FURP.ORG / PUBLIC DATA EXPLORER

FAHRNEY KEEDY SENIOR LIVING COMMUNITY: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
FAHRNEY KEEDY SENIOR LIVING COMMUNITY (EIN 52-0610464)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-07-06
IRS object ID
201141879349300219
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)
Timestamp2011-07-06T13:06:59-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SMITH ELLIOTT KEARNS & COMPANY LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1480 N POTOMAC STREETAddressLine1
CityHAGERSTOWNCity
StateMDState
ZIP Code21740ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN520610464EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FAHRNEY-KEEDY MEMORIAL HOME INCBusinessNameLine1
Business Name Line2AKA FAHRNEY-KEEDY HOME AND VILLAGEBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlFAHRNameControl
Phone3017336284Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18507 MAPLEVILLE ROADAddressLine1
CityBOONSBOROCity
StateMDState
ZIP Code217131844ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWAYNE STOUFFERName
TitleDIRECTOR OF ACCOUNTINGTitle
Phone3017336284Phone
Date Signed2011-06-29DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameEDWARD L BUCHANAN IV CPAName
Phone3017335020Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKEITH BRYANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18507 MAPLEVILLE ROADAddressLine1
CityBOONSBOROCity
StateMDState
ZIP Code21713ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10970185GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.FKHV.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1905YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionCONTINUING CARE RETIREMENT COMMUNITY, INDEPENDENT LIVING, ASSISTED LIVING, AND NURSING CAREActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees255TotalNbrEmployees
Total Nbr Volunteers112TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year253091ContributionsGrantsPriorYear
Contributions Grants Current Year264986ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10513523ProgramServiceRevenuePriorYear
Program Service Revenue CY10663901ProgramServiceRevenueCY
Investment Income Prior Year59095InvestmentIncomePriorYear
Investment Income Current Year25860InvestmentIncomeCurrentYear
Other Revenue Prior Year6167OtherRevenuePriorYear
Other Revenue Current Year6340OtherRevenueCurrentYear
Total Revenue Prior Year10831876TotalRevenuePriorYear
Total Revenue Current Year10961087TotalRevenueCurrentYear
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 Year7018635SalariesEtcPriorYear
Salaries Etc Current Year6842259SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year26800TotalFundrsngExpCurrentYear
Other Expense Prior Year3487989OtherExpensePriorYear
Other Expenses Current Year3729325OtherExpensesCurrentYear
Total Expenses Prior Year10506624TotalExpensesPriorYear
Total Expenses Current Year10571584TotalExpensesCurrentYear
Revenues Less Expenses Prior Year325252RevenuesLessExpensesPriorYear
Revenues Less Expenses CY389503RevenuesLessExpensesCY
Total Assets BOY16227226TotalAssetsBOY
Total Assets EOY17610450TotalAssetsEOY
Total Liabilities BOY5344522TotalLiabilitiesBOY
Total Liabilities EOY5810643TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10882704NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11799807NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE ARE COMMITTED TO ENHANCING THE LIVES OF SENIORS THROUGH CARING QUALITY SERVICES. WE ARE A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) WITH INDEPENDENT LIVING SERVICES, ASSISTED LIVING SERVICES, AND NURSING SERVICES. THE ORGANIZATION HAS 35 INDEPENDENT LIVING COTTAGES, 26 INDEPENDENT LIVING APARTMENTS, 32 ASSISTED LIVING BEDS, AND A 97 BED SKILLED NURSING FACILITY LOCATED IN BOONSBORO, MARYLAND.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5143534Expense
Revenue8265654Revenue
DescriptionNURSING SERVICES TO PRIVATE PAY, MEDICARE, AND MEDICAID RESIDENTSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense669665Expense
Revenue1564864Revenue
DescriptionASSISTED LIVING SERVICESDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense356767Expense
Revenue707682Revenue
DescriptionINDEPENDENT LIVING SERVICESDescription

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense3341915Expense
Revenue125701Revenue
DescriptionALL OTHER SERVICES INCLUDE EXECUTIVE MANAGEMENT SERVICES, BUSINESS SUPPORT SERVICES, OTHER PATIENT CARE EXPENSES, DIETARY SERVICES, AND PROPERTY SERVICES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp3341915TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev125701TotalOfOtherProgramServiceRev
Total Program Service Expense9511881TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109632NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees255NumberOfEmployees
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 Members11NumberIndependentVotingMembers
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 Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1WAYNE STOUFFERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3017336284TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18507 MAPLEVILLE ROADAddressLine1
CityBOONSBOROCity
StateMDState
ZIP Code21713ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
EDWARD BREWER
CHAIRMAN2.00XX000
RACHEL BLACK
VICE CHAIRMAN2.00XX000
KEITH BRYAN
CEO40.00XX6665000
LINDA JACOBY
DIRECTOR2.00X000
JOSEPH DAHMS
DIRECTOR2.00X000
KAREN KILEY
DIRECTOR2.00X000
DAVID MCGAHA
DIRECTOR2.00X000
PAUL REID
DIRECTOR2.00X000
CHARLES WILES
DIRECTOR2.00X000
ELLEN CATLETT
DIRECTOR2.00X000
WILLIAM WANTZ
DIRECTOR2.00X000
JAY SHELL
PRESIDENT/CEO, TREASURER40.00X103470615
MICHAEL LEITER
SECRETARY, DIRECTOR OF MAR40.00X5667006216
WAYNE STOUFFER
CFO40.00X525540723
FieldValueIRS element (for citing)
Total Reportable Comp From Org186221TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation7554TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CIGNAGREAT-WEST HEALTHCARE
900 COTTAGE GROVE ROADBLOOMFIELDCT06002HEALTH INSURANCE956928
SNYDER ENVIRONMENTAL SERVICES INC
270 INDUSTRIAL BLVDKEARNEYSVILLEWV25430WATER TREATMENT CONTRACTOR636484
CURA HOSPITALITY
2970 CORPORATE COURT SUITE 5OREFIELDPA18069CONTRACTED DIETARY SERVICES425868
FLAGSHIP REHAB SERVICES
157 BALTIMORE STREET SUITE 102CUMBERLANDMD21502SKILLED NURSING REHABILITATION SERVICES311735
