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
2012
Open to Public Inspection
Name of the organization
RONALD MCDONALD HOUSE CHARITIES OF THE SOUTHWEST INC
Employer identification number
75-1915179
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 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 monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
542,746
639,792
907,295
1,272,382
955,858
4,318,073
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
542,746
639,792
907,295
1,272,382
955,858
4,318,073
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)..
506,841
6
Public support. Subtract line 5 from line 4.
3,811,232
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
542,746
639,792
907,295
1,272,382
955,858
4,318,073
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
80,997
63,990
61,860
63,183
68,360
338,390
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
2,008
33,276
37,316
72,600
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
32,516
46,760
62,631
83,959
116,310
342,176
11
Total support (Add lines 7 through 10).
5,071,239
12
Gross receipts from related activities, etc. (see instructions)
..................
12
124,000
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 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
75.150 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
83.950 %
16a
33 1/3% support test—2012.
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—2011.
If the organization did not check a 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—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012
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
2012
Open to Public Inspection
Name of the organization
RONALD MCDONALD HOUSE CHARITIES OF THE SOUTHWEST INC
Employer identification number
75-1915179
Identifier
Return Reference
Explanation
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
GUESTS MUST BE REFERRED BY A SOCIAL WORKER AND THE CHILD MUST BE UNDERGOING INPATIENT OR OUTPATIENT CARE. WE WILL ACCEPT A NOMINAL DONATION OF 15 PER NIGHT PER FAMILY, WHICH ONLY PARTIALLY DEFRAYS THE COST OF OPERATING THE HOUSE, AND NO FAMILY IS EVER TURNED AWAY DUE TO LACK OF FUNDS. THE HOUSE IS ALSO AN APPROVED LODGING FACILITY FOR FAMILIES COVERED BY MEDICAID. OVER 681,025 OF IN-KIND DONATIONS OF GOODS AND SERVICES WERE RECEIVED IN 2012 COVERING PROGRAM EXPENSES THAT THE CHARITY WOULD OTHERWISE HAVE TO PAY. MAJOR IN- KIND DONATIONS INCLUDE FOOD, FURNITURE AND HOUSEHOLD ITEMS. THE HOUSE IS LOCATED ON LAND OWNED BY TEXAS TECH UNIVERSITY. THE YEARLY FAIR MARKET RENTAL VALUE OF THIS LAND HAS BEEN VALUED AT 48,000. NUMEROUS VOLUNTEERS HELP SUPPORT THE STAFF AND GUESTS OF THE RONALD MCDONALD HOUSE BY PROVIDING OFFICE ASSISTANCE, MEAL PREPARATION FOR FAMILIES,HOUSEKEEPING SERVICES, GARDENING, MAINTENANCE AND SPECIAL EVENT ASSISTANCE.USING THE PER HOUR VALUE OF VOLUNTEER TIME AS POSTED BY INDEPENDENTSECTOR.ORG, THE VALUE OF VOLUNTEER SERVICES RECEIVED IN 2012 WAS 375,641. APPROXIMATELY 2,400 PEOPLE WERE SERVED AT THE RONALD MCDONALD HOUSE IN 2012. FORM 990, PART III, LINE 4C PAGE 2- THIRD ACHIEVEMENT REPRESENTATIVES FROM BOTH ORGANIZATIONS SERVE ON AN ADVISORY COMMITTEE FOR THE PROGRAM. RMHC ALSO RECRUITS VOLUNTEERS TO ASSIST WITH NON-CLINICAL ASPECTS OF OPERATING THE PROGRAM.
