TIESZEN MEMORIAL HOME INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: TIESZEN MEMORIAL HOME INC (EIN 46-0213759)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-06-03
IRS object ID: 201141549349300409
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
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-06-03T14:51:40-05:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WOHLENBERG RITZMAN & CO LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1018	AddressLine1
City	YANKTON	City
State	SD	State
ZIP Code	57078	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	460213759	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	TIESZEN MEMORIAL HOME	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	TIES	NameControl
Phone	6056483611	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	312 EAST STATE ST	AddressLine1
City	MARION	City
State	SD	State
ZIP Code	57043	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	PAUL ENGBRECHT	Name
Title	CEO	Title
Phone	6056483611	Phone
Date Signed	2011-06-01	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	KATHLEEN DOYLE	Name
Phone	6056654401	Phone
Date Prepared	2011-05-29	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	PAUL ENGBRECHT	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	312 EAST STATE ST	AddressLine1
City	MARION	City
State	SD	State
ZIP Code	57043	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	4071600	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.TIESZENHOME.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
State Legal Domicile	SD	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE THE HIGHEST QUALITY OF CARE AND QUALITY OF LIFE FOR THE LONG AND SHORT TERM CARE RESIDENTS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	205	TotalNbrEmployees
Total Nbr Volunteers	15	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	16200	ContributionsGrantsPriorYear
Contributions Grants Current Year	3487	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	3866272	ProgramServiceRevenuePriorYear
Program Service Revenue CY	4064084	ProgramServiceRevenueCY
Investment Income Prior Year	1361	InvestmentIncomePriorYear
Investment Income Current Year	4029	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	3883833	TotalRevenuePriorYear
Total Revenue Current Year	4071600	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2157281	SalariesEtcPriorYear
Salaries Etc Current Year	2292697	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1430389	OtherExpensePriorYear
Other Expenses Current Year	1690276	OtherExpensesCurrentYear
Total Expenses Prior Year	3587670	TotalExpensesPriorYear
Total Expenses Current Year	3982973	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	296163	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	88627	RevenuesLessExpensesCY
Total Assets BOY	4708107	TotalAssetsBOY
Total Assets EOY	4833168	TotalAssetsEOY
Total Liabilities BOY	1885834	TotalLiabilitiesBOY
Total Liabilities EOY	1922268	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2822273	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2910900	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE THE HIGHEST QUALITY OF CARE AND QUALITY OF LIFE FOR THE LONG AND SHORT TERM CARE RESIDENTS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	3641527	Expense
Revenue	4067572	Revenue
Description	TIESZEN MEMORIAL HOME IS COMPRISED OF A 64-BED SKILLED NURSING HOME AND A 16-BED ASSISTED LIVING FACILITY AND A 4 UNIT APARTMENT COMPLEX IN MARION, SD. AND A 14-BED ASSISTED LIVING FACILITY IN PARKER, SD. THE HOME PROVIDES LONG TERM NURSING HOME CARE AND HOME HEALTH CARE SERVICES.	Description
Total Program Service Expense	3641527	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	205	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	LAURA WILSON	NamePerson
Telephone Number	6056483611	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	BOX 209	AddressLine1
City	MARION	City
State	SD	State
ZIP Code	57043	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
RICHARD LUKE
MEMBER	1.00	X	487	0	0
ROBERT LOOF
VICE PRESIDE	1.00	X	487	0	0	X
PAUL JOHNSON
MEMBER	1.00	X	487	0	0
LAWRENCE ARBEITER
PRESIDENT	1.00	X	439	0	0	X
JAMES A JONES
MEMBER	1.00	X	390	0	0
RAVILA BERENS
SEC/TREAS	1.00	X	390	0	0	X
JEFF COLE
MEMBER	1.00	X	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2680	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
All Other Contributions	3487	AllOtherContributions
Total Contributions	3487	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICE REVENUES	3795939	3795939
TWIN HOME APTS	133525	133525
WASH APTS	78495	78495
OTHER OPERATING REVENUE	56125	56125

Field	Value	IRS element (for citing)
Total Program Service Revenue	4064084	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4029	TotalRevenueColumn
Related Or Exempt Function Income	4029	RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4071600	TotalRevenueColumn
Related Or Exempt Function Income	4068113	RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1948970	Total
Program Services	1740273	ProgramServices
Management And General	208697	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	60092	Total
Program Services	52722	ProgramServices
Management And General	7370	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	136542	Total
Program Services	133263	ProgramServices
Management And General	3279	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	147093	Total
Program Services	130327	ProgramServices
Management And General	16766	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	15226	Total
Program Services	2095	ProgramServices
Management And General	13131	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	198929	Total
Program Services	196346	ProgramServices
Management And General	2583	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	37898	Total
Program Services	8280	ProgramServices
Management And General	29618	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	29717	Total
Management And General	29717	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	170779	Total
Program Services	170779	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	4598	Total
Program Services	459	ProgramServices
Management And General	4139	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	55696	Total
Program Services	55696	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	396331	Total
Program Services	396331	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	51743	Total
Program Services	51743	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
NURSING SUPPLIES	203613	201952	1661
FOOD EXPENSE	172441	172441
MAINTENANCE SUPPLIES	120680	120680
WORKERS COMP INS	45624	40742	4882
BAD DEBT EXPENSE	27969	27969

