AMERICAN EAGLE LIFECARE CORPORATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
AMERICAN EAGLE LIFECARE CORPORATION (EIN 01-0706736)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-07
IRS object ID
201113119349301431
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-07T18:00:15-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010706736EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AMERICAN EAGLE LIFECARE CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAMERNameControl
Phone6152522305Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 Division StreetAddressLine1
CityNashvilleCity
StateTNState
ZIP Code37203ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameF SCOTT KELLMANName
TitlePRESIDENT & CEOTitle
Date Signed2011-11-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1F SCOTT KELLMANBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11600 Division St Suite 700AddressLine1
CityNashvilleCity
StateTNState
ZIP Code37219ZIPCode
FieldValueIRS element (for citing)
Gross Receipts50855466GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION OWNS AND OPERATES NURSING HOMES, SENIOR LIVING FACILITIES, ASSISTED LIVING FACILITIES AND RELATED FACILITIES, AND PROVIDES HEALTHCARE AND OTHER SERVICES TO THE ELDERLY AND INFIRM.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees1583TotalNbrEmployees
Total Nbr Volunteers225TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year10649ContributionsGrantsPriorYear
Contributions Grants Current Year10140ContributionsGrantsCurrentYear
Program Service Revenue Prior Year34188450ProgramServiceRevenuePriorYear
Program Service Revenue CY50638367ProgramServiceRevenueCY
Investment Income Prior Year67454InvestmentIncomePriorYear
Investment Income Current Year90410InvestmentIncomeCurrentYear
Other Revenue Prior Year44959OtherRevenuePriorYear
Other Revenue Current Year116549OtherRevenueCurrentYear
Total Revenue Prior Year34311512TotalRevenuePriorYear
Total Revenue Current Year50855466TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year30345GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY30300GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17563673SalariesEtcPriorYear
Salaries Etc Current Year26410526SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year15244665OtherExpensePriorYear
Other Expenses Current Year22139792OtherExpensesCurrentYear
Total Expenses Prior Year32838683TotalExpensesPriorYear
Total Expenses Current Year48580618TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1472829RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2274848RevenuesLessExpensesCY
Total Assets BOY48033374TotalAssetsBOY
Total Assets EOY52731147TotalAssetsEOY
Total Liabilities BOY43940700TotalLiabilitiesBOY
Total Liabilities EOY46363625TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4092674NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6367522NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATION OWNS AND OPERATES NURSING HOMES, SENIOR LIVING FACILITIES, ASSISTED LIVING FACILITIES AND RELATED FACILITIES, AND PROVIDES HEALTHCARE AND OTHER SERVICES TO THE ELDERLY AND INFIRM THROUGHOUT THE UNITED STATES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense18137863Expense
Grants0Grants
Revenue20131327Revenue
DescriptionTHE ORGANIZATION PROVIDES A VARIETY OF LONG-TERM NURSING SERVICES AT THREE LOCATIONS IN WISCONSIN. SERVICES INCLUDE COMPREHENSIVE NURSING CARE, THERAPIES, DIETARY SERVICES, SOCIAL SERVICES, AND RESIDENT ACTIVITIES. ALL OF THE FACILITIES ARE CERTIFIED FOR MEDICARE AND MEDICAID. COLONIAL CENTER IS A 95 BED NURSING FACILITY LOCATED IN COLBY, WISCONSIN. KARMENTA CENTER IS A 103 BED NURSING FACILITY IN MADISON, WISCONSIN. BETHEL CENTER IS A 111 BED NURSING FACILITY LOCATED IN ARPIN, WISCONSIN.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense7902714Expense
Grants0Grants
Revenue9496244Revenue
DescriptionTHE ORGANIZATION OPERATES A LICENSED NURSING HOME IN EAU CLAIRE, WISCONSIN. THE FACILITY PROVIDES CARE TO ELDERLY RESIDENTS, INCLUDING NURSING CARE, ANCILLARY SERVICES, SOCIAL SERVICES, AND OTHER SERVICES AS REQUIRED. THE FACILITY IS CERTIFIED FOR MEDICARE AND MEDICAID AND OPERATES WITH 161 BEDS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense6909829Expense
Grants0Grants
Revenue8163007Revenue
DescriptionTHE ORGANIZATION PROVIDES A VARIETY OF SERVICES TO THE ELDERLY AT THREE LOCATIONS IN INDIANA. THE HOME PLACE OWNS AND OPERATES AN APARTMENT COMPLEX FOR THE ELDERLY AND IS LOCATED IN THE GREATER INDIANAPOLIS, INDIANA AREA. THE HOME PLACE CONTAINS 60 INDEPENDENT LIVING UNITS. SANDERS GLEN OWNS AND OPERATES AN APARTMENT COMPLEX FOR THE ELDERLY AND IS LOCATED IN THE GREATER INDIANAPOLIS, INDIANA AREA. SANDERS GLEN CONTAINS 143 LICENSED ASSISTED LIVING BEDS CONTAINED IN 111 UNITS. MORNING BREEZE OWNS AND OPERATES A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) IN GREENSBURG, INDIANA. MORNING BREEZE CONTAINS 18 INDEPENDENT LIVING VILLA HOMES, 30 LICENSED ASSISTED LIVING BEDS CONTAINED IN 25 UNITS, AND A 48 BED HEALTHCARE CENTER.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense9529077Expense
Grants30300Grants
Revenue12864602Revenue
DescriptionTHE AMERICAN EAGLE PARENT COMPANY OWNS AND PROVIDES THIRD PARTY MANAGEMENT AND ADMINISTRATIVE SERVICES TO ITS FACILITY COMPANIES, WHICH ARE DISREGARDED ENTITIES OF THE PARENT COMPANY. THE ORGANIZATION OPERATES A LICENSED NURSING HOME IN WHITEHOUSE, TEXAS. THE OAKBROOK NURSING FACILITY (OAKBROOK) PROVIDES CARE TO ELDERLY RESIDENTS, INCLUDING NURSING CARE, ANCILLARY SERVICES, SOCIAL SERVICES, AND OTHER SERVICES AS REQUIRED. OAKBROOK OPERATES A 120 BED NURSING HOME. THE ORGANIZATION ALSO OPERATES A LICENSED NURSING HOME IN WEST ALLIS, WISCONSIN. THE ALLIS CARE CENTER PROVIDES CARE TO ELDERLY RESIDENTS, INCLUDING NURSING CARE, ANCILLARY SERVICES, SOCIAL SERVICES, AND OTHER SERVICES AS REQUIRED. THE FACILITY IS CERTIFIED FOR MEDICARE AND MEDICAID AND OPERATES WITH 152 BEDS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp9529077TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt30300TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev12864602TotalOfOtherProgramServiceRev
