VILLAGE NORTH INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
VILLAGE NORTH INC (EIN 43-1207154)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-13
IRS object ID
201713179349300016
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)
Return2017-11-13T07:11:24-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1600 WASHINGTON AVENUE SUITE 1800AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN431207154EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VILLAGE NORTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVILLBusinessNameControlTxt
Phone3148001955PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111160 VILLAGE NORTH DRIVEAddressLine1Txt
CitySAINT LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63136ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROGER BYRNEPersonNm
Person TitleCHAIRPERSONPersonTitleTxt
Phone3148001955PhoneNum
Signature2017-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFF PARKERPreparerPersonNm
PTINP00970069PTIN
Phone3149254300PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-09IPDt
IP Tm16:15:08IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id2FD9AEF635F49284691F87E9FE125090855B27ABAtSubmissionCreationDeviceId
At Submission Filing Device IdCEFDC36D6FB2C918DCE6F6AD347ED2F4EF281456AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2018-03-14 21:41:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROGER BYRNEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line111160 VILLAGE NORTH DRIVEAddressLine1Txt
CitySAINT LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63136ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,815,708GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BETHESDAHEALTH.ORG/COMMUNITIES/10/VILLAGE-NORWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionVILLAGE NORTH, INC.'S PRIMARY PURPOSE IS TO PROVIDE A VARIETY OF QUALITY HEALTHCARE SERVICES AND LIVING OPTIONS FOR THE SENIOR POPULATION IN ST. LOUIS ON ITS CAMPUS LOCATED IN NORTH ST. LOUIS COUNTY. THESE SERVICES ARE PROVIDED IN VNI'S INDEPENDENT LIVING APARTMENTS AS WELL AS IN THEIR SKILLED NURSING FACILITY.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee100TotalEmployeeCnt
Total Volunteers4TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,392PYContributionsGrantsAmt
CY Contributions Grants$8,203CYContributionsGrantsAmt
PY Program Service Revenue$6,588,744PYProgramServiceRevenueAmt
CY Program Service Revenue$6,741,568CYProgramServiceRevenueAmt
PY Investment Income$36,745PYInvestmentIncomeAmt
CY Investment Income$24,664CYInvestmentIncomeAmt
PY Other Revenue$55,856PYOtherRevenueAmt
CY Other Revenue$41,273CYOtherRevenueAmt
PY Total Revenue$6,684,737PYTotalRevenueAmt
CY Total Revenue$6,815,708CYTotalRevenueAmt
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$3,316,097PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,458,171CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,647,375PYOtherExpensesAmt
CY Other Expenses$5,414,416CYOtherExpensesAmt
PY Total Expenses$7,963,472PYTotalExpensesAmt
CY Total Expenses$8,872,587CYTotalExpensesAmt
PY Revenues Less Expenses-$1,278,735PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,056,879CYRevenuesLessExpensesAmt
Total Assets BOY$6,548,071TotalAssetsBOYAmt
Total Assets EOY$6,280,379TotalAssetsEOYAmt
Total Liabilities BOY$4,174,071TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,019,143TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,374,000NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,261,236NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO BE THE PREMIER PROVIDER OF CARE AND SERVICES FOR SENIORS IN THE ST. LOUIS REGION WHILE MAINTAINING FINANCIAL STRENGTH AND PROVIDING FULFULLING CAREER OPPORTUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,337,356ExpenseAmt
Revenue$6,741,568RevenueAmt
DescVILLAGE NORTH OPERATES A LIFE-CARE, RESIDENTIAL CARE FACILITY FOR ELDERLY PERSONS, REGARDLESS OF THEIR ABILITY TO PAY. THE FACILITY IS COMPRISED OF 153 APARTMENT UNITS FOR INDEPENDENT LIVING; AN ACTIVITIES ADMINISTRATION BUILDING WHICH WILL BE CONNECTED TO THE APARTMENTS BY COVERED, ENCLOSED WALKWAYS; A 40-BED SKILLED NURSING AND REHABILITATION CARE FACILITY; AND WITHIN THE SKILLED NURSING AND REHABILITATION FACILITY, THERE ARE 20 BEDS DEDICATED TO LONG TERM RESIDENCY OF LOCAL COMMUNITY MEMBERS WHO ARE NO LONGER ABLE TO LIVE INDEPENDENTLY AND REQUIRE A HIGHER LEVEL OF CARE TO LIVE. THE SKILLED NURSING AND REHABILITATION FACILITY AT VILLAGE NORTH OPERATES AS AN OUTPATIENT FACILITY, FOR CONVALESCENCE FOLLOWING HOSPITALIZATION OR FOR PROLONGED PERIODS OF TIME AS NEEDED AND IS STAFFED BY LICENSED HEALTH PROFESSIONALS 24/7. VILLAGE NORTH PARTICIPATES IN FEDERAL MEDICARE AND MEDICAID PROGRAMS FOR PATIENTS.Desc
Total Program Service Expenses$6,337,356TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
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 Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document55IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee100EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
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 Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3148001983PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111160 VILLAGE NORTH DRIVEAddressLine1Txt
CitySAINT LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63136ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DANIEL J ROTHERY
VICE CHAIRPERSON2.00Yes (X)Yes (X)$0$0$0
ROGER T BYRNE
CHAIRPERSON2.00Yes (X)Yes (X)$0$0$0
JOSEPH J BRINKER
SECRETARY2.00Yes (X)Yes (X)$0$0$0
RONALD B MCMULLEN
TREASURER (TERM 6/2016)2.00Yes (X)Yes (X)$0$0$0
RICK STEVENS
TREASURER2.00Yes (X)Yes (X)$0$0$0
REBECCA PENNICK
ADMINISTRATOR40.00Yes (X)$0$0$0
GWEN CABE
GENERAL MANAGER40.00Yes (X)$0$0$0
DENNIS GRINDEL
GENERAL MANAGER40.00Yes (X)$0$0$0
LASHONDA HILL
DIRECTOR OF NURSING40.00Yes (X)$0$0$0
PEGGY PAYNE
DIRECTOR OF NURSING40.00Yes (X)$0$0$0
ANDREW LANE
DIRECTOR OF NURSING40.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
REHAB CARE
PO BOX 503534ST LOUISMO63150THERAPY$632,889
PARIC
PO BOX 790100ST LOUISMO63179CAPITAL ADDITIONS$616,525
BARTELS-MISSEY INC
3486 TELEGRAPH RDARNOLDMO63010CAPITAL ADDITIONS$367,997
BETHESDA HEALTH GROUP INC
1630 DES PERES RD SUITE 200ST LOUISMO63131MANAGEMENT SERVICES$356,181
OMINCARE PHARMACY
PO BOX 78000DETROITMI48278PHARMACY SERVICES$342,034
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
All Other Contributions$8,203AllOtherContributionsAmt
Total Contributions$8,203TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT/PATIENT REVENDesc
Business623000BusinessCd
Total Revenue Column$6,741,568TotalRevenueColumnAmt
Related Or Exempt Func Income$6,741,568RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,741,568TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,664TotalRevenueColumnAmt
Exclusion$24,664ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MEALS REVENUE623000$35,437$35,437
BARBER & BEAUTY SHOP R623000$5,836$5,836
FieldValueIRS element (for citing)
Other Revenue Total$41,273OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,815,708TotalRevenueColumnAmt
Related Or Exempt Func Income$6,741,568RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$65,937ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,028,639TotalAmt
Program Services$2,364,338ProgramServicesAmt
Management And General$664,301ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$35,788TotalAmt
Program Services$27,939ProgramServicesAmt
Management And General$7,849ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$178,347TotalAmt
Program Services$139,420ProgramServicesAmt
Management And General$38,927ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$215,397TotalAmt
Program Services$168,152ProgramServicesAmt
Management And General$47,245ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$356,181TotalAmt
Management And General$356,181ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$15,167TotalAmt
Management And General$15,167ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$676TotalAmt
Management And General$676ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,038,374TotalAmt
Program Services$1,710,850ProgramServicesAmt
Management And General$327,524ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$34,272TotalAmt
Management And General$34,272ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,219,633TotalAmt
Program Services$1,036,047ProgramServicesAmt
Management And General$183,586ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$149,425TotalAmt
Management And General$149,425ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$401,716TotalAmt
Program Services$282,321ProgramServicesAmt
Management And General$119,395ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$61,164TotalAmt
Program Services$22,991ProgramServicesAmt
Management And General$38,173ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$462,984TotalAmt
Program Services$462,984ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$56,524TotalAmt
Management And General$56,524ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
BAD DEBT EXPENSE$246,012$246,012
TAXES AND LICENSES$225,114$225,114
OTHER MISCELLANEOUS$119,153$119,153
EDUCATION AND TRAINING$14,758$12,604$2,154

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$13,263TotalAmt
Program Services$1,007ProgramServicesAmt
Management And General$12,256ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,872,587TotalAmt
Program Services$6,337,356ProgramServicesAmt
Management And General$2,535,231ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$300,707BOYAmt
EOY$36,608EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,006,824BOYAmt
EOY$1,122,399EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$16,918BOYAmt
EOY$23,592EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$3,015EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$19,428,995LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$14,334,230LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,348,233BOYAmt
EOY$5,094,765EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$874,586BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$803BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,548,071BOYAmt
EOY$6,280,379EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,923,234BOYAmt
EOY$3,856,196EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$2,231BOYAmt
EOY$10,184EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$109,300BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$139,306BOYAmt
EOY$152,763EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,174,071BOYAmt
EOY$4,019,143EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,374,000BOYAmt
EOY$2,261,236EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,374,000BOYAmt
EOY$2,261,236EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,548,071BOYAmt
EOY$6,280,379EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,056,879ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$1,944,115OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
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 Minus1 Year$3,392CurrentTaxYearMinus1YearAmt
Current Tax Year$8,203CurrentTaxYearAmt
Total$11,595TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$6,588,744CurrentTaxYearMinus1YearAmt
Current Tax Year$6,741,568CurrentTaxYearAmt
Total$13,330,312TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$6,592,136CurrentTaxYearMinus1YearAmt
Current Tax Year$6,749,771CurrentTaxYearAmt
Total$13,341,907TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$181,066CurrentTaxYearMinus1YearAmt
Current Tax Year$253,050CurrentTaxYearAmt
Total$434,116TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$181,066CurrentTaxYearMinus1YearAmt
Current Tax Year$253,050CurrentTaxYearAmt
Total$434,116TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$12,907,791PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$36,745CurrentTaxYearMinus1YearAmt
Current Tax Year$24,664CurrentTaxYearAmt
Total$61,409TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$36,745CurrentTaxYearMinus1YearAmt
Current Tax Year$24,664CurrentTaxYearAmt
Total$61,409TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$55,856CurrentTaxYearMinus1YearAmt
Current Tax Year$41,273CurrentTaxYearAmt
Total$97,129TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$6,684,737CurrentTaxYearMinus1YearAmt
Current Tax Year$6,815,708CurrentTaxYearAmt
Total$13,500,445TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMEALS REVENUE - 2015 AMOUNT: $ 40,397. 2016 AMOUNT: $ 35,437. BARBER BEAUTY SHOP - 2015 AMOUNT: $ 6,523. 2016 AMOUNT: $ 5,836. TRANSPORTATION REVENUE - 2015 AMOUNT: $ 8,936.ExplanationTxt

Schedule D IRS990ScheduleD

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$184,755OtherCostOrOtherBasisAmt
Book Value$184,755BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,422,650OtherCostOrOtherBasisAmt
Depreciation$6,229,007DepreciationAmt
Book Value$2,193,643BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,027,532OtherCostOrOtherBasisAmt
Depreciation$586,102DepreciationAmt
Book Value$441,430BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,733,124OtherCostOrOtherBasisAmt
Depreciation$7,510,011DepreciationAmt
Book Value$2,223,113BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$60,934OtherCostOrOtherBasisAmt
Depreciation$9,110DepreciationAmt
Book Value$51,824BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,094,765TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEPOSITSDesc
Amt$152,763Amt
FieldValueIRS element (for citing)
Total Liability$152,763TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, LINE 2B:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION HOLDS CASH FUNDS ON BEHALF OF RESIDENTS. USE OF THESE FUNDS IS AT THE DISCRETION OF THE RESIDENT.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 2A AND FORM 990, PART IX, LINE 7VILLAGE NORTH DOES NOT ISSUE W-2S. THE MANAGEMENT COMPANY, BETHESDA HEALTH GROUP INC, ISSUES THE W-2S FOR THIS ENTITY. THE AMOUNT LISTED ON FORM 990, PART IX, LINE 7 REPRESENTS THE WAGES THAT BETHESDA HAS PAID TO ITS EMPLOYEES WHO WORK SPECIFICALLY AT THE VILLAGE NORTH COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 3VNI HAS ENTERED INTO AN AGREEMENT WITH BETHESDA HEALTH GROUP, INC., WHO IS ONE OF THE JOINT MEMBERS OF VNI, TO PROVIDE MANAGEMENT SERVICES FOR THE DAY-TO-DAY OPERATIONS OF VNI. THE MANAGEMENT SERVICES TO BE PROVIDED BY BETHESDA HEALTH GROUP, INC. INCLUDE, WITHOUT LIMITATION, THE FOLLOWING: GENERAL PLANNING SERVICES; BUDGETS; CONTRACT NEGOTIATION; BILLING AND COLLECTION SERVICES; BUSINESS OFFICE SERVICES; PRICING; HUMAN RESOURCE SERVICES; INFORMATION SYSTEMS; ADVERTISING & MARKETING SERVICES; ACCOUNTING SERVICES; REPAIRS & MAINTENANCE; CAPITAL IMPROVEMENTS; ADMISSION & DISCHARGE SERVICES; INSURANCE; RECORD MAINTENANCE; QUALITY CONTROL; RISK MANAGEMENT; POLICIES & COMPLIANCE SERVICES; AND OTHER MANAGEMENT ACTIVITIES. DURING THE 2016 CALENDAR YEAR BETHESDA HEALTH GROUP, INC. COMPENSATED THE FOLLOWING INDIVIDUALS IN TOTAL WAGES: REBECCA PENNICK $86,410 FOR SERVING AS VNI'S ADMINSITRATOR; GWEN CABE $60,200 FOR SERVING AS VNI'S GENERAL MANAGER; DENNIS GRINDEL $22,210 FOR SERVING AS VNI'S GENERAL MANAGER; LASHONDA HILL $5,846 FOR SERVING AS VNI'S DIRECTOR OF NURSING; PEGGY PAYNE $9,808 FOR SERVING AS VNI'S DIRECTOR OF NURSING; AND ANDREW LANE $4,985 FOR SERVING AS VNI'S DIRECTOR OF NURSING.
FORM 990, PART VI, SECTION A, LINE 6BETHESDA HEALTH GROUP, INC. AND CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION, TWO UNRELATED CHARITABLE TAX-EXEMPT ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3), ARE VNI'S TWO MEMBERS, WITH EACH HAVING 50% CONTROL OF ITS BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7AEACH OF THE ORGANIZATION'S TWO MEMBERS, BETHESDA HEALTH GROUP, INC. AND CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION, HAVE THE POWER TO APPOINT TWO MEMBERS TO VNI'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 WILL BE DISTRIBUTED TO THE BOARD OF DIRECTORS FOR REVIEW, COMMENT AND APPROVAL PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CVNI HAS ADOPTED A WRITTEN CONFLICT OF INTEREST POLICY (POLICY) THAT REQUIRES OFFICERS, DIRECTORS, KEY EMPLOYEES, AND OTHER COVERED INDIVIDUALS TO DISCLOSE BUSINESS OR OTHER INTERESTS THAT MAY GIVE RISE TO CONFLICTS. VNI REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH THE POLICY BY ISSUING ANNUALLY A CONFLICT OF INTEREST QUESTIONNAIRE REMINDING COVERED INDIVIDUALS OF THEIR OBLIGATION TO DISCLOSE POTENTIAL CONFLICTS AND REQUIRES THE INDIVIDUAL TO ATTEST TO THEIR CONTINUING OBLIGATION TO DISCLOSE SAID CONFLICTS SHOULD THE NEED ARISE. THE RESULTS OF THE CONFLICTS QUESTIONNAIRE ARE REVIEWED BY A CENTRALIZED COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION IS TAKEN AS NECESSARY. IN ACCORDANCE WITH THE POLICY, INDIVIDUALS DISCLOSING SUCH CONFLICTS RECUSE THEMSELVES FROM ANY AND ALL DISCUSSIONS RELATED TO SUCH BUSINESS TRANSACTIONS. SUCH RELATIONSHIPS ARE REVIEWED TO ENSURE THAT ANY PAYMENTS RECEIVED OR AMOUNTS PAID DO NOT EXCEED THE FAIR MARKET VALUE OF THE GOODS AND SERVICES RECEIVED BY VNI.
FORM 990, PART VI, SECTION B, LINE 15PER POLICIES OF THE MANAGEMENT SERVICES PROVIDER, BETHESDA HEALTH GROUP, AN INDEPENDENT COMPENSATION CONSULTANT IS REGULARLY ENGAGED TO REVIEW AND ANALYZE THE COMPENSATION AND BENEFITS OF OUR EXECUTIVES COMPARED TO THEIR PEERS IN THE BUSINESS COMMUNITY. THE RESULTS ARE REVIEWED AND APPROVED, WHEN APPROPRIATE, BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19PER THE POLICIES OF THE MANAGEMENT SERVICES PROVIDER, THE ORGANIZATION DOES NOT MAKE COPIES OF IT'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART VII, SECTION B AND PART IXALTHOUGH THE ORGANIZATION PAID BETHESDA APPROXIMATELY $700,000 FOR THE CALENDAR YEAR, ONLY $356,181 OF THAT IS CONSIDERED TO BE MANAGEMENT FEES. THE OTHER $343,819 IS REIMBURSEMENT FOR MISCELLANEOUS FEES AND TECHNOLOGY INCURRED BY THE MANAGEMENT COMPANY. THESE AMOUNTS ARE SPLIT BETWEEN THE APPROPRIATE CATEGORIES ON REPORTED ACCORDINGLY ON PAGE 10.
FORM 990, PART IX, LINE 11GPURCHASED SERVICES: PROGRAM SERVICE EXPENSES 809,070. MANAGEMENT AND GENERAL EXPENSES 143,062. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 952,132. TEMP AGENCIES: PROGRAM SERVICE EXPENSES 800,439. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 800,439. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 101,341. MANAGEMENT AND GENERAL EXPENSES 184,462. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 285,803.
FORM 990, PART XI, LINE 9:ADDITIONAL PAID IN CAPITAL BY MEMBERS 1,944,115.
SCHEDULE RSCHEDULE R HAS BEEN REMOVED FOR THIS TAX FILING AS IT WAS DETERMINED THAT NEITHER MEMBER (BETHESDA NOR CHRISTIAN HEALTH) HAVE CONTROL OVER THE BOARD AS BOTH MEMBERS CONTROL EXACTLY 50% OF THE BOARD.

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