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
The Sarah Community
Employer identification number
43-1784657
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.") .
38,923
34,606
142,373
17,903
11,128
244,933
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......
12,160,243
12,468,737
12,645,358
13,140,953
13,499,172
63,914,463
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.
12,199,166
12,503,343
12,787,731
13,158,856
13,510,300
64,159,396
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.)
64,159,396
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...
12,199,166
12,503,343
12,787,731
13,158,856
13,510,300
64,159,396
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
395,271
456,342
443,001
463,957
446,331
2,204,902
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
395,271
456,342
443,001
463,957
446,331
2,204,902
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.)
68,762
73,515
73,562
82,381
93,944
392,164
13
Total support (Add lines 9, 10c, 11 and 12.).
12,663,199
13,033,200
13,304,294
13,705,194
14,050,575
66,756,462
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
96.110 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
96.226 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
3.303 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
3.217 %
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
The Sarah Community
Employer identification number
43-1784657
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
PART I, LINE 1 & PART III, LINE 1
THE SARAH COMMUNITY, THROUGH THE COLLABORATION OF FIVE CATHOLIC RELIGIOUS CONGREGATIONS OF WOMEN, PROVIDES QUALITY SERVICE FOR THE LONG-TERM CARE AND RETIREMENT NEEDS OF THEIR MEMBERS AND THE GENERAL PUBLIC WITH RESPECT, COMPASSION AND A SPIRIT OF WELCOMING HOSPITALITY.
DELEGATION OF CONTROL OVER MANAGEMENT DUTIES
PART VI, SECTION A, LINE 3
ST. ANDREWS MANAGEMENT SERVICES, INC. IS RESPONSIBLE FOR BOTH ADMINISTRATIVE AND OPERATIONAL LEADERSHIP OF THIS FACILITY. ALL EMPLOYEES ARE EMPLOYEES OF THE SARAH COMMUNITY, EXCEPT FOR THREE MANAGEMENT POSITIONS THAT INCLUDE EXECUTIVE DIRECTOR, THE ILU/ALU ADMINISTRATOR, AND THE SNF ADMINISTRATOR.
MEMBER CLASS AND NATURE OF MEMBER RIGHTS
PART VI, SECTION A, LINE 7A
ONLY ONE CLASS OF MEMBERS EXISTS. THE INITIAL MEMBERS ARE PERSONS WHO OCCUPY THE CERTAIN POSITIONS OF THE DAUGHTERS OF CHARITY AND OF THE FRANCISCAN SISTERS OF MARY. ADDITIONAL MEMBERS WHO ARE MEMBERS OF THE ELECTED LEADERSHIP OF RELIGIOUS INSTITUTIONS OF THE ROMAN CATHOLIC CHURCH MAY BE ADDED WITH THE APPROVAL OF THE MEMBERS. MEMBERS MAY RESIGN AT ANY TIME UPON WRITTEN NOTICE TO THE ORGANIZATION AT IS REGISTERED OFFICE. EACH MEMBER IS ENTITLED TO ONE VOTE ON EACH MATTER SUBMITTED TO A VOTE OF THE MEMBERS.
