HENRY FORD VILLAGE: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
HENRY FORD VILLAGE (EIN 38-3087328)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201633209349307918
Schema version
2015v2.1
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)
Return2016-11-15T12:21:45-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 OTTAWA AVE NW STE 300AddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49503ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383087328EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HENRY FORD VILLAGE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JOE LIPIECInCareOfNm
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
Signature2016-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKathleen GuiderPreparerPersonNm
PTINP00177866PTIN
Phone6167747000PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

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$37,150,390GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
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, MICH- IGAN WITH RECREATION, SOCIAL, AND RELIGIOUS ACTIVITES FOR RESIDENTS.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee671TotalEmployeeCnt
Total Volunteers315TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$672,324PYContributionsGrantsAmt
CY Contributions Grants$603,036CYContributionsGrantsAmt
PY Program Service Revenue$35,515,962PYProgramServiceRevenueAmt
CY Program Service Revenue$36,278,488CYProgramServiceRevenueAmt
PY Investment Income$241,278PYInvestmentIncomeAmt
CY Investment Income$99,658CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$36,429,564PYTotalRevenueAmt
CY Total Revenue$36,981,182CYTotalRevenueAmt
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$15,441,557PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,024,191CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$19,860,179PYOtherExpensesAmt
CY Other Expenses$20,709,798CYOtherExpensesAmt
PY Total Expenses$35,301,736PYTotalExpensesAmt
CY Total Expenses$36,733,989CYTotalExpensesAmt
PY Revenues Less Expenses$1,127,828PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$247,193CYRevenuesLessExpensesAmt
Total Assets BOY$99,766,551TotalAssetsBOYAmt
Total Assets EOY$96,672,006TotalAssetsEOYAmt
Total Liabilities BOY$118,975,580TotalLiabilitiesBOYAmt
Total Liabilities EOY$115,675,478TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$19,209,029NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$19,003,472NetAssetsOrFundBalancesEOYAmt
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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$30,028,527ExpenseAmt
Revenue$36,278,488RevenueAmt
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 856 INDEPENDENT LIVING UNITS (INCLUDING TWO GUEST ROOMS AND TWO MODELS), 96 ASSISTED LIVING UNITS, AND 89 SKILLED NURSING BEDS. AS OF DECEMBER 31, 2015 THERE WERE 796 OCCUPIED UNITS, WHICH CONSISTED OF 645 INDEPENDENT LIVING UNITS, 79 ASSISTED LIVING UNITS, AND 72 SKILLED NURSING BEDS.Desc
Total Program Service Expenses$30,028,527TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document53IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee671EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsYes (true)NondeductibleContributionsInd
Nondeductible Contri DisclYes (true)NondeductibleContriDisclInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOE LIPIECPersonNm
Phone3135841000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line115101 FORD ROADAddressLine1Txt
CityDEARBORNCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48126ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN BYRNE
SECRETARY/TREASURER4.01.0Yes (X)Yes (X)$0$0$0
ROBERT MUELLER
MEMBER4.00.0Yes (X)$0$0$0
GARY GLENN
CHAIRPERSON4.00.0Yes (X)Yes (X)$0$0$0
DR KAREN ROSS
MEMBER4.01.0Yes (X)$0$0$0
DR WALTER TALAMONTI
MEMBER4.00.0Yes (X)$0$0$0
DONALD JESMORE
MEMBER4.01.0Yes (X)$0$0$0
RONALD JESMORE
MEMBER4.00.0Yes (X)$0$0$0
BRUCE BLALOCK
EXECUTIVE DIRECTOR40.01.0Yes (X)$232,185$0$15,206
JOE LIPIEC
DIRECTOR OF FINANCE40.00.0Yes (X)$85,775$0$0
ROBERT O DISANTO
DIRECTOR, GENERAL SERVICES40.00.0$104,975$0$0Yes (X)
KARI RENNIE
ADMINISTRATOR40.00.0$96,225$0$12,491Yes (X)
WILLIAM COSBY SR
DIRECTOR OF SALES40.00.0$113,318$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$632,478TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$27,697TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
REHABCARE GROUP THERAPY SERVICES
680 SOUTH FOURTH STREETLOUISVILLEKY40202PHYSICAL THERAPY$1,579,649
ALTERNATIVE CONTRACTING INC
7703 DONNA STREETWESTLANDMI48185RENOVATION/REPAIR$1,080,787
SBM MANAGEMENT SERVICES
5241 ARNOLD AVENUEMCCLELLANCA95652HOUSEKEEPING$829,637
DRIVEN SOLUTIONS INC
320 WEST NINE MILE ROAD SUITE BFERNDALEMI48220ADVERTISING$531,504
DYKEMA GOSSETT PLLC
400 renaissance centerDETROITMI48243legal services$194,180
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$285,709RelatedOrganizationsAmt
All Other Contributions$317,327AllOtherContributionsAmt
Total Contributions$603,036TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NON-REFUNDABLE DEPOSIT623000$1,245,015$1,245,015
OCCUPANCY REVENUE623000$29,973,439$29,973,439
ANCILLARY FEES623000$1,671,545$1,671,545
RESIDENT FEE AMORTIZATION623000$2,963,356$2,963,356
RENT RELATED TO CLINIC PROGRAMS623000$120,000$120,000

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$305,133TotalRevenueColumnAmt
Related Or Exempt Func Income$305,133RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$36,278,488TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$95,312TotalRevenueColumnAmt
Exclusion$95,312ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$173,554SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$169,208SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,346SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,346TotalRevenueColumnAmt
Exclusion$4,346ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,981,182TotalRevenueColumnAmt
Related Or Exempt Func Income$36,278,488RelatedOrExemptFuncIncomeAmt
Exclusion$99,658ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$435,133TotalAmt
Management And General$435,133ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,652,137TotalAmt
Program Services$9,339,787ProgramServicesAmt
Management And General$3,312,350ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,969,814TotalAmt
Program Services$1,610,242ProgramServicesAmt
Management And General$359,572ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$967,107TotalAmt
Program Services$790,570ProgramServicesAmt
Management And General$176,537ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$486,585TotalAmt
Management And General$486,585ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$332,259TotalAmt
Program Services$271,608ProgramServicesAmt
Management And General$60,651ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$53,424TotalAmt
Program Services$43,672ProgramServicesAmt
Management And General$9,752ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$67,327TotalAmt
Program Services$55,037ProgramServicesAmt
Management And General$12,290ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,124,417TotalAmt
Program Services$1,736,624ProgramServicesAmt
Management And General$387,793ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$845,190TotalAmt
Program Services$690,908ProgramServicesAmt
Management And General$154,282ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$237,376TotalAmt
Program Services$194,045ProgramServicesAmt
Management And General$43,331ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$506,980TotalAmt
Program Services$414,435ProgramServicesAmt
Management And General$92,545ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,532,103TotalAmt
Program Services$1,532,103ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$44,408TotalAmt
Program Services$36,302ProgramServicesAmt
Management And General$8,106ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,839,774TotalAmt
Program Services$2,839,774ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,147,107TotalAmt
Program Services$4,147,107ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$555,286TotalAmt
Program Services$555,286ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BLDG, GROUNDS & MAINTENANCE$1,907,435$1,559,250$348,185
RESIDENT RELATIONS$35,060$28,660$6,400
REAL ESTATE TAXES$547,027$547,027
SUPPLIES$3,878,722$3,170,696$708,026

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$569,318TotalAmt
Program Services$465,394ProgramServicesAmt
Management And General$103,924ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$36,733,989TotalAmt
Program Services$30,028,527ProgramServicesAmt
Management And General$6,705,462ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,084,640BOYAmt
EOY$510,192EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,205,750BOYAmt
EOY$1,234,324EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,317,830BOYAmt
EOY$2,644,952EOYAmt

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$658,077BOYAmt
EOY$308,077EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$115,319BOYAmt
EOY$95,187EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$675,139BOYAmt
EOY$699,846EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$162,509,330LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$78,121,273LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$86,817,034BOYAmt
EOY$84,388,057EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,542,382BOYAmt
EOY$2,542,493EOYAmt

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$4,350,380BOYAmt
EOY$4,248,878EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$99,766,551BOYAmt
EOY$96,672,006EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,533,996BOYAmt
EOY$4,627,428EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,433,895BOYAmt
EOY$40,014,650EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$1,689,161BOYAmt
EOY$606,778EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$73,318,528BOYAmt
EOY$70,426,622EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$118,975,580BOYAmt
EOY$115,675,478EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$19,252,535BOYAmt
EOY-$19,032,910EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$43,506BOYAmt
EOY$29,438EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$19,209,029BOYAmt
EOY-$19,003,472EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$99,766,551BOYAmt
EOY$96,672,006EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$247,193ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$41,636NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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$372,331CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$407,247CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$409,933CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$672,324CurrentTaxYearMinus1YearAmt
Current Tax Year$603,036CurrentTaxYearAmt
Total$2,464,871TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$36,721,957CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$36,821,693CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,254,514CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$35,515,962CurrentTaxYearMinus1YearAmt
Current Tax Year$36,278,488CurrentTaxYearAmt
Total$180,592,614TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$37,094,288CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$37,228,940CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,664,447CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$36,188,286CurrentTaxYearMinus1YearAmt
Current Tax Year$36,881,524CurrentTaxYearAmt
Total$183,057,485TotalAmt

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$183,057,485PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$475,864CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$358,339CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$146,442CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$104,869CurrentTaxYearMinus1YearAmt
Current Tax Year$95,312CurrentTaxYearAmt
Total$1,180,826TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$475,864CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$358,339CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$146,442CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$104,869CurrentTaxYearMinus1YearAmt
Current Tax Year$95,312CurrentTaxYearAmt
Total$1,180,826TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-$19,371CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$115,769CurrentTaxYearMinus3YearsAmt
Total$96,398TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$37,550,781CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$37,703,048CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,810,889CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$36,293,155CurrentTaxYearMinus1YearAmt
Current Tax Year$36,976,836CurrentTaxYearAmt
Total$184,334,709TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99307PublicSupportCY509Pct
Public Support PY5090.99140PublicSupportPY509Pct
Investment Income CY0.00641InvestmentIncomeCYPct
Investment Income PY0.00878InvestmentIncomePYPct
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)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$221,620BeginningYearBalanceAmt
Contributions$111,704ContributionsAmt
Investment Earnings Or Losses$24,659InvestmentEarningsOrLossesAmt
Other Expenditures$124,440OtherExpendituresAmt
End Year Balance$233,543EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)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$147,786,008OtherCostOrOtherBasisAmt
Depreciation$69,809,663DepreciationAmt
Book Value$77,976,345BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$269,497OtherCostOrOtherBasisAmt
Depreciation$269,497DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,236,926OtherCostOrOtherBasisAmt
Depreciation$4,660,895DepreciationAmt
Book Value$576,031BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,224,376OtherCostOrOtherBasisAmt
Depreciation$3,381,218DepreciationAmt
Book Value$843,158BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$84,388,057TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
RESIDENT DEPOSITS$65,415,305
FUNDS HELD FOR RESIDENTS$112,322
REFUNDS DUE TO RESIDENTS$3,452,076
ACCOUNTS PAYABLE - RELATED PAR$1,446,919
FieldValueIRS element (for citing)
Total Liability$70,426,622TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$36,072,827TotalRevEtcAuditedFinclStmtAmt
Other Revenue$113,923OtherRevenueAmt
Revenue Not Reported$113,923RevenueNotReportedAmt
Revenue Subtotal$35,958,904RevenueSubtotalAmt
Other Revenues Not Included$1,022,278OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,022,278RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$36,981,182TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$35,811,566TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$35,811,566ExpensesSubtotalAmt
Other Expenses Not Included$922,423OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$922,423ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$36,733,989TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINES 2D AND 4BRECONCILATION OF REVENUE: OTHER AMOUNTS INCLUDED IN AUDIT INCOME BUT NOT FORM 990 INCOME INCLUDE ASSETS RELEASED FROM RESTRICTIONS OF $113,923 THAT WERE RECORDED AS CONTRIBUTION INCOME IN PRIOR YEAR(S). OTHER AMOUNTS INCLUDED IN FORM 990 INCOME BUT NOT IN AUDIT INCOME INCLUDE $922,423 OF MARKETING EXPENSES NETTED AGAINST AMORTIZED RESIDENT DEPOSITS IN THE AUDIT, AND $99,855 OF TEMPORARILY RESTRICTED CONTRIBUTIONS.
PART XII, LINE 4BRECONCILATION OF EXPENSES: OTHER AMOUNT INCLUDED IN FORM 990 EXPENSES BUT NOT IN AUDIT EXPENSES REPRESENTS $922,423 OF MARKETING EXPENSES.
PART V, LINE 4ENDOWMENT FUNDS: HENRY FORD VILLAGE, INC. ADMINISTERS THREE ENDOWMENT FUNDS WITH THE PURPOSE TO CARRY OUT THE CHARITABLE PURPOSE OF HENRY FORD VILLAGE, INC.: 1) THE BENEVOLENT CARE FUND, 2) THE SCHOLARSHIP FUND, AND 3) THE STAFF APPRECIATION FUND. THE TOTAL ASSETS IN ALL THREE FUNDS AT 12/31/2015 WAS $29,438.
PART IV, LINE 2BESCROW ACCOUNTS: 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 accompanying balance sheets. Deposit timing differences may cause escrow cash not to be equal to advance deposits. As of 12/31/2015, Escrow cash and advance deposits were $922,564 and $606,778, respectively.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonBRUCE BLALOCKPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$157,976BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$74,209BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$13,356DeferredCompensationFlngOrgAmt
Nontaxable Benefits Filing Org$1,850NontaxableBenefitsFilingOrgAmt
Total Compensation Filing Org$247,391TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceLINE 5A, MANAGEMENT AGREEMENT:FormAndLineReferenceDesc
ExplanationOn December 1, 2010, HFV contracted with Life Care Services (LCS) for management services. The LCS contract was for five years and was extended until August 31, 2016. The executive director and administrator are employees of LCS, but their salaries and related employee benefits are reimbursed by HFV. Reimbursement paid to LCS for LCS employees in 2015 totaled $396,462. Other corporate services that HFV may obtain are not required contractually and are on an as-needed basis.ExplanationTxt

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
PurposeREFINANCE A 1998 VAR. RATE BONDPurposeDesc
DefeasedYes (true)DefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$41,842,922TotalProceedsAmt
In Reserve Fund$3,317,550InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$34,540,625RefundingEscrowAmt
Issuance Costs From Proceeds$836,858IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$3,147,889CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$3,984,747UnspentAmt
Substantial Completion2008SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdfalseProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledYes (true)Form8038TFiledInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceBONDS PAYABLE:FormAndLineReferenceDesc
ExplanationOn October 1, 2008, HFV closed on Series 2008 Bonds issued by Economic Development Corporation of the City of Dearborn in the amount of $42,535,000. The 2008 Bonds ARE tax-exempt WITH A fixed interest rate of 7.15% AND final maturity in November 2043. No letter of credit is required for the Series 2008 Bonds. As part of this agreement, HFV is subject to certain financial covenants. Bondholders approved the First Amendment to the Loan Agreement on March 23, 2012, modifying the days cash on hand (liquidity covenant) requirement from 180 days to 150 days for the year ended December 31, 2015. The First Amendment to the Loan Agreement does have a provision that allows the liquidity covenant to be lower than 108 days as of December 31, 2015. However, if the liquidity covenant is less than 108 days, HFV must retain a management consultant to make recommendations with respect to the rates, fees and charges of HFV and HFVs methods of operations and other factors affecting its financial condition in order to increase the days cash on hand to the liquidity requirement for future periods. The consultant must be retained within 30 days of HFV disclosing the deficiency in the liquidity covenant. As of December 31, 2015, the liquidity covenant was less than 108 days. Subsequent to December 31, 2015, HFV obtained a waiver of noncompliance from the bond trustee that waived HFVs noncompliance with the liquidity covenant, modified debt service coverage ratio, and also waived HFVs obligation to retain a management consultant. This waiver also waived all required principal and interest payments for the months of July, August, September and October of 2016. HFV is in the process of refinancing the outstanding bonds and expects to have the refinancing complete in November 2016.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION B, LINE 11BFORM 990 REVIEW PROCESS: JOE LIPIEC (DIRECTOR OF FINANCE) AND A MEMBER OF THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEW THE 2015 form 990 PRIOR TO FILING.
PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY MONITORING AND COMPLIANCE: COMPLIANCE WITH THE CONFLICT OF INTEREST, WHISTLEBLOWER, AND DOCUMENT RETENTION AND DESTRUCTION POLICIES WAS MONITORED BY THE MANAGEMENT COMPANY, LIFE CARE SERVICES, LLC. BOARD MEMBERS SIGN A CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS.
PART VI, SECTION B, LINE 15ACOMPENSATION DETERMINATION PROCESS: MANAGEMENT (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 MANAGEMENT RECOMMENDS ANNUAL SALARIES, TYPICALLY A PERCENTAGE INCREASE FROM THE PRIOR YEAR. THE BOARD APPROVES THE BUDGET ON AN ANNUAL BASIS.
PART X, LINE 15BOND AMORTIZATION: Deferred financing costs related to the 2008 issuance of bonds totaled $1,004,757 and are beING amortized over the bond term of 35 years. Amortization of deferred financing costs in the year ended December 31, 2015 was $37,311. Deferred financing fees, net of accumulated amortization, were $707,082 as of December 31, 2015.
PART X, LINE 25RESIDENT REFUNDS PAYABLE: RESIDENTS ARE REQUIRED TO REMIT ENTRANCE DEPOSITS, WHICH VARY IN AMOUNT DEPENDING ON THE UNIT TO BE OCCUPIED. RESIDENT DEPOSITS ARE REFUNDABLE WHEN THE UNIT HAS BEEN VACATED AND RELEASED, ALL OUTSTANDING OBLIGATIONS OF THE RESIDENT HAVE BEEN PAID, AND THE UNIT HAS BEEN RE-SETTLED AND PAID FOR BY A NEW RESIDENT. AMORTIZATION OF RESIDENT DEPOSITS IS RECOGNIZED AS OPERATING REVENUE ON A STRAIGHT-LINE BASIS OVER THE REMAINING USEFUL LIFE OF THE BUILDINGS. THE NET RESIDENT DEPOSITS LIABILITY WAS $65,415,305 AS OF DECEMBER 31, 2015. THE CURRENT YEAR INCOME AMORTIZATION WAS $2,963,356.
PART VI, LINE 3MANAGEMENT COMPANY AND GOVERNANCE: Life 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. IS GOVERNED BY AN INDEPENDENT BOARD OF DIRECTORS AND IS ADVISED BY A RESIDENTS COUNCIL 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, HFV contracted with Life Care Services (LCS) for management services. The LCS contract was for five years and was extended until August 31, 2016. The executive director and administrator are employees of LCS, but their salaries and related employee benefits are reimbursed by HFV. Reimbursement paid to LCS for LCS employees in 2015 totaled $396,462. Other corporate services that HFV may obtain are not required contractually and are on an as-needed basis.
PART VIII, LINE 2FLEASE REVENUE: HENRY FORD VILLAGE, INC. LEASES SPACE TO VARIOUS ENTITIES FOR THE PROVISION OF SERVICES SUCH AS PHYSICIAN CARE, DENTAL CARE, AND COSMETOLOGY. THESE SERVICES ARE PROVIDED solely FOR THE BENEFIT AND CONVENIENCE OF THE RESIDENTS OF HENRY FORD VILLAGE. THE REVENUE RELATED TO THESE FACILITIES LEASES FOR 2015 WAS $233,207.
PART VI, LINE 19DOCUMENT DISCLOSURE: THE 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, DEARBORN, MI 48126.
PART V, LINE 6A/BCERTAIN CONTRIBUTIONS NOT TAX DEDUCTIBLE: HENRY FORD VILLAGE, INC. HAS AN ANNUAL CAMPAIGN TO RAISE FUNDS FOR THE STAFF APPRECIATION FUND, WHICH PROVIDES END-OF-THE-YEAR BONUS CHECKS TO HENRY FORD VILLAGE, INC. EMPLOYEES. CONTRIBUTORS ARE NOTIFIED THAT DONATIONS TO THIS FUND ARE NOT TAX DEDUCTIBLE.
PART VIIIOCCUPANCY REVENUE: INCLUDED IN RESIDENT OCCUPANCY REVENUE ARE INDEPENDENT, ASSISTED LIVING, AND SKILLED NURSING MONTHLY FEES. REVENUE ATTRIBUTABLE TO THE SKILLED NURSING FACILITY IS RECEIVED UNDER CONTRACTUAL ARRANGEMENTS WITH THIRD-PARTY PAYERS SUCH AS MEDICARE AND MEDICAID. IN 2015 APPROXIMATELY 17% OF THE REVENUE FROM RESIDENTS WAS RECEIVED FROM THE MEDICARE AND MEDICAID PROGRAMS. HFV HAS AGREEMENTS WITH THE MEDICARE AND MEDICAID PROGRAMS TO PROVIDE REIMBURSEMENT TO HFV AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES FOR PRIVATE PAYERS. CONTRACTUAL ADJUSTMENTS UNDER THIRD-PARTY REIMBURSEMENT PROGRAMS REPRESENT THE DIFFERENCE BETWEEN HFV'S ESTABLISHED RATES FOR SERVICES AND AMOUNTS REIMBURSED BY THIRD-PARTY PAYERS. A SUMMARY OF THE BASIS OF REIMBURSEMENT WITH THESE THIRD-PARTY PAYERS FOLLOWS: MEDICARE: SERVICES RENDERED TO MEDICARE PROGRAM BENEFICIARIES ARE REIMBURSED AT PROSPECTIVELY DETERMINED RATES BASED UPON CLINICAL ASSESSMENTS COMPLETED BY HFV THAT ARE SUBJECT TO REVIEW AND FINAL APPROVAL BY MEDICARE. MEDICAID: SERVICES rendered to Medicaid program beneficiaries are reimbursed on a per diem basis based on a cost reimbursement methodology.
PART VI, SECTION A, LINE 2BOARD MEMBER RELATIONSHIPS: BOARD MEMBERS DONALD (FATHER) AND RONALD JESMORE (SON) ARE RELATED FAMILY MEMBERS.

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 Status11PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HFV INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HENRY FORD VILLAGE FOUNDATION
C$285,709FMV (CASH)
HENRY FORD VILLAGE FOUNDATION
D$308,077FMV (CASH)

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