2022-05-16T02:00:28-05:00 2021-06-30 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2020-07-01 352084623 Holy Cross Village at Notre Dame Inc HOLY 5742845108 54515 State Road 933 N PO Box 303 Notre Dame IN 465560303 ELIZABETH HUGE INTERIM CFO 2022-05-16 true ELIZABETH HUGE 999009999 JENNIFER BURKE P01342224 3128997000 2020 2022-09-23 18:48:47Z Edward Smith 54515 State Road 933 N PO Box 303 Notre Dame IN 465560303 21424097 false 0928 X www.HolyCrossVillage.com X 1999 IN Holy Cross Village at Notre Dame is an interdependent community energized by Holy Cross spirituality and hospitality, and dedicated to providing a nurturing environment focused on dignity and respect. 9 9 226 25 199295 0 1142280 1065272 13505204 13475614 640294 501762 316959 332795 15604737 15375443 0 0 6184085 6209785 21600 4538 46793 10453773 11403472 16659458 17617795 -1054721 -2242352 40623374 38111514 62953910 61532243 -22330536 -23420729 Holy Cross Village at Notre Dame is an interdependent community energized by Holy Cross spirituality and hospitality, and dedicated to providing a nurturing environment focused on dignity and respect. Holy Cross Village at Notre Dame was established as a faith-based, non-profit organization and has since dedicated itself to providing housing, healthcare, and support services exclusively to older adults in ways that promote independence and a healthy, active lifestyle through a continuing care retirement community. false false 8317079 8615416 INDEPENDENT AND ASSISTED LIVING: HOLY CROSS VILLAGE AT NOTRE DAME (HOLY CROSS VILLAGE) PROVIDES A COMPREHENSIVE SELECTION OF RESIDENTIAL LIVING OPTIONS SUPPORTED BY A FULL CONTINUUM OF ON-SITE HEALTH CARE. INDEPENDENT LIVING RESIDENTS ENJOY AN ACTIVE LIFESTYLE, COMPLEMENTED BY SUPERIOR SERVICES AND AMENITIES. PLUS, THEY HAVE THE ASSURANCE OF ON-SITE QUALITY HEALTH CARE, IF EVER NEEDED, AT AN AFFORDABLE, PREDICTABLE COST. HOLY CROSS VILLAGE IS AN INTERDEPENDENT COMMUNITY ENERGIZED BY HOLY CROSS SPIRITUALITY AND HOSPITALITY, AND DEDICATED TO PROVIDING A NURTURING ENVIRONMENT FOCUSED ON DIGNITY AND RESPECT. HOLY CROSS VILLAGE GOES BEYOND WHAT'S EXPECTED TO OFFER A LIFESTYLE THAT ALLOWS RESIDENTS TO LIVE AS INDEPENDENTLY AS POSSIBLE, WHILE STAYING CLOSE TO FAMILY, FRIENDS, AND THE BEST CARE AVAILABLE. RESIDENTS HAVE PEACE OF MIND KNOWING THEIR FUTURES ARE SECURE, WHICH IS SOMETHING THEY WILL VALUE AS MUCH TODAY AS THEY WILL TOMORROW. HOLY CROSS VILLAGE IS ALSO A LICENSED ASSISTED LIVING COMMUNITY, AND OUR ASSISTED LIVING APARTMENTS ALLOW FOR PRIVACY AND INDEPENDENCE. IF RESIDENTS REQUIRE ASSISTANCE WITH ACTIVITIES OF DAILY LIVING, OUR COMPREHENSIVE RANGE OF SUPPORTIVE SERVICES IS DESIGNED TO FIT THEIR NEEDS, AND OUR CARING STAFF IS AVAILABLE 24 HOURS A DAY TO ASSIST THEM. DURING THE YEAR ENDED JUNE 30, 2021 THE ORGANIZATION PROVIDED SERVICES TO 213 RESIDENTS IN AN INDEPENDENT LIVING SETTING WITH 154 APARTMENTS AND VILLAS, AS WELL AS 51 RESIDENTS IN AN ASSISTED LIVING SETTING WITH 46 APARTMENTS. 5532862 4990123 SKILLED NURSING AND MEMORY CARE: HOLY CROSS VILLAGE IS LICENSED BY THE STATE DEPARTMENT OF HEALTH AS A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) AND A SKILLED NURSING FACILITY. SERVICES ARE RESIDENT-CENTERED AND ARE FOCUSED ON LONG-TERM HEALTH CARE NEEDS AND/OR DIRECTED TO INDIVIDUALS THAT ARE RECOVERING FROM A BRIEF ILLNESS AND NEED TO REBUILD STRENGTH. REHABILITATION SERVICES ARE DELIVERED IN A RESIDENT-CENTERED PROGRAM THAT IS FOCUSED ON ACHIEVING POSITIVE OUTCOMES. RESIDENTS RECEIVE 24-HOUR NURSING SUPERVISION AND RESTORATIVE THERAPIES THAT ARE PHYSICIAN DIRECTED. THE ONSITE REHABILITATION CENTER DELIVERS PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES AS WELL AS OTHER SPECIALIZED SERVICES TO MEET REHABILITATION NEEDS. MEMORY CARE ACCOMMODATIONS ARE OFFERED IN A SECURED ENVIRONMENT DESIGNED TO MEET THE NEEDS OF SENIORS WITH ALZHEIMER'S, DEMENTIA AND OTHER MEMORY LOSS. INDIVIDUALS WHO NEED HELP WITH DAY-TO-DAY LIVING RECEIVE SPECIAL ENCOURAGEMENT TO ADD MEANING AND FULFILLMENT TO THEIR LIVES. SERVICES ARE TAILORED SPECIFICALLY TO EACH RESIDENT WHILE SUPPORTING A HEALTHY LIFESTYLE IN A SECURED AREA THAT HAS ACCESS TO A COURTYARD AND VIEWS OF A WOODED AREA. CERTIFIED NURSING ASSISTANTS PROVIDE STANDBY AND HANDS ON ASSISTANCE WITH BATHING, GROOMING AND ESCORTS. RESIDENTS ARE ENCOURAGED TO CONTINUE ACTIVITIES THEY LOVE AND ENJOY. A WIDE RANGE OF LIFE ENRICHING ACTIVITIES ARE PLANNED FOR RESIDENTS EACH DAY THAT ARE TARGETED TO RAISE SPIRITS, STIMULATE MINDS AND PROMOTE HAPPINESS. DURING THE YEAR ENDED JUNE 30, 2021, THE ORGANIZATION PROVIDED SERVICES TO 161 RESIDENTS IN A NURSING SETTING WITH 38 BEDS AND A NURSING DEMENTIA CENTER WITH 12 ROOMS. 13849941 true true false false false false false false true true false false false true true true false false false false false false false false false false false false true true false false false false false false false false true false false false false false false true false false false true 56 0 true 226 true true true false false false false false false false false false false false X 9 9 false true false false true true true true true false false true true true true true true true true false IN X Edward Smith 5742513252 54515 STATE ROAD 933 NORTH NOTRE DAME IN 465560303 Br Chester Freel CSC Treasurer 1.0 X X 0 0 0 Fr James Lackenmier CSC Director / Co-Chairperson 1.0 X X 0 0 0 James Keenan Vice Chairperson (thru Dec 2020) 1.0 X X 0 0 0 Linda Paskiewicz Secretary 1.0 X X 0 0 0 Maureen Miller Interim CEO (Jan 2021 thru April 2021) / Chairperson 40.0 1.0 X X 0 0 0 Br Harold Ehlinger CSC Director 1.0 X 0 0 0 Br Kenneth Haders CSC Director 1.0 X 0 0 0 Br Lawrence Skitzki CSC Director 1.0 X 0 0 0 Chad Towner Director 1.0 X 0 0 0 Sharon Keane Director 1.0 X 0 0 0 David Null President/CEO (thru Dec 2020) 40.0 1.0 X 179743 0 26026 Edward Smith VP and General Manager (beginning April 2021) 40.0 1.0 X 0 0 0 Elizabeth A Huge Interim CFO 40.0 1.0 X 93875 0 8088 William Quig CFO (thru Dec 2020) 40.0 1.0 X 152027 0 24543 Linda Lewis Administrator/COO (thru April 2021) 40.0 0.0 X 137217 0 18934 562862 0 77591 3 false true false Healthwin 20531 Darden Rd South Bend IN 46637 Therapy services 325630 Microintegration Holdings LLC 460 Stull St Suite 200 South Bend IN 46601 Information Technology Services 167076 2 463000 545817 56455 1065272 Independent and assisted living 623000 8485491 8485491 Nursing services 623000 4990123 4990123 0 0 0 0 13475614 141772 141772 3575 3575 0 3575 3575 6408644 6048654 359990 0 359990 359990 Security services 561612 297102 97807 199295 Dining, cafeteria & snack shop 900099 1721 1721 Rebates, refunds, purchase discounts 900099 28175 28175 2222 2222 0 0 329220 15375443 13605539 199295 505337 X 356947 0 356947 0 26113 16148 9965 4643590 4007187 602232 34171 89603 71804 17187 612 744029 596229 142716 5084 349503 280075 67040 2388 146867 146867 51681 51681 74602 74602 4538 4538 19540 19540 3728577 3253790 474787 0 39441 39441 1828973 1702932 126041 187528 6440 181088 957541 635567 321974 1198 1198 5176 4457 719 814834 814834 3209841 3189769 20072 223918 223918 Entertainment and gifts 6165 1907 4258 DUES AND SUBSCRIPTIONS 45304 15931 29373 UNIFORMS 4778 4778 RECRUITMENT, TRAINING AND DEVELOPMENT 8021 7643 378 49487 15843 33644 0 17617795 13849941 3721061 46793 41265 33008 2428575 2850992 232933 414582 0 0 0 0 54195 43708 103903 99144 69009050 42110669 29181887 26898381 7496382 6639878 884119 1053946 0 200115 77875 40623374 38111514 1169651 1761316 313121 0 22017560 21161814 0 0 39453578 38609113 62953910 61532243 X -23214655 -24474675 884119 1053946 -22330536 -23420729 40623374 38111514 X -2242352 38449 1113710 X false true X true false X 246495 81938 428966 1142280 1065272 2964951 12327965 12903181 13616239 13505204 13475614 65828203 210926 279390 189785 173697 129925 983723 0 0 12785386 13264509 14234990 14821181 14670811 69776877 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69776877 190994 181298 251337 210695 145347 979671 0 190994 181298 251337 210695 145347 979671 0 0 0 0 0 0 0 0 0 0 0 0 12976380 13445807 14486327 15031876 14816158 70756548 0.9862 0.9840 0.01 0.0154 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 85007 37005 8797 113215 86000 -993 85007 85555 500 4143 4198 86000 82443 7239 4127 85555 77218 9321 4096 82443 0.0 1.0 0.0 true false 41117215 21912921 19204294 4580989 3850067 730922 22997649 16161821 6835828 313197 185860 127337 26898381 Refundable and unearned entrance fees 36217365 Capital lease obligation 33585 Resident deposits 767116 Accrued interest payable 65669 Interest rate swap obligation 1309763 Other Current Liabilities 215615 38609113 X 15624736 38449 230384 268833 15355903 19540 0 19540 15375443 16714929 0 0 16714929 19540 883326 902866 17617795 Schedule D, Part V, Line 4 Intended uses of endowment funds Endowment funds are held by The Community Foundation of St. Joseph County for the benefit of Holy Cross Village at Notre Dame. The endowment funds are intended to provide funding to support Holy Cross Village at Notre Dame's mission and tax-exempt purpose. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The organization is exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. U.S. GAAP requires that a tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The Organization's Form 990 has not been subject to examination by the Internal Revenue Service or the state of Indiana for the last three years. The Organization does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Organization recognizes interest and/or penalties related to income tax matters in income tax expense. The Organization did not have any amounts accrued for interest and penalties at June 30, 2021 or 2020. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Change in beneficial interest in Holy Cross Village Foundation, Inc. - 230384 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Unrealized loss on SWAP valuation - 883326 X false false false false false false false true false David Null President/CEO (thru Dec 2020) 179043 0 700 0 0 0 3781 0 22245 0 205769 0 0 0 William Quig CFO (thru Dec 2020) 151327 0 700 0 0 0 3191 0 21352 0 176570 0 0 0 Linda Lewis Administrator/COO (thru April 2021) 136517 0 700 0 0 0 2796 0 16138 0 156151 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments The bonuses of the individuals reported on Form 990, Part VII, Section A were determined at the discretion of the CFO with CEO approval. A Indiana Finance Authority 351602316 000000000 2015-11-24 25965000 REFUND 2006A&B & CONSTRUCT, INSTALL, AND REMODEL FACILITY false false false A 4803186 0 26544350 0 0 0 380178 0 0 950927 25213245 2019 true true true true A false false true true false 0.011 0.0 0.011 false false true A false false false true true false false false true A true Schedule K, Part II, Line 4 Series 2015 Series 2015 Bonds do not have a Debt Service Reserve Requirement. The Series 2015 Bonds were privately placed. Schedule K, Part II, Line 3 Series 2015 TOTAL PROCEEDS OF THE ISSUE INCLUDE PAR, PLUS TRANSFERRED PROCEEDS, PLUS INVESTMENT EARNINGS. Total proceeds of the issue exceed the issue price of the Series 2015 bond. The difference is due to investment earnings. Earnings are included in the total proceeds of the issue. Schedule K, Part II, Line 11 Series 2015 Other spent proceeds mainly include Series 2015 proceeds and interest earnings that were used to current refund and/or advance refund Series 2006 Bonds. Schedule K, Part IV, Line 2b Series 2015 The Series 2015 Bonds qualify as a multipurpose issue with a current refunding portion, advance refunding portion, and a new money portion. The current refunding portion would have qualified for the 6-Month Spending Exception and would have been exempt from the arbitrage rebate calculation. The advance refunding portion and the new money portion are subject to arbitrage rebate compliance since such proceeds did not qualify for a spending exception. Holy Cross Village at Notre Dame, Inc. has hired an independent firm to review the Series 2015 Bonds annually for arbitrage compliance purposes using November 1st as the selected bond year. Schedule K, Part IV, Line 3 Series 2015 The interest rates on the Series 2015 Bonds to maturity were unknown on the date of issuance. Therefore, the Series 2015 Bonds are treated as a variable rate issue and the yield for such bonds will be calculated separately for each computation period. The "Applicable Margin" or spread component was used to determine the yield on the Series 2015 Bonds during the first installment computation period and such yield was used by bond counsel in their determination that the Series 2015 Bonds were not arbitrage bonds and that the Series 2015 proceeds held in the defeasance Escrow Fund were yield restricted. Schedule K, Part IV, Line 4b Series 2015 Holy Cross Village at Notre Dame, Inc. did enter into an Interest Rate Swap Agreement for the Series 2015 Bonds. However, such hedge was not treated as a qualified hedge for federal tax purposes. Schedule K, Part IV, Line 5a Series 2015 Lines 5a-5d: The Series 2015 Escrow Fund was invested in various "Open Market Securities". Holy Cross Village at Notre Dame, Inc. hired an independent bidding agent to to receive bids for the Open Market Securities and met the safe harbor requirements as defined within the U.S. Treasury Regulations. Schedule K, Part IV, Line 2c Series 2015 A rebate computation was performed for the Series 2015 Bond Issue in November 2018. The result of this computation was that no rebate amount was due for the rebate period. Based upon information provided, it was determined by Counsel that all proceeds had been fully expended, thus this rebate computation is the final computation needed for this issue until the final payment on the bonds has been made. As such, Schedule K, Part IV, Line 2c has been marked as "yes" and the date provided is November 1, 2018. Schedule K, Part IV, Line 2c COLUMN A Issuer name: Indiana Finance Authority The calculation for computing no rebate due was performed on 11/01/2018 Kyle Null Family member of former President / CEO, David Null 26113 Independent Contractor Arrangement false Form 990, Part VI, Line 1a Delegate broad authority to a committee The board, by resolution of a majority of directors, may appoint one or more standing or special committees as needed. The board shall appoint the executive committee, which shall be a standing committee. Members of the board shall be appointed by the board or chairperson, subject to the approval of the board. Each committee authorized to exercise any power of the board (opposed to advisory committees) shall have at least 2 directors and may consist of persons other than directors, provided at least a majority of committee members are directors. The executive committee shall be a standing committee, and shall have and exercise all powers of the board, subject to limitations set forth in the by laws, between board meetings. The executive committee shall consist of the chairperson, president, and 2 other directors selected by the chairman and subject to approval of the board. Actions taken by the executive committee within the scope of its authority shall be considered the actions of the board. Form 990, Part VI, Line 3 Delegation of management duties Trinity Senior Services Management , Inc. (TSSM) provides management services to the organization, including clinical quality, financial oversight, human resources, marketing and compliance, along with support for other management areas of the organization. TSSM provides these services consistent with the organization's mission, vision, strategic plan, annual goals, operating budgets and capital plan, all for which the organization has oversight and approval authority. The arrangement between the filing organization and TSSM began in early 2021; therefore, there were no amounts paid to any of the filing organization's current or former officers, directors, trustees, key employees, or highest compensated employees by TSSM during calendar year 2020. Form 990, Part VI, Line 6 Classes of members or stockholders The Brothers of Holy Cross, a related tax exempt organization, is the sole corporate member of Holy Cross Village at Notre Dame, Inc. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The Brothers of Holy Cross has the power to appoint and remove members of the board, including the chairperson. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The Brothers of Holy Cross has the following additional reserved powers: 1 - Work with the board of directors to review, consult, and approve any changes or deviations from the mission and values of Holy Cross Village at Notre Dame, Inc. 2 - Approve annual budgets and similarly developed board of director documents 3 - Approve amendments to the Articles of Incorporation, Bylaws, and similar governing documents 4 - Appoint and remove directors to the board 5 - Appoint and remove chairperson and president based upon recommendation of the board 6 - Approve any merger, consolidation, dissolution, or liquidation of Holy Cross Village at Notre Dame, Inc. 7 - Approve purchase, sale, donation, lease, mortgage, or other acquisition, disposition, or encumbrance of assets, except transactions within limits delegated to Holy Cross Village at Notre Dame, Inc, or previously approved as part of a strategic and financial plan 8 - Approve establishment, termination, transfer or other acquisition or disposition of any major ministry or similar program 9 - Approve creation of any new affiliate or affiliation of Holy Cross Village at Notre Dame, Inc. with another entity 10 - Approve incurrence of debt to other entities or the guaranty of debt of others for the amounts in excess of the member specified limits, except for transactions previously approved as part of a strategic and financial plan. 11 - Establish dollar limits which Holy Cross Village at Notre Dame, Inc. may authorize financial expenditures, including contracts involving expenditures 12 - Establish dollar limits which Holy Cross Village at Notre Dame may authorize litigation settlements or release or cancel any claim of action against another party Form 990, Part VI, Line 11b Review of form 990 by governing body Holy Cross Village management reviewed a draft of the form 990 & 990T in detail. A final draft of the 990 & 990T, including all applicable schedules, was then distributed to the board of directors in May prior to filing with the IRS. Form 990, Part VI, Line 12c Conflict of interest policy A conflict of interest questionnaire is distributed to the board members annually. The forms are then reviewed for potential conflicts. If a conflict is noted, the member is excused from voting on any issue related to the conflict. The conflict of interest policy and questionnaire is also part of the Holy Cross Village annual review policy for all employees. Form 990, Part VI, Line 15a Process to establish compensation of top management official The Executive Compensation Committee reviews CEO compensation every two years. The most recent review was conducted in September 2020. The Committee utilized comparability data in this evaluation and documented the process contemporaneously. The Executive Compensation Committee also utilized the 2017 National Leading Age Conference survey of CCRCs and the 2015 Indiana Leading Age Conference Survey as comparability data in its most recent review of CEO compensation. Form 990, Part VI, Line 15b Process to establish compensation of other employees The Executive Compensation Committee reviews compensation of the executive leadership team every two years. The executive leadership team consists of the CEO, CFO, COO, and DON. The most recent review was conducted in September 2020. The Committee utilized comparability data in this evaluation and documented the process contemporaneously. In addition, the Executive Compensation Committee also reviews the salaries of the Controller, HR Director, and Plant Operations Director. This analysis is then provided to the CEO, along with recommendations regarding any compensation increases. Form 990, Part VI, Line 19 Required documents available to the public Holy Cross Village at Notre Dame Inc.'s governing documents, conflict of interest policy, and financial statements are available to the public upon request in an electronic pdf file or printed paper format. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue - Total Revenue: 2222, Related or Exempt Function Revenue: 2222, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Therapy - Total Expense: 330367, Program Service Expense: 330367, Management and General Expenses: , Fundraising Expenses: ; Dining Services - Total Expense: 1905682, Program Service Expense: 1771476, Management and General Expenses: 134206, Fundraising Expenses: ; Plant Repairs and Maintenance - Total Expense: 406951, Program Service Expense: 377826, Management and General Expenses: 29125, Fundraising Expenses: ; Grounds - Total Expense: 180262, Program Service Expense: 180262, Management and General Expenses: , Fundraising Expenses: ; Agency - Total Expense: 333615, Program Service Expense: 333615, Management and General Expenses: , Fundraising Expenses: ; Consultant - Total Expense: 67707, Program Service Expense: 8790, Management and General Expenses: 58917, Fundraising Expenses: ; Freight - Total Expense: 2735, Program Service Expense: 2254, Management and General Expenses: 481, Fundraising Expenses: ; Laundry and Housekeeping - Total Expense: 163710, Program Service Expense: 163710, Management and General Expenses: , Fundraising Expenses: ; Outside services - Total Expense: 185019, Program Service Expense: 44888, Management and General Expenses: 140131, Fundraising Expenses: ; Transportation - Total Expense: 12293, Program Service Expense: 12293, Management and General Expenses: , Fundraising Expenses: ; Medical Services - Total Expense: 27208, Program Service Expense: 27208, Management and General Expenses: , Fundraising Expenses: ; Priests/organist - Total Expense: 34770, Program Service Expense: , Management and General Expenses: 34770, Fundraising Expenses: ; Other - Total Expense: 78258, Program Service Expense: 1101, Management and General Expenses: 77157, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in beneficial interest in Holy Cross Village Foundation - 230384; Unrealized loss on interest rate swap agreement - 883326; BROTHERS OF HOLY CROSS INC 54515 SR 933 N PO BOX 460 NOTRE DAME IN 46556 350868938 ROMAN CATHOLIC CHURCH RELIGIOUS ORDER IN 501(c)(3) 1 CONGREGATION OF HOLY CROSS false HOLY CROSS VILLAGE FOUNDATION 54515 SR 933 N PO BOX 303 NOTRE DAME IN 46556 263861889 SUPPORT HOLY CROSS VILLAGE AT NOTRE DAME IN 501(c)(3) Type II BROTHERS OF HOLY CROSS false false false true false false false false false false false true true true true false false true false true