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
THE ORGANIZATION SUPPORTS THE EDUCATION OF YOUTH BY PROVIDING SCHOLARSHIPS TO STUDENTS BASED ON FINANCIAL NEED, ACADEMIC PERFORMANCE, AND SCHOOL AND COMMUNITY INVOLVEMENT. OUR ORGANIZATION REQUIRES AN ADDITIONAL CRITERION OF A CRITICAL MEDICAL HISTORY PERTAINING TO THE SCHOLARSHIP RECIPIENT OR ONE OF THEIR SIBLINGS. MANY OF THESE STUDENTS OR THEIR SIBLINGS HAVE HAD LIFE-LONG MEDICAL PROBLEMS AND MANY OF THE RECIPIENTS AND/OR THEIR FAMILIES HAVE BEEN GUESTS IN ONE OF THE RONALD MCDONALD HOUSES DURING THEIR TOUGHEST MEDICAL BATTLES. THESE SCHOLARSHIPS ARE DETERMINED BY A RONALD MCDONALD HOUSE CHARITIES OF THE SOUTHWEST SCHOLARSHIP COMMITTEE. RONALD MCDONALD HOUSE CHARITIES OF THE SOUTHWEST PROVIDES ONE-HALF OF THE SCHOLARSHIP AND RONALD MCDONALD HOUSE CHARITIES GLOBAL MATCHES THE AMOUNT GIVEN. IN 2012, RMHC AWARDED A TOTAL OF 5,500 IN SCHOLARSHIPS TO 5 STUDENTS IN THE REGION WHO MET THE REQUIREMENTS LISTED ABOVE. RONALD MCDONALD HOUSE CHARITIES GLOBAL ORGANIZATION PROVIDED 3,000 OF THIS AMOUNT AS MATCHING FUNDS. FORM 990, PART III, LINE 4E PAGE 2- TOTAL PROGRAM EXPENSES EXPENSES BY MAJOR CATEGORY: HOUSE OPERATIONS 834,567 THREE FAMILY ROOMS 126,991 CARE MOBILE 83,193 SCHOLARSHIPS 5,500 TOTAL 1,050,251 THE BOARD OF DIRECTORS OF RONALD MCDONALD HOUSE CHARITIES OF THE SOUTHWEST IS IN THE PROCESS OF COMPLETING A NEEDS ASSESSMENT TO IDENTIFY POTENTIAL AREAS FOR PROGRAM EXPANSION BOTH INSIDE THE RONALD MCDONALD HOUSE AS WELL AS THROUGHOUT THE 68 COUNTY REGION SERVED BY THE ORGANIZATION.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
OUR AUDITORS AND STAFF PREPARE, PROOF AND FINALIZE OUR FORM 990 IN A TIMELY MANNER. WE EMAIL THE ENTIRE FINAL COPY OF THE FORM TO ALL OF OUR BOARD MEMBERS IN TIME FOR THEM TO REVIEW THE FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE EACH YEAR. COPIES ARE AVAILABLE AT ALL TIMES FOR REVIEW BY THE BOARD MEMBERS AND GENERAL PUBLIC.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
EMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST DOCUMENT ANNUALLY TO ENSURE THAT THE ORGANIZATION'S POLICY IS FOLLOWED. FORM 990, PART VI, LINE 13- WHISTLEBLOWER POLICY THE ORGANIZATION APPROVED A WRITTEN WHISTLEBLOWER POLICY ON MAY 19, 2009.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
WE PARTICIPATE IN A SURVEY COLLECTED FROM DATA PROVIDED BY MANY NON-PROFIT ORGANIZATIONS IN OUR AREAS. THESE GIVE US A VERY GOOD SENSE OF THE FAIR COMPENSATION FOR NON-PROFITS IN OUR BUDGET RANGE. WE DO THIS ANNUALLY. THE BOARD CHECKS OTHER RESOURCES THAT THEY HAVE AVAILABLE TO THEM.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
THE SURVEY MENTIONED ABOVE IS ALSO USED TO DETERMINE THE SALARIES FOR OTHER STAFF MEMBERS. IT IS A GOOD INDICATOR FOR KNOWING THE SCALE FOR COMPENSATION IN OUR AREA.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND 990S AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION HAS ALSO BEGUN POSTING ITS 990S TO ITS OWN WEBSITE. FORM 990, PART X, LINE 33- BREAKDOWN OF TOTAL NET ASSETS THE ORGANIZATION'S TOTAL NET ASSETS AT DECEMBER 31, 2012, TOTALED 5,337,904 AND ARE DETAILED IN THE FOLLOWING SCHEDULE: PERMANENTLY RESTRICTED- RMHC OPERATIONS 496,250 TEMPORARILY RESTRICTED- BUILDING REPLACEMENT 55,382 TEMPORARILY RESTRICTED: OPERATIONS AND IMPROVEMENTS 144,074 OTHER DONOR RESTRICTIONS 298,188 TOTAL TEMPORARILY RESTRICTED 497,644 UNRESTRICTED- NET BOOK VALUE OF FIXED ASSETS 1,676,801 UNRESTRICTED- UNDESIGNATED 2,667,209 TOTAL UNRESTRICTED 4,344,010 TOTAL NET ASSETS 5,337,904
OTHER CHANGES IN NET ASSETS EXPLANATION
FORM 990, PART XI, LINE 9
FEDERAL INCOME TAXES 4,426
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.