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
LOURDES-NOREEN MCKEEN RESIDENCE FOR GERIATRIC CARE INC
Employer identification number
59-0879342
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.") ....
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..
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.
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..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
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..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
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
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
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.") .
171,624
388,295
4,310,544
3,632,569
3,413,185
11,916,217
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......
16,049,410
15,579,525
11,472,212
11,804,546
13,304,380
68,210,073
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.
16,221,034
15,967,820
15,782,756
15,437,115
16,717,565
80,126,290
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
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.
0
c
Add lines 7a and 7b..
0
8
Public Support (Subtract line 7c from line 6.)
80,126,290
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...
16,221,034
15,967,820
15,782,756
15,437,115
16,717,565
80,126,290
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
537,290
711,797
5,618,130
5,568,412
6,309,740
18,745,369
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
537,290
711,797
5,618,130
5,568,412
6,309,740
18,745,369
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.)
374,393
772,292
520,759
1,667,444
13
Total support (Add lines 9, 10c, 11 and 12.).
16,758,324
16,679,617
21,775,279
21,777,819
23,548,064
100,539,103
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
79.700 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
84.970 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18.640 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
13.810 %
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
Explanation
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
LOURDES-NOREEN MCKEEN RESIDENCE FOR GERIATRIC CARE INC
Employer identification number
59-0879342
Identifier
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 2
JAMES J. DALY, ESQ., A MEMBER OF THE BOARD OF DIRECTORS, IS THE FATHER OF FELLOW BOARD-MEMBER, BETH DALY.
FORM 990, PART VI, SECTION A, LINE 6
THERE ARE FIVE MEMBERS OF THE CORPORATION THAT INCLUDE THE OFFICES OF THE SUPERIOR GENERAL AND FOUR MEMBERS OF THE GENERAL COUNCIL OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM.
FORM 990, PART VI, SECTION A, LINE 7A
THE CORPORATE MEMBERS RETAIN THE RIGHT TO APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11
FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW. THE FINANCE COMMITTEE REPORTS TO THE BOARD OF DIRECTORS REGARDING THE REVIEW, AND A COPY OF FORM 990 IS PROVIDED TO THE BOARD BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. EACH OFFICER, DIRECTOR AND KEY EMPLOYEE SIGNS AN ANNUAL STATEMENT INDICATING THAT THEY COMPLY WITH THE SIGNED STATEMENTS ON AN ANNUAL BASIS. THE ORGANIZATION'S BOARD OF DIRECTORS MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS ACTUAL CONFLICTS AND PROHIBITS OFFICERS AND DIRECTORS FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS OF INTEREST EXIST.
FORM 990, PART VI, SECTION B, LINE 15
COMPENSATION OF TOP MANAGEMENT IS DETERMINED BY THE COMPENSATION COMMITTEE USING INFORMATION FROM COMPENSATION STUDY PREPARED BY INDEPENDENT CONSULTANT. THE COMPENSATION COMMITTEE MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS, WHICH MAKES THE ULTIMATE DECISION REGARDING COMPENSATION. ALL MEMBERS OF THE EXECUTIVE AND COMPENSATION COMMITTEES ARE INDEPENDENT WITH RESPECT TO THE COMPENSATION ARRANGEMENTS BEING REVIEWED AND APPROVED AND THE PROCESS IS DOCUMENTED IN THE MINUTES.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE ORGANIZATION'S FORM 990 IS AVAILABLE TO THE PUBLIC ON GUIDESTAR'S WEBSITE.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED GAINS ON INVESTMENTS: 1,622,628. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 116,264. PENSION RELATED CHANGES OTHER THAN NET PERIODIC COSTS 47,650. TOTAL TO FORM 990, PART XI, LINE 5: 1,786,542.
FORM 990, PART XII, LINE 2C: OVERSIGHT OF THE AUDIT
THE BOARD OF DIRECTORS IS RESPONSIBLE FOR SELECTION, MONITORING, AND EVALUATION OF AN INDEPENDENT AUDIT FIRM AND OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR.
FORM 990, PART III, LINE 1: ORGANIZATION'S MISSION
THE MISSION OF LOURDES-NOREEN MCKEEN RESIDENCE IS BASED ON THAT OF THE ORDER OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM. THE CARMELITE SISTERS FOR THE AGED AND INFIRM, AS WOMEN OF THE CATHOLIC CHURCH, INSPIRED BY MOTHER M. ANGELINE TERESA, FOUNDRESS OF THEIR ORDER, RESPOND WITH FAITH, COURAGE AND LOVE TO THE HEALING MINISTRY OF CHRIST. THEIR PHILOSOPHY IS BEST EXPRESSED IN THE WORDS OF MOTHER ANGELINE: "OUR APOSTOLATE IS NOT ONLY TO STAFF AND OPERATE UP-TO-DATE HOMES FOR THE AGED, BUT AS RELIGIOUS IT IS TO BRING CHRIST TO EVERY PERSON UNDER OUR CARE. BRINGING CHRIST MEANS GIVING THEM HIS COMPASSION, HIS INTEREST, HIS LOVING CARE, HIS WARMTH MORNING, NOON AND NIGHT. IT MEANS INSPIRING THE LAY PEOPLE WHO WORK WITH US TO GIVE THE SAME TYPE OF LOVING CARE." THE MISSION OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM IS REFLECTED IN THE PHILOSOPHY OF CARE INHERENT IN ALL POLICIES AND PRACTICES WITHIN LOURDES-NOREEN MCKEEN RESIDENCE, THEREBY CHARGING THE ADMINISTRATION, BOARDS OF DIRECTORS, AND MEDICAL STAFF WITH PROMOTING THE CHRISTIAN MISSION OF HEALING AND CARE.
FORM 990, PART VII: COMPENSATION - SISTER MARY ANNE DENNEHY
SISTER MARY ANNE DENNEHY, AS A MEMBER OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM, INC. HAS TAKEN A VOW OF POVERTY. THE COMPENSATION ESTABLISHED FOR THE SISTER ON BEHALF OF SERVICES PROVIDED TO THE FACILITY IS PAID DIRECTLY TO THE CARMELITE SISTERS FOR THE AGED AND INFIRM, INC. RATHER THAN TO THE INDIVIDUAL SISTER.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.