MEMBER DECISIONS AND VOTING RIGHTS
PART VI, SECTION A, LINE 7B
THE FOLLOWING ARE THE POWERS RESERVED TO MEMBERS: o TO DETERMINE AND MAINTAIN THE PHILOSOPHY AND IDENTITY OF THE ORGANIZATION; o APPOINTMENT AND REMOVAL OF DIRECTORS OF THE ORGANIZATION, EXCEPT THOSE THAT SERVE EX OFFICIO; o APPROVAL OF AMENDMENTS TO THE ARTICLES OF INCORPORATION; o AMENDMENT OF THE BYLAWS AND APPROVAL OF AMENDMENT TO THE BYLAWS; o APPROVAL OF ANY BORROWING AND GUARANTIES BY THE ORGANIZATION IN ACCORDANCE WITH POLICIES WHICH MAY BE ESTABLISHED BY THE MEMBERS; o APPROVAL OF THE PURCHASE OR SALE OR OTHER ACQUISITION, DISPOSITION OR TRANSFER OF REAL ESTATE, INCLUDING ANY INTEREST THEREIN, BY THE ORGANIZATION, EXCEPT FOR REAL ESTATE RECEIVED AS A BEQUEST OR DONATION AND NOT USED IN THE CHARITABLE ACTIVITIES OF THE ORGANIZATION AND WITH OTHER EXCEPTIONS WHICH MAY BE ESTABLISHED BY THE MEMBERS; o TO INITIATE AND/OR APPROVE ANY MERGER, CONSOLIDATION, ORGANIZATION OR DISSOLUTION OF THE ORGANIZATION; o TO APPROVE THE SALE, TRANSFER OR OTHER DISPOSITION OF THE VOTING STOCK OF THE ORGANIZATION IF BEFORE THE DISPOSITION THE OGANIZATION OWNED A MAJORITY OF THE VOTING STOCK OF THE OGANIZATION AND AFTER SUCH DISPOSITION THE ORGANIZATION SHOULD NOT OWN A MAJORITY OF THE VOTING STOCK OF THE ORGANIZATION, IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBERS FROM TIME TO TIME; AND o TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED ARE TO BE EXERCISED WITH RESPECT TO ANY STOCK CORPORATIONS OF THE ORGANIZATION OR ANY NON-STOCK CORPORATION OF WHICH THE MEMBER IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBERS FROM TIME TO TIME.
PROCESS USED TO REVIEW FORM 990
PART VI, SECTION B, LINE 11
THE DRAFT FORM 990 IS REVIEWED BY THE MANAGEMENT COMPANY FOR ACCURACY AND MADE AVAILABLE TO THE ENTIRE BOARD. THE FINAL FORM 990 IS MAILED TO THE ASSISTANT TREASURER OF THE BOARD FOR REVIEW AND SIGNATURE.
MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY
PART VI, SECTION B, LINE 12C
AN ANNUAL CONFLICT OF INTEREST DISCLOSURE IS FILLED OUT BY EACH BOARD MEMBER, SUBMITTED AND REVIEWED BY THE ENTIRE BOARD. THE MEMEBER IS THEN EXCLUDED IN ANY VOTING FOR APPLICABLE SUBJECT AREAS.
PROCESS OF DETERMINING EXECUTIVE DIRECTOR COMPENSATION
PART VI, SECTION B, LINE 15A
THE EXECUTIVE DIRECTOR AND TWO OTHER ADMINISTRATORS ARE EMPLOYEES OF THE MANAGEMENT COMPANY. SALARY REVIEWS OCCUR ANNUALLY AND ARE APPROVED BY THE BOARD.
PROCESS OF DETERMINING OFFICER AND/OR KEY EMPLOYEE COMPENSATION
PART VI, SECTION B, LINE 15B
SALARIES ARE REVIEWED ANNUALLY DURING THE BUDGET PROCESS BY THE EXECUTIVE DIRECTOR AND MANAGEMENT COMPANY'S ACCOUNTING AND OPERATIONS PERSONNEL. DURING THIS REVIEW, SALARY RANGES FOR ALL POSITIONS ARE COMPARED WITH SURROUNDING FACILITIES. THE BUDGET IS REVIEWED AND APPROVED ANNUALLY BY THE BOARD.
PUBLIC AVAILABILITY OF CERTAIN DOCUMENTS AND POLICIES
PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST BY MAILING A COPY TO THE PERSON MAKING THE REQUEST.
OTHER CHANGES IN NET ASSETS
PART XI, LINE 5
OTHER CHANGES IN NET ASSETS INCLUDE UNREALIZED GAINS AND LOSSES ON INVESTMENTS OF THE ORGANIZATION.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.