Total Program Service Expense42479483TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096139NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1583NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1F Scott Kellman co John GillmorBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6152522305TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11600 DIVISION STREET SUITE 700AddressLine1
CityNASHVILLECity
StateTNState
ZIP Code37219ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
RANDY RUTTA
BOARD MEMBER2X2462000
KENT SYVERUD
BOARD MEMBER2X2462000
MARK MILLER
BOARD MEMBER3X2462000
F SCOTT KELLMAN
PRESIDENT & CEO40X50980006112X
SUSAN LUND
REGISTERED NURSE4010748001807X
FieldValueIRS element (for citing)
Total Reportable Comp From Org691140TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation7919TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MEDICAL REHABILITATION CENTERS LLC
535 WEST SECOND STREET SUITE 105LEXINGTONKY40508MANAGEMENT SERVICES4534037
GENESIS REHABILITATION SERVICES
101 EAST STATE STREETKENNETT SQUAREPA19348THERAPY SERVICES1811213
GREENFIELD REHABILITATION AGENCY INC
7517 W COLDSPRING ROADGREENFIELDWI53220THERAPY SERVICES888082
SELECT REHABILITATION INC
PO BOX 809056CHICAGOIL60680THERAPY SERVICES691743
HEALTHCARE THERAPY SERVICES
1411 W COUNTY LINE ROADGREENWOODIN46142THERAPY SERVICES390341
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
All Other Contributions10140AllOtherContributions
Total Contributions10140TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUESDescription
Total Revenue Column50638367TotalRevenueColumn
Related Or Exempt Function Income50638367RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue50638367TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column90410TotalRevenueColumn
Exclusion$90,410ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
BEAUTY/BARBER SHOP45316$45,316
MEALS/VENDING26651$26,651
AIDES IN TRAINING/TRAINING REIMBURSEMENT1681316813

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column27769TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$27,769ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue116549TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column50855466TotalRevenueColumn
Related Or Exempt Function Income50655180RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$190,146ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total30300Total
Program Services30300ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total589772Total
Management And General589772ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21956556Total
Program Services21924406ProgramServices
Management And General32150ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8611Total
Program Services8611ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1852970Total
Program Services1852970ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2002617Total
Program Services2002617ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2319156Total
Program Services1851844ProgramServices
Management And General467312ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total106564Total
Management And General106564ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total169360Total
Management And General169360ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5427443Total
Program Services4488258ProgramServices
Management And General939185ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total277394Total
Management And General277394ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4848146Total
Program Services3223139ProgramServices
Management And General1625007ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total89360Total
Program Services73771ProgramServices
Management And General15589ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2206053Total
Program Services1971787ProgramServices
Management And General234266ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total146522Total
Program Services103494ProgramServices
Management And General43028ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total33347Total
Program Services33347ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total2435054Total
Program Services1770435ProgramServices
Management And General664619ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2042563Total
Program Services1410560ProgramServices
Management And General632003ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total584667Total
Program Services402434ProgramServices
Management And General182233ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REVENUE ASSESSMENT FEES11686881168688
INDIGENT CARE/BAD DEBT146904146904
EMPLOYEE RECRUITMENT6283962839
DUES AND SUBSCRIPTIONS4481644816
MISCELLANEOUS309161591814998

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total48580618Total
Program Services42479483ProgramServices
Management And General6101135ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1441330BOY
EOY7900EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4782283BOY
EOY7368872EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3157042BOY
EOY4785460EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY572627BOY
EOY474113EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis42881672LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8329315LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY34752307BOY
EOY34552357EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY1526798EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY579994EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3327785BOY
EOY3435653EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY48033374BOY
EOY52731147EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3377000BOY
EOY5445633EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY25825000BOY
EOY22580000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY66399BOY
EOY39820EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY14672301BOY
EOY18298172EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY43940700BOY
EOY46363625EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4092674BOY
EOY6367522EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4092674BOY
EOY6367522EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY48033374BOY
EOY52731147EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2274848ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview
FS AuditedfalseFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21588CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10649CurrentTaxYearMinus1Year
Current Tax Year10140CurrentTaxYear
Total42377Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30967286CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35564637CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34596710CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34188450CurrentTaxYearMinus1Year
Current Tax Year50638367CurrentTaxYear
Total185955450Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years233902CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years105527CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-254495CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26343CurrentTaxYearMinus1Year
Current Tax Year88795CurrentTaxYear
Total200072Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31222776CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35670164CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34342215CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34225442CurrentTaxYearMinus1Year
Current Tax Year50737302CurrentTaxYear
Total186197899Total

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)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total509186197899PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years224343CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years378668CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years80851CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67454CurrentTaxYearMinus1Year
Current Tax Year90410CurrentTaxYear
Total841726Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years224343CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years378668CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years80851CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67454CurrentTaxYearMinus1Year
Current Tax Year90410CurrentTaxYear
Total841726Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18616CurrentTaxYearMinus1Year
Current Tax Year16813CurrentTaxYear
Total35429Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31447119CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years36048832CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34423066CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34311512CurrentTaxYearMinus1Year
Current Tax Year50844525CurrentTaxYear
Total187075054Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99530PublicSupportPercentage509
Prior Year Support Percentage0.99429PriorYearSupportPercentage
Investment Income Percentage0.00450InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00470PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART III, SECTION B, LINE 12, OTHER INCOME, MISCELLANEOUS INCOME RECEIVED IN FURTHERANCE OF THE ORGANIZATION'S TAX EXEMPT PURPOSE: 2006 ($0); 2007 ($0); 2008 ($0); 2009 ($18,616); 2010 ($16,813).,GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Exmpt Function Expenditures0TotalExmptFunctionExpenditures
Total Lobbying Expenditures IIB0TotalLobbyingExpendituresIIB
Non Ded Lobby Political Total0NonDedLobbyPoliticalTotal

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtctrueAgentTrusteeEtc
Beginning Balance84506BeginningBalance
Additions During Year1264198AdditionsDuringYear
Distributions During Year1253347DistributionsDuringYear
Ending Balance95357EndingBalance
Included On FStrueIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2639900OtherCostOrOtherBasis
Book Value2639900BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis33006458OtherCostOrOtherBasis
Depreciation4407784Depreciation
Book Value28598674BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis306690OtherCostOrOtherBasis
Depreciation141849Depreciation
Book Value164841BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6879412OtherCostOrOtherBasis
Depreciation3779682Depreciation
Book Value3099730BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis49212OtherCostOrOtherBasis
Book Value49212BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings34552357TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
ORGANIZATION & ACQUISITION COSTS67655
REPLACEMENT RESERVE692978
DEFERRED FINANCING FEES, NET1827663
DEPOSITS838357
OTHER ASSETS9000
FieldValueIRS element (for citing)
Total Book Value Other Assets3435653TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Agent, trustee, custodian, or other intermediary arrangementSchedule D, Part IV, Line 1bSEE NARRATIVE FOR SCHEDULE D, PART IV, LINE 2B.
Explanation of escrow agreementSchedule D, Part IV, Line 2bFOR PERSONAL PROTECTION, IT IS REQUESTED THAT MONEY NOT BE LEFT IN THE RESIDENTS' ROOMS. THE FACILITY MAY NOT REQUIRE RESIDENTS TO DEPOSIT THEIR PERSONAL FUNDS WITH THE FACILITY; HOWEVER, IF THE RESIDENT WISHES, AND UPON WRITTEN AUTHORIZATION OF A RESIDENT, THE FACILITY WILL WITHHOLD, SAFEGUARD, MANAGE, AND ACCOUNT FOR THE PERSONAL FUNDS OF THE RESIDENT DEPOSITED WITH THE FACILITY. ANY RESIDENT'S PERSONAL FUNDS IN EXCESS OF $50 ARE DEPOSITED IN AN INTEREST-BEARING ACCOUNT THAT IS SEPARATE FROM FACILITY FUNDS. THE FACILITY CREDITS ALL INTEREST EARNED ON THE RESIDENT'S FUNDS TO HIS OR HER ACCOUNT. A RESIDENT'S PERSONAL FUNDS THAT DO NOT EXCEED $50 ARE MAINTAINED IN A NON-INTEREST-BEARING ACCOUNT OR PETTY CASH FUND. THE FACILITY MAINTAINS A SYSTEM THAT ASSURES A COMPLETE AND SEPARATE ACCOUNTING OF EACH RESIDENT'S PERSONAL FUNDS ENTRUSTED TO THE FACILITY. THE FACILITY DEPOSITS THE PERSONAL NEEDS ALLOWANCE RETAINED BY ANY RESIDENT WHOSE CARE IS PAID FOR UNDER THE MEDICAID PROGRAM INTO THE RESIDENT'S ACCOUNT. THE FACILITY FURNISHES THE RESIDENT WITH A WRITTEN RECEIPT FOR ANY PERSONAL FUNDS OR PERSONAL PROPERTY RECEIVED BY THE FACILITY. RESIDENTS MAY ACCESS THEIR ACCOUNT DURING NORMAL BUSINESS HOURS; IF RESIDENTS NEED ACCESS TO THEIR MONEY AFTER HOURS OR DURING THE WEEKEND, THE BUSINESS OFFICE MANAGER OR ADMINISTRATOR IS CONTACTED AND ARRANGES FOR THE RESIDENTS TO RECEIVE THEIR FUNDS. THE INDIVIDUAL FINANCIAL RECORD IS AVAILABLE QUARTERLY ON REQUEST BY THE RESIDENT OR HIS OR HER LEGAL REPRESENTATIVE. AT LEAST EVERY THREE MONTHS, THE FACILITY FURNISHES THE RESIDENT OR THE RESIDENT'S REPRESENTATIVE WITH A COMPLETE STATEMENT OF ALL FUNDS AND OTHER PROPERTY HELD BY THE FACILITY, DETAILING THE AMOUNTS AND ITEMS RECEIVED, TOGETHER WITH THEIR SOURCES, DISPOSITION, AND THE DATE OF EACH TRANSACTION.
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2THE SIX WISCONSIN FACILITIES, THE THREE INDIANA FACILITIES, THE AE EAU CLAIRE FACILITY COMPANY, AND THE AE WHITEHOUSE FACILITY COMPANY RECEIVE AUDITED FINANCIAL STATEMENTS THAT EACH INCLUDE THE FOLLOWING FIN 48 FOOTNOTE: AS LIMITED LIABILITY COMPANIES, ALL INCOME IS INCLUDED IN THE TAXABLE INCOME OF THE INDIVIDUAL MEMBER; THUS, NO FEDERAL OR STATE INCOME TAXES ARE INCLUDED IN THESE COMBINED FINANCIAL STATEMENTS. U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAT NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. THE GROUP RECOGNIZES INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST AND INCOME TAX EXPENSE, RESPECTIVELY. THE GROUP HAS NO AMOUNTS ACCRUED FOR INTEREST OR PENALTIES AS OF DECEMBER 31, 2010. THERE WERE NO TAX BENEFITS RECORDED FOR 2010 AND 2009. DUE TO ITS PASS-THROUGH STATUS, THE GROUP IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. AMERICAN EAGLE LIFECARE CORPORATION, INC.'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION FOR THE LAST THREE YEARS. THE GROUP DOES NOT EXPECT THE TOTAL AMOUNT OF UNRCOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1EMERSON SCHOOL INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15425 SCIO CHURCH ROADAddressLine1
CityANN ARBORCity
StateMIState
ZIP Code48103ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient237442766EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant7500AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantTO SUPPORT GENERAL OPERATIONSPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationBOARD MEMBERS, OFFICERS, AND THE BOARD ADVISOR ARE ENCOURAGED TO SUBMIT RECOMMENDATIONS TO THE BOARD FOR CHARITABLE CONTRIBUTIONS TO SUPPORT OTHER WORTHY TAX EXEMPT ORGANIZATIONS ON AN ANNUAL BASIS. 2010 CHARITABLE DONATIONS FROM AMERICAN EAGLE TOTALED LESS THAN $35,000. CONTRIBUTIONS MADE ARE UNRESTRICTED AND CAN BE USED IN ANY WAY THE DONEE ORGANIZATION SEES FIT TO FURTHER THEIR EXEMPT PURPOSE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonF SCOTT KELLMANNamePerson
Base Compensation Filing Org500222BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org9578OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org6112NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org515912TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
INDIANA HEALTH & EDUCATIONAL FACILITY FINANCING AUTHORITY
351611409454795AE52005-12-0211120000AE LIFECARE PROJECT SERIES 2005A - FACILITY ACQUISITION, REPAIRS, AND REPLACEMENT EQUIPMENTfalsefalsefalse
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
39133785597710BBY72008-06-1112000000REFINANCE 11/01/2003 WISCONSIN BONDS FOR FACILITY ACQUISITION, ADDITIONS, AND IMPROVEMENTSfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
2900000111200000002224000010897600002005falsefalsetruetrue
250000012000000993271000002383148002008truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalse0.00000.00000.0000true
falsefalsefalsefalse0.00000.00000.0000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
WACHOVIA BANK NA
falsetruetrue5.0falsetruefalseNAfalsetrue
NA
falsefalsefalsetruePACKERKISS SECURITIESfalsetrue7.0true

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierQUALIFIED HEDGEIdentifier
Return ReferenceSCHEDULE K, PART IV, LINES 3A-EReturnReference
ExplanationQUALIFIED HEDGE WITH RESECT TO THE 2005 INDIANA HEALTH & EDUCATIONAL FACILITY FINANCING AUTHORITY BOND ISSUE: IN DECEMBER 2005, THE ORGANIZATION PURCHASED A FIVE YEAR INTEREST RATE CAP (HEDGE) WITH WACHOVIA BANK NATIONAL ASSOCIATION. THIS INSTRUMENT "CAPPED" THE MAXIMUM INTEREST RATE EXPOSURE WITH RESPECT TO THE BONDS AT 9.25% PER ANNUM DURING THE FIVE YEAR TERM OF THE INTEREST RATE CAP (HEDGE). UPON EXPIRATION OF THE HEDGE IN DECEMBER 2010, THE ORGANIZATION PURCHASED AN INTEREST RATE CAP (HEDGE) WITH US BANK NATIONAL ASSOCIATION TO LIMIT INTEREST RATE EXPOSURE WITH RESPECT TO THE BONDS AT 6% FOR ONE ADDITIONAL YEAR.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
New program servicesForm 990, Part III, Line 2THE ORGANIZATION ACQUIRED LEXINGTON HEALTHCARE, LLC IN JULY 2010; THESE ACTIVITIES ARE DESCRIBED IN PART III, LINE 4D.
Description of other program servicesForm 990, Part III, Line 4dTHE AMERICAN EAGLE PARENT COMPANY OWNS AND PROVIDES THIRD PARTY MANAGEMENT AND ADMINISTRATIVE SERVICES TO ITS FACILITY COMPANIES, WHICH ARE DISREGARDED ENTITIES OF THE PARENT COMPANY. THE ORGANIZATION OPERATES A LICENSED NURSING HOME IN WHITEHOUSE, TEXAS. THE OAKBROOK NURSING FACILITY (OAKBROOK) PROVIDES CARE TO ELDERLY RESIDENTS, INCLUDING NURSING CARE, ANCILLARY SERVICES, SOCIAL SERVICES, AND OTHER SERVICES AS REQUIRED. OAKBROOK OPERATES A 120 BED NURSING HOME. THE ORGANIZATION ALSO OPERATES A LICENSED NURSING HOME IN WEST ALLIS, WISCONSIN. THE ALLIS CARE CENTER PROVIDES CARE TO ELDERLY RESIDENTS, INCLUDING NURSING CARE, ANCILLARY SERVICES, SOCIAL SERVICES, AND OTHER SERVICES AS REQUIRED. THE FACILITY IS CERTIFIED FOR MEDICARE AND MEDICAID AND OPERATES WITH 152 BEDS.
ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNSFORM 990, PART V, LINE 1AEACH OF THE DISREGARDED ENTITIES FILES A SEPARATE FORM 1096, AND THE NUMBER REPORTED IN BOX 3 OF EACH RESPECTIVE ENTITY IS AS FOLLOWS: AMERICAN EAGLE NURSING HOME COMPANY OF ARPIN, LLC (10); AMERICAN EAGLE NURSING HOME COMPANY OF COLBY, LLC (8); AMERICAN EAGLE NURSING HOME COMPANY OF MADISON, LLC (22); AMERICAN EAGLE NURSING HOME COMPANY OF EAU CLAIRE, LLC (34); AMERICAN EAGLE NURSING HOME COMPANY OF WHITEHOUSE, LLC (7); AMERICAN EAGLE GROUP - WISCONSIN (3); AMERICAN EAGLE GROUP - INDIANA (3); AMERICAN EAGLE HOME PLACE, LLC (2); AMERICAN EAGLE SANDERS GLEN, LLC (8); AMERICAN EAGLE MORNING BREEZE, LLC (15); LEXINGTON HEALTHCARE, LLC (20); AMERICAN EAGLE LIFECARE CORPORATION (7).
TRANSMITTAL OF WAGE AND TAX STATEMENTSFORM 990, PART V, LINE 2AEACH OF THE DISREGARDED ENTITIES FILES A SEPARATE FORM W-3, AND THE NUMBER REPORTED FOR EACH RESPECTIVE ENTITY IS AS FOLLOWS: AMERICAN EAGLE NURSING HOME COMPANY OF ARPIN, LLC (185); AMERICAN EAGLE NURSING HOME COMPANY OF COLBY, LLC (178); AMERICAN EAGLE NURSING HOME COMPANY OF MADISON, LLC (207); AMERICAN EAGLE NURSING HOME COMPANY OF EAU CLAIRE, LLC (304); AMERICAN EAGLE NURSING HOME COMPANY OF WHITEHOUSE, LLC (274); AMERICAN EAGLE HOME PLACE, LLC (3); AMERICAN EAGLE SANDERS GLEN, LLC (74); AMERICAN EAGLE MORNING BREEZE, LLC (111); LEXINGTON HEALTHCARE, LLC (246); AND AMERICAN EAGLE LIFECARE CORPORATION (1).
Delegation of management dutiesForm 990, Part VI, Section A, Line 3IN JULY 2010, THE ORGANIZATION ENTERED INTO A MANAGEMENT AGREEMENT FOR LEXINGTON HEALTHCARE WITH MEDICAL REHABILITATION CENTERS, LLC, A KENTUCKY CORPORATION, FOR A TERM OF 15 YEARS, TO PROVIDE SUBSTANTIALLY ALL MANAGEMENT SERVICES FOR THE FACILITY FOR AN INITIAL MONTHLY FEE OF $41,666 PLUS PAYROLL COSTS OF EMPLOYEES OR CONSULTANTS OF THE FACILITY WHO ARE EMPLOYEES OF THE MANAGER. THE INITIAL MONTHLY FEE WILL BE ADJUSTED ANNUALLY BASED ON AN ANNUAL CHANGE IN THE CONSUMER PRICE INDEX. IN JANUARY 2010, THE ORGANIZATION ENTERED INTO A MANAGEMENT AGREEMENT FOR THE CLAIREMONT NURSING AND REHABILITATION CENTER WITH MEDICAL REHABILITATION CENTERS, LLC, A KENTUCKY CORPORATION, FOR A TERM OF 15 YEARS, TO PROVIDE SUBSTANTIALLY ALL MANAGEMENT SERVICES FOR THE FACILITY FOR AN INITIAL MONTHLY FEE OF $41,600 PLUS PAYROLL COSTS OF EMPLOYEES OR CONSULTANTS OF THE FACILITY WHO ARE EMPLOYEES OF THE MANAGER. THE INITIAL MONTHLY FEE WILL BE ADJUSTED ANNUALLY BASED ON AN ANNUAL CHANGE IN THE CONSUMER PRICE INDEX. IN DECEMBER 2005, THE ORGANIZATION ENTERED INTO MANAGEMENT AGREEMENTS FOR EACH OF THE THREE INDIANA FACILITIES (THE HOME PLACE, SANDERS GLEN, AND MORNING BREEZE) WITH MEDICAL REHABILITATION CENTERS, INC., A KENTUCKY CORPORATION, FOR A TERM OF 15 YEARS, TO PROVIDE SUBSTANTIALLY ALL MANAGEMENT SERVICES FOR EACH FACILITY FOR AN INITIAL MONTHLY FEE OF $17,000 PLUS PAYROLL COSTS OF EMPLOYEES OR CONSULTANTS OF THE THREE FACILITIES WHO ARE EMPLOYEES OF THE MANAGER. THE INITIAL MONTHLY FEE HAS BEEN ADJUSTED ANNUALLY BASED ON AN ANNUAL CHANGE IN THE CONSUMER PRICE INDEX. IN NOVEMBER 2003 AND AMENDED AND RESTATED AS OF JUNE 1, 2008, EACH OF THE THREE WISCONSIN FACILITIES (COLONIAL, KARMENTA, AND BETHEL) ENTERED INTO A MANAGEMENT AGREEMENT WITH MEDICAL REHABILITATION CENTERS, INC., A KENTUCKY CORPORATION, FOR A TERM OF 15 YEARS, TO PROVIDE SUBSTANTIALLY ALL MANAGEMENT SERVICES FOR EACH FACILITY FOR AN INITIAL MONTHLY FEE OF $77,500 PLUS PAYROLL COSTS OF EMPLOYEES AND CONSULTANTS OF THE THREE FACILITIES WHO ARE EMPLOYEES OF THE MANAGER. THE INITIAL MONTHLY FEE HAS BEEN ADJUSTED ANNUALLY BASED ON AN ANNUAL CHANGE IN THE CONSUMER PRICE INDEX. IN SEPTEMBER 2005, THE OAKBROOK HEALTH CARE FACILITY ENTERED INTO A MANAGEMENT AGREEMENT WITH ATRIUM LIVING CENTERS OF TEXAS, INC. FOR A TERM OF NINE YEARS AND FOUR MONTHS. UNDER THE AGREEMENT, ATRIUM IS TO EXCLUSIVELY SUPERVISE, DIRECT, AND CONTROL THE MANAGEMENT AND OPERATION OF THE FACILITY FOR A MONTHLY FEE OF $22,000.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bA BOARD MEETING IS HELD (OCTOBER 2011) WHERE A COPY OF THE FULL FORM 990, INCLUDING ALL APPLICABLE SCHEDULES, IS PROVIDED TO EACH MEMBER OF THE GOVERNING BODY BEFORE THE RETURN IS FILED WITH THE IRS.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cANNUAL CERTIFICATIONS ARE RECEIVED FROM ALL OFFICERS AND DIRECTORS TO DETERMINE WHETHER ANY POTENTIAL CONFLICTS OF INTEREST EXIST. THE BOARD OF DIRECTORS DISCUSS THE ANNUAL CERTIFICATIONS AT THE BOARD MEETINGS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IF A CONFLICT IS DETERMINED TO EXIST, THAT PERSON WOULD BE RECUSED FROM TAKING PART IN ANY DECISIONS CONCERNING THE CONFLICTING ISSUE.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE ORGANIZATION'S BOARD OF DIRECTORS REVIEWED AND APPROVED THE COMPENSATION FOR THE ORGANIZATION'S PRESIDENT AND CEO, F. SCOTT KELLMAN. THE BOARD OF DIRECTORS OBTAINED COMPENSATION STUDIES PERFORMED BY THE REZNICK GROUP, L.C. IN JULY 2008, AND CROWE HORWATH LLP IN SEPTEMBER 2010, TO USE IN DETERMINING THE AMOUNT OF COMPENSATION FOR 2008 THROUGH 2010. THIS INFORMATION WAS DOCUMENTED IN THE BOARD MEETING MINUTES IN 2008 AND 2010 WHEN THE COMPENSATION STUDIES WERE REVIEWED.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bTHE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION FOR THE ORGANIZATION'S OTHER OFFICERS. THE BOARD OF DIRECTORS OBTAINED COMPENSATION STUDIES PERFORMED BY THE REZNICK GROUP, L.C. IN JULY 2008, AND CROWE HORWATH LLP IN SEPTEMBER 2010, TO USE IN DETERMINING THE AMOUNT OF COMPENSATION FOR 2008 THROUGH 2010. THE BOARD DISCUSSES THE COMPENSATION ANNUALLY AND COLLECTIVELY AGREES UPON COMPENSATION AMOUNTS FOR ALL OFFICERS. THIS INFORMATION IS DOCUMENTED IN THE BOARD MEETING MINUTES WHEN COMPENSATION IS REVIEWED.
Public DisclosureForm 990, Part VI, Section C, Line 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEESFORM 990, PART VII, SECTION A, LINE 1ASUSAN LUND, REGISTERED NURSE, IS PAID BY LEXINGTON HEALTHCARE, LLC (EIN 20-1684547).
AUDITED/COMPILED FINANCIAL STATEMENTSFORM 990, PART IV, LINES 12A-B AND PART XII, LINES 2A-BTHE ORGANIZATION RECEIVES FOUR SEPARATE SETS OF AUDITED FINANCIAL STATEMENTS, EACH OF WHICH IS PREPARED IN ACCORDANCE WITH GAAP. THE FINANCIAL INFORMATION IS THEN COMBINED FOR PURPOSES OF THE FORM 990. ONE SET OF AUDITED FINANCIAL STATEMENTS, WHICH IS PREPARED ON A CONSOLIDATED BASIS, CONSISTS OF THE FOLLOWING INDIANA ENTITIES: AMERICAN EAGLE HOME PLACE, LLC (EIN 20-3295047); AMERICAN EAGLE MORNING BREEZE, LLC (EIN 20-3294992); AND AMERICAN EAGLE SANDERS GLEN, LLC (EIN 20-3294905). A SECOND SET OF AUDITED FINANCIAL STATEMENTS, WHICH IS PREPARED ON A CONSOLIDATED BASIS, CONSISTS OF THE FOLLOWING WISCONSIN ENTITIES: AE ARPIN FACILITY COMPANY, LLC (EIN 81-0621902); AMERICAN EAGLE NURSING HOME COMPANY OF ARPIN, LLC (EIN 47-0924079); AE COLBY FACILITY COMPANY, LLC (EIN 81-0622276); AMERICAN EAGLE NURSING HOME COMPANY OF COLBY, LLC (EIN 68-0558136); AE MADISON FACILITY COMPANY , LLC (EIN 26-0070115); AND AMERICAN EAGLE NURSING HOME COMPANY OF MADISON, LLC (EIN 81-0621853). A THIRD SET OF AUDITED FINANCIAL STATEMENTS CONSISTS OF THE AE WHITEHOUSE FACILITY COMPANY, LLC (EIN 20-2818309). THE FINANCIAL INFORMATION FOR AMERICAN EAGLE NURSING HOME COMPANY OF WHITEHOUSE, LLC (EIN 20-2818234), WHICH OPERATES THE OAKBROOK HEALTH CENTER, DOES NOT RECEIVE AUDITED FINANCIAL STATEMENTS, BUT ITS FINANCIAL INFORMATION IS INCLUDED IN THE FORM 990. A FOURTH SET OF AUDITED FINANCIAL STATEMENTS CONSISTS OF THE AE EAU CLAIRE FACILITY COMPANY, LLC (EIN: 26-3709653). THE AMERICAN EAGLE NURSING HOME COMPANY OF EAU CLAIRE, LLC (EIN: 26-3709759) DOES NOT RECEIVE AUDITED FINANCIAL STATEMENTS, BUT ITS FINANCIAL INFORMATION IS INCLUDED IN THE FORM 990. LEXINGTON HEALTHCARE, LLC (EIN: 20-1684547) AND THE AMERICAN EAGLE LIFECARE CORPORATION PARENT COMPANY DO NOT RECEIVE AUDITED FINANCIAL STATEMENTS, BUT THE ANNUAL ACTIVITIES ARE ALSO INCLUDED IN THE FORM 990. THE FINANCIAL INFORMATION FOR EACH OF THE ABOVE ENTITIES IS ALSO INCLUDED IN A SINGLE FINANCIAL STATEMENT COMPILATION PREPARED BY THE ORGANIZATION'S INDEPENDENT AUDITORS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
AE ARPIN FACILITY COMPANY LLC
8014 BETHEL ROADARPINWI54410810621902FACILITY COMPANYWI4128983133342NA
AMERICAN EAGLE NURSING HOME COMPANY OF ARPIN LLC
8014 BETHEL ROADARPINWI54410470924079NURSING HOMEWI66694821124682NA
AE COLBY FACILITY COMPANY LLC
702 WEST DOLF STREETCOLBYWI54421810622276FACILITY COMPANYWI4153572799946NA
AMERICAN EAGLE NURSING HOME COMPANY OF COLBY LLC
702 WEST DOLF STREETCOLBYWI54421680558136NURSING HOMEWI5292496646330NA
AE MADISON FACILITY COMPANY LLC
4502 MILWAUKEE STREETMADISONWI53714260070115FACILITY COMPANYWI6760595479769NA
AMERICAN EAGLE NURSING HOME COMPANY OF MADISON LLC
4502 MILWAUKEE STREETMADISONWI53714810621853NURSING HOMEWI78425742015485NA
AE WHITEHOUSE FACILITY COMPANY LLC
107 STACEY DRIVEWHITEHOUSETX75791202818309FACILITY COMPANYTX3304713239896NA
AMERICAN EAGLE NURSING HOME COMPANY OF WHITEHOUSE LLC
107 STACEY DRIVEWHITEHOUSETX75791202818234NURSING HOMETX72779261971759NA
AMERICAN EAGLE HOME PLACE LLC
6734 MILLSIDE DRIVEINDIANAPOLISIN46221203295047INDEPENDENT LIVING FACILITYIN5888682262505NA
AMERICAN EAGLE SANDERS GLEN LLC
320 NORTH MERIDIAN STREETINDIANAPOLISIN46204203294905INDEPENDENT LIVING FACILITYIN23741165783070NA
AMERICAN EAGLE MORNING BREEZE LLC
320 NORTH MERIDIAN STREETINDIANAPOLISIN46204203294992CONTINUING CARE RETIREMENT COMMUNITYIN50992278951824NA
AE EAU CLAIRE FACILITY COMPANY LLC
3819 HAWK CRESTANN ARBORMI48103263709653FACILITY COMPANYMI7443729238566NA
AMERICAN EAGLE NURSING HOME COMPANY OF EAU CLAIRE LLC
2120 HEIGHTS DRIVEEAU CLAIREWI54701263709759NURSING HOMEWI95071872604233NA
LEXINGTON HEALTHCARE LLC
9047 W GREENFIELD AVENUEWEST ALLISWI53214201684547NURSING HOMEWI56041252644069NA

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