VIRGINIA HOME: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
VIRGINIA HOME (EIN 54-0577900)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201123189349307197
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-14T19:18:17-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line175 BEATTIE PLACE SUITE 800AddressLine1
CityGREENVILLECity
StateSCState
ZIP Code29601ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN540577900EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE VIRGINIA HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVIRGNameControl
Phone8042548828Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 HAMPTON STREETAddressLine1
CityRICHMONDCity
StateVAState
ZIP Code23220ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJames MosesName
TitleControllor/CFOTitle
Date Signed2011-11-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8642425740Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT A CROUSENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11101 HAMPTON STAddressLine1
CityRICHMONDCity
StateVAState
ZIP Code23220ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26543225GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitethevirginiahome.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1894YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionLONG-TERM CARE FOR ADULTS WITH IRREVERSIBLE PHYSICAL DISABILITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body32NbrVotingMembersGoverningBody
Nbr Independent Voting Members32NbrIndependentVotingMembers
Total Nbr Employees292TotalNbrEmployees
Total Nbr Volunteers300TotalNbrVolunteers
Total Gross UBI-59613TotalGrossUBI
Net Unrelated Business Txbl Income-59613NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year125926ContributionsGrantsPriorYear
Contributions Grants Current Year1062703ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2455929ProgramServiceRevenuePriorYear
Program Service Revenue CY8563886ProgramServiceRevenueCY
Investment Income Prior Year-494760InvestmentIncomePriorYear
Investment Income Current Year9033433InvestmentIncomeCurrentYear
Other Revenue Prior Year31965OtherRevenuePriorYear
Other Revenue Current Year1604OtherRevenueCurrentYear
Total Revenue Prior Year2119060TotalRevenuePriorYear
Total Revenue Current Year18661626TotalRevenueCurrentYear
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 Year2625792SalariesEtcPriorYear
Salaries Etc Current Year11584126SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year121537TotalFundrsngExpCurrentYear
Other Expense Prior Year1559643OtherExpensePriorYear
Other Expenses Current Year4729576OtherExpensesCurrentYear
Total Expenses Prior Year4185435TotalExpensesPriorYear
Total Expenses Current Year16313702TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2066375RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2347924RevenuesLessExpensesCY
Total Assets BOY98284133TotalAssetsBOY
Total Assets EOY100726777TotalAssetsEOY
Total Liabilities BOY8776733TotalLiabilitiesBOY
Total Liabilities EOY10545074TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY89507400NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY90181703NetAssetsOrFundBalancesEOY
Mission DescriptionLONG-TERM CARE FOR ADULTS WITH IRREVERSIBLE PHYSICAL DISABILITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense10711071Expense
Revenue8577676Revenue
DescriptionTHE VIRGINIA HOME (THE HOME) IS A PRIVATE, NON PROFIT FACILITY WHICH WAS FOUNDED OVER 100 YEARS AGO TO PROVIDE A HOME FOR VIRGINIANS WHO WERE SEVERELY PHYSICALLY DISABLED AND LACKED THE RESOURCES TO LIVE AT HOME. TODAY, 130 RESIDENTS LIVE IN PRIVATE ROOMS AND ARE PROVIDED 24 HOUR NURSING CARE AS WELL AS MANY OTHER SERVICES, WHICH ARE INTENDED TO MEET THEIR TOTAL CARE AND PSYCHO SOCIAL NEEDS.THE PHILOSOPHY OF THE HOME IS THAT EACH RESIDENT LIVE AS INDEPENDENTLY AS POSSIBLE IN AN ENVIRONMENT WHICH ENCOURAGES THEM TO LIVE LIFE TO ITS FULLEST.Description
Total Program Service Expense10711071TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
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 OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees292NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members32NbrVotingGoverningBodyMembers
Number Independent Voting Members32NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
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 CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMR JAMES T MOSESNamePerson
Telephone Number8042548828TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11101 HAMPTON STAddressLine1
CityRICHMONDCity
StateVAState
ZIP Code23220ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (39 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MRS WILLIAM F REAMES
PRESIDENT1.0XX000
MRS G SLAUGHTER FITZ-HUGH JR
TRUSTEE1.0X000
MRS PRISCILLA S HERSEY
VICE PRESIDENT1.0XX000
MRS W JOSEPH BUHRMAN
VICE PRESIDENT1.0XX000
MRS P BRADLEY NOTT JR
TRUSTEE1.0X000
MRS CHARLES H ROBERTSON JR
TRUSTEE1.0X000
MRS LEROY B VAUGHAN
1ST VICE PRESIDENT1.0XX000
MRS MATTHEW D JENKINS
TRUSTEE1.0X000
MRS JAMES V MEATH
1ST ASST. REC. SECRETARY1.0XX000
MRS WILLIAM D GRAVITT III
VICE PRESIDENT1.0XX000
MRS MICHAEL ARMSTRONG
TRUSTEE1.0X000
MRS EDMUND L BENSON III
RECORDING SECRETARY1.0XX000
MRS BOWLMAN T BOWLES JR
TRUSTEE1.0X000
MRS WILLIAM R CAWTHORN
TRUSTEE1.0X000
MRS E WHITEHEAD ELMORE
1ST ASST. CORRESP. SECRETARY1.0XX000
MRS PAUL E GALANTI
TRUSTEE1.0X000
MRS WILLIAM H GOODWIN JR
TRUSTEE1.0X000
MRS RONALD E JONES
2ND ASST. REC. SECRETARY1.0XX000
MRS C CONNER MCGEHEE III
TRUSTEE1.0X000
MRS FRANK B MILLER III
TRUSTEE1.0X000
MRS MASON T NEW
TREASURER1.0XX000
MRS JOHN A NOLDE JR
TRUSTEE1.0X000
MRS EDWARD J RAMSEY JR
TRUSTEE1.0X000
MRS JAMES E ROGERS
1ST ASST. TREASURER1.0XX000
MRS RAYMOND A RUTH
TRUSTEE1.0X000
MRS WILLIAM F SHUMADINE JR
VICE PRESIDENT1.0XX000
MRS B RANDOLPH TUCKER
2ND ASST. CORRESP. SECRETARY1.0XX000
MRS EDWARD DOYLE
TRUSTEE1.0X000
MRS JOHN G KENDIG
TRUSTEE1.0X000
MRS WALTHER G MASER
CORRESPONDING SECRETARY1.0XX000
MRS LILA HARGROVE PUTNEY
TRUSTEE1.0X000
MRS DAVID G WILSON
1.0X000
ROBERT A CROUSE
ADMINISTRATOR40.0X181290028319
JAMES T MOSES
CONTROLLER40.0X116129020150
MELODY SILVEY RN MS
DIRECTOR OF NURSING40.099818016746X
JAMES ABBOTT MD
MEDICAL DIRECTOR40.0172730029112X
PATRICIA BONNES
DIRECTOR OF RESTORATIVE SERV.40.098801016701X
LYNN CROUSE
DIRECTOR OF DIETARY40.088078015277X
NORA DONOHUE
DIRECTOR OF PHYSICAL THERAPY32.087567016159X
FieldValueIRS element (for citing)
Total Reportable Comp From Org844413TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation142464TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions1062703AllOtherContributions
Total Contributions1062703TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column8563886TotalRevenueColumn
Related Or Exempt Function Income8563886RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8563886TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7787376TotalRevenueColumn
Exclusion$7,787,376ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real13200Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real13200Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column13200TotalRevenueColumn
Exclusion$13,200ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities9127656Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7881599Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1246057Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1246057TotalRevenueColumn
Exclusion$1,246,057ExclusionAmount

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)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA72221034227$34,227
MISCELLANEOUS INC9000991379013790
PARTNERSHIP LOSS523000-59613-59613
FieldValueIRS element (for citing)
Total Other Revenue-11596TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18661626TotalRevenueColumn
Related Or Exempt Function Income8577676RelatedOrExemptFunctionIncome
Unrelated Business Revenue-59613UnrelatedBusinessRevenue
Exclusion$9,080,860ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

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)
Total345888Total
Management And General345888ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8358822Total
Program Services7742263ProgramServices
Management And General541373ManagementAndGeneral
Fundraising75186Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1365516Total
Management And General1365516ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total838929Total
Management And General838929ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total674971Total
Management And General674971ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

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)
Total1147782Total
Program Services161319ProgramServices
Management And General986463ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total792682Total
Program Services684301ProgramServices
Management And General62030ManagementAndGeneral
Fundraising46351Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total331572Total
Program Services331572ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total244372Total
Management And General244372ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total986934Total
Program Services986934ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total228267Total
Management And General228267ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DIETARY/FOOD590302590302
MAINTENANCE & REPAIRS204640204640
ALL OTHER EXPENSES2030259740193285

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16313702Total
Program Services10711071ProgramServices
Management And General5481094ManagementAndGeneral
Fundraising121537Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY379414BOY
EOY358289EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY600302BOY
EOY190354EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY387531BOY
EOY381725EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY62056BOY
EOY82116EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis26973735LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13450603LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14318011BOY
EOY13523132EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY17896657BOY
EOY21117581EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY60537103BOY
EOY65036680EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4103059BOY
EOY36900EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY98284133BOY
EOY100726777EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1081733BOY
EOY950498EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY7695000BOY
EOY7280000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY2314576EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8776733BOY
EOY10545074EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY85160915BOY
EOY85326836EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY524068BOY
EOY702971EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3822417BOY
EOY4151896EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY89507400BOY
EOY90181703EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY98284133BOY
EOY100726777EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2347924ReconcilationRevenueExpenses
Reconcilation Other Changes-1673621ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years869278CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1160635CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1009769CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year125926CurrentTaxYearMinus1Year
Current Tax Year1062703CurrentTaxYear
Total4228311Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8533889CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8944823CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9980414CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2455929CurrentTaxYearMinus1Year
Current Tax Year8563886CurrentTaxYear
Total38478941Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9403167CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10105458CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10990183CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2581855CurrentTaxYearMinus1Year
Current Tax Year9626589CurrentTaxYear
Total42707252Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years409823CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years325075CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years272800CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10000CurrentTaxYearMinus1Year
Current Tax Year10150CurrentTaxYear
Total1027848Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years409823CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years325075CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years272800CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10000CurrentTaxYearMinus1Year
Current Tax Year10150CurrentTaxYear
Total1027848Total
FieldValueIRS element (for citing)
Public Support Total50941679404PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2063681CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1849291CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1759692CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year421655CurrentTaxYearMinus1Year
Current Tax Year7800576CurrentTaxYear
Total13894895Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year7059CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total7059Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2063681CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1849291CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1759692CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year428714CurrentTaxYearMinus1Year
Current Tax Year7800576CurrentTaxYear
Total13901954Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years40514CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years42704CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years64852CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21606CurrentTaxYearMinus1Year
Current Tax Year48017CurrentTaxYear
Total217693Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11507362CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11997453CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12814727CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3032175CurrentTaxYearMinus1Year
Current Tax Year17475182CurrentTaxYear
Total56826899Total
FieldValueIRS element (for citing)
Public Support Percentage5090.73345PublicSupportPercentage509
Prior Year Support Percentage0.81067PriorYearSupportPercentage
Investment Income Percentage0.24464InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.15986PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance81647779BeginningOfYearBalance
Contributions156525Contributions
Investment Earnings Or Losses408963InvestmentEarningsOrLosses
Other Expenditures5455347OtherExpenditures
Administrative Expenses323402AdministrativeExpenses
End Of Year Balance76434518EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance81832405BeginningOfYearBalance
Contributions25000Contributions
Investment Earnings Or Losses742645InvestmentEarningsOrLosses
Other Expenditures775000OtherExpenditures
Administrative Expenses177271AdministrativeExpenses
End Of Year Balance81647779EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance82484873BeginningOfYearBalance
Contributions531449Contributions
Investment Earnings Or Losses948997InvestmentEarningsOrLosses
Other Expenditures1531530OtherExpenditures
Administrative Expenses601384AdministrativeExpenses
End Of Year Balance81832405EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.94000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.04800PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00800TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1561531OtherCostOrOtherBasis
Book Value1561531BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis21576844OtherCostOrOtherBasis
Depreciation10703399Depreciation
Book Value10873445BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis3835360OtherCostOrOtherBasis
Depreciation2747204Depreciation
Book Value1088156BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13523132TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
ALTERNATIVE INVESTMENT62993531F
US GOV'T BONDS & NOTES1805864F
ACCRUED INTEREST237285F
FieldValueIRS element (for citing)
Total Of Book Value Securities65036680TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPENSION OBLIGATIONDescription
Amount$2,314,576Amount
FieldValueIRS element (for citing)
Total Of Amounts2314576TotalOfAmounts
Total Revenue18661626TotalRevenue
Total Expenses16313702TotalExpenses
Excess Or Deficit For Year2347924ExcessOrDeficitForYear
Net Unrealized GL On Investments209314NetUnrealizedGLOnInvestments
Other-$1,882,935OtherAmount
Total Adjustments-1673621TotalAdjustments
Excess Or Deficit Per FS674303ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18870940TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments209314NetUnrealizedGainsInvestments
Revenue Not Rptd F990209314RevenueNotRptdF990
Revenue Subtotal18661626RevenueSubtotal
Total Revenue Per Form99018661626TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16313702TotExpensesEtcAuditedFinclStmt
Expenses Subtotal16313702ExpensesSubtotal
Total Expenses Per Form99016313702TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USES OF ENDOWMENT FUNDSPART V, LINE 4the purposes of the endowments are for purchasing hospital beds and providing funds for resident emergencies.
OTHER CHANGES IN NET ASSETSPART XI, LINE 8CHANGE IN PENSION OBLIGATION $ -2,309,102 INCREASE IN VALUE OF BENEFICIAL INTEREST IN TRUSTS $ 366,554 BOOK/TAX DIFFERENCE OF PARTNERSHIP UBI $ 59,613 ------------ $ -1,882,935

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
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 (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT A CROUSE
1812900000018784095350209609000
JAMES ABBOTT MD
17273000000177770113350201842000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DOCUMENTATION OF COMMITTEE MEETINGSFORM 990, PART VI, QUESTION 8BFormal minutes are kept for the deliberation of two committees: Finance and Investment. All other committee activity is documented on a more informal basis through the notes of committee chairs. Periodically (usually at monthly meetings), each committee chair reports to the Board on the activities of their committee. Also, committees report on activities on an annual basis. The reporting is documented in Board minutes. PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW FORM 990 FORM 990, PART VI, QUESTION 11B THE FORM 990 IS REVIEWED BY THE CONTROLLER/CFO PRIOR TO FILING.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, QUESTION 12CBOARD MEMBERS AND OFFICERS ARE REQUIRED TO SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGINFORM 990, PART VI, QUESTIONS 15A AND 15BMR. CROUSE'S COMPENSATION IS SET BY THE FINANCE COMMITTEE ANNUALLY. THE APPROVAL OF HIS COMPENSATION IS DOCUMENTED IN THE COMMITTEE MINUTES. OVERALL COMPENSATION LEVELS FOR ALL OTHER EMPLOYEES ARE DETERMINED BY THE ADMINISTRATOR AND/OR DEPARTMENTAL DIRECTORS UNDER A PERCENTAGE GUIDELINE DETERMINED BY THE FINANCE COMMITTEE. IN THE CASE OF THE CONTROLLER, COMPENSATION IS SET BY MR. CROUSE.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICFORM 990, PART VI, QUESTION 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990 AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ALSO, FINANCIAL INFORMATION IS AVAILABLE ON-LINE THROUGH GUIDESTAR.
OTHER CHANGES IN NET ASSETS OR FUND BALANCEFORM 990, PART XI, LINE 5UNREALIZED GAIN $ 209,314 CHANGE IN PENSION OBLIGATION $ -2,309,102 INCREASE IN VALUE OF BENEFICIAL INT IN TRUSTS $366,554 BOOK/TAX DIFFERENCE ON PARTNERSHIP UBI $ 59,613 ------------ NET OTHER CHANGES IN NET ASSETS $ -1,673,621

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