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. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
The AM McGregor Home
Employer identification number
34-0714356
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
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 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
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—2012.
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—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
538,848
569,805
516,321
552,392
533,415
2,710,781
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......
14,470,966
14,812,840
14,391,173
14,823,042
15,152,250
73,650,271
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
0
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
0
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
6
Total. Add lines 1 through 5.
15,009,814
15,382,645
14,907,494
15,375,434
15,685,665
76,361,052
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.)
76,361,052
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
15,009,814
15,382,645
14,907,494
15,375,434
15,685,665
76,361,052
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
1,814,265
1,808,566
1,717,735
1,613,935
1,501,100
8,455,601
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
c
Add lines 10a and 10b.
1,814,265
1,808,566
1,717,735
1,613,935
1,501,100
8,455,601
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
0
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
0
13
Total support. (Add lines 9, 10c, 11, and 12.)..
16,824,079
17,191,211
16,625,229
16,989,369
17,186,765
84,816,653
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 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
90.031 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
89.323 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
9.969 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
10.677 %
19a
33 1/3% support tests—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
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) 2013
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.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
The AM McGregor Home
Employer identification number
34-0714356
Return Reference
Explanation
PAGE 6, PART VI, SECTION C, #19
DOCUMENTS AVAILABLE TO PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ORGANIZATION'S BUSINESS OFFICE.
PAGE 6, PART VI, SECTION B, #12C
MONITOR AND ENFORCE CONFLICT OF INTEREST POLICY THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE POLICIES BY COMPLETING ANNUAL CONFLICT QUESTIONNAIRES.
PAGE 6, PART VI, SECTION B, #15A & 15B
PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION DETERMINES COMPENSATION FOR OFFICERS AND KEY EMPLOYEES BY HAVING A COMPENSATION SURVEY COMPLETED EVERY THREE YEARS VIA THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE THEN VOTES ON A THREE YEAR CONTRACT AND THE PERCENTAGE OF SALARY INCREASE. THESE PROCESSES ARE DOCUMENTED AT THE TIME THE DECISIONS ARE MADE.
PAGE 6, PART VI, SECTION A, #6
MEMBER CLASSES THE MEMBERSHIP OF THE CORPORATION AT ANY TIME SHALL CONSIST OF TWO CLASSES: VOTING MEMBERS AND NONVOTING MEMBERS. VOTING MEMBERS SHALL BE COMPRISED OF THE INDIVIDUALS WHO FROM TIME TO TIME ARE SERVING AS THE VOTING DIRECTORS OF THE CORPORATION. NONVOTING MEMBERS SHALL CONSIST OF THOSE INDIVIDUALS ELECTED BY THE BOARD OF DIRECTORS WHO ARE INTERESTED IN SUPPORTING THE CHARITABLE ENDEAVORS OF THE CORPORATION AND WHO MEET THE QUALIFICATIONS FOR NONVOTING MEMBERSHIP ESTABLISHED FROM TIME TO TIME BY THE BOARD. NONVOTING MEMBERS SHALL INCLUDE ALL THOSE INDIVIDUALS WHO HOLD THE TITLE OF MEMBER OF THE CORPORATION, EXCEPT FOR THOSE INDIVIDUALS then SERVING AS DIRECTORS. NONVOTING MEMBERS SHALL NOT BE ENTITLED TO VOTE, AND THEY SHALL NOT BE COUNTED FOR QUORUM PURPOSES.
PAGE 6, PART VI, SECTION A, #2
FAMILY OR BUSINESS RELATIONSHIP ROBERTA R MCNAMARA AND DR MEGAN MCNAMARA - FAMILY RELATIONSHIP
PAGE 6, PART VI, SECTION B, #11B
FORM 990 REVIEW PROCESS THE RETURNS ARE PREPARED BY AN OUTSIDE CPA AND THEN REVIEWED BY THE CFO. THE FORM 990 IS THEN DISTRIBUTED VIA EMAIL TO THE BOARD OF DIRECTORS FOR THEIR REVIEW IN ADVANCE OF THE FILING WITH THE IRS.
