARD MEMBER3.00X000
PAUL PARKS JR
VICE PRESIDENT3.00X000X
ANNE BUCHANAN
BOARD MEMBER3.00X000
DOUGLAS BURGESS
BOARD MEMBER3.00X000
NAIR CARDOSO
BOARD MEMBER3.00X000
MICHAEL CROCKER
BOARD MEMBER3.00X000
MICHAEL COLE
BOARD MEMBER3.00X000
DANIEL GENANNT
BOARD MEMBER3.00X000
DR REV JAMES MARTIN
BOARD MEMBER3.00X000
KENNETH SAUNDERS
BOARD MEMBER3.00X000
BISHOP SUDARSHANA DEVADHAR
BISHOP3.00X000
DR REV SEOK-HWAN HONG
EX OFFICIO3.00X000
DOROTHY FLOWERS
EX OFFICIO3.00X000
KAREN SMITH AMADO
EXECUTIVE DIRECTOR40.00014894720020X
DAVID VELANDER
ADMINISTRATOR - UMHCC40.00012675410367X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs275701TotalReportableCompFrmRltdOrgs
Total Other Compensation30387TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations152554RelatedOrganizations
Total Contributions152554TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
DAILY SERVICE REVENUE62300064285376428537
ANCILLARY SERVICE623000142714142714
FieldValueIRS element (for citing)
Total Program Service Revenue6571251TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3TotalRevenueColumn
Exclusion$3ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column29702TotalRevenueColumn
Exclusion$29,702ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue29702TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6753510TotalRevenueColumn
Related Or Exempt Function Income6571251RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$29,705ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3339257Total
Program Services2965371ProgramServices
Management And General373886ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total501128Total
Program Services446004ProgramServices
Management And General55124ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total353723Total
Program Services314813ProgramServices
Management And General38910ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total200000Total
Management And General200000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total100205Total
Management And General100205ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total860Total
Management And General860ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total500768Total
Program Services429796ProgramServices
Management And General70972ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total165586Total
Program Services165586ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total6793Total
Management And General6793ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8529Total
Management And General8529ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total43786Total
Program Services43786ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total123382Total
Program Services123382ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total113193Total
Program Services73809ProgramServices
Management And General39384ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PURCH. SRVS-ANCILLARIES577370577370
HEALTHCARE PROVIDER TAX381108381108
FOOD199002199002
BAD DEBT EXPENSE6812468124

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total151405Total
Program Services96814ProgramServices
Management And General54591ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6834219Total
Program Services5884965ProgramServices
Management And General949254ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY113736BOY
EOY2539EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1220139BOY
EOY1004459EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY127919BOY
EOY107146EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4140799LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3205961LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY918552BOY
EOY934838EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1276036BOY
EOY1547365EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3656382BOY
EOY3596347EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1239510BOY
EOY1304039EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY573802BOY
EOY529947EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY52700BOY
EOY52700EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1866012BOY
EOY1886686EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1790370BOY
EOY1709661EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1790370BOY
EOY1709661EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3656382BOY
EOY3596347EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-80709ReconcilationRevenueExpenses
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 Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years42042CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years69888CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years222461CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year191286CurrentTaxYearMinus1Year
Current Tax Year152554CurrentTaxYear
Total678231Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years42042CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years69888CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years222461CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year191286CurrentTaxYearMinus1Year
Current Tax Year152554CurrentTaxYear
Total678231Total
FieldValueIRS element (for citing)
Public Support Total170678231PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8CurrentTaxYearMinus1Year
Current Tax Year3CurrentTaxYear
Total47Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years67494CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22863CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22312CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27958CurrentTaxYearMinus1Year
Current Tax Year29702CurrentTaxYear
Total170329Total
FieldValueIRS element (for citing)
Total Support848607TotalSupport
Gross Receipts From Admissions Etc32403956GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.79920PublicSupportPertcentage170
Public Support Pertcent Prior Year0.80290PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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 Basis48013OtherCostOrOtherBasis
Book Value48013BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1914783OtherCostOrOtherBasis
Depreciation1686554Depreciation
Book Value228229BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis86196OtherCostOrOtherBasis
Depreciation5570Depreciation
Book Value80626BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2040440OtherCostOrOtherBasis
Depreciation1513837Depreciation
Book Value526603BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis51367OtherCostOrOtherBasis
Book Value51367BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings934838TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
CASH ESCROW5045
DUE FROM CENTRALIZED PAYROLL1542320
FieldValueIRS element (for citing)
Total Book Value Other Assets1547365TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionLINE OF CREDITDescription
Amount$52,700Amount
FieldValueIRS element (for citing)
Total Of Amounts52700TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE ORGANIZATION AND ITS SUBSIDIARIES HAVE ADOPTED THE GUIDANCE IN ASC 740, INCOME TAXES, RELATING TO UNCERTAIN TAX POSITIONS. THIS GUIDANCE PRESCRIBES A TWO STEP PROCESS FOR THE MEASUREMENT OF UNCERTAIN TAX POSITIONS THAT HAVE BEEN TAKEN OR ARE EXPECTED TO BE TAKEN ON A TAX RETURN. THE FIRST STEP IS A DETERMINATION OF WHETHER THE TAX POSITION SHOULD BE RECOGNIZED IN THE FINANCIAL STATEMENTS. THE SECOND STEP DETERMINES THE MEASUREMENT OF THE TAX POSITION. SUCH POSITIONS FOR A NONPROFIT CORPORATION WOULD INCLUDE THE NONPROFIT ORGANIZATION'S STATUS AS AN EXEMPT ENTITY, WHETHER THE ORGANIZATION'S ACTIVITIES ARE RELATED TO ITS TAX EXEMPT PURPOSE AND, IF APPLICABLE, HOW THE ORGANIZATION ALLOCATES REVENUE AND EXPENSES BETWEEN ITS EXEMPT PURPOSE AND UNRELATED BUSINESS ACTIVITIES. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION OF SUCH TAX POSITIONS, CLASSIFICATION, POTENTIAL INTEREST AND PENALTIES, AND DISCLOSURE. NO UNCERTAIN TAX POSITIONS WITHIN THE SCOPE OF ASC 740 EXIST AS OF DECEMBER 31, 2012.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonKAREN SMITH AMADONamePerson
TitleEXECUTIVE DIRECTORTitle
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs148947CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs20020NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs168967TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
990, PART V, LINE 2A:SALARIES ARE PAID BY UNITED METHODIST RETIREMENT CENTER AND ALLOCATED TO RELATED PARTIES BASED UPON TIME WORKED AT RESPECTIVE RELATED PARTY.
FORM 990, PART VI, SECTION B, LINE 11IT IS UNITED METHODIST ELDER CARE'S POLICY THAT UNITED METHODIST ELDER CARE'S FINANCE COMMITTEE WILL REVIEW THE IRS FORM 990 THAT IS FILED ON THE ORGANIZATIONS BEHALF. THE FINANCE COMMITTEE WILL REPORT THEIR REVIEW TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REQUIRES EACH BOARD MEMBER AND MANAGER TO PROVIDE AN INITIAL AND THEREAFTER AN ANNUAL CONFLICT OF INTEREST STATEMENT ATTESTING THAT THEY HAVE READ AND ARE FAMILIAR WITH THE CONFLICT OF INTEREST POLICY. IN THE CONFLICT OF INTEREST POLICY THEY ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS OR BUSINESS DEALINGS WHICH THERE IS THE POTENTIAL FOR A CONFLICT OF INTEREST TO EXIST. THE EXECUTIVE DIRECTOR ENSURES THAT CONFLICT OF INTEREST STATEMENTS ARE SIGNED BY ALL THOSE REQUIRED. IF A CONFLICT OF INTEREST ARISES THEN IT IS REFERRED TO THE EXECUTIVE BOARD FOR RESOLUTION.
FORM 990, PART VI, SECTION B, LINE 15ATHE EXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE TAKES INTO ACCOUNT THE COMPENSATION PAID TO SIMILAR EXECUTIVE DIRECTORS AT COMPARABLE NON-PROFIT ORGANIZATIONS IN THE AREA. THE COMMITTEE ALSO CONSIDERS THE PERFORMACE OF THE ORGANIZATION DURING THE REVIEW PERIOD AND THE EXECUTIVE DIRECTOR'S SUCCESS IN ACHIEVING THE ORGANIZATIONS GOALS. THE DISCUSSIONS AND DECISION OF THE EXECUTIVE DIRECTOR'S SALARY ARE DOCUMENTED BY THE FINANCE COMMITTEE DURING THEIR MEETING. THE EXECUTIVE DIRECTOR REVIEWS ALL MANAGEMENT EMPLOYEES FOR COMPENSATION DECISIONS, WHICH ARE MADE WITHIN THE PARAMETERS ESTABLISHED WITHIN THE BUDGET THAT IS APPROVED BY THE BOARD OF DIRECTORS. THE EXECUTIVE DIRECTOR CONSIDERS THE PERFORMANCE OF EACH INDIVIDUAL DURING THE REVIEW PERIOD AND CONSIDERS THE EMPLOYEE'S SUCCESS IN ACHIEVING THE ORGANIZATIONAL GOALS. ALSO, THE EXECUTIVE DIRECOTR COMPARES COMPENSATION OF COMPARABLE NON-PROFIT ORGANIZATIONS IN THE AREA.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AT THE MAIN OFFICE UPON REQUEST
FORM 990, PART XII, LINE 2C:THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE ANNUAL AUDIT FINANCIAL STATEMENTS.AUDIT OVERSIGHT

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
UNITED METHODIST ELDER CARE
40 IRVING STREETEAST PROVIDENCERI02914050500898MANAGES THE OPERATIONS AND FUNDRAISING ACTIVITIES OF RELATED ORGANIZATIONSRI501(C)(3)LINE 7N/A0
UNITED METHODIST ELDER CARE FOUNDATION
40 IRVING STREETEAST PROVIDENCERI02914050500900HANDLES THE INVESTMENTS AND OTHER SUPPORTING ACTIVITESRI501(C)(3)LINE 11A, IN/A0
UNITED METHODIST RETIREMENT CENTER
40 IRVING STREETEAST PROVIDENCERI02914050318003OPERATES A 115 UNIT RETIREMENT AND ASSISTED LIVING CENTERRI501(C)(3)LINE 9N/A0
THE PROVIDENCE DEACONESS HOME OF THE UNITED METHODIST CHURCH
40 IRVING STREETEAST PROVIDENCERI02914TO PROVIDE A COMMUNITY WHERE OLDER PERSONS MAY LIVE IN COMFORT AND DIGNITYRI501(C)(3)LINE 11A, IN/A0
ARBOR HILL ASSISTED LIVING
153 DEAN STREETPROVIDENCERI02914452047960OPERATES A 53 UNIT ASSISTED LIVING CENTERRI501(C)(3)LINE 9N/A0
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 Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg