HENRY FORD VILLAGE: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HENRY FORD VILLAGE (EIN 38-3087328)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-08
IRS object ID
201713129349302591
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-08T13:51:08-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Baker Tilly Virchow Krause LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12000 Town Center Ste 900AddressLine1Txt
CitySouthfieldCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48075ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383087328EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Henry Ford VillageBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHENRBusinessNameControlTxt
Phone3135841000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line115101 Ford RoadAddressLine1Txt
CityDearbornCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48126ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBruce BlalockPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Phone3135841000PhoneNum
Signature2017-11-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMichael FenbergPreparerPersonNm
PTINP01284396PTIN
Phone2483727300PhoneNum
Preparation2017-11-06PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address207.243.23.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-06IPDt
IP Tm15:35:46IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id0CDEEEAC0A006703BF7F3934F844CC274E9A223EAtSubmissionCreationDeviceId
At Submission Filing Device IdF6EF831A99296D412AD4324C5734AB704754FC17AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2018-03-14 21:41:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBruce BlalockPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line115101 Ford RoadAddressLine1Txt
CityDearbornCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48126ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$35,272,250GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionPromotion of health for the elderly by providing a continuing care residential community in Dearborn, Michigan with recreation, social, and religious activities for residents.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee650TotalEmployeeCnt
Total Volunteers315TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$603,036PYContributionsGrantsAmt
CY Contributions Grants$555,651CYContributionsGrantsAmt
PY Program Service Revenue$36,278,488PYProgramServiceRevenueAmt
CY Program Service Revenue$34,681,653CYProgramServiceRevenueAmt
PY Investment Income$99,658PYInvestmentIncomeAmt
CY Investment Income$34,946CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$36,981,182PYTotalRevenueAmt
CY Total Revenue$35,272,250CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$16,024,191PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,668,511CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$41,545CYTotalFundraisingExpenseAmt
PY Other Expenses$20,709,798PYOtherExpensesAmt
CY Other Expenses$22,231,028CYOtherExpensesAmt
PY Total Expenses$36,733,989PYTotalExpensesAmt
CY Total Expenses$37,899,539CYTotalExpensesAmt
PY Revenues Less Expenses$247,193PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,627,289CYRevenuesLessExpensesAmt
Total Assets BOY$96,672,006TotalAssetsBOYAmt
Total Assets EOY$91,491,214TotalAssetsEOYAmt
Total Liabilities BOY$115,675,478TotalLiabilitiesBOYAmt
Total Liabilities EOY$166,892,314TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$19,003,472NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$75,401,100NetAssetsOrFundBalancesEOYAmt
MissionPromotion of health for the elderly by providing a continuing care residential community located in Dearborn, Michigan with recreational, social, and religious activities for residents.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$31,128,607ExpenseAmt
Revenue$34,681,653RevenueAmt
DescHenry Ford Village, Inc. is a Michigan Non-stock corporation established to operate a Not-For-Profit continuing care retirement community located in Dearborn, Michigan. The property is presently zoned for 853 independent living units, 96 assisted living units, and 89 skilled nursing beds. As of December 31, 2016 there were 830 occupied units, which consisted of 656 independent living units, 94 assisted liviing units and 80 skilled nursing beds.Desc
Total Program Service Expenses$31,128,607TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document53IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee650EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible ContributionsYes (1)NondeductibleContributionsInd
Nondeductible Contri DisclYes (1)NondeductibleContriDisclInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Joe LipiecBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3135841000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line115101 Ford RoadAddressLine1Txt
CityDearbornCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48126ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Dr Karen Ross
Member4.00Yes (X)$0$0$0
Dr Walter Talamonti
Member4.00Yes (X)$0$0$0
Donald Jesmore
Member4.00Yes (X)$0$0$0
Curt Yun
Member4.00Yes (X)$0$0$0
Jacquelin Washington
Member4.00Yes (X)$0$0$0
Linda Hiveley
member4.00Yes (X)$0$0$0
John Byrne
Secretary/Treasurer4.00$0$0$0Yes (X)
Ronald Jesmore
Board Chairman4.00$0$0$0Yes (X)
Bruce Blalock
Executive Director40.00$288,539$0$0Yes (X)
Joe Lipiec
Director of Finance40.00$152,857$0$0Yes (X)
Kari Rennie
Administrator40.00$101,016$0$0Yes (X)
Robert O DiSanto
Director of General Services40.00$119,404$0$0Yes (X)
William O Cosby
Director of Sales40.00$121,360$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$783,176TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RehabCare Group Therapy Services
680 South Fourth StreetLouisvilleKY48202Physical, occupational and speech therap$1,853,884
SBM Management Services LP
5241 Arnold AvenueMcClellanCA95652Housekeeping$1,020,202