CULINARY SERVICES GROUP LLC
15 E MAIN STREET SUITE 224WESTMINSTERMD21157FOOD SERVICE MANAGEMENT309663
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions264986AllOtherContributions
Total Contributions264986TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE62300098305189830518
AMORTIZATION OF ENTRAN623000500762500762
INDEPENDENT LIVING623000206920206920
MISCELLANEOUS PROGRAM623000125701125701
FieldValueIRS element (for citing)
Total Program Service Revenue10663901TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column30858TotalRevenueColumn
Exclusion$30,858ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other4998Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-4998Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-4998TotalRevenueColumn
Exclusion-$4,998ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events10440GrossIncomeFundraisingEvents
Fundraising Direct Expenses4100FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column6340TotalRevenueColumn
Exclusion$6,340ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10961087TotalRevenueColumn
Related Or Exempt Function Income10663901RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$32,200ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total193775Total
Program Services4884ProgramServices
Management And General188891ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5282273Total
Program Services4808865ProgramServices
Management And General447491ManagementAndGeneral
Fundraising25917Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7839Total
Program Services6457ProgramServices
Management And General1382ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total963376Total
Program Services872973ProgramServices
Management And General90403ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total394996Total
Program Services351132ProgramServices
Management And General42981ManagementAndGeneral
Fundraising883Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total45620Total
Program Services45620ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total-12133Total
Program Services-12132ProgramServices
Management And General-1ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total34300Total
Management And General34300ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total959740Total
Program Services911705ProgramServices
Management And General48035ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total33359Total
Program Services1161ProgramServices
Management And General32198ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total435667Total
Program Services405475ProgramServices
Management And General30192ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total45344Total
Management And General45344ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total566952Total
Program Services546815ProgramServices
Management And General20137ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total120341Total
Program Services112902ProgramServices
Management And General7439ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5056Total
Program Services3967ProgramServices
Management And General1089ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3646Total
Program Services3436ProgramServices
Management And General210ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total472262Total
Program Services452154ProgramServices
Management And General20108ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total81659Total
Program Services77560ProgramServices
Management And General4099ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD COSTS292072292072
REPAIRS & MAINTENANCE2660362580547982
BAD DEBTS211728211728
PRESCRIPTION DRUGS107295107295
OVER THE COUNTER DRUGS3862738627

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total21754Total
Program Services11131ProgramServices
Management And General10623ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10571584Total
Program Services9511881ProgramServices
Management And General1032903ManagementAndGeneral
Fundraising26800Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY64479BOY
EOY6195EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2060485BOY
EOY2192187EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY745415BOY
EOY957628EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY95541BOY
EOY138682EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis16260060LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9226117LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6573432BOY
EOY7033943EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY402295BOY
EOY706215EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY259872BOY
EOY49964EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6025707BOY
EOY6525636EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16227226BOY
EOY17610450EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY554080BOY
EOY583654EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2914232BOY
EOY2972520EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1748593BOY
EOY2185797EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY127617BOY
EOY68672EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5344522BOY
EOY5810643EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4732862BOY
EOY5216377EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6149842BOY
EOY6583430EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10882704BOY
EOY11799807EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16227226BOY
EOY17610450EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses389503ReconcilationRevenueExpenses
Reconcilation Other Changes527600ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years235250CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years589160CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years230779CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year253091CurrentTaxYearMinus1Year
Current Tax Year264986CurrentTaxYear
Total1573266Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9371558CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9859278CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10376080CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10521938CurrentTaxYearMinus1Year
Current Tax Year10674341CurrentTaxYear
