FURP.ORG / PUBLIC DATA EXPLORER

FLORENCE HOME FOR THE AGED: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
FLORENCE HOME FOR THE AGED (EIN 47-0384319)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-11
IRS object ID
201133159349303803
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)
Timestamp2011-11-11T15:21:44-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SEIM JOHNSON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line118081 BURT STREET SUITE 200AddressLine1
CityOMAHACity
StateNEState
ZIP Code680224722ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN470384319EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FLORENCE HOME FOR THE AGEDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFLORNameControl
Phone4028276000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line17915 NORTH 30TH STREETAddressLine1
CityOMAHACity
StateNEState
ZIP Code68112ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEBRA L THACKERName
TitleCFOTitle
Phone4028276000Phone
Date Signed2011-10-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJULIE M GERKENName
Phone4023302660Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDEBRA L THACKERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line17915 NORTH 30TH STREETAddressLine1
CityOMAHACity
StateNEState
ZIP Code68112ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10850678GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MGI-SENIORS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1906YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionPROVIDE CARE FOR THE ELDERLYActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees270TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year226624ContributionsGrantsPriorYear
Contributions Grants Current Year208226ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10515986ProgramServiceRevenuePriorYear
Program Service Revenue CY10561250ProgramServiceRevenueCY
Investment Income Prior Year39218InvestmentIncomePriorYear
Investment Income Current Year31236InvestmentIncomeCurrentYear
Other Revenue Prior Year48109OtherRevenuePriorYear
Other Revenue Current Year49966OtherRevenueCurrentYear
Total Revenue Prior Year10829937TotalRevenuePriorYear
Total Revenue Current Year10850678TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year45774GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY56727GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5299315SalariesEtcPriorYear
Salaries Etc Current Year5512493SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5739114OtherExpensePriorYear
Other Expenses Current Year5457553OtherExpensesCurrentYear
Total Expenses Prior Year11084203TotalExpensesPriorYear
Total Expenses Current Year11026773TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-254266RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-176095RevenuesLessExpensesCY
Total Assets BOY4454181TotalAssetsBOY
Total Assets EOY4282736TotalAssetsEOY
Total Liabilities BOY2330934TotalLiabilitiesBOY
Total Liabilities EOY2261631TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2123247NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2021105NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE A CONTINUUM OF QUALITY SERVICES AND PROGRAMS FOR SENIORS AND OTHER PERSONS NEEDING SPECIALIZED CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5439265Expense
Grants56727Grants
Revenue6261482Revenue
DescriptionSKILLED NURSING CAREDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2181602Expense
Revenue2298693Revenue
DescriptionASSISTED LIVING CAREDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2001301Expense
Revenue1990182Revenue
DescriptionALZHEIMER'S ASSISTED LIVING CAREDescription

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense56727Expense
Revenue10894Revenue
DescriptionOTHER SERVICESDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp56727TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev10894TotalOfOtherProgramServiceRev
Total Program Service Expense9678895TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees270NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DEBRA L THACKER CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4028276000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17915 NORTH 30TH STREETAddressLine1
CityOMAHACity
StateNEState
ZIP Code68112ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ROBERT A BLOECHLE
CHAIRMAN1.00XX000
STEPHANIE O'KEEFE
SECRETARY / TREASURER1.00XX000
LOIS HESS
PRESIDENT / CEO2.00XX01440008575
DEBRA L THACKER
CFO2.00XX013314022027
JULIE SCHULTZ
DIRECTOR1.00X000
PHIL CHRISTENSEN
DIRECTOR1.00X000
LYN M HOLLEY
DIRECTOR1.00X000
JOHN JEANETTA
DIRECTOR1.00X000
NANCY A MCCARTHY
DIRECTOR1.00X000
YOLANDA SMITH
DIRECTOR1.00X000
BETTY FOSTER
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs277140TotalReportableCompFrmRltdOrgs
Total Other Compensation30602TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HEALTHCARE SERVICES GROUP
SUITE 300 3220 TILLMAN DRIVEBENSALEMPA19020HSKPG/LNDRY/DIETARY1396737
REHABVISIONS NATIONAL THERAPUETIC ASSOC
11623 ARBOR STREETOMAHANE68144REHAB SERVICES493721
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations205243RelatedOrganizations
All Other Contributions2983AllOtherContributions
Total Contributions208226TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PAYM62300085729118572911
PRIVATE PAY/INSURANCE62300019774501977450
MISCELLANEOUS INCOME62300080408040
VENDOR REBATES62300028492849
FieldValueIRS element (for citing)
Total Program Service Revenue10561250TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column31236TotalRevenueColumn
Exclusion$31,236ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real48073Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real48073Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column48073TotalRevenueColumn
Exclusion$48,073ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCAFETERIA & VENDING REDescription
Business Code623000BusinessCode
Total Revenue Column1893TotalRevenueColumn
Exclusion$1,893ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1893TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10850678TotalRevenueColumn
Related Or Exempt Function Income10561250RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$81,202ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total56727Total
Program Services56727ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4729860Total
Program Services4385134ProgramServices
Management And General344726ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total327285Total
Program Services307201ProgramServices
Management And General20084ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total455348Total
Program Services422950ProgramServices
Management And General32398ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total681872Total
Management And General681872ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total25267Total
Management And General25267ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total21879Total
Management And General21879ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2694601Total
Program Services2616547ProgramServices
Management And General78054ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1047590Total
Program Services967563ProgramServices
Management And General80027ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total289013Total
Program Services289013ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total25870Total
Program Services16678ProgramServices
Management And General9192ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8046Total
Program Services7862ProgramServices
Management And General184ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total23540Total
Program Services23540ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total279077Total
Program Services279077ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total211264Total
Program Services184108ProgramServices
Management And General27156ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT & CHARITY CARE114600114600
DUES & SUBSCRIPTIONS27442380523637
MISCELLANEOUS749240903402

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11026773Total
Program Services9678895ProgramServices
Management And General1347878ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY38830BOY
EOY29028EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY374676BOY
EOY352918EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY772761BOY
EOY754739EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY35973BOY
EOY55067EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY72071BOY
EOY68710EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8680915LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6746383LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2137320BOY
EOY1934532EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1022550BOY
EOY1087742EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4454181BOY
EOY4282736EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY792568BOY
EOY761621EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1510000BOY
EOY1450000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY28366BOY
EOY50010EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2330934BOY
EOY2261631EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY151941BOY
EOY-24154EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1040000BOY
EOY1040000EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY931306BOY
EOY1005259EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2123247BOY
EOY2021105EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4454181BOY
EOY4282736EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-176095ReconcilationRevenueExpenses
Reconcilation Other Changes73953ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21872CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7334CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5621CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6198CurrentTaxYearMinus1Year
Current Tax Year2983CurrentTaxYear
Total44008Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10873510CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11663711CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10872522CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10515986CurrentTaxYearMinus1Year
Current Tax Year10561250CurrentTaxYear
Total54486979Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16482CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21361CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5687CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6289CurrentTaxYearMinus1Year