PAGE 6, PART VI, SECTION A, #3
DELEGATE CONTROL OVER MANAGEMENT DUTIES SUBJECT TO THE TERMS AND CONDITIONS OF A MANAGEMENT AGREEMENT, THE AM MCGREGOR GROUP (A RELATED TAX-EXEMPT ORGANIZATION) AGREES TO PROVIDE THE AM MCGREGOR HOME WITH MANAGEMENT AND ADMINISTRATIVE SERVICES TO ENHANCE THE EFFICIENT AND EFFECTIVE OPERATION OF THE AM MCGREGOR HOME'S CHARITABLE PROGRAMS. THE SERVICES SHALL INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING ACTIVITIES: (A) FURNISHING OR ARRANGING FOR FINANCIAL SERVICES, SUCH AS ACCOUNTING, AUDITING, AND TAX REPORTING SERVICES; (B) PROVIDING MANAGEMENT INFORMATION SERVICES, INCLUDING BUDGET ANALYSIS AND OTHER MANAGEMENT INFORMATION NEEDS; (C) ASSISTING THE AM MCGREGOR HOME WITH THE DEVELOPMENT, EVALUATION, AND IMPLEMENTATION OF PLANS OPTIMIZING THE USE OF ITS FACILITIES; (D) ASSISTING THE AM MCGREGOR HOME WITH THE OVERALL DIRECTION OF ITS STRATEGIES FOR SENIOR CARE; (E) MAKING ITS CHIEF EXECUTIVE OFFICER AVAILABLE TO SERVE AS THE COMPLIANCE OFFICER OF THE AM MCGREGOR HOME AND TO SUPERVISE THE IMPLEMENTATION OF COMPLIANCE PROGRAMS AND RELATED INITIATIVES; (F) ASSISTING THE AM MCGREGOR HOME IN ESTABLISHING COMPREHENSIVE PERFORMANCE OBJECTIVES FOR THE NURSING HOME ADMINISTRATOR, CHIEF FINANCIAL OFFICER, AND OTHER SENIOR MANAGEMENT STAFF OF THE AM MCGREGOR HOME; AND (G) PROVIDING SUCH OTHER MANAGEMENT AND ADMINISTRATIVE SUPPORT AS NECESSARY FOR THE CONDUCT OF THE AM MCGREGOR HOME'S CHARITABLE ACTIVITIES.
PAGE 7, PART VII, SECTION A, #1A, COLUMN (B)
ALLOCATION OF HOURS WORKED HOURS WORKED PER WEEK ARE ALLOCATED BETWEEN THE FILING ORGANIZATION AND RELATED ORGANIZATION AS FOLLOWS FOR THE INDIVIDUALS LISTED WITHIN PART VII: R. ROBERTSON HILTON - TOTAL HOURS PER WEEK = 40, SPLIT: A.M. MCGREGOR HOME - 4 HRS MCGREGOR INDEPENDENT SENIOR HOUSING - 2 HRS THE MCGREGOR FOUNDATION - 16 HRS MCGREGOR AT OVERLOOK - 2 HRS THE MCGREGOR GROUP - 12 HRS MCGREGOR PACE - 4 HRS ANN M. CONN - TOTAL HOURS PER WEEK = 40, SPLIT: A.M. MCGREGOR HOME - 12 HRS MCGREGOR INDEPENDENT SENIOR HOUSING - 2 HRS THE MCGREGOR FOUNDATION - 8 HRS MCGREGOR AT OVERLOOK - 2 HRS THE MCGREGOR GROUP - 12 HRS MCGREGOR PACE - 4 HRS STEPHANIE MORLEY - TOTAL HOURS PER WEEK = 10, SPLIT: A.M. MCGREGOR HOME - 24 HRS MCGREGOR AT OVERLOOK - 16 HRS TANGI MCCOY - TOTAL HOURS PER WEEK = 40, SPLIT: MCGREGOR PACE - 40 HRS
PAGE 12, PART XI, #9
RECONCILIATION OF NET ASSETS GAIN ON DEBT EXTINGUISHMENT/SWAP AGREEMENT CANCELLATION - $2,567,398. CHANGE IN VALUE OF BENEFICIAL INTEREST IN TRUSTS - $40,000. CHANGE IN UNRECOGNIZED PENSION OBLIGATION - $110,350.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.