Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 26,812 | 3,750,091 | 210,994 | 72,127 | 224,801 | 4,284,825 |
| 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 | 10,652,916 | 11,062,032 | 11,455,190 | 11,546,112 | 9,923,955 | 54,640,205 |
| 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 | 10,679,728 | 14,812,123 | 11,666,184 | 11,618,239 | 10,148,756 | 58,925,030 |
| 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. | 3,018 | 3,018 | ||||
| c | Add lines 7a and 7b.. | 3,018 | 3,018 | ||||
| 8 | Public support. (Subtract line 7c from line 6.) | 58,922,012 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 10,679,728 | 14,812,123 | 11,666,184 | 11,618,239 | 10,148,756 | 58,925,030 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 855,721 | 1,224,348 | 1,655,231 | 1,341,902 | 1,407,023 | 6,484,225 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 855,721 | 1,224,348 | 1,655,231 | 1,341,902 | 1,407,023 | 6,484,225 |
| 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 VI.) .. | 46,605 | 16,550 | 63,155 | |||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 11,535,449 | 16,036,471 | 13,321,415 | 13,006,746 | 11,572,329 | 65,472,410 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | LAMBETH HOUSE, INC. ("LHI") IS THE SOLE MEMBER OF BROADWAY SERVICES, INC. ("BSI"), A LOUISIANA NON-PROFIT CORPORATION THAT IS ALSO EXEMPT FROM FEDERAL INCOME TAXATION PURSUANT TO 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ITS CAPACITY AS THE SOLE MEMBER, LHI MAINTAINS THE POWER AND AUTHORITY TO APPOINT MEMBERS OF BSI'S GOVERNING BOARD. FURTHERMORE, LHI AND BSI ARE PARTIES TO A CERTAIN MANAGEMENT AND OPERATING AGREEMENT PURSUANT TO WHICH BSI HAS AGREED TO ASSUME SUBSTANTIALLY ALL RESPONSIBILITY FOR MANAGING AND OPERATING LHI'S CONTINUING CARE RETIREMENT COMMUNITY, INCLUDING THE PROVISION OF CERTAIN HEALTHCARE AND OTHER SERVICES TO RESIDENTS, IN EXCHANGE FOR A MONTHLY MANAGEMENT FEE. AS A RESULT OF THAT ARRANGEMENT, LHI ONLY MAINTAINS UNCOMPENSATED OFFICERS, AND DOES NOT HAVE ANY EMPLOYEES OR PAYROLL EXPENSES. INSTEAD, ALL PERSONNEL WHO PROVIDE SERVICES IN CONNECTION WITH THE MANAGEMENT AND OPERATION OF LHI'S CONTINUING CARE RETIREMENT COMMUNITY ARE EMPLOYED AND COMPENSATED BY BSI. PLEASE REFER TO THE FORM 990 SEPARATELY FILED BY BSI FOR A DETAILED DESCRIPTION OF BSI'S GOVERNANCE STRUCTURE, OPERATIONS, AND POLICIES AND PROCEDURES. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION REVISED ITS BYLAWS DURING THE YEAR AND A SUMMARY OF THOSE CHANGES ARE AS FOLLOWS: ARTICLE IX SECTION 8 OF THE BYLAWS WAS AMENDED TO STATE (1) THAT LAMBETH HOUSE, INC. (LHI) IS THE SOLE MEMBER OF BROADWAY SERVICES, INC.(BSI), A RELATED SECTION 509(A)(3) SUPPORTING ORGANIZATION, (2) LHI,AS SOLE MEMBER, SHALL APPOINT THE FIVE BOARD MEMBERS OF BSI, (3) A MAJORITY VOTE OF THE BOARD SHALL BE REQUIRED TO AUTHORIZE THE CORPORATION TO TAKE ANY ACTION IN ITS CAPACITY AS THE SOLE MEMBER OF BSI, AND (4) THE CHAIRMAN OF THE BOARD, OR SUCH PERSON AS HE OR SHE MAY DESIGNATE IN WRITING FROM TIME TO TIME, SHALL SERVE AS THE "MEMBER REPRESENTATIVE" FOR BSI, AS SUCH TERM IS DEFINED IN THE BYLAWS OF BSI. ARTICLE IV, SECTION 8. ANNUAL MEETING WAS CHANGED TO STATE THAT THE BOARD SHALL HOLD AN ANNUAL MEETING FOR ORGANIZATIONAL PURPOSES, FOR THE ELECTION OF OFFICERS AND, SUBJECT TO SECTION 8 OF ARTICLE IX, THE APPROVAL OF THE EXECUTIVE COMMITTEE'S RECOMMENDATIONS FOR THE BSI BOARD (AS DEFINED IN ARTICLE IX, SECTION 8(C)). THE ANNUAL MEETING SHALL BE HELD IMMEDIATELY FOLLOWING THE ANNUAL MEETING OF MEMBERS OR ON SUCH DATE AND AT SUCH PLACE AND TIME AS DESIGNATED BY THE BOARD. ARTICLE X CONFLICT OF INTEREST WAS EXPANDED TO FURTHER DEFINE THE CONFLICT OF INTEREST POLICY, HOW TO DISCLOSE CONFLICTS, THE DEFINITION OF CONFLICTS OF INTEREST, THE DEFINITION OF MATERIAL PERSONAL INTEREST AND THE BOARD'S POWER TO DETERMINE THE EXISTENCE AND EFFECT OF A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 11B | AFTER THE COMPLETED 990 IS RECEIVED BY THE ORGANIZATION, IT IS REVIEWED BY THE ENTIRE BOARD. ANY QUESTIONS OR COMMENTS ARE THEN DIRECTED TO THE PRESIDENT OF THE BOARD. UPON APPROVAL, THE FORM 990 IS RELEASED FOR SUBMISSION TO THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | A DISCLOSURE STATEMENT IS SUBMITTED ANNUALLY BY ALL OFFICERS AND DIRECTORS OF LHI AND ALL RELATED ORGANIZATIONS TO DISCLOSE ANY SITUATIONS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS SHALL TAKE SUCH ACTIONS AS MAY BE REASONABLY NECESSARY TO PROTECT THE BEST INTERESTS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTERST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | EARNINGS OF MEMBER CORPORATIONS 2,838,147. INTEREST RATE SWAP AGREEMENT -438,361. |
| FORM 990, PAGE 12, QUESTION 2C | THE FINANCE COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. |
| FORM 990, PART XI LINE 8 | EFFECTIVE JANUARY 1, 2019, THE COMPANY ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ACCOUNTING STANDARDS UPDATE ("ASU") 2014-09, "REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606)" ("ASU 2014-09") USING A MODIFIED RETROSPECTIVE METHOD OF APPLICATION TO CONTRACTS THAT WERE NOT COMPLETE AS OF THE DATE OF INITIAL APPLICATION. THE CORE PRINCIPLE OF THE GUIDANCE IN ASU 2014-09 IS THAT AN ENTITY SHOULD RECOGNIZE REVENUE TO DEPICT THE TRANSFER OF PROMISED GOODS OR SERVICES TO CUSTOMERS IN AN AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE ENTITY EXPECTS TO BE ENTITLED IN EXCHANGE FOR THOSE GOODS OR SERVICES. THE COMPANY IS UTILIZING THE PORTFOLIO APPROACH PRACTICAL EXPEDIENT IN ASC 606 TO ASSESS THE IMPACT OF ASU 2014-09 ON PATIENT SERVICE REVENUE. THE ADOPTION OF ASU 2014-09 HAS HAD A MATERIAL IMPACT IN RESPECT OF TIMING AND AMOUNT OF REVENUE RECOGNIZED BY THE COMPANY. THE COMPANY DETERMINED THAT ITS CURRENT POLICY OF RECOGNIZING A PORTION OF ITS REFUNDABLE ENTRANCE FEES OVER THE REMAINING USEFUL LIFE OF THE FACILITY HOUSING ITS RESIDENTS IS NOT CONSISTENT WITH THE PROVISIONS IN ASU 2014-09. THEREFORE, THE COMPANY RECLASSIFIED PREVIOUSLY AMORTIZED AMOUNTS OF APPROXIMATELY $24,730,000 FROM NET ASSETS WITHOUT DONOR RESTRICTIONS TO REFUNDABLE FEES LIABILITY. FURTHER, THE COMPANY DID NOT AMORTIZE REFUNDABLE ENTRANCE FEES PREVIOUSLY INCLUDED IN REVENUES. |
| PART IX, LINE 11A: MANAGEMENT FEE | THE MANAGEMENT FEE OF $4,459,062 WAS PAID TO BROADWAY SERVICES INC, A 509(A)(3) SUPORTING ORGANIZATION OF LAMBETH HOUSE, INC. LAMBETH HOUSE, INC. IS THE SOLE MEMBER OF BROADWAY SERVICES, INC. LAMBETH HOUSE FOUNDATION, ST. ANNA'S ASYLUM FOR THE RELIEF OF DESTITUTE FEMALES AND HELPLESS CHILDREN, BROADWAY SERVICES INC ARE ALL NONPROFIT 501(C)(3) PUBLIC CHARITIES WHICH ARE CONTROLLED BY LHI AND WHICH WORK TOWARD THE SAME EXEMPT PURPOSE. SEE ALSO EXPLANATION FOR PART VI SECTION A LINE 3 ABOVE. |
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| Software Version: |