Total50803195Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9606808CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10448438CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10606859CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10775029CurrentTaxYearMinus1Year
Current Tax Year10939327CurrentTaxYear
Total52376461Total

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 Total50952376461PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years96169CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years142286CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years108130CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year61177CurrentTaxYearMinus1Year
Current Tax Year30858CurrentTaxYear
Total438620Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years96169CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years142286CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years108130CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year61177CurrentTaxYearMinus1Year
Current Tax Year30858CurrentTaxYear
Total438620Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years70158CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years97062CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years136479CurrentTaxYearMinus2Years
Total303699Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9773135CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10687786CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10851468CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10836206CurrentTaxYearMinus1Year
Current Tax Year10970185CurrentTaxYear
Total53118780Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98600PublicSupportPercentage509
Prior Year Support Percentage0.97970PriorYearSupportPercentage
Investment Income Percentage0.00830InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00960PriorYrInvestIncomePercentage
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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance662167BeginningOfYearBalance
Investment Earnings Or Losses94012InvestmentEarningsOrLosses
End Of Year Balance756179EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance510455BeginningOfYearBalance
Investment Earnings Or Losses165112InvestmentEarningsOrLosses
Other Expenditures13400OtherExpenditures
End Of Year Balance662167EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance833894BeginningOfYearBalance
Investment Earnings Or Losses-252115InvestmentEarningsOrLosses
Other Expenditures71324OtherExpenditures
End Of Year Balance510455EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10284OtherCostOrOtherBasis
Book Value10284BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13781541OtherCostOrOtherBasis
Depreciation7166978Depreciation
Book Value6614563BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1627410OtherCostOrOtherBasis
Depreciation1408067Depreciation
Book Value219343BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis840825OtherCostOrOtherBasis
Depreciation651072Depreciation
Book Value189753BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7033943TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
BENEFICIAL INTEREST IN TRUSTS5583430
OPERATING RESERVE901147
DEFERRED COSTS, NET41059
FieldValueIRS element (for citing)
Total Book Value Other Assets6525636TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionESTIMATED UNREPORTED CLAIMSDescription
Amount$68,672Amount
FieldValueIRS element (for citing)
Total Of Amounts68672TotalOfAmounts
Total Revenue10961087TotalRevenue
Total Expenses10571584TotalExpenses
Excess Or Deficit For Year389503ExcessOrDeficitForYear
Net Unrealized GL On Investments527600NetUnrealizedGLOnInvestments
Total Adjustments527600TotalAdjustments
Excess Or Deficit Per FS917103ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11492787TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments527600NetUnrealizedGainsInvestments
Other Revenues4100OtherRevenues
Revenue Not Rptd F990531700RevenueNotRptdF990
Revenue Subtotal10961087RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99010961087TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10575684TotExpensesEtcAuditedFinclStmt
Other Expenses Included4100OtherExpensesIncluded
Expenses Not Rptd F9904100ExpensesNotRptdF990
Expenses Subtotal10571584ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010571584TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:PROCEEDS FROM THE TRUST ARE TO BE USED ONLY FOR MAINTENANCE OF THE FACILITY.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE HOME IS EXEMPT FROM FEDERAL INCOME TAXES UNDER IRC SECTION 501(C)(3). ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THESE FINANCIAL STATEMENTS. INCOME WHICH IS NOT RELATED TO EXEMPT PURPOSES, LESS APPLICABLE DEDUCTIONS, IS SUBJECT TO FEDERAL AND STATE CORPORATE INCOME TAXES. THE HOME HAD NO NET UNRELATED BUSINESS INCOME FOR THE YEARS ENDED DECEMBER 31, 2010 AND 2009. THE HOME FOLLOWS THE FASB ACCOUNTING STANDARDS CODIFICATION, WHICH PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTERPRISE'S FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2010, THE HOME HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. GENERALLY, THE TAX YEARS BEFORE 2007 ARE NO LONGER SUBJECT TO EXAMINATION BY FEDERAL, STATE OR LOCAL TAXING AUTHORITIES.
PART XII, LINE 2D - OTHER ADJUSTMENTS:DIRECT FUNDRAISING EXPENSE REPORTED ON PART VIII, LINE 8B 4,100.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:DIRECT FUNDRAISING EXPENSE REPORTED ON PART VIII, LINE 8B 4,100.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE BOARD MEETS SEMI-MONTHLY AND THE 990 INFORMATION IS PROVIDED AT THEIR NEXT MEETING AFTER THE 990 IS RECEIVED.
THE COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS AND SUBMITTED IN A LETTER BY THE PRESIDENT OF THE BOARD OF DIRECTORS TO THE ACCOUNTING DEPARTMNET.FORM 990, PART VI, SECTION B, LINE 15A
DOCUMENTS FOR PUBLIC INSPECTION ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 18
THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION IN THE ACCOUNTING OFFICE AND THE CEO'S OFFICE.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 527,600.FORM 990, PART XI, LINE 5:
UNCHANGED FROM PRIOR YEARS, THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT IS THE RESPONSIBILITY OF THE DIRECTOR OF ACCOUNTING, THE ASSISTANT DIRECTOR OF ACCOUNTING, AND THE SENIOR DIRECTOR OF ADMINISTRATIVE SERVICES.FORM 990, PART XI, LINE 2C, OVERSIGHT OF AUDIT: