Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ALEXANDER MILNE HOME FOR WOMEN
Employer identification number
72-0261790
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
222,997
27,456
3,815
4,060
67
258,395
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
222,997
27,456
3,815
4,060
67
258,395
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
258,395
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
222,997
27,456
3,815
4,060
67
258,395
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
1,239,525
656,672
485,321
609,934
616,419
3,607,871
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
7,486
8,954
16,440
11
Total support (Add lines 7 through 10).
3,882,706
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
3,694,362
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
6.660 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
18.960 %
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
THE ALEXANDER MILNE HOME MET THE 10% FACTS AND CIRCUMSTANCES TEST IN 2009 BASED ON THE FOLLOWING INFORMATION. THE ORGANIZATION IN 2005 WAS LICENSED AS AN ADULT RESIDENTIAL SHELTER CARE HOME. THE LICENSE NUMBER WAS, LA2081, WITH AN EXPIRATION DATE OF SEPTEMBER 30, 2006. CONTRIBUTIONS TO THE HOME CAME FROM THREE PRIMARY SOURCES 1. CONTRIBUTIONS FROM THE RESIDENTS OF THE HOME IN THE FORM OF SOCIAL SECURITY, OR SSI RECEIVED BY THE RESIDENTS AND TURNED OVER TO THE HOME. 2. CONTRIBUTIONS FROM THE GUARDIANS OR FAMILY OF THE RESIDENTS IN THE FORM OF TUITION PAYMENTS.3. CONTRIBUTIONS FROM THE LOUISIANAN DEPARTMENT OF SOCIAL SERVICES AS A FIXED DAILY AMOUNT PER RESIDENT.THE CONTRIBUTIONS FROM THE LOUISIANA DEPARTMENT OF SOCIAL SERVICES AMOUNTED TO NEARLY FIFTY PERCENT OF THE TOTAL OF ALL THE CONTRIBUTIONS COMBINED. THE TOTAL CONTRIBUTIONS BEFORE AND UP TO AUGUST 2005 WERE SUFFICIENT AMOUNTS TO SATISFY THE PUBLIC SUPPORT TEST FOR ORGANIZATIONS EXEMPT UNDER SECTION 170(B)(1)(A)(VI) RULE FOR A 501(C)(3).ON AUGUST 27TH 2005 HURRICANE KATRINA, FORCED THE RESIDENTS AND STAFF TO EVACUATE THE FACILITY AT 1913 GENTILLY BLVD. NEW ORLEANS LA. AND SEEK REFUGE AT THE GLADE BAPTIST CHURCH IN LAUREL MISSISSIPPI. THE GENTILLY FACILITY WAS DECIMATED BY THE HURRICANE, FORCING THE RESIDENTS SHELTERING IN LAUREL TO REMAIN IN THE SHELTER AS REFUGEES FOR THE NEXT NINE MONTHS.THE CONDITIONS OF THE INFRASTRUCTURE AND SUPPORT SERVICES IN THE NEW ORLEANS AREA, MADE IT IMPOSSIBLE TO LOCATE A SUITABLE FACILITY IN THE NEW ORLEANS AREA TO SERVE AS A TEMPORARY FACILITY. A TEMPORARY FACILITY IN THE LAUREL AREA WAS LOCATED AND RENOVATED TO SUIT THE BASIC NEEDS OF THE RESIDENTS, ALTHOUGH IT DID NOT MEET THE LONG TERM NEEDS OF THE RESIDENTS AND RETURNING TO THE GREATER NEW ORLEANS AREA WAS THE LONG TERM PLAN.ON JULY 6TH 2006 THE LOUISIANA DEPARTMENT OF SOCIAL SERVICES DISCONTINUED ANY FORM OF SUPPORT TO RESIDENTS OF THE HOME BECAUSE THE RESIDENTS WERE NOW LOCATED IN MISSISSIPPI. NEGOTIATIONS WITH THE STATE OF LOUISIANA DEPARTMENT