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	159032	Total
Program Services	139429	ProgramServices
Management And General	19603	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	3982973	Total
Program Services	3641527	ProgramServices
Management And General	341446	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	100	BOY
EOY	100	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	581541	BOY
EOY	416259	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	341979	BOY
EOY	498013	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	7036	BOY
EOY	4093	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	32187	BOY
EOY	21313	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	8415000	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	4521610	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3745264	BOY
EOY	3893390	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	4708107	BOY
EOY	4833168	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	171058	BOY
EOY	176644	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	8835	BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1684836	BOY
EOY	1724003	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	21105	BOY
EOY	21621	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1885834	BOY
EOY	1922268	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2798894	BOY
EOY	2688071	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	23379	BOY
EOY	222829	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2822273	BOY
EOY	2910900	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4708107	BOY
EOY	4833168	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	88627	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2569	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	12074	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2790	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	16200	CurrentTaxYearMinus1Year
Current Tax Year	3487	CurrentTaxYear
Total	37120	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3303292	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3399302	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3680394	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3866272	CurrentTaxYearMinus1Year
Current Tax Year	4068113	CurrentTaxYear
Total	18317373	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3305861	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3411376	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3683184	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3882472	CurrentTaxYearMinus1Year
Current Tax Year	4071600	CurrentTaxYear
Total	18354493	Total

Field	Value	IRS element (for citing)
Public Support Total509	18354493	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	8641	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	12074	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	11912	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1361	CurrentTaxYearMinus1Year
Current Tax Year	4029	CurrentTaxYear
Total	38017	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	8641	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	12074	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	11912	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1361	CurrentTaxYearMinus1Year
Current Tax Year	4029	CurrentTaxYear
Total	38017	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	16250	CurrentTaxYearMinus4Years
Total	16250	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3330752	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3423450	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3695096	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3883833	CurrentTaxYearMinus1Year
Current Tax Year	4075629	CurrentTaxYear
Total	18408760	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99710	PublicSupportPercentage509
Prior Year Support Percentage	0.97290	PriorYearSupportPercentage
Investment Income Percentage	0.00000	InvestmentIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	96521	OtherCostOrOtherBasis
Book Value	96521	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6378709	OtherCostOrOtherBasis
Depreciation	3052416	Depreciation
Book Value	3326293	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1744422	OtherCostOrOtherBasis
Depreciation	1390821	Depreciation
Book Value	353601	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	195348	OtherCostOrOtherBasis
Depreciation	78373	Depreciation
Book Value	116975	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	3893390	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	SECURITY DEPOSITS	Description
Amount	$21,621	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	21621	TotalOfAmounts
Total Revenue	4071600	TotalRevenue
Total Expenses	3982973	TotalExpenses
Excess Or Deficit For Year	88627	ExcessOrDeficitForYear
Other	$17,712	OtherAmount
Total Adjustments	17712	TotalAdjustments
Excess Or Deficit Per FS	106339	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	3990229	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	3990229	RevenueSubtotal
Other Revenues Not Included	81371	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	81371	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	4071600	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	3883890	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	3883890	ExpensesSubtotal
Other Expenses Not Included	99083	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	99083	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	3982973	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
RECONCILIATION OF CHANGES - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 8	WASHINGTON STREET APARTMENTS -81,371 WASHINGTON STREET APARTMENTS 99,083
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	WASHINGTON STREET APARTMENTS 81,371
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 4B	WASHINGTON STREET APARTMENTS 99,083

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS	FORM 990, PAGE 1, PART I, LINE 6	ASSIST WITH ACTIVITIES
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	REVIEWED BY CEO AND BOARD BEFORE FILING
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	ANNUAL REVIEW BY BOARD
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	CEO PREPARES AN ANNUAL BUDGET FOR THE OPERATION OF THE FACILITY FOR APPROVAL BY THE BOARD OF DIRECTORS
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	CEO PREPARES AN ANNUAL BUDGET FOR THE OPERATION OF THE FACILITY FOR APPROVAL BY THE BOARD OF DIRECTORS
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	ON REQUEST
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	TIESZEN MEMORIAL HOME, INC. CONSISTS OF THREE DIVISIONS: TIESZEN MEMORIAL HOME, WASHINGTON STREET APARTMENTS, AND TWIN HOMES. THE AUDITED FINANICAL STATEMENTS REPRESENT ONLY THE FINANICAL POSITION OF TIESZEN MEMORIAL HOME AND TWIN HOMES AS OF DECEMBER 31, 2010 AND 2009.

TIESZEN MEMORIAL HOME INC: Form 990, tax year 2010

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990 IRS990

Address Principal Officer US AddressPrincipalOfficerUS

The Books Are In Care Of TheBooksAreInCareOf

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

Program Service Revenue ProgramServiceRevenue (4 entries)

Investment Income InvestmentIncome

Total Revenue TotalRevenue

Other Salaries And Wages OtherSalariesAndWages

Pension Plan Contributions PensionPlanContributions

Other Employee Benefits OtherEmployeeBenefits

Payroll Taxes PayrollTaxes

Fees For Services Accounting FeesForServicesAccounting

Fees For Services Other FeesForServicesOther

Advertising Advertising

Office Expenses OfficeExpenses

Occupancy Occupancy

Travel Travel

Interest Interest

Depreciation Depletion DepreciationDepletion

Insurance Insurance

Other Expenses OtherExpenses (5 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Cash Non Interest Bearing CashNonInterestBearing

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Accounts Receivable AccountsReceivable

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Deferred Revenue DeferredRevenue

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Other Liabilities OtherLiabilities

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Schedule A IRS990ScheduleA

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Total509 Total509

Gross Investment Income509 GrossInvestmentIncome509

Investment Income And UBTI InvestmentIncomeAndUBTI

Net Income From Other UBI NetIncomeFromOtherUBI

Total Support Total TotalSupportTotal

Schedule D IRS990ScheduleD

Land Land

Buildings Buildings

Equipment Equipment

Other Land Buildings OtherLandBuildings

Other Liabilities OtherLiabilities

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

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