Life Care Companies LLC
400 Locust St Suite 820Des MoinesIA50309Management services$332,952
Dykema Gossett PLLC
2723 South State St Suite 400Ann ArborMI48104Attorneys$173,553
Home Sweet Home Health Care Inc
7905 Allen RoadAllen ParkMI48101Home health aid services$109,755
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$442,006RelatedOrganizationsAmt
All Other Contributions$113,645AllOtherContributionsAmt
Total Contributions$555,651TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Occupany revenue623000$31,676,372$31,676,372
Ancillary Fees623000$1,522,690$1,522,690
Resident Fee Amortization623000$453,276$453,276

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,029,315TotalRevenueColumnAmt
Related Or Exempt Func Income$1,029,315RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$34,681,653TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,527TotalRevenueColumnAmt
Exclusion$28,527ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,419SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$6,419SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,419TotalRevenueColumnAmt
Exclusion$6,419ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,272,250TotalRevenueColumnAmt
Related Or Exempt Func Income$34,681,653RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$34,946ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,852,107TotalAmt
Program Services$10,835,525ProgramServicesAmt
Management And General$2,009,486ManagementAndGeneralAmt
Fundraising$7,096FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$31,888TotalAmt
Program Services$25,033ProgramServicesAmt
Management And General$6,855ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,814,693TotalAmt
Program Services$1,525,718ProgramServicesAmt
Management And General$288,975ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$969,823TotalAmt
Program Services$842,886ProgramServicesAmt
Management And General$126,417ManagementAndGeneralAmt
Fundraising$520FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$425,061TotalAmt
Program Services$401,128ProgramServicesAmt
Management And General$23,933ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$627,397TotalAmt
Management And General$627,397ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$78,910TotalAmt
Program Services$1,505ProgramServicesAmt
Management And General$43,476ManagementAndGeneralAmt
Fundraising$33,929FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,099,605TotalAmt
Program Services$2,057,162ProgramServicesAmt
Management And General$42,443ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$920,733TotalAmt
Program Services$920,733ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$97,141TotalAmt
Program Services$16,549ProgramServicesAmt
Management And General$80,592ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$556,681TotalAmt
Management And General$556,681ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,357,024TotalAmt
Program Services$1,649,161ProgramServicesAmt
Management And General$707,863ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$32,924TotalAmt
Program Services$15,150ProgramServicesAmt
Management And General$17,774ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,908,315TotalAmt
Program Services$2,908,315ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,030,031TotalAmt
Program Services$4,030,031ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$486,147TotalAmt
Management And General$486,147ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Dietary and related sup$2,129,291$2,129,291
Supplies$2,032,670$2,011,624$21,046
Building, Grounds and M$1,990,317$1,491,399$498,918
Bad debt$681,975$681,975

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$776,806TotalAmt
Program Services$267,397ProgramServicesAmt
Management And General$509,409ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$37,899,539TotalAmt
Program Services$31,128,607ProgramServicesAmt
Management And General$6,729,387ManagementAndGeneralAmt
Fundraising$41,545FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$510,192BOYAmt
EOY$468,613EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,234,324BOYAmt
EOY$1,090,604EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,644,952BOYAmt
EOY$2,417,569EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$308,077BOYAmt
EOY$208,077EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$95,187BOYAmt
EOY$61,410EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$699,846BOYAmt
EOY$429,475EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$164,044,223LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$81,858,374LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$84,388,057BOYAmt
EOY$82,185,849EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,542,493BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,248,878BOYAmt
EOY$4,629,617EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$96,672,006BOYAmt
EOY$91,491,214EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,627,428BOYAmt
EOY$4,768,540EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$5,530,815EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,014,650BOYAmt
EOY$38,895,636EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$606,778BOYAmt
EOY$481,776EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$70,426,622BOYAmt
EOY$117,215,547EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$115,675,478BOYAmt
EOY$166,892,314EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$19,032,910BOYAmt
EOY-$75,404,812EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,438BOYAmt
EOY$3,712EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$19,003,472BOYAmt
EOY-$75,401,100EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$96,672,006BOYAmt
EOY$91,491,214EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,627,289ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$13,195NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$53,757,144PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$407,247CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$409,933CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$672,324CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$603,036CurrentTaxYearMinus1YearAmt
Current Tax Year$555,651CurrentTaxYearAmt
Total$2,648,191TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$36,821,693CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,254,514CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,515,962CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$36,278,488CurrentTaxYearMinus1YearAmt
Current Tax Year$34,713,798CurrentTaxYearAmt
Total$178,584,455TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$37,228,940CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,664,447CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,188,286CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$36,881,524CurrentTaxYearMinus1YearAmt
Current Tax Year$35,269,449CurrentTaxYearAmt
Total$181,232,646TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$181,232,646PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$358,339CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$146,442CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$104,869CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$95,312CurrentTaxYearMinus1YearAmt
Current Tax Year$28,527CurrentTaxYearAmt
Total$733,489TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$358,339CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$146,442CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$104,869CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$95,312CurrentTaxYearMinus1YearAmt
Current Tax Year$28,527CurrentTaxYearAmt
Total$733,489TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$115,769CurrentTaxYearMinus4YearsAmt
Total$115,769TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$115,769CurrentTaxYearMinus4YearsAmt
Total$115,769TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$37,818,817CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,810,889CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,293,155CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$36,976,836CurrentTaxYearMinus1YearAmt
Current Tax Year$35,297,976CurrentTaxYearAmt
Total$182,197,673TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99470PublicSupportCY509Pct
Public Support PY5090.99310PublicSupportPY509Pct
Investment Income CY0.00400InvestmentIncomeCYPct
Investment Income PY0.00640InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$29,438BeginningYearBalanceAmt
Contributions$113,645ContributionsAmt
Other Expenditures$139,371OtherExpendituresAmt
End Year Balance$3,712EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$43,506BeginningYearBalanceAmt
Contributions$99,855ContributionsAmt
Other Expenditures$113,923OtherExpendituresAmt
End Year Balance$29,438EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$50,559BeginningYearBalanceAmt
Contributions$95,664ContributionsAmt
Investment Earnings Or Losses-$11,783InvestmentEarningsOrLossesAmt
Other Expenditures$90,934OtherExpendituresAmt
End Year Balance$43,506EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$128,072BeginningYearBalanceAmt
Contributions$111,760ContributionsAmt
Investment Earnings Or Losses-$76,592InvestmentEarningsOrLossesAmt
Other Expenditures$112,681OtherExpendituresAmt
End Year Balance$50,559EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$233,543BeginningYearBalanceAmt
Contributions$116,408ContributionsAmt
Investment Earnings Or Losses-$103,513InvestmentEarningsOrLossesAmt
Other Expenditures$118,366OtherExpendituresAmt
End Year Balance$128,072EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,992,523OtherCostOrOtherBasisAmt
Book Value$4,992,523BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$144,325,828OtherCostOrOtherBasisAmt
Depreciation$73,309,066DepreciationAmt
Book Value$71,016,762BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,623,890OtherCostOrOtherBasisAmt
Depreciation$912,079DepreciationAmt
Book Value$711,811BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,472,365OtherCostOrOtherBasisAmt
Depreciation$7,637,229DepreciationAmt
Book Value$835,136BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,629,617OtherCostOrOtherBasisAmt
Book Value$4,629,617BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$82,185,849TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Assets whose use is limited$2,611,105
Board-restricted investments$2,018,512
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,629,617TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Resident Deposits$112,008,070
Funds Held for Residents$126,541
Refunds Due to Residents$2,969,661
Accounts Payable - Related Party$2,111,275
FieldValueIRS element (for citing)
Total Liability$117,215,547TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$35,259,055TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$13,195NetUnrealizedGainsInvstAmt
Revenue Not Reported-$13,195RevenueNotReportedAmt
Revenue Subtotal$35,272,250RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$35,272,250TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$37,899,539TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$37,899,539ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$37,899,539TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b:Residents are required to remit entrance deposits, which may vary in amount depending upon the unit to be occupied. Prospective residents are required to make certain installment payments prior to the final settlement of the given unit. These amounts are included in escrow cash and advance deposits in the accompany balance sheets. Deposit timing differences may cause escrow cash not to be equal to advance deposits. As of 12/31/2016, escrow cash and advance deposits were $591,025 and $988,771, respectively.
Part V, Line 4:Henry Ford Village, Inc. administers an endowment fund with the purpose to fund the Staff Appreciation Fund. The total asset as of 12/31/16 was $3,712.
Part X, Line 2:Henry Ford Village, Inc. is a nonprofit community as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal income taxes on its exempt income under Section 501(a) of the Internal Revenue Code.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Bruce Blalock
Executive Director$162,715$0$125,154$0$670$0$0$0$0$0$288,539$0$0$0
Joe Lipiec
Director of Finance$152,857$0$0$0$0$0$0$0$0$0$152,857$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aExecutive director has a membership to Dearborn Country Club, paid for by the organization.
Part I, Line 3On December 1, 2010, the Community contracted with Life Care Services, (LCS) for management services. The LCS contract term was for five years and was extended until September 30, 2021. Management fees incurred under this contract were $425,061. The executive director and administrator are employees of LCS, but their salaries and related employee benefits are reimbursed by the Community. Reimbursement paid to LCS for LCS employees in 2016 totaled $420,719 and is included in general and administrative expenses in the statement of operations. Other corporate services that the Community may obtain are not required contractually and are on an as-needed basis.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1EDC of City of DearbornBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN521310485BondIssuerEIN
CUSIP242563AWYCUSIPNum
Bond Issued2008-10-01BondIssuedDt
Issue Price$42,535,000IssuePriceAmt
PurposeCapital investment and improvementsPurposeDesc
DefeasedYes (1)DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$41,842,922TotalProceedsAmt
In Reserve Fund$3,317,550InReserveFundAmt
Refunding Escrow$34,540,625RefundingEscrowAmt
Issuance Costs From Proceeds$836,858IssuanceCostsFromProceedsAmt
Capital Expenditures$3,147,889CapitalExpendituresAmt
Unspent$3,984,747UnspentAmt
Substantial Completion2008SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledYes (1)Form8038TFiledInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule K, Part IFormAndLineReferenceDesc
ExplanationOn October 1, 2008, the Community closed on Series 2008 Bonds issued by Economic Development Corporation of the City of Dearborn in the amount of $42,535,000. The 2008Bonds are tax-exempt with a fixed interest rates varying between 6.0% and 7.15%, with a final maturity in November 2043. No letter of credit is required for the Series 2008 Bonds. The Series 2008 Bonds are secured by all property and gross receipts of the Community. In August 2016, the Community obtained a waiver of noncompliance from the bond trustee that waived the Community's noncompliance with the liquidity covenant, modified debt service coverage ratio and also waived the Community's obligation to retain a management consultant for the year ended December 31, 2015 through October 15, 2016. This waiver also waived all required principal and interest payments for the months of July, August, September and October of 2016. As of December 31, 2016, the Community did not meet certain restrictive debt covenants required by the First Amendment to the Loan Agreement executed on March 23, 2012. As a result, on April 5, 2017, the Community executed a Forbearance Agreement with the bank. The Forbearance Agreement was extended through June 15, 2018 through the execution of the Amendment and Extension of Forbearance Agreement on June 5, 2017. Under the terms of the Forbearance Agreement and the Amendment and Extension of Forbearance Agreement, the bank agreed to temporarily forbear from enforcing its rights and remedies pursuant to the Loan Agreement and related bond documents continuing up through and including the earliest to occur of (i) the occurrence of an Forbearance Termination Event as defined in the Forbearance Agreement, or (ii) June 15, 2018. The Community has agreed to (i) remain in compliance with the 2017 operating budget included in the Amendment and Extension of Forbearance Agreement (the "Budget") and shall pay only those items as set forth in the Budget, subject to approval of variances in the Budget disclosed to the trustee and majority bondholders, (ii) report quarterly and year-end liquidity covenant requirements as defined in the Forbearance Agreement beginning March 31, 2017, (iii) participate in monthly conference calls with the Trustee and the Majority Bondholders, at which time the Community shall report its financial performance during the period ending with the last day of the previous month including various financial and operational reports as defined in the Forbearance Agreement, and (iv) continue to make monthly installment payments required by the Loan Agreement. Management has asserted that it is probable that the Community will comply with the requirements of the Forbearance Agreement and the Amendment and Extension of Forbearance Agreement through June 15, 2018.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Joe Lipiec (Director of Finance) and a member of the Finance Committee of the Board of Directors Review the 2016 form 990 prior to filing
Form 990, Part VI, Section A, line 3Life Care Services, LLC is a for-Profit Iowa Limited Liability Company which operates and manages a variety of continuing care retirement communities nationwide, including Henry Ford Village, Inc. Henry Ford Village, Inc. (the Community) is governed by an independent Board of Directors and is advised by a residents counsil elected by the Henry Ford Village Community. Three members of the Henry Ford Village, Inc. board also serve on the Henry Ford Village Foundation Board of Directors. On December 1, 2010, Henry Ford Village contracted with Life Care Services (LCS) for management services. The LCS contract was extended until September 30, 2021. The Executive Director and Administrator are employees of LCS, but their salaries and related employee benefits are reimbursed by the Community. Reimbursement paid to LCS for LCS employees in 2016 totaled $420,719 and is included in general and administrative expenses in the statement of operations. Other corporate services that the Community may obtain are not required contractually and are on an as-needed basis.
Form 990, Part VI, Section B, line 11bJoe Lipiec (Director of Finance) and a member of the finance committee of the Board of Directors review the 2016 Form 990 prior to filing.
Form 990, Part VI, Section B, line 12cCompliance with the conflict of interest, whistleblower, and document retention and destruction policies was monitored by the managment company, Life Care Services, LLC. Board members sign a conflict of interest form on an annual basis.
Form 990, Part VI, Section B, line 15aManagement (Henry Ford Village, Inc. & Life Care Services, LLC) conducts market surveys on an annual basis to determine if a compensation adjustment is warranted. Based on this information mamanagment recommends annual salaries, typically a percentage increase from the prior year. The board approves the budget on an annual basis.
Form 990, Part VI, Section C, line 19The Organization's Form 990 is available upon request. Joe Lipiec, Henry Ford Village Director of Finance, has public inspection copies available at 15101 Ford Road, Dearbor, MI 48126.
Form 990, Part XII, Line 2c:The organization has an audit committee that assumes responsibility for oversight of the audit and selection of an independent accountant. This process has not changed from previous years.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Henry Ford Village FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line115101 Ford RoadAddressLine1Txt
CityDearbornCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48126ZIPCd
FieldValueIRS element (for citing)
EIN542159197EIN
Primary ActivitiesSupportPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 12a, IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HFV IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Henry Ford Village Foundation Inc
C$442,006FMV (CASH)
Henry Ford Village Foundation Inc
N$0
Henry Ford Village Foundation Inc
O$55,000FMV (CASH)

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