Current Tax Year1893CurrentTaxYear
Total51712Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10911864CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11692406CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10883830CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10528473CurrentTaxYearMinus1Year
Current Tax Year10566126CurrentTaxYear
Total54582699Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50954582699PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years84934CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years99069CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years97165CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year80902CurrentTaxYearMinus1Year
Current Tax Year79309CurrentTaxYear
Total441379Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years84934CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years99069CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years97165CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year80902CurrentTaxYearMinus1Year
Current Tax Year79309CurrentTaxYear
Total441379Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10996798CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11791475CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10980995CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10609375CurrentTaxYearMinus1Year
Current Tax Year10645435CurrentTaxYear
Total55024078Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99200PublicSupportPercentage509
Prior Year Support Percentage0.99190PriorYearSupportPercentage
Investment Income Percentage0.00800InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00810PriorYrInvestIncomePercentage
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis154347OtherCostOrOtherBasis
Book Value154347BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6379784OtherCostOrOtherBasis
Depreciation4945666Depreciation
Book Value1434118BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2041525OtherCostOrOtherBasis
Depreciation1735618Depreciation
Book Value305907BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis105259OtherCostOrOtherBasis
Depreciation65099Depreciation
Book Value40160BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1934532TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING COSTS, NET82483
BENEFICIAL INTEREST IN PERPETUAL TRUST1005259
FieldValueIRS element (for citing)
Total Book Value Other Assets1087742TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED INTEREST PAYABLE$3,533
THIRD PARTY PAYOR SETTLEMENTS PAYABLE$24,044
DUE TO AFFILIATES$22,433
FieldValueIRS element (for citing)
Total Of Amounts50010TotalOfAmounts
Total Revenue10850678TotalRevenue
Total Expenses11026773TotalExpenses
Excess Or Deficit For Year-176095ExcessOrDeficitForYear
Net Unrealized GL On Investments73953NetUnrealizedGLOnInvestments
Total Adjustments73953TotalAdjustments
Excess Or Deficit Per FS-102142ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt10924631TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments73953NetUnrealizedGainsInvestments
Revenue Not Rptd F99073953RevenueNotRptdF990
Revenue Subtotal10850678RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99010850678TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11026773TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal11026773ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011026773TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationMIDWEST GERIATRICS, INC., ROYALE OAKS HOUSE OF HOPE, GERIMED, INC., FLORENCE HOME AND SENIOR HEALTH FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THESE NOT-FOR-PROFIT CORPORATIONS HAVE EACH RECEIVED A DETERMINATION LETTER THAT THEY ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. UNIMED, INC. IS A TAXABLE CORPORATION. UNIMED, INC. HAS A NET OPERATING LOSS CARRYFORWARD AS OF DECEMBER 31, 2010 AND 2009, AVAILABLE FOR FEDERAL AND STATE INCOME TAX PURPOSES. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2010, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS ACCRUED.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1SENIOR HEALTH FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17915 NORTH 30TH STREETAddressLine1
CityOMAHACity
StateNEState
ZIP Code68112ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient470709560EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant56727AmountOfCashGrant
Purpose Of GrantFINANCIAL ASSISTANCE FOR OPERATIONSPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: FLORENCE HOME FOR THE AGED MONITORS THE USE OF GRANTS BY GRANTING FUNDS ONLY TO LOCAL ORGANIZATIONS THAT ARE AFFILIATED THROUGH COMMON MANAGEMENT.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (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
LOIS HESS
014400000000196206613015257500
DEBRA L THACKER
0133140000001798020229015516700

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11ONCE THE FORM 990 AND RELATED SCHEDULES HAVE BEEN PREPARED, THE CONTROLLER AND THE CFO WILL REVIEW IT, MAKE ANY CHANGES AND ACCEPT THE DRAFT FORM 990. THE FINANCE COMMITTEE WILL THEN BE CONTACTED VIA E-MAIL THAT THE DRAFT FORM 990 IS READY FOR REVIEW AND ASK IF THEY WANT IT SENT OUT TO THEM OR IF THEY WILL BE COMING TO THE FACILITY TO REVIEW. ONCE 2/3 OF THE COMMITTEE HAVE REVIEWED AND ACCEPTED THE FORM 990, IT WILL BE FILED.
ON AN ANNUAL BASIS, THE BOARD OF DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE ASKED TO REVIEW AND DISCLOSE ANY CONFLICTS OF INTERESTS THAT THEY MAY HAVE WITH FLORENCE HOME FOR THE AGED OPERATIONS. THEY ARE THEN ASKED TO SIGN A DOCUMENT INDICATING CONFLICTS, IF ANY. THE BOARD CHAIR IS THEN INFORMED OF ANY CURRENT CONFLICTS FOR CONSIDERATION IN FUTURE VOTING MATTERS OF THE BOARD.FORM 990, PART VI, SECTION B, LINE 12C
FORM 990, PART VI, LINE 15: FLORENCE HOME FOR THE AGED DOES NOT HAVE ANY OFFICERS THAT IT DIRECTLY COMPENSATES. MIDWEST GERIATRICS, INC., AN AFFILIATE OF FLORENCE HOME, COMPENSATES THE OFFICERS OF FLORENCE HOME AND THEREFORE, THE POLICY ON THE PROCESS FOR DETERMINING COMPENSATION OF MIDWEST GERIATRICS, INC. APPLIES TO THE COMPENSATION OF THE FOLLOWING PERSONS SERVING AS OFFICERS OF FLORENCE HOME. THE PROCESS IS UTILIZED BY THE EXECUTIVE COMMITTEE OF THE MIDWEST GERIATRICS, INC. BOARD ON AN ANNUAL BASIS. CHIEF EXECUTIVE OFFICER: LOIS HESS CHIEF FINANCIAL OFFICER: DEBRA THACKER THE PROCESS INCLUDES ALL OF THESE ELEMENTS: (1) REVIEW AND APPROVAL BY THE EXECUTIVE COMMITTEE OF MIDWEST GERIATRICS, INC.; (2) USE OF DATA AS TO COMPARABLE COMPENSATION; AND (3) CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING. 1. REVIEW AND APPROVAL. THE COMPENSATION OF THE PERSON IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF MIDWEST GERIATRICS, INC., PROVIDED THAT PERSONS WITH CONFLICTS OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN THIS REVIEW AND APPROVAL. 2. USE OF DATA AS TO COMPARABLE COMPENSATION. THE COMPENSATION OF THE PERSON IS REVIEWED AND APPROVED USING DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. 3. CONTEMPORANEOUS DOCUMENTATION AND RECORDING. THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT.
UPON REQUEST A COPY OF THE REQUESTED DOCUMENT IS PROVIDED WITHIN 72 HOURS.FORM 990, PART VI, SECTION C, LINE 19
AVERAGE HOURS PER WEEKFLORENCE HOME FOR THE AGED DOES NOT HAVE ANY OFFICERS IT COMPENSATES DIRECTLY. THE CEO AND CFO ON THE FLORENCE HOME FOR THE AGED BOARD OF DIRECTORS ARE ACTUALLY EMPLOYEES OF AND COMPENSATED BY MIDWEST GERIATRICS, INC., AN AFFILIATE OF FLORENCE HOME FOR THE AGED, AND THEREFORE THE MAJORITY OF THEIR WORK WEEK IS ATTRIBUTED TO WORKING FOR MIDWEST GERIATRICS, INC.FORM 990, PAGE 7, PART VII, LINE 1A:
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 73,953.FORM 990, PART XI, LINE 5:
THE BOARD OF DIRECTORS OF MIDWEST GERIATRICS, INC ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS.FORM 990, PAGE 12, PART XII, LINE 2C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
SENIOR HEALTH FOUNDATION
7915 N 30TH STREETOMAHANE68112470709560PROVIDE ASSISTANCE TO THE ELDERLY.NE501(C)(3)7N/A0
GERIMED
7915 N 30TH STREETOMAHANE68112470727973PHARMACEUTICAL SALES.NE501(C)(3)9N/A0
MIDWEST GERIATRICS INC
7915 N 30TH STREETOMAHANE68112470727974SUPPORT FLORENCE HOME AND RELATED ORANGIZATIONS THROUGH MANAGEMENT SERVICES.NE501(C)(3)11B TYPE IIN/A0
ROYALE OAKS HOUSE OF HOPE
4801 N 52ND STREETOMAHANE68104260808357SUPPORT FLORENCE HOME BY SERVICING A FHA-INSURED NON-RECOURSE LOAN.NE501(C)(3)11A TYPE IN/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1UNIMEDBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17915 N 30TH STREETAddressLine1
CityOMAHACity
StateNEState
ZIP Code68112ZIPCode
FieldValueIRS element (for citing)
EIN470759285EIN
Primary ActivityPHARMACEUTICAL SALESPrimaryActivity
Legal Domicile StateNELegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg