2012-11-30T10:46:15-06:00 2012-06-30 621336737 CROSSLIN & ASSOCIATES PC 2525 WEST END AVE SUITE 1100 NASHVILLE TN 37203 990 2011-07-01 620649797 MUR-CI HOMES INC MUR- 6156416446 2984 BABY RUTH LANE ANTIOCH TN 37013 TERRY KOPANSKY 6156416446 2012-11-30 1 RICHARD M WINSTEAD P00231865 6153205500 2011 2016-02-24 21:20:13Z DARLINDA JONES 2984 BABY RUTH LANE ANTIOCH TN 37013 10447935 0 X WWW.MURCI.ORG X 1963 TN TO IMPROVE THE QUALITY OF LIFE FOR INDIVIDUALS WITH SEVERE/PROFOUND DISABILITIES BY ASSISTING THEM THROUGH HIGH-QUALITY 24 HOUR, 7 DAYS A WEEK CONTINUOUS CARE. 10 10 314 10 0 0 31635 28415 9832235 10404933 198514 13323 15737 1264 10078121 10447935 0 0 0 0 6601187 7072086 0 0 0 2906751 2989873 9507938 10061959 570183 385976 9286541 9393488 9050942 9307410 235599 86078 TO IMPROVE THE QUALITY OF LIFE FOR INDIVIDUALS WITH SEVERE/PROFOUND DISABILITIES BY ASSISTING THEM THROUGH HIGH-QUALITY 24 HOUR, 7 DAYS A WEEK CONTINUOUS CARE. 0 0 9102140 10433348 MUR-CI HOMES CONTINUES TO OPERATE ITS OWN DAY ACTIVITY CENTER AT A SITEAPART FROM THE RESIDENTIAL CAMPUS. CLIENTS WHO ATTEND THE MUR-CI DAY ACTIVITY CENTER ENJOY A WIDE VARIETY OF THERAPEUTIC AND ENTERTAINING ACTIVITIES. SELECT CLIENTS HAVE PART-TIME JOBS IN THE COMMUNITY WHILE OTHERS ATTEND LOCAL SHELTERED WORKSHOPS ACCORDING TO THEIR INDIVIDUALNEEDS AND CAPABILITIES. ADDITIONALLY, ALL CLIENTS ENJOY ATTENDING A WIDE VARIETY OF COMMUNITY ACTIVITIES SUCH AS CONCERTS, SPORTING EVENTS, SHOPPING, AND PICNICS. 9102140 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 17 0 1 314 1 0 0 0 0 0 0 0 0 X 10 10 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 TN X MIKE HITE 2708224218 236 MAIN STREET PO BOX 128 UNIONTOWN KY 42461 DARLINDA JONES 1.00 X 0 0 0 TED HOLLERAN 1.00 X 0 0 0 TRISH FARMER 1.00 X 0 0 0 JEFF THEMM 1.00 X 0 0 0 KRISTIE ALLOCCO 1.00 X 0 0 0 MICHAEL PUGH 1.00 X 0 0 0 MELISSA COX 1.00 X 0 0 0 ELIZABETH TIPPING 1.00 X 0 0 0 DEBBIE LARIOS 1.00 X 0 0 0 ROBERT WINGFIELD 1.00 X 0 0 0 TERRY KOPANSKY 40.00 X 84450 0 0 84450 0 0 0 0 0 0 EIDETIK INC 236 MAIN STREET UNIONTOWN KY 42461 MANAGEMENT COMPANY 273526 SYSCO INC ONE HERMITAGE PLAZA NASHVILLE TN 37209 FOOD SERVICES COMPANY 106924 2 20554 7861 28415 MEDICARE/MEDICAID PAYM 900099 10117166 10117166 PATIENT REVENUE PATIEN 900099 287767 287767 10404933 13323 13323 MISCELLANEOUS REVENUE 900099 1264 1264 1264 10447935 10406197 0 13323 X 108750 108750 5892845 5564780 328065 709987 632074 77913 360504 327088 33416 273526 273526 8810 8810 20890 20890 1500 1500 221867 221867 3130 1930 1200 364030 346599 17431 12735 12735 289070 271626 17444 11325 5391 5934 120310 110512 9798 380728 380728 382920 358526 24394 76632 76632 NURSING FACILITY TAX 562521 562521 FOOD 175496 175496 REPAIRS & MAINTENANCE 45130 45130 NON-DEPRECIABLE EQUIPME 21240 21240 18013 18013 10061959 9102140 959819 0 1767578 2287515 80427 73446 946884 840636 268901 273903 9263028 3902965 5696817 5360063 525934 557925 9286541 9393488 1063060 1086939 6910000 6615000 80362 73446 88418 68399 909102 1463626 9050942 9307410 X 235349 86078 250 0 235599 86078 9286541 9393488 X 385976 -535497 X 0 1 1 X 0 X 141626 37125 25200 31635 28415 264001 6042116 6226447 6900649 9832235 10404933 39406380 6183742 6263572 6925849 9863870 10433348 39670381 0 0 0 39670381 94034 38656 12365 12959 13323 171337 94034 38656 12365 12959 13323 171337 404 239 2051 15737 1264 19695 6278180 6302467 6940265 9892566 10447935 39861413 0.99520 0.99220 0.00430 0.00720 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 80362 393076 399992 73446 1 537438 537438 7118966 2632862 4486104 322187 190475 131712 498778 432048 66730 785659 647580 138079 5360063 OBLIGATION UNDER IR SWAP 1463626 1463626 10447935 10061959 385976 -535497 -535497 -149521 9912438 19027 -554524 -535497 10447935 0 10447935 10061959 0 10061959 0 10061959 PART IV, LINE 2B: THE CORPORATION SERVES AS CUSTODIAN FOR SOCIAL SECURITY, PATIENT, AND SUPPLEMENTAL SECURITY INCOME RECEIVED FOR CERTAIN RESIDENTS. THE TOTAL SOCIAL SECURITY, PATIENT, AND SUPPLEMENTAL SECURITY INCOME PAYMENT IS DEPOSITED INTO THE AGENCY FUND CASH ACCOUNT. IN 2012 AND 2011, $50 OF EACH RESIDENTS MONTHLY RECEIPTS IS ALLOCATED FOR THEIR PERSONAL USE. THE BALANCE IS RECORDED AS SOCIAL SECURITY, PATIENT, AND SUPPLEMENTAL SECURITY INCOME IN PAYMENT OF ROOM AND BOARD FOR THE PATIENT. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR MARKET VALUE OF INTEREST RATE SWAP -554,524. FORM 990, PART VI, SECTION A, LINE 3 MUR-CI HOMES, INC. HAS CONTRACTED FOR MANAGEMENT SERVICES WITH A FIRM SPECIALIZING IN THE FIELD OF DEVELOPMENTAL DISABILITIES. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 AND SUPPORTING SCHEDULES (990) IS DISTRIBUTED TO EACH BOARD MEMBER DURING A BOARD MEETING. AT THE MEETING THE 990 IS REVIEW AND DISCUSSES BETWEEN THE DIRECTORS. IF THE DIRECTORS ARE IN AGREEMENT AS TO THE ACCURACY OF THE 990 IT APPROVED FOR RELEASE. FORM 990, PART VI, SECTION B, LINE 12C MUR-CI HOMES, INC. MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY REQUIRING ALL INDIVIDUALS SUCH AS OFFICERS, DIRECTORS, AND COMMITTEE MEMBERS TO GIVE THE BOARD NOTICE OF ANY CONFLICT OF INTEREST OR RELATIONSHIPS WITH REGARD TO A TRANSACTIONS. AT THE MEETING IN WHICH THE TRANSACTION IS TO BE VOTED ON, THE INDIVIDUAL WITH A CONFLICT OF INTEREST IS REFRAINED FROM VOTING ON THE PARTICULAR TRANSACTION IN WHICH THE CONFLICT ARISES. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, AND THE ABSTENTION FROM VOTING ON THE PARTICULAR TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 15 MUR-CI HOMES, INC. DETERMINES COMPENSATION OF THE ORGANIZATION'S OFFICERS OR KEY EMPLOYEES BY USING A COMPENSATION SYSTEM THAT DETERMINES THE CURRENT FAIR MARKET VALUE OF A POSITION BASED ON THE SKILLS, KNOWLEDGE, AND BEHAVIORS REQUIRED. THE SYSTEM USES, BUT IS NOT LIMITED TO, NEGOTIATIONS AND COMPARISON OF OTHER INDIVIDUALS IN RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 MUR-CI HOMES, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY REQUEST AT THE CORPORATE OFFICE LOCATED AT 2984 BABY RUTH LANE, ANTIOCH, TN, 37013. PART IX, LINE 10 COLUMNS (B) & (C) PAYROLL TAXES PER THE FORM 990 ARE REPORTED DIFFERENTLY COMPARED TO THE AUDITED FINANCIALS. THE TOTAL AMOUNT OF PAYROLL TAXES REMAINS THE SAME BUT THE AMOUNT REPORTED FOR PROGRAM SERVICES IS DECREASED BY THE EMPLOYER'S PERCENTAGE OF FICA (7.65%) ON THE AMOUNT REPORTED IN "OTHER SALARIES AND WAGES" & "COMPENSATION OF CURRENT OFFICERS, DIRECTORS, TRUSTEES, & KEY EMPLOYEES" (LINE 7, COLUMN (C) & LINE 5 COLUMN (C), RESPECTFULLY. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -535,497. FRIENDS OF MUR-CI HIMES INC 2984 BABY RUTH LANE ANTIOCH TN 37013 621550063 SUPPORT/FUND RAISING TN 501(C)(3) LINE 8 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0