OF SOCIAL SERVICES AND DEPARTMENT OF HEALTH AND HOSPITALS FURTHER REVEALED THE STATE WAS UNWILLING TO PROVIDE ANY SUPPORT TO THESE REFUGEES SHOULD THEY RETURN TO LOUISIANA.IN MISSISSIPPI THE TEMPORARY FACILITY LOCATED AT 616 E 19TH STREET LAUREL, MS WAS ORIGINALLY LICENSED AS A RESIDENTIAL LIVING FACILITY. IN MISSISSIPPI NO FEDERAL OR STATE FUNDING SOURCES ARE AVAILABLE FOR THE SUPPORT OF A FACILITY LICENSED AS A RESIDENTIAL LIVING FACILITY.THE OPERATIONAL COST OF THE FACILITY INCREASED AS A RESULT OF THE MOVE TO MISSISSIPPI AND THIS, COUPLED WITH NO FUNDING SOURCE FROM LOUISIANA OR MISSISSIPPI, CAUSED THE FACILITIES' CONTRIBUTIONS TO FALL BELOW THE AMOUNT REQUIRED TO MEET THE PUBLIC SUPPORT TEST. THIS ALSO PUT AN EXCESSIVE BURDEN ON THE CORPORATION'S ABILITY TO SUSTAIN OPERATIONS IN THE LONG TERM.ALL OF THE WOMEN FOR WHOM THE ALEXANDER MILNE HOME PROVIDES CARE ARE DEVELOPMENTALLY DISABLED AND THEREFORE ENTITLED TO BENEFITS UNDER TITLE XVIII OF THE SOCIAL SECURITY ACT, IF THE CARE IS PROVIDED IN A FACILITY LICENSED AS AN INTERMEDIATE CARE FACILITY FOR THE MENTALLY RETARDED / DEVELOPMENTALLY DISABLED (ICF/MRDD).THIS FUNDING IS MANAGED THROUGH EACH STATE'S MEDICAID PROGRAM AND EACH STATE USES A DIFFERENT FUNDING MECHANISM.THE CORPORATION BEGAN TO PURSUE LICENSURE AS AN ICF/MRDD IN MISSISSIPPI AND CONTINUED TO NEGOTIATE WITH LOUISIANA TO BECOME AN ICF/MRDD UPON ITS RETURN TO LOUISIANA.IN MISSISSIPPI THE DEPARTMENT OF LICENSURE AND CERTIFICATION IS PROHIBITED FROM ISSUING A CERTIFICATE OF NEED (CON) BY A LEGISLATIVE MORATORIUM. THEREFORE LEGISLATIVE HOUSE AND SENATE BILLS WERE INTRODUCED IN THE 2009 MISSISSIPPI LEGISLATIVE REGULAR SESSION REQUESTING A CON. THE BILL DIED IN THE SENATE APPROPRIATIONS COMMITTEE LATE IN THE SESSION, BUT GATHERED CONSIDERABLE SUPPORT AMONG THE LEGISLATORS. IN THE 2010 MISSISSIPPI LEGISLATIVE SESSION A SIMILAR BILL PREVAILED AND WAS SIGNED BY THE GOVERNOR ON APRIL 8TH 2010 WITH AN EFFECTIVE DATE OF JULY 1, 2010. THE FACILITY PASSED ITS LICENSURE AND CERTIFICATION SURVEY ON SEPTEMBER 3RD 2010 AND WILL BE ABLE TO BILL FOR REVENUE WITH AN EFFECTIVE DATE OF AUGUST 10TH 2010. THIS ANTICIPATED REVENUE WILL FAR EXCEED THE AMOUNT REQUIRED TO MEET THE PUBLIC SUPPORT TEST. CURRENTLY WE ANTICIPATE RECEIVING $464,380 FOR THE PERIOD AUGUST 10, 2010 THROUGH SEPTEMBER 13, 2010. WE FURTHER ANTICIPATE $355,467.60 AVERAGE PER MONTH FOR THE REMAINDER OF OUR STAY IN MISSISSIPPI.IN LOUISIANA NEGOTIATIONS HAVE CONCLUDED AND A MEMORANDA OF UNDERSTATING (MOU) WAS SIGNED BY MR. TONY KECK, ACTING SECRETARY OF THE LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS ON AUGUST 2ND 2010. THIS MOU PROVIDES CONDITIONS FOR THE LICENSURE OF THE MILNE HOME, IN LOUISIANA, WHEN CONSTRUCTED, AS AN ICF/MRDD AND PROVIDES FOR PARTICIPATION IN THE LOUISIANA MEDICAID PROGRAM. THE ANTICIPATED REVENUE WILL ALSO FAR EXCEED THE AMOUNT REQUIRED TO MEET THE PUBLIC SUPPORT TEST AND WILL BEGIN UPON OUR RETURN TO LOUISIANA.
Explanation
SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME INSURANCE PROCEEDS
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ALEXANDER MILNE HOME FOR WOMEN
Employer identification number
72-0261790
Identifier
Return Reference
Explanation
CHANGES IN PROGRAM SERVICES
FORM 990, PART III, LINE 3
ON OCTOBER 1, 2010, THE ORGANIZATION BECAME LICENSED AS AN ICF/MR (INTERMEDIATE CARE FACILITY FOR THE MENTALLY RETARDED), WHICH PROVIDES ADULT EDUCATION, DEVELOPMENTAL TRAINING AND MEDICAL CARE IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS, AND, IN ADDITION, CERTIFIES THE ORGANIZATION TO PARTICIPATE IN THE FEDERAL MEDICAID PROGRAM.
FORM 990, PART VI, SECTION A, LINE 2
MS. ROGER CLAY AND MS. CREEVEY CLAY ARE SISTERS. NEITHER SISTER IS COMPENSATED IN ANY WAY BY THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11
A DRAFT OF THE ORGANIZATION'S FORM 990 WILL BE PRESENTED AT A MONTHLY BOARD OF DIRECTORS MEETING. DURING THIS MEETING THE TAX RETURN WILL BE REVIEWED AND DISCUSSED FOR ACCURACY AND COMPLETENESS.
FORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION HAS A ZERO-TOLERANCE POLICY REGARDING CONFLICT OF INTEREST PERTAINING TO IT'S BOARD MEMBERS. CONFLICTS OF INTEREST ARE CONSIDERED BEFORE EACH VOTE BY THE BOARD OF DIRECTORS. THE ORGANIZATION REVIEWS ALL CONTRACTS FOR POSSIBLE CONFLICTS AND RELATIVES OF BOARD MEMBERS ARE NOT ELIGIBLE FOR EMPLOYMENT WITH THE ORGANIZATION. ADDITIONALLY, BOARD MEMBERS ARE REQUIRED TO REPORT ANY CONFLICTS AS THEY OCCUR.
FORM 990, PART VI, SECTION B, LINE 15
A COMMITTEE MEETS ANNUALLY TO REVIEW CURRENT SALARIES AND EVALUATE JOB PERFORMANCE. THE COMMITTEE MAKES RECOMMENDATIONS FOR RAISES IN COMPENSATION BASED ON THOSE CRITERIA, WHILE ALSO TAKING INTO CONSIDERATION THE ORGANIZATION'S FINANCIAL SITUATION. DURING THIS ANNUAL MEETING THE COMMITTEE ALSO CONSIDERS BONUSES. THE ORGANIZATION RELIES ON COMPARABLE DATA TO DETERMINE THE AMOUNT OF COMPENSATION, AND DOCUMENTATION IS MAINTAINED REGARDING THE DETERMINATION OF THESE AMOUNTS. THOSE RESPONSIBLE FOR DETERMINING COMPENSATION ARE INDEPENDENT OF THOSE BEING COMPENSATED.
FORM 990, PART VI, SECTION C, LINE 19
THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS ARE ALSO AVAILABLE FOR PUBLIC VIEWING AT THE HOME.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED GAINS ON INVESTMENTS: 6,353,263. PRIOR PERIOD ADJUSTMENTS: 2,505,866. TOTAL TO FORM 990, PART XI, LINE 5: 8,859,129.
CHANGE IN BASIS OF ACCOUNTING
FORM 990, PART XII, LINE 1:
IN PREVIOUS YEARS, THE ORGANIZATION PREPARED ITS FINANCIAL STATEMENTS USING THE MODIFIED CASH BASIS OF ACCOUNTING. IN 2010, THE ORGANIZATION ADOPTED U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AS THE BASIS OF ACCOUNTING FOR ITS FINANCIAL STATEMENTS. UNDER THAT NEW BASIS OF ACCOUNTING, REVENUES AND GAINS ARE RECOGNIZED WHEN EARNED, AND EXPENSES AND LOSSES ARE RECOGNIZED WHEN INCURRED. AS A RESULT OF THE DIFFERENCES BETWEEN U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AND THE MODIFIED CASH BASIS, NET ASSETS AT THE BEGINNING OF 2010 ARE APPROXIMATELY $2,506,000 MORE THAN WOULD HAVE BEEN REPORTED USING THE MODIFIED CASH BASIS.
FORM 990, PART XI, LINE 2C:
THE ORGANIZATION'S COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR HAS NOT CHANGED FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.